Racial/ethnic segregation (hereafter referred to as segregation), the inequitable allocation of resources and opportunities in racially/ethnically segregated neighborhoods, leads to numerous disadvantages for residents1 and associates with access to kidney transplantation (KT).2 Based on the psychosocial framework,3 segregation likely associates with post-KT outcomes,2 including dementia, a diagnosis that is substantially more common among older KT recipients than in community-dwelling older adults,4 and increases the risk of allograft loss and mortality.