Title: Kidney Disease Among African Americans: A Population Perspective - American Journal of Kidney Diseases
Headings: Kidney Disease Among African Americans: A Population Perspective
Kidney Disease Among African Americans: A Population Perspective
Index Words
Introduction
Race and Health in the United States
Major CKD Risk Factors
Impact of Health Beliefs and Behaviors on CKD
Social Determinants of Health
Population-Level Health
Conclusions and Future Directions
References
Article Info
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Affiliations
Division of Nephrology and Hypertension, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, CA Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at University of California, Los Angeles, CA
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DOI: https://doi.org/10.1053/j.ajkd.2018.06.021
Kidney Disease Among African Americans: A Population Perspective
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Index Words
Introduction
Race and Health in the United States
Major CKD Risk Factors
Impact of Health Beliefs and Behaviors on CKD
Social Determinants of Health
Population-Level Health
Conclusions and Future Directions
References
Article Info
Figures
Tables
End-stage kidney disease and earlier stages of chronic kidney disease (CKD) represent one of the most dramatic examples of racial/ethnic disparities in health in our nation. African Americans are 3 times more likely to require renal replacement therapy then their non-Hispanic white counterparts. This article describes CKD-related disparities linked to a variety of clinical, socioeconomic, and cultural factors, as well as to select social determinants of health that are defined by social positioning and often by race within the United States. Our advancing understanding of these issues has led to improvements in patient outcomes and is narrowing the gap in disparities across most aspects of CKD and CKD risk factors. There are also extensive data indicating similar improvements in quality measures for patients on dialysis therapy. This article also reviews the state of CKD in African Americans from a population perspective and provides recommendations for the way forward.