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1.
Transfusion ; 61(9): 2637-2649, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34224590

RESUMO

BACKGROUND: This study aimed to promote competence, autonomy, and relatedness among first-time whole blood donors to enhance intrinsic motivation and increase retention. STUDY DESIGN AND METHODS: Using a full factorial design, first-time donors (N = 2002) were randomly assigned to a no-treatment control condition or to one of seven intervention conditions designed to promote donation competence, autonomy, relatedness, a combination of two (e.g., competence and autonomy), or all three constructs. Participants completed donor motivation measures before the intervention and 6 weeks later, and subsequent donation attempts were assessed for 1 year. RESULTS: There was no significant group difference in the frequency of donation attempts or in the number of days to return. Significant effects of group were observed for 10 of the 12 motivation measures, although follow-up analyses revealed significant differences from the control group were restricted to interventions that included an autonomy component. Path analyses confirmed direct associations between interventions involving autonomy and donor motivation, and indirect mediation of donation attempts via stronger donation intentions and lower donation anxiety. CONCLUSION: Among young, first-time, whole blood donors, brief interventions that include support for donor autonomy were associated with direct effects on donor motivation and indirect, but small, effects on subsequent donation behavior.


Assuntos
Bancos de Sangue , Doadores de Sangue , Motivação , Adulto , Ansiedade/etiologia , Atitude , Bancos de Sangue/estatística & dados numéricos , Doadores de Sangue/psicologia , Doadores de Sangue/estatística & dados numéricos , Doadores de Sangue/provisão & distribuição , Feminino , Humanos , Intenção , Masculino , Autoeficácia , Adulto Jovem
2.
PLoS One ; 16(7): e0255112, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34293070

RESUMO

Faced with the increasing demand for blood and greater restrictions on ensuring the safety of transfusions, voluntary donation is currently the only and best alternative for the health system to have a sustainable and safe blood supply. In this context, one of the primary strategies of blood transfusion centres is to increase the satisfaction of their active donors so that they maintain their intention to donate in the future and, in turn, make the necessary recommendations so that third parties can become new donors. That is why this paper raises a question for research concerning, what should the premises be to guide the management of blood transfusion centres to maintain and even increase the satisfaction and loyalty of their active donors? In order to respond to this issue, a change in paradigm is proposed based on a management model supported by donor orientation and service quality as basic pillars, as well as on the development of a number of key social capital resources that explain this orientation toward the donor. In both approaches, the donor becomes the cornerstone of decision-making, moving away from the traditional model which is focused more on achieving targets related to the collection of blood bags. Through the empirical analysis of a sample of 126 employees from various transfusion centres and 26,833 active donors in nine Spanish autonomous communities, we have been able to validate this proposed management model as a useful tool to blood promotion agents in their decision-making processes.


Assuntos
Doadores de Sangue/psicologia , Satisfação Pessoal , Qualidade da Assistência à Saúde , Adolescente , Adulto , Transfusão de Sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Teóricos , Análise Multinível , Reprodutibilidade dos Testes , Adulto Jovem
3.
Pan Afr Med J ; 38: 249, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34104297

RESUMO

Introduction: blood donation (BD) is affected by several factors, among which people's knowledge and attitude are the key determinants. However, the level of knowledge and attitude towards BD in Ethiopia is not yet well studied. Therefore, this study aimed to assess the level and factors associated with knowledge and attitude towards blood donation among health science college students in Southwest Ethiopia. Methods: a cross-sectional study was conducted among 394 health science students from June 1st to 15th 2019. The data were collected using a structured self-administered questionnaire. The data were entered using EPI-data version 4.2.0.0 and analyzed using SPSS version 20. The correlation analysis was done to determine the association between the knowledge sum score and the attitude sum score. A binary logistic regression analysis was done to determine the association between the dependent and independent variables. Results: the proportions of good knowledge and positive attitude towards BD were 69.3%, 95% CI (64.8%-73.4%) and 58.1%, 95% CI (52.3%-63.0%) respectively. The study also found that age ≥23 years (adjusted odds ratio (AOR)=1.67, 95% CI (1.04-2.67)), having a father with primary and secondary school and above (AOR=2.24, 95% CI (1.20-4.17) and AOR=2.26, 95% CI (1.26-4.06) respectively) and ever donated blood (AOR=3.64, 95%CI (2.26-5.85)) were factors associated with good knowledge of blood donation. Being a rural resident (AOR=1.59, 95% CI (1.01-2.40)) and graduating class student (AOR=0.56, 95% CI (0.34-0.96)) were factors associated with a positive attitude towards blood donation. The knowledge-related questions´ sum score value was positively correlated with the attitude-related questions' sum score value (r=0.30, P<0.001). Conclusion: the knowledge and attitude towards BD among the study population are a substantial deficiency. Therefore, more effort is needed to increase the level of knowledge and attitude towards BD by inculcating short training courses for these groups of population in the existing curriculum.


Assuntos
Doadores de Sangue/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Estudantes/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Etiópia , Feminino , Humanos , Masculino , População Rural/estatística & dados numéricos , Inquéritos e Questionários , Universidades , População Urbana/estatística & dados numéricos , Adulto Jovem
5.
Transfus Clin Biol ; 28(3): 254-257, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33895379

RESUMO

BACKGROUND: Increasingly, it has been seen that patients recovering from COVID-19 may face a second battle of coping with its mental health ramifications. These psychological issues can even be experienced by patients who were asymptomatic or had mild to moderate symptoms, potentially impacting their quality of life. METHODOLOGY: This was a prospective observational study to analyse the psychological impact of COVID-19 in recovered patients who presented as prospective convalescent plasma (CP) donors. An interview for the psychological assessment of the prospective donors was carried out. Depression and anxiety in the participants were assessed by HAM-A, and HAM-D scores and Quality of Life were assessed using the WHOQOL-BREF scale. RESULTS: A total of 51 prospective donors were assessed, with a mean age of 34.37 (±9.08) years, with the majority being males (46). No clinically significant depression and anxiety were found on the basis of HAM-D and HAM-A scores. The worst affected quality of life parameter, based on the WHOQOL-BREF scale, was physical quality of life followed by environmental, psychological, and social relationships. Moreover, due to infection, social stigma was experienced by 49.02% of the donors, while 21.97% had anxiety related to convalescent plasma donation as a common livid experience. CONCLUSION: Poor quality of life and social stigma during the recovery phase is prevalent in COVID-19 recovered patients, for which formulation of holistic support strategies are the need of the hour.


Assuntos
Doadores de Sangue/psicologia , COVID-19/psicologia , COVID-19/terapia , Convalescença/psicologia , SARS-CoV-2 , Adulto , Altruísmo , Ansiedade/epidemiologia , Ansiedade/etiologia , Atitude Frente a Saúde , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Imunização Passiva/psicologia , Índia , Relações Interpessoais , Entrevista Psicológica , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Testes Psicológicos , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Estigma Social , Sobreviventes/psicologia , Adulto Jovem
6.
Transfusion ; 61(7): 2107-2115, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33904178

RESUMO

BACKGROUND: Fear of blood donation is implicated in vasovagal reactions, donor recruitment, and retention. This study examined the extent to which fear among donors is associated with various donor outcomes in an Australian sample, and whether fear can be addressed on-site to reduce adverse reactions and improve the donation experience. STUDY DESIGN AND METHODS: Six hundred and sixty-four donors (age M = 33.4, SD = 12.7; 55% female) participated in a two-center, pragmatic, parallel group, individually randomized controlled trial. Following donor registration and consent, whole-blood (n = 539) and plasma (n = 125) donors were assigned to one of four Conditions: control; fear assessment; fear assessment + brochure; fear assessment + brochure + tailored conversation focused on any self-reported fear and coping strategies. Post-donation questionnaires assessed the donors' experience including positive support, donor self-efficacy, anxiety, fear, venipuncture pain, and vasovagal reactions. RESULTS: Fear among donors predicted higher venipuncture pain, post-donation anxiety, and vasovagal reactions and remained significant after controlling for other established predictors (i.e., total estimated blood volume, age, sex, and donation experience). Mediational analyses showed that exposure to brochures (with or without the tailored conversation) was associated with less pain, with this effect mediated by donor perceptions of more positive support. Venipuncture pain was also associated with vasovagal reactions, reduced likelihood of return within 6 months, and less satisfaction with the donation experience. CONCLUSION: The current results underline the importance of interventions to address fear among both whole-blood and plasma donors to secure the safety and well-being of donors and the blood supply.


Assuntos
Doadores de Sangue/psicologia , Medo , Dor Processual/prevenção & controle , Flebotomia/efeitos adversos , Adaptação Psicológica , Adulto , Ansiedade/etiologia , Medo/psicologia , Feminino , Educação em Saúde , Humanos , Masculino , Dor Processual/etiologia , Dor Processual/psicologia , Folhetos , Satisfação Pessoal , Plasma , Autoeficácia , Autorrelato , Fatores Sexuais , Apoio Social , Inquéritos e Questionários , Síncope Vasovagal/etiologia , Síncope Vasovagal/prevenção & controle
7.
Transfus Med ; 31(3): 149-154, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33749020

RESUMO

INTRODUCTION: Recruitment of Covid-19 convalescent plasma (CCP) donors may present as a challenge due to inexperience and differences in donor profile as compared to whole blood donation. Present study highlights the deterrents to recruiting CCP donors at a hospital based blood centre. MATERIALS AND METHODS: Potential CCP donors were contacted individually by telephone and a group approach through camp organisers from May to July 2020. Recruitment challenges were noted and deferrals of these recruited donors during screening and medical examination was obtained and analysed. RESULTS: Total 1165 potential CCP donors were contacted. Around 47% donors were lost due to challenges related to information storage and retrieval. Fear of health, family pressure, and fear of a new procedure were major reason (27.2%) for unwillingness to donate. The main reasons for deferral among potential donors were multiparity (38%) and being overage/underage (31.6%). Finally, 468 donors were recruited including 408 by individual approach and 60 by a group approach. From these absence of detectable COVID-19 antibodies were found in 15.4%. Few donors (9.0%) were deferred as they had not completed 28 days post recovery. CONCLUSION: The process of CCP donor recruitment differs from that of whole blood donation and requires an individualised approach with involvement of clinicians in the initial phases of the pandemic. A group approach targeting specific organisations could be adopted for a successful CCP collection program. There is a need to relook into some aspects of donor selection such as consideration of multiparous female donors and overage/underage donors after reviewing scientific evidence.


Assuntos
Doadores de Sangue/psicologia , COVID-19/terapia , Seleção do Doador/estatística & dados numéricos , Plasma , SARS-CoV-2 , Adulto , Fatores Etários , Bancos de Sangue , Doadores de Sangue/estatística & dados numéricos , Seleção do Doador/métodos , Medo , Feminino , Hospitais , Humanos , Imunização Passiva/estatística & dados numéricos , Índia , Masculino , Pessoa de Meia-Idade , Paridade , Gravidez , Estudos Retrospectivos
8.
PLoS One ; 16(3): e0247040, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33651830

RESUMO

BACKGROUND: Blood is an important and crucial component in the management of patients presenting with severe accident injuries, surgical conditions, malignancies, pregnancy-related complications, and other medical conditions. OBJECTIVES: To assess intention to voluntary blood donation among private higher education students in Jimma Town, South West Ethiopia, 2019. METHODS: Institution-based cross-sectional study with quantitative methods was conducted in private higher education students in Jimma town. A multistage sampling technique was used to recruit study participants. First, a simple random sampling technique was used to select departments in each private higher education institution. Seven departments were included in the study and after proportionally allocated in each department, a total of 595 were participated in the study, producing a response rate of 98%. The data was collected using self-administered structured questioners with 3 trained data collectors. Multivariable linear regression analysis was done to assess association between the independent variables and dependent variable. RESULTS: The mean score for intention of the respondents to donate blood voluntarily was 15.41 out of 25 with standard deviation of 4.42.The TPB variables explained 61.3% of the variance of intention to donate blood. Direct perceived behavioral control (ß = 0.745, P < 0.001), direct attitude (B = 0.295, P<0.001) and direct subjective norm (ß = 0.131, P< 0.001) were significant predictors of the intention. CONCLUSION: Respondents' intentions are mainly determined by perceived barriers and, subjective norms, the attitude of respondents towards voluntary blood donation.


Assuntos
Doadores de Sangue/psicologia , Intenção , Estudantes/psicologia , Universidades/estatística & dados numéricos , Adulto , Atitude , Estudos Transversais , Etiópia , Feminino , Humanos , Masculino , Inquéritos e Questionários
9.
Ann Afr Med ; 20(1): 24-30, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33727508

RESUMO

Background: Poor awareness remains a substantial limitation to harnessing the benefits of umbilical cord blood (UCB) in sub-Saharan Africa. The aim of this study was to determine the level of awareness and factors influencing intention to donate cord blood to blood bank among antenatal clinic attendees at a tertiary hospital in Nigeria. Methods: We conducted a questionnaire-based cross-sectional study of 400 women attending the antenatal clinic of a tertiary hospital in Lagos, Nigeria, between February and June 2018. The data were analyzed using Stata version 13; comparisons were conducted with Chi-square, Student's t-test, and Mann-Whitney U-test. Univariable and multivariable binary logistic regression was conducted with "willingness to donate" as the outcome variable. Results: Majority (n = 287/331 [86.2%, 95% confidence interval [CI]: 76.4-84.9]) of the participants had some knowledge of UCB, almost half intended future donation of UCB (n = 161/333, [48.3%, 95% CI: 42.9-53.6]). Based on our findings, factors such as religion (P = 0.001), education (P = 0.03), information from health-care provider (P < 0.001) appear to influence awareness, and the decision to donate UCB. Conclusion: Although the awareness of the clinical uses of UCB is very limited in Nigeria, the intent to participate in UCB donation is high. Factors such as religion, education, and prior information about UCB donation by health-care providers have been identified in this study to have an influence on the decision to donate UCB.


Assuntos
Doadores de Sangue/psicologia , Sangue Fetal , Conhecimentos, Atitudes e Prática em Saúde , Gestantes/psicologia , Adulto , Transplante de Células-Tronco de Sangue do Cordão Umbilical , Estudos Transversais , Tomada de Decisões , Escolaridade , Feminino , Humanos , Nigéria , Gravidez , Gestantes/etnologia , Inquéritos e Questionários , Obtenção de Tecidos e Órgãos
10.
Transfusion ; 61(6): 1822-1829, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33634876

RESUMO

BACKGROUND: Traditionally, during crises the number of new blood donors increases. However, the current coronavirus disease 2019 (COVID-19) pandemic created additional barriers to donate due to governmental prevention measures and increased personal health risks. In this report, we examined how the pandemic affected new donor registrations in the Netherlands, especially among groups with higher risk profiles for severe COVID-19. Additionally, we explored the role of media for blood donation and new donor registrations. STUDY DESIGN AND METHODS: We analyzed new donor registrations and attention for blood donation in newspapers and on social media from January until May 2020, in comparison to the same period in 2017 to 2019. RESULTS: After the introduction of nationwide prevention measures, several peaks in new donor registrations occurred, which coincided with peaks in media attention. Interestingly, people with a higher risk profile for COVID-19 (e.g., due to age or region of residence) were overrepresented among new registrants. DISCUSSION: In sum, the first peak of the current pandemic has led to increased new blood donor registrations, despite the associated increased health risks. Time and future studies will have to tell whether these new donors are one-off 'pandemic' donors or if they will become regular, loyal donors.


Assuntos
Doadores de Sangue/provisão & distribuição , COVID-19 , Seleção do Doador , Adolescente , Adulto , Publicidade , Bancos de Sangue/organização & administração , Bancos de Sangue/normas , Bancos de Sangue/estatística & dados numéricos , Doadores de Sangue/psicologia , Doadores de Sangue/estatística & dados numéricos , Segurança do Sangue/métodos , Segurança do Sangue/estatística & dados numéricos , COVID-19/sangue , COVID-19/epidemiologia , COVID-19/patologia , COVID-19/prevenção & controle , Seleção do Doador/métodos , Seleção do Doador/organização & administração , Seleção do Doador/estatística & dados numéricos , Feminino , Humanos , Masculino , Registros Médicos/normas , Pessoa de Meia-Idade , Motivação , Países Baixos/epidemiologia , Jornais como Assunto , Pandemias , Fatores de Risco , SARS-CoV-2/fisiologia , Índice de Gravidade de Doença , Mídias Sociais , Adulto Jovem
11.
Vox Sang ; 116(5): 601-608, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33400261

RESUMO

BACKGROUND: The continual identification of rare blood among donors is critical to support national programs like the American Rare Donor Program (ARDP). Some blood centres require consent from donors to be registered with a national registry. This situation provides an opportunity to determine whether a donor's willingness to register is associated with a change in donation behaviour. METHODS: Rare donors were identified by molecular typing. The average number of donations per year was compared for each donor prior to and after receiving a consent letter. Donors were categorized as either accepting or declining the request. Non-parametric t tests compared the statistical significance within and between categories. Rare types were overlaid with consensus data to look for trends using data visualization techniques. RESULTS: A total of 270 molecularly typed rare donors received letters over 4 years. Half of the donors (132, 49%) agreed to participate in the ARDP. Overall, donation frequency increased after the letter when enrolled. Both Caucasian and non-Caucasian donors increased their donations after enrolling providing an additional 159 red blood cell units over 3 years. Declining participation did not change donation frequency. Data visualization showed that enrolled donors were more affluent, high school and college educated, and lived in their home for longer periods of time. CONCLUSION: A donor's willingness to enrol in the ARDP was associated with a post-response increase in donation frequency. New interventions to reach non-Caucasian donors may be a prerequisite to increase donation frequency and a willingness to be a rare blood donor.


Assuntos
Doadores de Sangue/educação , Segurança do Sangue/métodos , Visualização de Dados , Técnicas de Genotipagem/métodos , Adulto , Doadores de Sangue/psicologia , Segurança do Sangue/psicologia , Humanos , Consentimento Livre e Esclarecido , Educação de Pacientes como Assunto/métodos
12.
Transfus Clin Biol ; 28(1): 68-72, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33080420

RESUMO

BACKGROUND: Ensuring steady stream of safe blood is the ultimate goal of blood transfusion practice. The current COVID-19 pandemic has affected almost every part of life and economy. Consequently, this study sets off to assess the effect of the pandemic on blood supply and blood transfusion in the University of Calabar Teaching Hospital. METHODS: Data from the Donor Clinic and Blood Group Serology Unit of the University of Calabar Teaching Hospital were retrospectively extracted to evaluate supply and use of blood before and during COVID-19 pandemic. RESULT: A total of 1638 donors were recorded within the study period. Age range 15-29 and 30-44 years constituted majority of the subjects (58.9% and 33.4%, respectively). The donor pool were male-dominated. Commercial donors (61.7%) and family replacement donors (30.6%) constituted majority of the donor pool. Most of the donor pool were students (37.1%), public servants (22.8%) and artisans (18.6%). A concomitant decrease of 26.1% and 18.9% were recorded in blood donation and request during the COVID-19 pandemic. CONCLUSION: Blood supply was not significantly affected in our study center as both requests and donations decreased. Consideration for improving family replacement donation was advised.


Assuntos
Doadores de Sangue/estatística & dados numéricos , Transfusão de Sangue/estatística & dados numéricos , COVID-19 , Pandemias , SARS-CoV-2 , Adolescente , Adulto , Doadores de Sangue/psicologia , Doadores de Sangue/provisão & distribuição , Transfusão de Sangue/economia , Transfusão de Sangue/psicologia , Estudos Transversais , Família , Feminino , Hospitais de Ensino/estatística & dados numéricos , Hospitais Urbanos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Nigéria , Ocupações , Utilização de Procedimentos e Técnicas , Remuneração , Estudos Retrospectivos , Adulto Jovem
13.
Vox Sang ; 116(4): 388-396, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33104242

RESUMO

BACKGROUND AND OBJECTIVE: Recruiting and retaining male donors remain an ongoing challenge for blood collection agencies. Research suggests that interventions based on costly signalling theory that allows donors to unobtrusively but publicly signal their donor status may be effective. However, what functions as such a signal and how it is interpreted has not been determined. MATERIALS AND METHODS: A total of 242 Australian residents (127 female; 115 male) recruited through an online research platform rated their perceptions of a male target wearing (a) no bandage, (b) a regular unmarked bandage or (c) a blood donor branded bandage. RESULTS: The target wearing a blood donor branded bandage was rated as significantly more generous by female participants and moral compared to both the target who wore no bandage and the target wearing a regular unmarked bandage. The target wearing the unmarked bandage was perceived as significantly less healthy and competent compared to the target not wearing a bandage. CONCLUSION: A public signal of public donor status conveys the generosity and morality of the wearer. The bandage applied to donors after they have donated can act as such an effective signal, but only when these bandages are clearly branded as resulting from donating blood.


Assuntos
Doadores de Sangue/psicologia , Princípios Morais , Adulto , Idoso , Austrália , Bandagens , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
14.
Vox Sang ; 116(5): 513-523, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33161573

RESUMO

BACKGROUND AND OBJECTIVES: Many Western countries face a shortage of African blood donors, while their specific blood groups are needed to transfuse chronic transfusion patients of similar ethnic background. Blood donation awareness and attitudes greatly impact the decision to become a blood donor, but how they are related and differ across ethnic groups is understudied. This study investigated blood donation awareness and attitudes of individuals of Dutch and African descent in the Netherlands. MATERIALS AND METHODS: Survey data of 257 African and 152 Dutch non-donors measuring donation awareness (i.e. being familiar with the Dutch blood bank organization and knowing others who donated blood), cognitive (evaluative judgements) and affective (emotional reactions) attitudes were included. t-Tests, chi-square tests, linear and logistic regressions were conducted to study differences and associations between donation awareness and attitudes. RESULTS: African individuals were less often aware of the Dutch blood bank organization (43%; p < 0·05) or others who donated blood (51%; p < 0·05) than Dutch individuals (55% and 68%, respectively). African individuals had lower cognitive donation attitudes compared with Dutch individuals (p < 0·001), but no differences were found for affective attitudes (p = 0·55). High donation awareness was associated with higher cognitive (p < 0·001) and affective (p < 0·05) donation attitudes among African minorities, but not among Dutch individuals. CONCLUSION: The lower donation awareness and cognitive attitudes of African minorities should be taken into consideration in donor recruitment. Raising awareness through effective communication strategies might be essential in the donor decision making process of this target group.


Assuntos
Atitude , Doadores de Sangue/estatística & dados numéricos , Adulto , Conscientização , Doadores de Sangue/psicologia , Grupos Étnicos/psicologia , Grupos Étnicos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Inquéritos e Questionários
15.
Vox Sang ; 116(3): 324-335, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33161604

RESUMO

OBJECTIVE: This study seeks to identify factors that are predictive of intention to return to donate blood among first-time blood donors. METHODS: A cross-sectional survey of 505 first-time blood donors, selected from blood donation sessions across three regions in Ghana. Data were obtained on their intention to donate blood in the next four months, factors that would influence this decision. Logistic regression models were used to test factors that were predictive of intention to return. RESULTS: First-time donors were young with 87·4% below 35 years of age, male (72·5%), single (73·3%), Christian (93·7%), employed (58·8%), with at least a basic education (98%). Factors that positively predicted intention to return included: motivational incentives (OR = 1·67, 95%CI: 1·01-2·78; P = 0·045); ease of access to the donation site (OR = 2·65, 95%CI: 1·48-4·73; P = 0·001); SMS and email reminders (OR = 2·84, 95%CI: 1·60-5·06; P < 0·001); and television, radio or newspaper advertisements (OR = 2·97, 95%CI: 1·66-5·31; P < 0·001). Factors that negatively predicted intention included preferential access to transfusions (i.e. 'blood credits') (OR = 0·43, 95%CI: 0·23-0·83; P = 0·012); getting to know test results (OR = 0·40, 95%CI: 0·20-0·80; P = 0·010); and not knowing and/or trusting what happens to the blood after donating (OR = 0·50, 95%CI: 0·28-0·88; P = 0·016). CONCLUSION: Motivational incentives, convenient access to donation sessions, reminders and mass media advertisements appear to positively influence intention to return to donate. Conversely not knowing what happens to the blood after donation negatively influenced intention to return. Interventions to promote repeat blood donation should consider the identified factors.


Assuntos
Doadores de Sangue/psicologia , Motivação , Adolescente , Adulto , Doadores de Sangue/estatística & dados numéricos , Estudos Transversais , Feminino , Gana , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Adulto Jovem
16.
Transfusion ; 61(2): 474-483, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33006187

RESUMO

Blood collection agencies (BCAs) are expanding core business by inviting blood donors to donate stool for fecal microbiota transplantation (FMT). However, whether blood donors also want to donate stool is unclear since, despite its benefits, stool donation is viewed by many as unpleasant. This study examined the prevalence, contributors to, and role of these mixed feelings (ambivalence) in stool donation intentions. STUDY DESIGN AND METHODS: This cross-sectional study surveyed Australian residents aged 18 years or more who believed themselves eligible to donate blood and met broad criteria for prescreening as a stool donor (eg, healthy, not taking medication). Survey questions assessed attitude, norms, self-efficacy, motives, disgust, ambivalence, and intentions to donate stool. RESULTS: A total of 382 eligible blood donors aged not more than 50 years (mean, 28.71 years; 48% female, 62% "healthy" body mass index) participated. Six percent indicated no ambivalence about donating stool. In regression, significant determinants of ambivalence were less awareness of FMT, lower self-efficacy, motivated by ensuring that stool is available for loved ones, and more disgust about stool donation. Higher ambivalence contributed to decreased donation intention. Self-efficacy and disgust differentiated participants with moderate ambivalence, a group likely responsive to intervention, from those with low or high ambivalence. CONCLUSION: Ambivalence about donating stool was common among eligible blood donors. BCAs should raise awareness about stool donation and FMT before requesting donation. BCAs may increase cost savings and donor retention by giving clear guidance about donation requirements and implementing processes that build confidence. Early screening of potential donors for ambivalence and disgust will enable BCAs to provide decision support.


Assuntos
Atitude , Doadores de Sangue/psicologia , Transplante de Microbiota Fecal/psicologia , Adulto , Altruísmo , Austrália , Índice de Massa Corporal , Estudos Transversais , Asco , Escolaridade , Fezes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Autoeficácia , Inquéritos e Questionários , Volição , Adulto Jovem
17.
Vox Sang ; 116(3): 281-287, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32966699

RESUMO

BACKGROUND AND OBJECTIVES: Blood Collection Agencies in several countries have implemented strategies to increase the number of plasmapheresis collections. Despite this, a sizable minority of plasma donors lapse from donation each year, with little research conducted on this topic. An understanding of the plasma donation experience from the perspective of lapsed donors, insights into why they stopped donating and their views on returning to donate may provide opportunities to intervene to increase the retention and reactivation of plasma donors. MATERIALS AND METHODS: A qualitative approach was used in this study, with 17 lapsed plasma donors (no plasma donation for at least 13 months) interviewed. A purposive recruitment strategy was used to obtain a sample with diversity in gender (47% men), age (M = 36·2 years, SD = 13·6) and donation experience (M = 9·2 years, SD = 9·6). Semi-structured, narrative interviews were conducted, with participants describing their plasma donation careers chronologically from first donation to most recent. RESULTS: The majority of participants described at least some aspect of the plasma donation procedure as unpleasant. However, adverse experiences were only attributed to lapsing in a minority of cases, with other participants reporting significant life events, perceived ineligibility and concerns about the safety of the procedure as the reason why they lapsed. CONCLUSION: It is common for lapsed plasma donors to intend to donate again in the future. Recommendations are given for strategies to address barriers to returning, noting the potential role of tailored education and support.


Assuntos
Doadores de Sangue/estatística & dados numéricos , Plasmaferese , Adulto , Doadores de Sangue/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
18.
Transfus Clin Biol ; 28(1): 16-24, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33276150

RESUMO

BACKGROUND: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has spurred a global health crisis. The safety and supply of blood during this pandemic has been a concern of blood banks and transfusion services as it is expected to adversely affect blood system activities. We aim to assess the situation in the Eastern Mediterranean Region (EMR) during the first months of the pandemic. MATERIALS AND METHODS: A survey was designed to address blood supply, transfusion demand, and donor management during the coronavirus disease-19 (COVID-19) pandemic. Medical directors of different blood banks were invited to participate. RESULTS: A total of 16 centers participated with representation from 15/19 countries in the region. In total, 75% were from national blood banks. Most centres had a decrease in the blood supply, ranging from 26-50%. Representatives from 14 countries (93.3%) believed that public fear has contributed to a decrease in donations. Most centres (n=12, 75%) had a reduction in transfusion demand, while those who did not, reported heavy involvement in treating patients with underlying haemoglobinopathies and haematological malignancies. Half of the centres activated their contingency plans. Four centres had to alter the blood donor eligibility criteria to meet demands. All centres implemented donor deferral criteria in relation to SARS-CoV-2, but were variable in measures to mitigate the risk of donor and staff exposure. CONCLUSION: Blood services in the region faced variable degrees of blood shortages. We summarize lessons learnt during this pandemic for the blood banks to consider to plan, assess, and respond proportionately to future similar pandemics.


Assuntos
Bancos de Sangue/estatística & dados numéricos , Doadores de Sangue/provisão & distribuição , Transfusão de Sangue/estatística & dados numéricos , COVID-19 , Pandemias , SARS-CoV-2 , África do Norte , Bancos de Sangue/organização & administração , Doadores de Sangue/psicologia , COVID-19/prevenção & controle , Seleção do Doador/normas , Pesquisas sobre Serviços de Saúde , Neoplasias Hematológicas/terapia , Hemoglobinopatias/terapia , Humanos , Controle de Infecções/organização & administração , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Região do Mediterrâneo , Oriente Médio , Paquistão , Relações Profissional-Paciente
19.
Vox Sang ; 116(5): 504-512, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33196117

RESUMO

BACKGROUND AND OBJECTIVES: Blood safety hinges not just on the scientific rationale for deferral period but potential donors' compliance with the prevailing policy. This study aimed to investigate donors' awareness, attitudes and compliance with the two-phased policy implementation of time-limited deferral for men who have sex with men (MSM) in Hong Kong. MATERIALS AND METHODS: Three rounds of questionnaire survey were conducted between July 2017 and June 2019 covering the periods of pre-implementation (Round A), post-implementation without and with pre-donation questionnaire revision (Round B and C). Chi-square test and multivariable regression analysis were performed. RESULTS: Of 3085 donors recruited, 968, 1036 and 1081 completed the surveys in Round A, B and C, respectively. The non-compliance rate of MSM remained stable at 0·6% (3/497), 0·4% (2/551) and 0·5% (3/587) among male donors in Round A, B and C, respectively. Two MSM donors from Round C complying with the prevailing policy were identified. About two-thirds (60·7%) of respondents from Round B and C were unaware of the policy change. Overall, over 80% were either neutral or positive about the change. CONCLUSION: Our study showed a consistently low non-compliance rate of MSM over the three periods. The generally high level of acceptance of time-limited deferral among donors lends support to science-based policy development to protect blood safety. The identification of compliant MSM donors suggests that the 12-month deferral is effective and acceptable to MSM. With a deferral period far exceeding the window period, it is a step towards a more equitable policy.


Assuntos
Doadores de Sangue/estatística & dados numéricos , Segurança do Sangue/estatística & dados numéricos , Homossexualidade Masculina/estatística & dados numéricos , Cooperação do Paciente , Adulto , Doadores de Sangue/psicologia , Segurança do Sangue/psicologia , Homossexualidade Masculina/psicologia , Hong Kong , Humanos , Masculino , Inquéritos e Questionários
20.
Vox Sang ; 116(3): 288-295, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33277937

RESUMO

BACKGROUND AND OBJECTIVES: Blood donors, especially young donors, are considered a healthy segment of the population. We sought to identify medical issues that may warrant medical referral in young first-time blood donors. MATERIALS AND METHODS: A retrospective cohort study was performed in first-time donors ages 16-22 who presented in a system of nineteen regional United States blood centres over 10 years. Donor health attributes characterized include body mass index, blood pressure, total cholesterol and pre-donation haemoglobin. Using standardized definitions, overweight and obese body mass, hypertension, elevated cholesterol and anaemia were identified and characterized in this donor population. RESULTS: Among 825 041 young first-time donors presenting between January 2009 and December 2018, with available measurements, 46·9% were either overweight or obese, 59·8% demonstrated high blood pressure (22·2% elevated blood pressure, 37·6% stage 1 or 2 hypertension), elevated cholesterol was identified among 6·3% of males and 8·8% of females, and anaemia was present in 3·5% of males and 5·2% of females. During the study period, all unfavourable health outcomes significantly increased in prevalence (P < 0·0001) when comparing 2009 vs. 2018 rates. CONCLUSION: Elevated weight and obesity are common in young first-time allogeneic United States blood donors, with fewer donors having elevated total cholesterol or anaemia. Such medical issues may have significant importance for future health and well-being as well as continued donor eligibility. Blood centres may be able to help support the identification and mitigation of important medical issues in donors and provide a public health benefit.


Assuntos
Doadores de Sangue/psicologia , Motivação , Sistema de Registros , Adolescente , Anemia/epidemiologia , Pressão Sanguínea , Índice de Massa Corporal , Colesterol/sangue , Feminino , Hemoglobinas/análise , Humanos , Hipercolesterolemia/epidemiologia , Hipertensão/epidemiologia , Masculino , Obesidade/epidemiologia , Prevalência , Estudos Retrospectivos , Estados Unidos , Adulto Jovem
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