Kidney Health for All Fighting inequity in kidney care

Your identity should never determine your kidney health. Learn more about our nationwide effort to close gaps in care through education and policy change. We don't just believe in kidney health for all, we work for it.

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What is Kidney Health for All?

Kidney health care should be within everyone's reach. However, systemic biases and social barriers put Black and Hispanic communities at greater risk. These communities are more likely to develop kidney failure, also called end-stage renal disease (ESRD) or end-stage kidney disease (ESKD), and less likely to receive a transplant. Kidney Health for All (KHFA) is the American Kidney Fund’s (AKF) pledge to tear down these obstacles through education, advocacy, prevention programs, and community collaboration.

The truth about inequity in kidney care

Kidney disease is the fastest growing non-contagious disease in the United States. 1 in 7 American adults are living with kidney disease. People of all races and backgrounds can get kidney disease, but Black and Hispanic/Latino people are more likely to have kidney failure.

MORE SEVERE

Compared to white people, Black people are 4 times as likely to develop kidney failure and Hispanic people are twice as likely.

HIGHER RISK

Black and Hispanic people are more likely to have diabetes and high blood pressure, the two top causes of kidney disease. 

LESS ACCESS

Black and Hispanic Americans are less likely to be referred to a nephrologist (kidney doctor) until the later stages of kidney disease. 

LESS INCLUSION

Black and Hispanic people are less likely to participate in home dialysis, less likely to enroll in clinical trials and less likely to receive a kidney from a living donor. 

Understanding kidney disease means looking at both medical and social factors that impact certain groups more than others.

Some causes of kidney disease are genetic, but studies have shown that social determinants of health (life conditions), structural racism (unfair rules due to skin color) and implicit bias (unseen judgement) can result in Black and Hispanic people:

  • Not receiving proper care in earlier stages of kidney disease
  • Not being invited to consider home dialysis
  • Not qualifying to receive kidney transplants
Our solutions

How we're fighting for you

At the heart of Kidney Health for All are four areas of focus that guide our work. Each area addresses a major challenge that prevents people from getting the kidney care they need. 

Doctor and patient discuss a medical issue
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Everyone deserves their best kidney health

AKF’s Health Equity Coalition

People and organizations across the community are working together to improve health equity. To advance these efforts, AKF has assembled a diverse group of community organizations, professional associations, health professionals, patients and advocates to form AKF’s Health Equity Coalition. This group works with us to develop evidence-based solutions to tackle health disparities and advance health equity in kidney disease. We are grateful to our AKF Health Equity Coalition members. 

WATCH: Kidney patients talk about health equity

Tunisia Bullock

The CARE Act is so important because it is going to ensure that there are studies that will take a look at why kidney disease is so prominent when it comes to rural communities and underserved, underrepresented racial backgrounds.

Tunisia Bullock, AKF Ambassador

Working together

HEALTH EQUITY CHAMPIONS

We are grateful to the corporations that are providing the funding support to make a difference in our health equity work. 

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