Inequities in organ and tissue donation and transplantation for sexual orientation and gender identity diverse A review

被引：10

作者：

Leeies, Murdoch ^{[1
,2
,3
,4
,24
]}

Collister, David ^{[5
]}

Ho, Julie ^{[6
,7
]}

Trachtenberg, Aaron ^{[6
,7
]}

Gruber, Jackie ^{[8
]}

Weiss, Matthew J. ^{[4
,9
,10
]}

Chandler, Jennifer A. ^{[4
,11
,12
]}

Mooney, Owen ^{[1
,2
]}

Carta, Tricia ^{[1
]}

Klassen, Ben ^{[13
]}

Draenos, Chris ^{[13
]}

Sutha, Ken ^{[14
,15
]}

Randell, Shane ^{[15
,16
]}

Strang, Matthew ^{[15
,17
,18
]}

Partain, Billy ^{[15
]}

Whitley, Cameron T. ^{[15
,19
]}

Cuvelier, Susan ^{[20
]}

MacKenzie, Lauren J. ^{[21
,22
]}

Shemie, Sam D. ^{[23
]}

Hrymak, Carmen ^{[1
,2
,3
]}

机构：

[1] Shared Hlth Manitoba, Gift Life Program, Transplant Manitoba, Winnipeg, MB, Canada

[2] Univ Manitoba, Dept Internal Med, Sect Crit Care Med, Winnipeg, MB, Canada

[3] Univ Manitoba, Dept Emergency Med, Winnipeg, MB, Canada

[4] Canadian Donat & Transplantat Res Program, Edmonton, AB, Canada

[5] Univ Alberta, Dept Med, Div Nephrol, Edmonton, AB, Canada

[6] Shared Hlth Manitoba, Adult Kidney Program, Transplant Manitoba, Winnipeg, MB, Canada

[7] Univ Manitoba, Dept Internal Med, Sect Nephrol, Winnipeg, MB, Canada

[8] British Columbia Inst Technol, Vancouver, BC, Canada

[9] Transplant Quebec, Montreal, PQ, Canada

[10] Ctr Mere Enfant Soleil CHU Quebec, Dept Pediat, Div Crit Care, Quebec City, PQ, Canada

[11] Univ Ottawa, Fac Law, Ottawa, ON, Canada

[12] Univ Ottawa, Fac Med, Ottawa, ON, Canada

[13] Community Based Res Ctr, Vancouver, BC, Canada

[14] Stanford Univ, Dept Pediat, Div Nephrol, Sch Med, Palo Alto, CA USA

[15] Sexual Orientat & Gender Ident Organ & Tissue Dona, Winnipeg, MB, Canada

[16] Mem Univ, Dept Community Hlth & Humanities, Fac Med, St John, NF, Canada

[17] York Univ, Dept Sociol, Toronto, ON, Canada

[18] Trillium Hlth Partners, Inst Better Hlth, Mississauga, ON, Canada

[19] Western Washington Univ, Dept Sociol, Bellingham, WA USA

[20] Univ Manitoba, Dept Internal Med, Sect Hepatol, Winnipeg, MB, Canada

[21] Univ Manitoba, Dept Internal Med, Sect Infect Dis, Winnipeg, MB, Canada

[22] Shared Hlth Manitoba, Manitoba HIV Program, Winnipeg, MB, Canada

[23] McGill Univ, Div Crit Care Med, Montreal Childrens Hosp, McGill Univ Hlth Ctr & Res Inst, Montreal, PQ, Canada

[24] S203 Med Serv Bldg,750 Bannatyne Ave, Winnipeg, MB, Canada

来源：

AMERICAN JOURNAL OF TRANSPLANTATION | 2023年 / 23卷 / 06期

关键词：

sexual orientation; gender identity; sexual and gender minority; LGBT; LGBTQ plus; 2SLGBTQIA+; men who have sex with men; transgender; gender diverse; gay; queer; lesbian; heterosexual; cisgender; organ donation; tissue donation; organ transplantation; organ failure; organ donation organization; equity; diversity; inclusion; inequity; HEALTH-CARE; RISK; DONORS; HIV; TRANSMISSION; INFECTION; CONSENT; CHALLENGES; MANAGEMENT; GUIDELINE;

D O I：

10.1016/j.ajt.2023.03.016

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Sexual orientation and gender identity (SOGI)-diverse populations experience discrimination in organ and tissue donation and transplantation (OTDT) systems globally. We assembled a multidisciplinary group of clinical experts as well as SOGI-diverse patient and public partners and conducted a scoping review including citations on the experiences of SOGI-diverse persons in OTDT systems globally to identify and explore the inequities that exist with regards to living and deceased OTDT. Using scoping review methods, we conducted a systematic literature search of relevant electronic databases from 1970 to 2021 including a grey literature search. We identified and screened 2402 references and included 87 unique publications. Two researchers independently coded data in included publications in duplicate. We conducted a best-fit framework synthesis paired with an inductive thematic analysis to identify synthesized benefits, harms, inequities, justification of inequities, recommendations to mitigate inequities, laws and regulations, as well as knowledge and implementation gaps regarding SOGI-diverse identities in OTDT systems. We identified numerous harms and inequities for SOGI-diverse populations in OTDT systems. There were no published benefits of SOGI-diverse identities in OTDT systems. We summarized recommendations for the promotion of equity for SOGI-diverse populations and identified gaps that can serve as targets for action moving forward.

引用

页码：707 / 726

页数：20

共 138 条

[1]

10TV.com, 2017, 10TV 0720

[2]

2SLGBTQI+ Secretariat, 2SLGBTQI TERM GLOSS

[3]

Abadsidis S, 2012, ADVOCATE

[4]

Ambaraghassi Georges, 2017, Can J Kidney Health Dis, V4, p2054358117695792, DOI 10.1177/2054358117695792

[5] A model to estimate the probability of human immunodeficiency virus and hepatitis C infection despite negative nucleic acid testing among increased-risk organ donors [J].

Annambhotla, Pallavi D. ;

Gurbaxani, Brian M. ;

Kuehnert, Matthew J. ;

Basavaraju, Sridhar V. .

TRANSPLANT INFECTIOUS DISEASE, 2017, 19 (02)

[6]

[Anonymous], 2008, HIV AIDS Policy Law Rev, V13, P29

[7]

[Anonymous], 2022, LGBTQ ORG TISS DON

[8]

[Anonymous], 2017, GAY UK

[9]

[Anonymous], 2018, Cadth

[10]

[Anonymous], 2017, GUID EXPL RISK REL U

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