Examining Differences in Predictors of African American, Caucasian, and Latino Young Adults’ Intentions to Register as an Organ Donor

To date, African Americans and Latinos consent to organ donation at lower rates than Caucasians and are disproportionately represented on transplant waiting lists. However, limited work has investigated racial differences in predictors of organ donation registration. In this study, we examined racial differences in the antecedents of African American, Caucasian, and Latino young adults’ registration intentions using the theory of planned behavior, the noncognitive model, and perceived realism. Non-donors (N = 307) were recruited in a stratified random telephone survey. Results indicate that for African Americans, subjective norm, bodily integrity, and medical mistrust were the strongest predictors of registration intention. For Caucasians, attitude and subjective norm arose as key determinants of registration intention. For Latinos, attitude, subjective norm, and medical mistrust were the strongest predictors of registration intention. Consistent evidence for the independent predictive validity of perceived realism was also documented. The theoretical and practical implications of these findings are discussed, as well as avenues for future research.