title: Willingness of the United States general public to participate in kidney paired donation.
abstract: BACKGROUND
  Availability of kidney paired donation (KPD) is increasing in the United States, and a national system through UNOS is forthcoming. However, little is known about attitudes toward KPD among the general public, from which donors (particularly non-directed) are drawn.
  
  
  METHODS
  In a national study, we assessed the public's attitudes regarding participation in KPD.
  
  
  RESULTS
  Among 845 randomly selected participants, 85.2% of respondents were either "extremely willing" or "very willing" to participate in KPD. Experiences with the medical or organ transplant systems, such as undergoing surgery, having a primary medical provider, a living will, a friend who donated or received an organ, and considering donation after death, were associated with increased willingness. However, increased age, male sex, African American race, Hispanic ethnicity, distrust of the medical system, and not understanding organ allocation were associated with less willingness.
  
  
  CONCLUSIONS
  We identify strong support for KPD but some important potential barriers to participation which should be considered as KPD programs are implemented.
authors.affiliation: Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Dorry L
authors.initials: DL
authors.lastname: Segev
authors.forename: Neil R
authors.initials: NR
authors.lastname: Powe
authors.forename: Misty U
authors.initials: MU
authors.lastname: Troll
authors.forename: Nae-Yuh
authors.initials: NY
authors.lastname: Wang
authors.forename: Robert A
authors.initials: RA
authors.lastname: Montgomery
authors.forename: L Ebony
authors.initials: LE
authors.lastname: Boulware
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003256:Community Participation; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011639:Public Opinion; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement / Q000639:trends*; D014481:United States; D055815:Young Adult