Date of Conferral
2023
Degree
Doctor of Public Health (DrPH)
School
Public Health
Advisor
Nancy Ray
Abstract
Kidney transplantation is identified as the ideal approach to managing end-stage renal disease (ESRD), yet access for some groups remains an ongoing concern. Research findings support the notion that hepatitis-C-infected ESRD patients benefit from kidney transplantation compared to those remaining on dialysis. Although the disparity in access to kidney transplantation has been well researched, the association between hepatitis C virus infection and kidney transplant waiting times among ESRD patients was unknown. The purpose of this quantitative retrospective study was to analyze the association between hepatitis C virus infection, blood type, and kidney transplant waiting times among ESRD patients when controlling for age, gender, race, work income, and health insurance coverage. Bronfenbrenner’s ecological systems theory was used as the theoretical foundation for this study. Secondary data were provided by the United Network for Organ Sharing for all kidney transplantations performed between January 1, 2010, and December 31, 2020 for adults 18 years of age and older. Kruskal-Wallis and bivariate regression tests demonstrated a significant association between blood type, age, race, and health insurance coverage and kidney transplant waiting times. The Social change implications are that findings may be used to implement programs to address the disparities limiting access to kidney transplantation among ESRD patients.
Recommended Citation
Anglade-McCormick, Marie J., "Hepatitis C Infection and Kidney Transplant Waiting Time Among End-Stage Renal Disease Patients" (2023). Walden Dissertations and Doctoral Studies. 14811.
https://scholarworks.waldenu.edu/dissertations/14811
