Abstract: TH-PO842
Promoting Kidney Health Equity through Kidney Disease Screening and Awareness Program at University of Virginia
Session Information
- Race, Ethnicity, and Gender in Kidney Health and Care
October 24, 2024 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Diversity and Equity in Kidney Health
- 900 Diversity and Equity in Kidney Health
Authors
- Greig, Morgan, UVA Health, Charlottesville, Virginia, United States
- Nguyen, Joseph D., UVA Health, Charlottesville, Virginia, United States
- Shah, Monarch, UVA Health, Charlottesville, Virginia, United States
- Malhotra, Rakesh, University of California San Diego Department of Medicine, La Jolla, California, United States
- Chopra, Tushar, UVA Health, Charlottesville, Virginia, United States
Background
Kidney Disease Screening and Awareness Program (KDSAP) at University of Virginia (UVA) aims to promote kidney health awareness and improve outcomes among vulnerable populations. Our community health events employed questionnaires and screening tests to assess community prevalence and awareness of hypertension (HTN), diabetes (DM), and isolated proteinuria among participants based on self-reported race and gender.
Methods
Self-reported race, gender, and screening results were obtained from the KDSAP at UVA database from 2022 to 2024. Reported race was White, Black, Asian, Hispanic, or Latin(o). Reported gender was male, female, or other. Positive HTN screen was defined as blood pressure above 130/80 mm Hg, positive DM screen was defined as fasting blood glucose ≥126 mg/dL, and positive proteinuria screen was defined as urine albumin creatinine ratio (UACR) above 30 mg/g. A patient-reported screening questionnaire obtained the percentage of participants unaware of their condition.
Results
Of the 92 patients in the KDSAP database, the frequency of a positive screening test was 48.9% for HTN, 10.1% for DM, and 32.2% for proteinuria. Positive HTN screening rate was particularly prevalent among self-reported males (52.8%), Blacks (64%), and Asians (64.7%), with unawareness rates of 67.9%, 25%, and 81%, respectively (Table 1). Positive proteinuria screen rate was 30-40% amongst males, females, whites, and blacks, and approximately 80-100% of total participants were unaware of proteinuria.
Conclusion
In summary, the majority of patients screened positive on at least one test, and many of these patients were unaware of their condition. Our data suggests that there are significant cultural and socioeconomic barriers to care that prevent vulnerable populations from taking advantage of preventive interventions, both medical and educational, for chronic conditions such as HTN, DM, and CKD. We improved patient awareness and provided educational materials with the goal of leading to positive behavioral changes. Our study highlights the need for long-term primary care and nephrology follow-up for patients who screened positive.
| Male | Female | White | Black | Asian | Hispanic/Latin(o) | |||||||
| % Pos Screen | % Pos Unaware of Cond. | % Pos Screen | % Pos Unaware of Cond. | % Pos Screen | % Pos Unaware of Cond. | % Pos Screen | % Pos Unaware of Cond. | % Pos Screen | % Pos Unaware of Cond. | % Pos Screen | % Pos Unaware of Cond. | |
| HTN | 53 | 68 | 46 | 56 | 36 | 75 | 64 | 25 | 65 | 82 | 40 | 90 |
| Proteinuria | 30 | 88 | 31 | 83 | 36 | 100 | 40 | 80 | 12 | 100 | 28 | 100 |
| DM | 11 | 17 | 8 | 67 | 14 | 0 | 4 | 33 | 18 | 33 | 4 | 100 |