1
|
Ruiz JM, Hughes SD, Flores M, Custer B, Ingram M, Carvajal S, Rosales C, Kamel H, Vassallo R, France CR. Neighborhood ethnic density and disparities in proximal blood donation opportunities. Transfusion 2024; 64:1008-1015. [PMID: 38660952 DOI: 10.1111/trf.17847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Revised: 04/05/2024] [Accepted: 04/07/2024] [Indexed: 04/26/2024]
Abstract
BACKGROUND Despite being the largest racial/ethnic minority group in the United States, Hispanic/Latinos (H/L) are significantly underrepresented among blood donors. A lack of proximal blood donation opportunities may be one factor contributing to these disparities. However, few studies have investigated this possibility. STUDY DESIGN AND METHODS Proprietary data on mobile blood collections in Maricopa County, Arizona, were gathered for the period of January 01, 2022 to April 30, 2022 and paired with census tract information using ArcGIS. Maricopa County encompasses the city of Phoenix with a total population of approximately 4.5 million people, including 1.5 million H/L residents. Blood drive count was regressed on H/L ethnic density and total population, and model estimates were exponentiated to obtain odds ratios (ORs) and 95% confidence intervals (CIs). RESULTS During the specified period, approximately 27,000 red blood cell units were collected through mobile drives. Consistent with expectations, when controlling for total neighborhood population, each 10% increase in H/L ethnic density lowered the odds of having a blood drive in the corresponding neighborhood by 12% (OR = 0.88, 95% CI (0.83, 0.92), p < .001). DISCUSSION These findings provide initial evidence of fewer proximal donation opportunities in areas with greater H/L population density which may contribute to H/L underrepresentation in blood donation and the need for more inclusive collection efforts. Improved access to blood collection is modifiable and could help to increase the overall blood supply, enhance the ability to successfully match specific blood antigen needs of an increasingly diverse population, and bring about a more resilient blood system.
Collapse
Affiliation(s)
- John M Ruiz
- Department of Psychology, University of Arizona, Tucson, Arizona, USA
| | - Shana D Hughes
- Vitalant Research Institute, San Francisco, California, USA
| | - Melissa Flores
- Department of Psychology, University of Arizona, Tucson, Arizona, USA
| | - Brian Custer
- Vitalant Research Institute, San Francisco, California, USA
| | - Maia Ingram
- School of Public Health, University of Arizona, Tucson, Arizona, USA
| | - Scott Carvajal
- School of Public Health, University of Arizona, Tucson, Arizona, USA
| | - Cecilia Rosales
- School of Public Health, University of Arizona, Tucson, Arizona, USA
| | - Hany Kamel
- Vitalant, Medical Affairs, Scottsdale, Arizona, USA
| | | | | |
Collapse
|
2
|
Hughes SD, France CL, West-Mitchell KA, Pina T, McElfresh D, Sayers M, Bryant BJ. Advancing Understandings of Blood Donation Motivation and Behavior. Transfus Med Rev 2023; 37:150780. [PMID: 37996288 DOI: 10.1016/j.tmrv.2023.150780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 10/23/2023] [Accepted: 10/23/2023] [Indexed: 11/25/2023]
Abstract
In this review, we provide critical analysis of social science research into blood donation motivation and behavior. We first share an understanding of the existing literature and recommendations for future research collectively developed by members of the Working Group on Blood Donors and the Supply: Diversifying while Maintaining the Donor Pool, Donor Selection, and Optimizing Blood Availability and Safety, as part of the National Heart, Lung, and Blood Institute's 2022 State of the Science in Transfusion Medicine symposium. Then, rather than aim for a comprehensive treatment, we review 4 newer manuscripts that exemplify aspects of the group's recommendations and report results from countries where the blood supply is based on voluntary, nonremunerated donations. From the substantial existing literature, we selected: (1) a study that employed motivational interviewing techniques, thematic analysis, and surveys to link donation motivations and barriers reported by diverse young donors in the United States to actual donation behavior over a year of subsequent eligibility; (2) a survey regarding donation motivations and barriers and monetary amounts associated with willingness to participate in whole blood, plasma, or platelet collection; (3) a survey-based assessment of various emotional states reported by donors at 2 time points during donation and the relationship between emotional experience and subsequent vasovagal reactions; and (4) an interpretive discourse analysis of blood collection agency messaging to donors and the public in the beginning of the COVID-19 pandemic. We close by noting several challenges posed by the structure of the United States blood system and the current funding environment to conducting rigorous research and translating findings into practice.
Collapse
Affiliation(s)
- Shana D Hughes
- Vitalant Research Institute, University of California San Francisco, San Francisco, CA, USA; Department of Laboratory Medicine, University of California San Francisco, San Francisco, CA, USA.
| | | | - Kamille A West-Mitchell
- Department of Transfusion Medicine, NIH Clinical Center, National Institutes of Health, Bethesda, MD, USA
| | - Theresa Pina
- Gulf Coast Regional Blood Center, Houston, TX, USA
| | - Duncan McElfresh
- Department of Medicine, Stanford University, Stanford, CA, USA; US Department of Veterans Affairs, Program Evaluation Resource Center, Office of Mental Health and Suicide Prevention, Menlo Park, CA, USA
| | - Merlyn Sayers
- University of Texas Southwestern Medical Center, Dallas, TX, USA; Carter BloodCare, Bedford, TX, USA
| | | |
Collapse
|
3
|
Oviedo P, Jaffré Y, Danic B, Mazières S, Chiaroni J. Impact of societal and legal context on the blood supply of African-ancestry populations in Western countries: A review of practices and the French example. Vox Sang 2022; 117:1137-1144. [PMID: 35697918 PMCID: PMC9796234 DOI: 10.1111/vox.13326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 02/28/2022] [Accepted: 05/09/2022] [Indexed: 01/01/2023]
Abstract
In Western countries, blood supply agencies encounter impediments in providing blood groups defined as rare or of interest, notably for sub-Saharan African ancestry (SSAA) recipients. To establish warning levels and anticipate future blood needs, an estimate of the current carriers of rare blood groups, both potential patients or donors, is crucial but complex. Indeed, if the strict needs can be estimated in medical terms, the modalities of blood product collection must be considered from an interdisciplinary perspective, at the interface of biological data and social norms. Here, we aim to understand how legal choices and a set of representations of otherness may influence the supply of rare blood for SSAA populations. After examining these issues, considering different norms and limits that govern French society, we compare this data with those of four Western countries facing the same difficulties (United States, United Kingdom, Italy and the Netherlands). This work began as part as the reflections of Social Lab, an institutional programme created by the French Blood Establishment (EFS). How can we effectively improve the qualitative blood coverage for SSAA populations? There is no unique solution, but there are many more or less effective answers. Comparison across countries reveals a strong influence of the socio-political histories and ethical choices before technical and medical considerations. We consider that an institutional policy is required to resolve recruitment issues of SSAA donors sustainably. Lastly, we introduce a working group called the EFS Social Lab, which aims to set up a monitoring mechanism for donors and societal trends to make blood donation effective.
Collapse
Affiliation(s)
- Pauline Oviedo
- Aix Marseille Univ, CNRS, EFS, ADES, UMR 7268MarseilleFrance
- Etablissement Français du Sang PACA Corse, “Biologie des groupes sanguins”MarseilleFrance
| | | | - Bruno Danic
- Etablissement Français du Sang BretagneRennesFrance
- Etablissement Français du Sang SocialabSaint‐DenisFrance
| | | | - Jacques Chiaroni
- Aix Marseille Univ, CNRS, EFS, ADES, UMR 7268MarseilleFrance
- Etablissement Français du Sang PACA Corse, “Biologie des groupes sanguins”MarseilleFrance
- Etablissement Français du Sang SocialabSaint‐DenisFrance
| |
Collapse
|
4
|
Kim H, Shin KH, Kim HH, Lee HJ. Perceptions and Experiences of Migrants in Korea Regarding Blood Donation in Association with Sociodemographic Status. Ann Lab Med 2022; 42:258-267. [PMID: 34635617 PMCID: PMC8548250 DOI: 10.3343/alm.2022.42.2.258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 05/11/2021] [Accepted: 09/15/2021] [Indexed: 11/19/2022] Open
Abstract
Background With increasing number of migrants in Korea, there is an increasing need for blood products with rare blood antigens. Accordingly, the role of blood donors among migrants has been acknowledged. We investigated migrants’ experiences and perceptions of blood donation along with their sociodemographic status and identified the effects on self-reported blood donation status. Methods A cross-sectional survey using a self-developed, structured questionnaire was conducted on 479 migrants. The questionnaire included items about experiences, knowledge, and perceptions on blood donation and sociodemographic factors of respondents. Results Most migrants in this study were from Southeast Asia (54.7%) or China (39.9%). Among them, 28.6% (N=137) had donated blood previously, and 2.7% (N=13) had previously donated blood in Korea. All previous blood donors were volunteers, and the two major deterrents of blood donation for non-donors were the fear of pain and lack of knowledge about blood donation. In multivariable logistic regression analysis, the country of birth (odds ratio [OR]=2.65, P<0.001 [China]; OR=4.85, P=0.001 [countries other than China and Southeast Asian countries]) and employment status (OR=2.80, P=0.034) were independently associated with blood donation. Conclusions This is the first Korean study to analyze migrants’ experiences and perceptions of blood donation in relation to their sociodemographic status. Our findings can help establish blood donation policies for migrants, devise campaigns to enhance blood donation awareness, and ultimately create a pool of rare blood resources in a multicultural society.
Collapse
Affiliation(s)
- Hyerin Kim
- Department of Laboratory Medicine, Pusan National University Hospital, Busan, Korea
| | - Kyung-Hwa Shin
- Department of Laboratory Medicine, Pusan National University Hospital, Busan, Korea
| | - Hyung-Hoi Kim
- Department of Laboratory Medicine, Pusan National University Hospital, Busan, Korea.,Biomedical Informatics Unit, Pusan National University Hospital, Busan, Korea
| | - Hyun-Ji Lee
- Department of Laboratory Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| |
Collapse
|
5
|
Arnoni CP, Vendrame T, Muniz J, Cortez A, Latini F, Castilho L. RHCE diversity among Brazilian patients with sickle cell disease (SCD) and selected groups of blood donors. Transfusion 2021; 61:3473-3482. [PMID: 34590710 DOI: 10.1111/trf.16689] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 09/13/2021] [Accepted: 09/14/2021] [Indexed: 01/08/2023]
Abstract
BACKGROUND Several centers have selected Black donors to prevent Rh alloimmunization of patients with sickle cell disease (SCD). As the Brazilian population is considered very admixed and race definition by self-declaration is questionable, this study aimed to compare RHCE diversity among patients with SCD and selected groups of Brazilian blood donors to define which group of donors would be the adequate red cell supply for patients with SCD. METHOD We compared RHCE allele frequencies between patients with SCD and four groups of Brazilian blood donors: self-declared Black donors (SDB), donors with predominant African genetic markers (AAM), donors with weak D expression (WDD), and random donors (RDs). Variant RHCE alleles were identified using molecular protocols. RESULTS Among patients with SCD, 47% had at least one variant RHCE, in SDB and WDD this frequency was higher, 53% and 58.6%, respectively. In AAM and in RD the frequencies were 32% and 27.6%, respectively. In patients with SCD and SDB, the most common alleles were RHCE*ce.01, RHCE*ceVS.01, and RHCE*ceVS.02. WDD had a high frequency of RHCE*ceAR and highest frequency of variant RHCE in both alleles, followed by patients with SCD and SDB. CONCLUSION This study showed that even in an admixed population the selection of SDB donors is the best choice of matching for transfusion support in patients with SCD. For specific RHCE alleles, selection of donors with weak D expression could be a good option.
Collapse
Affiliation(s)
- Carine Prisco Arnoni
- Scientific Technical Department, Colsan - Associação Beneficente de Coleta de Sangue, São Paulo, Brazil
| | | | - Janaína Muniz
- Scientific Technical Department, Colsan - Associação Beneficente de Coleta de Sangue, São Paulo, Brazil
| | - Afonso Cortez
- Scientific Technical Department, Colsan - Associação Beneficente de Coleta de Sangue, São Paulo, Brazil
| | - Flavia Latini
- Scientific Technical Department, Colsan - Associação Beneficente de Coleta de Sangue, São Paulo, Brazil
| | | |
Collapse
|
6
|
Jacob RP, Wang D, Hodghead K, Pham TD. Identifying correlations between donor demographics and isohemagglutinin titers as a potential method to screen for low-titer group O whole blood. Transfus Apher Sci 2020; 60:102970. [PMID: 33223473 DOI: 10.1016/j.transci.2020.102970] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 09/17/2020] [Accepted: 10/14/2020] [Indexed: 10/23/2022]
Abstract
BACKGROUND With more hospitals using low-titer group O whole blood in trauma resuscitation, having an efficient screening method for low-titer donors is critical. Our blood center uses an automated screen for high-titer isohemagglutinins in our platelet donations while collecting detailed donor demographic information. Using this data, we can identify key demographics often associated with titer status, thereby helping develop a donor-triaging method for titering. STUDY DESIGN AND METHODS Titer results were read with an automated microplate system as either high or low, based on agglutination, with a cutoff equivalent to 1:256 (both anti-A and anti-B). Donor demographic data analyzed included date of donation, blood group, age, gender, and ethnicity. RESULTS 57,508 donations were collected from 2073 unique donors between 2014 and 2018. We found the following demographics to be correlated with titer status: gender, ABO blood group, age, and ethnicity. Variability in titer status was identified in 215 individuals. This represented around 10 % of the total unique donors and was split equally amongst gender. We also found that donors between the ages of 41-60 ha d the highest likelihood of having variability in titer status, peaking at 13 %, and this proportion declined past age 60. CONCLUSION Titer status is associated with the following donor demographics: gender, ABO type, age, and ethnicity. We also discovered that variability in titer status is correlated with age. In blood centers that do not have automated and routine titer screening procedure, these findings could be used as a method to efficiently identify low-titer donors a-priori.
Collapse
Affiliation(s)
- Reuben P Jacob
- Department of Pathology, Stanford University School of Medicine, Stanford, CA, 94305, United States
| | - Duan Wang
- Stanford Blood Center, Stanford Medicine, Stanford, CA 94305, United States
| | - Kathryn Hodghead
- Stanford Blood Center, Stanford Medicine, Stanford, CA 94305, United States
| | - Tho D Pham
- Department of Pathology, Stanford University School of Medicine, Stanford, CA, 94305, United States; Stanford Blood Center, Stanford Medicine, Stanford, CA 94305, United States.
| |
Collapse
|
7
|
Blood donation among individuals of African origin in the Netherlands: how are barriers and motivators associated with intention? BLOOD TRANSFUSION = TRASFUSIONE DEL SANGUE 2020; 19:24-33. [PMID: 33000754 DOI: 10.2450/2020.0049-20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Accepted: 06/03/2020] [Indexed: 12/30/2022]
Abstract
BACKGROUND Blood donors of African origin are under-represented in high-income Western countries, while their extended blood types closely match chronic transfusion patients with similar ancestral backgrounds. To prevent alloimunisation, it is important to recruit and retain more African blood donors. The aim of this study was to gain insight into blood donation barriers and motivators of individuals of African origin, and to assess how these are associated with the intention to donate blood. MATERIALS AND METHODS An online survey sample included 300 participants of sub-Saharan African, Afro-Surinamese and Afro-Caribbean origin living in the Netherlands. They ranked 25 barriers and 19 motivators on the level of impediment and facilitation in blood donation. We compared differences in barriers and motivators between ever- and never-donors and tested associations with the intention to donate blood using univariate and multivariate linear regression analyses, adjusted for gender, age, ethnicity, immigrant generation, educational level, and blood donation history. RESULTS Receiving information about the donation procedure was a highly ranked motivator especially among never-donors (50%) and was positively associated with the intention to donate (p<0.05). Non-monetary incentives, convenience factors and awareness were other important motivators. Highly ranked barriers related to fears and not feeling healthy enough to donate, although only "believing donation is scary or stressful" (reported by 8% of the ever-donors and 25% of the never-donors) remained significantly associated with intention to donate in the multivariate model (p<0.05). Recipient preferences, religion and distrust were less often reported and were not associated with donation intention. DISCUSSION The highest ranked barriers and motivators were not necessarily the best predictors of donation intention. These findings have valuable implications for future interventions focussing on individuals of African origin.
Collapse
|
8
|
Santos TD, Macedo MD, Menegati SFP, Gilli S, Castilho L. Challenges in providing compatible blood with Rh genotype‐matching in Brazilian patients with sickle cell disease. Transfus Med 2019; 29:423-429. [DOI: 10.1111/tme.12641] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Revised: 09/06/2019] [Accepted: 09/22/2019] [Indexed: 11/27/2022]
Affiliation(s)
- T. D. Santos
- Hemocentro Campinas‐UNICAMP Campinas São Paulo Brazil
| | - M. D. Macedo
- Hemocentro Campinas‐UNICAMP Campinas São Paulo Brazil
| | | | - S. Gilli
- Hemocentro Campinas‐UNICAMP Campinas São Paulo Brazil
| | - L. Castilho
- Hemocentro Campinas‐UNICAMP Campinas São Paulo Brazil
| |
Collapse
|
9
|
|
10
|
Klinkenberg EF, Huis in ’t Veld EMJ, de Wit PD, de Kort WLAM, Fransen MP. Barriers and motivators of Ghanaian and African-Surinamese migrants to donate blood. HEALTH & SOCIAL CARE IN THE COMMUNITY 2019; 27:748-756. [PMID: 30478863 PMCID: PMC7379538 DOI: 10.1111/hsc.12692] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 10/17/2018] [Accepted: 11/05/2018] [Indexed: 05/24/2023]
Abstract
African migrants are underrepresented as blood donors in many Western countries, which can lead to shortages of specific blood types for transfusion. More insight in the reasons for this underrepresentation is required to improve blood donor recruitment and retention strategies. The aim of this qualitative study was to explore barriers and motivators for donating blood among migrants of African background. The research population consisted of first and second generation African-Surinamese (n = 20) and Ghanaian (n = 16) migrants living in the Netherlands. In semi-structured personal interviews performed in 2016 and 2017, their experiences and opinions regarding blood donation, barriers, and motivators to (not) become a blood donor and their suggestions to improve recruitment were explored. Data collection was continued until data saturation was achieved. The interviews revealed that although all participants knew about blood donation in general, only four had previously heard of the Dutch national blood bank organisation. Participants expected that if blood was needed, the blood bank would directly approach them, as in their country of origin. Other main blood donation barriers were fear (e.g., of needles, losing too much blood) and issues related to health and non-eligibility to donate. Main motivators were mainly of altruistic nature (e.g., saving a life) and an increased awareness of the need via personal recruitment appeals. It is concluded that expectations regarding donor recruitment-derived from the country of origin-and unawareness of the need for blood can act as important barriers in blood donation among African migrants. Contrary to studies in the United States and Australia, perceived discrimination and social exclusion did not seem to be a donation deterrent among migrants in the Netherlands. Creating awareness of the need of blood by actively approaching, and informing migrants about the donation procedure in the host country, should be considered by blood banks.
Collapse
Affiliation(s)
- Elisabeth F. Klinkenberg
- Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Public HealthAmsterdam UMC, Amsterdam Public Health Research Institute, University of AmsterdamAmsterdamThe Netherlands
| | - Elisabeth M. J. Huis in ’t Veld
- Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Medical and Clinical PsychologyTilburg UniversityTilburgThe Netherlands
| | - Puck D. de Wit
- Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Public HealthAmsterdam UMC, Amsterdam Public Health Research Institute, University of AmsterdamAmsterdamThe Netherlands
| | - Wim L. A. M. de Kort
- Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Public HealthAmsterdam UMC, Amsterdam Public Health Research Institute, University of AmsterdamAmsterdamThe Netherlands
| | - Mirjam P. Fransen
- Department of Public HealthAmsterdam UMC, Amsterdam Public Health Research Institute, University of AmsterdamAmsterdamThe Netherlands
| |
Collapse
|
11
|
Makin JK, Francis KL, Polonsky MJ, Renzaho AMN. Interventions to Increase Blood Donation among Ethnic/Racial Minorities: A Systematic Review. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2019; 2019:6810959. [PMID: 31143209 PMCID: PMC6501160 DOI: 10.1155/2019/6810959] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 03/20/2019] [Indexed: 12/12/2022]
Abstract
Ethnic/racial minorities are under-represented in blood donor populations in most developed countries. This is of particular concern where minorities differ from a country's majority population in terms of blood or tissue typing, especially where type matching is required for effective management of rare disorders such as sickle-cell disease that require multiple transfusions. This systematic review assessed the effectiveness of interventions to increase blood donation among ethnic/racial minority populations in developed countries. We searched MEDLINE, EMBASE, CINAHL, and ProQuest on 20 March 2017 with no date restrictions and supplemented this with searches on Google Scholar, blood collection agency websites, reference lists of included studies, and a forward search of citations of included studies. We included intervention studies designed to increase recruitment and/or retention of adult, ethnic/racial minority blood donors in developed countries. The review identified eight studies reported in nine publications. Six were conducted in the USA with African Americans. Four studies reported on multifaceted, community-based interventions; three reported on one-off information and educational video interventions, presented face-to-face, or delivered via post or e-mail. The level of evidence for efficacy was low, and the majority of studies were assessed as having some risk of bias related to one or more methodological issues. All eight studies reported positive outcomes in blood donation and/or intention to donate. Seven trials found that the intervention increased presentation for donation, and three found an increase in the percentage of new donors from the ethnic minority targeted. The review findings demonstrate that it is possible to design and implement effective interventions to motivate individuals from ethnic/racial minority groups to donate blood. One-off interventions may be as effective as multifaceted, community-based interventions. There was insufficient evidence to recommend particular interventions, and future research should empirically assess alternative interventions using robust study designs.
Collapse
Affiliation(s)
- Jennifer K. Makin
- Menzies Institute for Medical Research, University of Tasmania, Hobart 7000, Australia
| | - Kate L. Francis
- Murdoch Children's Research Institute, Melbourne 3052, Australia
| | | | - Andre M. N. Renzaho
- School of Social Sciences and Psychology, Western Sydney University, Sydney 2751, Australia
- Translational Health Research Institute, Western Sydney University, Sydney 2751, Australia
| |
Collapse
|
12
|
Klinkenberg EF, Huis In't Veld EMJ, de Wit PD, van Dongen A, Daams JG, de Kort WLAM, Fransen MP. Blood donation barriers and facilitators of Sub-Saharan African migrants and minorities in Western high-income countries: a systematic review of the literature. Transfus Med 2019; 29 Suppl 1:28-41. [PMID: 29493019 PMCID: PMC7379919 DOI: 10.1111/tme.12517] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 01/24/2018] [Accepted: 01/27/2018] [Indexed: 12/26/2022]
Abstract
OBJECTIVES The present study aimed to gain more insight into, and summarise, blood donation determinants among migrants or minorities of Sub-Saharan heritage by systematically reviewing the current literature. BACKGROUND Sub-Saharan Africans are under-represented in the blood donor population in Western high-income countries. This causes a lack of specific blood types for transfusions and prevention of alloimmunisation among Sub-Saharan African patients. METHODS/MATERIALS Medline, EMBASE, PsycINFO and BIOSIS were searched for relevant empirical studies that focused on barriers and facilitators of blood donation among Sub-Saharan Africans in Western countries until 22 June 2017. Of the 679 articles screened by title and abstract, 152 were subsequently screened by full text. Paired reviewers independently assessed the studies based on predefined eligibility and quality criteria. RESULTS Of the 31 included studies, 24 used quantitative and 7 used qualitative research methods. Target cohorts varied from Black African Americans and refugees from Sub-Sahara Africa to specific Sub-Saharan migrant groups such as Comorians or Ethiopians. Main recurring barriers for Sub-Saharan Africans were haemoglobin deferral, fear of needles and pain, social exclusion, lack of awareness, negative attitudes and accessibility problems. Important recurring facilitators for Sub-Saharan Africans were altruism, free health checks and specific recruitment and awareness-raising campaigns. CONCLUSION The findings of this review can be used as a starting point to develop recruitment and retention strategies for Sub-Saharan African persons. Further research is needed to gain more insight in the role of these determinants in specific contexts as socioeconomic features, personal histories and host country regulations may differ per country.
Collapse
Affiliation(s)
- E. F. Klinkenberg
- Department of Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Public HealthAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
| | - E. M. J. Huis In't Veld
- Department of Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Medical and Clinical PsychologyTilburg UniversityTilburgThe Netherlands
| | - P. D. de Wit
- Department of Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Public HealthAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
| | - A. van Dongen
- School of Psychology, University of New South WalesSydneyAustralia
| | - J. G. Daams
- Medical LibraryAcademic Medical Center, Univeristy of AmsterdamAmsterdamThe Netherlands
| | - W. L. A. M. de Kort
- Department of Donor StudiesSanquin ResearchAmsterdamThe Netherlands
- Department of Public HealthAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
| | - M. P. Fransen
- Department of Public HealthAcademic Medical Center, University of AmsterdamAmsterdamThe Netherlands
| |
Collapse
|
13
|
Telenta J, Jones SC, Francis KL, Polonsky MJ, Beard J, Renzaho AMN. Australian lessons for developing and testing a culturally inclusive health promotion campaign. Health Promot Int 2019; 35:217-231. [DOI: 10.1093/heapro/day118] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Abstract
The purpose of the study was to develop and test culturally appropriate health promotion materials that were seen to be socially inclusive in regard to blood donation within the Australian-African community. Materials were produced in multiple languages (English, Arabic, Swahili and Kirundi) and were initially developed based on previous pilot data, with feedback from the project partner (Australian Red Cross Blood Service) and the African community. Seven formative focus groups with 62 participants were then conducted to ensure the materials would be effective, credible and culturally acceptable to the target audience, including preferred messages, taglines and images. The response confirmed that quotes and images from community members (as opposed to actors) were critical to ensure messages were engaging and believable, and had meaningful taglines that were perceived to be authentic. The refined materials were then used in a community intervention study. The evaluation included an assessment of respondents’ views of the messages post-intervention. Of the 281 African migrants who saw the campaign materials during the intervention period, the majority (75.8%) strongly agreed that the materials made them feel part of the wider Australian community. These results suggest that engagement in developmental activities with targeted communities is important for creating positively viewed culturally targeted public health campaigns. A six-step process is suggested that could be used by other organizations to ensure that messages are acceptable to targeted migrant communities.
Collapse
Affiliation(s)
- Joanne Telenta
- Centre for Health and Social Research, Australian Catholic University, Melbourne, Australia
| | - Sandra C Jones
- Centre for Health and Social Research, Australian Catholic University, Melbourne, Australia
| | - Kate L Francis
- Centre for Health and Social Research, Australian Catholic University, Melbourne, Australia
| | - Michael J Polonsky
- Department of Marketing, Deakin Business School, Deakin University, Burwood, Australia
| | - Joshua Beard
- Centre for Health and Social Research, Australian Catholic University, Melbourne, Australia
| | - Andre M N Renzaho
- School of Social Sciences and Psychology, Western Sydney University, Penrith, Australia
| |
Collapse
|
14
|
Hequet O, Poutrel S, Connes P, Revesz D, Chelghoum Y, Kebaili K, Cannas G, Gauthier A, Guironnet-Paquet A, Vocanson M, Nicolas JF, Renoux C, Raba M, Cognasse F, Bertrand Y, Hot A, Joly P. Automatic depletion with Spectra Optia allows a safe 16% reduction of red blood cell pack consumption in exchanged sickle cell anemia patients. Transfusion 2019; 59:1692-1697. [PMID: 30747440 DOI: 10.1111/trf.15188] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Revised: 01/08/2019] [Accepted: 01/09/2019] [Indexed: 01/26/2023]
Abstract
BACKGROUND Chronic red blood cell exchanges (RBCXs) are frequently used to prevent complications in patients with sickle cell anemia, but the scarcity of matched red blood cell packs (RBCPs) is a serious concern. The main goal of this study was to compare the number of RBCPs used during RBCXs between the Spectra Optia (SO) device (with the automatic depletion step) and the former Cobe Spectra (CSP) device. STUDY DESIGN AND METHODS The performances and safety of 300 SO sessions using the automatic depletion step (SO/DE) in 50 patients with sickle cell anemia under a chronic transfusion program over a 1-year period were prospectively analyzed. The numbers of RBCPs saved using this protocol compared to the SO device without depletion and to the CSP device were determined. RESULTS The SO/DE protocol appeared to be safe, as only 5% and 17% of the sessions were characterized by a significant decrease in blood pressure and increase in heart rate (grade 2 adverse events), respectively. Postapheresis hematocrit and fraction of cells remaining reached expected values. The SO/DE protocol required 16% fewer RBCPs compared to SO without depletion, allowing a mean saving of 12 RBCPs per patient and per year and 13% fewer compared to CSP device. Interestingly, the saving was more important for patients with high total blood volume and/or high preapheresis hematocrit. CONCLUSION The SO/DE protocol is an efficient, safe and cost-effective procedure for patients with sickle cell anemia under a chronic transfusion program.
Collapse
Affiliation(s)
- O Hequet
- Établissement Français du Sang Auvergne-Rhône-Alpes, Apheresis unit, Centre Hospitalier Lyon Sud Pierre Bénite, France.,Scientific Department, Établissement Français du Sang Auvergne-Rhône-Alpes, Saint-Etienne, France.,Laboratory of Allergology and Clinical Immunology, CIRI, Lyon, France
| | - S Poutrel
- Centre de référence constitutif des syndromes drépanocytaires majeurs, des thalassémies et des autres maladies de l'érythropoïèse, Service de Médecine interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
| | - P Connes
- Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM) EA7424, Equipe "Biologie vasculaire et du globule rouge", Université Claude Bernard Lyon 1, COMUE Lyon, Villeurbanne, France.,Laboratoire d'Excellence sur le globule rouge (Labex GR-Ex), Paris, France.,Institut Universitaire de France, Paris, France
| | - D Revesz
- Établissement Français du Sang Auvergne-Rhône-Alpes, Apheresis unit, Centre Hospitalier Lyon Sud Pierre Bénite, France
| | - Y Chelghoum
- Établissement Français du Sang Auvergne-Rhône-Alpes, Apheresis unit, Centre Hospitalier Lyon Sud Pierre Bénite, France
| | - K Kebaili
- Hospices Civils de Lyon, Pediatric Hematology, Institut d'Hematologie et d'Oncologie Pédiatrique, Lyon, France
| | - G Cannas
- Centre de référence constitutif des syndromes drépanocytaires majeurs, des thalassémies et des autres maladies de l'érythropoïèse, Service de Médecine interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
| | - A Gauthier
- Hospices Civils de Lyon, Pediatric Hematology, Institut d'Hematologie et d'Oncologie Pédiatrique, Lyon, France
| | - A Guironnet-Paquet
- Scientific Department, Établissement Français du Sang Auvergne-Rhône-Alpes, Saint-Etienne, France.,Laboratory of Allergology and Clinical Immunology, CIRI, Lyon, France
| | - M Vocanson
- Laboratory of Allergology and Clinical Immunology, CIRI, Lyon, France
| | - J F Nicolas
- Laboratory of Allergology and Clinical Immunology, CIRI, Lyon, France
| | - C Renoux
- Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM) EA7424, Equipe "Biologie vasculaire et du globule rouge", Université Claude Bernard Lyon 1, COMUE Lyon, Villeurbanne, France.,Laboratoire d'Excellence sur le globule rouge (Labex GR-Ex), Paris, France.,Laboratoire de Biochimie et Biologie moléculaire Grand Est, Groupement hospitalier Est, Hospices Civils de Lyon, Bron, France
| | - M Raba
- Etablissement Français du Sang Rhône Alpes, Distribution unit, Centre Hospitalier Lyon Sud, Pierre-Bénite, France
| | - F Cognasse
- Scientific Department, Établissement Français du Sang Auvergne-Rhône-Alpes, Saint-Etienne, France.,EA3064-GIMAP, Université de Lyon, Saint-Étienne, France
| | - Y Bertrand
- Hospices Civils de Lyon, Pediatric Hematology, Institut d'Hematologie et d'Oncologie Pédiatrique, Lyon, France
| | - A Hot
- Centre de référence constitutif des syndromes drépanocytaires majeurs, des thalassémies et des autres maladies de l'érythropoïèse, Service de Médecine interne, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
| | - P Joly
- Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM) EA7424, Equipe "Biologie vasculaire et du globule rouge", Université Claude Bernard Lyon 1, COMUE Lyon, Villeurbanne, France.,Laboratoire d'Excellence sur le globule rouge (Labex GR-Ex), Paris, France.,Laboratoire de Biochimie et Biologie moléculaire Grand Est, Groupement hospitalier Est, Hospices Civils de Lyon, Bron, France
| |
Collapse
|
15
|
Klinkenberg EF, Langi Sasongko PKB, de Kort WLAM, van Weert JCM, Fransen MP, Huis In 't Veld EMJ. The supply chain of migrant blood donors: an organisational interview study. Vox Sang 2019; 114:145-153. [PMID: 30623984 PMCID: PMC6850342 DOI: 10.1111/vox.12748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2018] [Revised: 11/21/2018] [Accepted: 12/14/2018] [Indexed: 12/31/2022]
Abstract
BACKGROUND AND OBJECTIVES Migrant blood donors are underrepresented worldwide resulting in shortages of compatible blood products. Prior studies focused on individual barriers and motivators of potential blood donors, but no studies addressed organisational factors of the blood supply chain. This study explored the perceptions and experiences in recruitment and retention of migrant - and potentially rare-blood donors among staff members within the blood supply chain and identified obstacles and solutions in this chain. MATERIALS AND METHODS The study was conducted at Sanquin, the national blood supply organisation of the Netherlands. Qualitative in-depth interviews were done among key staff members (N = 17). Expert validity was assessed in three feedback meetings. RESULTS Seven staff members believed there is a shortage of migrant blood donors, while five believed there is not. However, there was a consensus that it may become a problem in the future due to demographic changes. The perceived obstacles to recruit and retain migrant donors were difficulties in determining how many migrant donors are needed and recruiting them, excluding potentially rare donors prior to donation, limited use of extended phenotyping and high blood typing and frozen storage costs. The possible solutions to increase blood pool diversity lay in registering donor ethnicity, specialised information provision for donors, reconsidering eligibility criteria and optimising blood typing strategies. CONCLUSION Whilst recruitment of migrant blood donors is perceived by staff as difficult, various organisational policies and guidelines seem to hinder retention. Improvements in the blood supply chain may be achieved by addressing logistics, current procedures and registration of ethnicity.
Collapse
Affiliation(s)
- Elisabeth F Klinkenberg
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, the Netherlands.,Department of Public Health, Amsterdam UMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands
| | | | - Wim L A M de Kort
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, the Netherlands.,Department of Public Health, Amsterdam UMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands
| | - Julia C M van Weert
- Amsterdam School of Communication Research/ASCoR, University of Amsterdam, Amsterdam, the Netherlands
| | - Mirjam P Fransen
- Department of Public Health, Amsterdam UMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands
| | - Elisabeth M J Huis In 't Veld
- Department of Donor Medicine Research, Sanquin Research, Amsterdam, the Netherlands.,Department of Cognitive Science and Artificial Intelligence, Tilburg University, Tilburg, the Netherlands
| |
Collapse
|
16
|
Hibbs SP, Brunskill SJ, Donald GC, Saunders HD, Murphy MF. Setting priorities for research in blood donation and transfusion: outcome of the James Lind Alliance priority‐setting partnership. Transfusion 2018; 59:574-581. [DOI: 10.1111/trf.15077] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 09/26/2018] [Accepted: 10/01/2018] [Indexed: 01/06/2023]
Affiliation(s)
| | | | | | | | - Michael F. Murphy
- NHS Blood & Transplant
- National Institute for Health Research (NIHR) Oxford Biomedical Research CentreOxford University NHS Foundation Trust Oxford UK
| |
Collapse
|
17
|
Piersma TW, Klinkenberg EF. The relation between blood donor recruitment and donor diversity and loyalty in the Netherlands. ACTA ACUST UNITED AC 2018. [DOI: 10.1111/voxs.12460] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Affiliation(s)
- Tjeerd W. Piersma
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Center for Philanthropic Studies; VU University; Amsterdam the Netherlands
- Department of Sociology; VU University; Amsterdam the Netherlands
| | - Elisabeth F. Klinkenberg
- Department of Donor Studies; Sanquin Research; Amsterdam the Netherlands
- Department of Public Health; Amsterdam UMC; University of Amsterdam; Amsterdam Public Health Research Institute; Amsterdam the Netherlands
| |
Collapse
|
18
|
RH genotype matching for transfusion support in sickle cell disease. Blood 2018; 132:1198-1207. [DOI: 10.1182/blood-2018-05-851360] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Accepted: 07/05/2018] [Indexed: 11/20/2022] Open
Abstract
Key PointsRH genotyping of red cells may improve matching of patients and donors and reduce Rh alloimmunization. RH genotype matching may improve use of an African American blood donor inventory.
Collapse
|
19
|
Kwan PP, Sabado-Liwag M, Tan N, Pike JR, Custodio H, LaBreche A, Fex C, May Tui'one V, Pang JK, Pang VK, Sablan-Santos L, Toilolo T, Tulua A, Schmidt-Vaivao D, Xie B, Tanjasiri SP, Palmer P. A Community-Based Approach to Biospecimen Collection Among Pacific Islanders. Health Promot Pract 2018; 21:97-105. [PMID: 30032668 DOI: 10.1177/1524839918786222] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study tested the feasibility of collecting saliva samples from Pacific Islanders (PIs) via a community-based participatory research approach. Collection of saliva samples were conducted by trained and trusted PI community leaders at various partner sites. A total of 214 saliva samples were donated by PIs living in Southern California, more than half of whom were females between the ages of 18 and 35 years. Donors indicated that they donated because they wanted to help science and their community. A majority of donors reported a very positive experience with the donation process and were willing to donate saliva and hair samples in the future. The positive findings of this article highlight the importance of community input and participation.
Collapse
Affiliation(s)
| | | | - Nasya Tan
- Claremont Graduate University, Claremont, CA, USA
| | | | | | | | - Cleo Fex
- Guam Communications Network, Long Beach, CA, USA
| | | | | | | | | | | | - Allisi Tulua
- Empowering Pacific Islander Communities, Los Angeles, CA, USA
| | | | - Bin Xie
- Claremont Graduate University, Claremont, CA, USA
| | | | - Paula Palmer
- Claremont Graduate University, Claremont, CA, USA
| |
Collapse
|
20
|
Khan J, Delaney M. Transfusion Support of Minority Patients: Extended Antigen Donor Typing and Recruitment of Minority Blood Donors. Transfus Med Hemother 2018; 45:271-276. [PMID: 30283277 DOI: 10.1159/000491883] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 07/06/2018] [Indexed: 01/16/2023] Open
Abstract
One of the most important and persistent complications of blood transfusion is red blood cell (RBC) alloimmunization. When a patient is exposed to RBC antigens that differ from their own they can form alloantibodies to these foreign antigens. Blood group antigens are highly conserved and follow ancestral patterns of inheritance that may demonstrate population restriction. Minority populations who require chronic transfusion are at particularly high risk of alloimmunization when the blood donor population does not share the same ancestral background, resulting in exposure to non-self RBC antigens. It is incumbent on blood collectors to support patients with risk factors for alloimmunization as well as patients who have already formed alloantibodies. Increasing utilization of RBC genotyping may represent an opportunity to improve access to RBC units from donors that match the extended RBC phenotype of all possible patients.
Collapse
Affiliation(s)
- Jenna Khan
- Department of Laboratory Medicine, University of Washington, Seattle, WA, USA
| | - Meghan Delaney
- Pathology & Laboratory Medicine Division, Children's National Health System, Washington, DC, USA.,Department of Pathology & Pediatrics, The George Washington University, Washington, DC, USA
| |
Collapse
|
21
|
Campbell-Lee SA, Gvozdjan K, Choi KM, Chen YF, Saraf SL, Hsu LL, Gordeuk VR, Strauss RG, Triulzi DJ. Red blood cell alloimmunization in sickle cell disease: assessment of transfusion protocols during two time periods. Transfusion 2018; 58:1588-1596. [PMID: 29570817 DOI: 10.1111/trf.14588] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Revised: 02/02/2018] [Accepted: 02/09/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Prevention of red blood cell (RBC) alloimmunization in patients with sickle cell disease (SCD) focuses on phenotypic RBC matching. We assessed alloimmunization among transfused patients with SCD after implementing leukoreduction and prophylactic antigen matching (PAM). STUDY DESIGN AND METHODS Retrospective review of transfusion and medical records for SCD patients 18 months to 81 years of age was performed covering two 5-year periods: Period 1, no PAM, occasional leukoreduction, and Period 2, consistent leukoreduction and extended PAM (Rh, Kell, S, Fy, Jk) for patients already alloimmunized. Patients transfused in Period 1 were excluded from Period 2. RESULTS A total of 293 patients were transfused in Period 1 and 183 in Period 2. Median time between first sample and last type and screen after transfusion was 2.12 years in Period 1 and 1.03 years in Period 2. Initial alloimmunization prevalence was lower in Period 2 (26.2%) versus Period 1 (37.5%) and after subsequent transfusions in Period 2 (23.8%) versus Period 1 (45.7%), although without significant difference after adjusting for number of units transfused, percentage of leukoreduced RBCs, sex, and age. Alloimmunized patients received more nonleukoreduced RBCs in Period 1 than nonalloimmunized. Patients transfused during inflammatory conditions were not significantly more likely to become alloimmunized. CONCLUSIONS The prevalence of initial and subsequent RBC alloimmunization in Period 2 was lower than that in Period 1; however, overall prevalence remained high. We recommend leukoreduced, hemoglobin S-negative Rh and Kell PAM RBCs for transfusion of patients with SCD. Component and recipient factors affecting alloimmunization should be studied further.
Collapse
Affiliation(s)
- Sally A Campbell-Lee
- Department of Pathology, University of Illinois at Chicago College of Medicine, Chicago, IL.,Sickle Cell Center, University of Illinois at Chicago College of Medicine, Chicago, IL.,The Institute for Transfusion Medicine, Chicago, Illinois
| | - Kristina Gvozdjan
- Department of Pathology, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - K Mia Choi
- Department of Pathology, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - Yi-Fan Chen
- Center for Clinical and Translational Science, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - Santosh L Saraf
- Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago, IL.,Sickle Cell Center, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - Lewis L Hsu
- Sickle Cell Center, University of Illinois at Chicago College of Medicine, Chicago, IL.,Department of Pediatrics, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - Victor R Gordeuk
- Department of Medicine, University of Illinois at Chicago College of Medicine, Chicago, IL.,Sickle Cell Center, University of Illinois at Chicago College of Medicine, Chicago, IL
| | - Ronald G Strauss
- The Institute for Transfusion Medicine, Chicago, Illinois.,The Institute for Transfusion Medicine, Pittsburgh, Pennsylvania
| | - Darrell J Triulzi
- The Institute for Transfusion Medicine, Chicago, Illinois.,The Institute for Transfusion Medicine, Pittsburgh, Pennsylvania
| |
Collapse
|
22
|
Francis KL, Polonsky MJ, Jones SC, Renzaho AMN. The effects of a culturally-tailored campaign to increase blood donation knowledge, attitudes and intentions among African migrants in two Australian States: Victoria and South Australia. PLoS One 2017; 12:e0188765. [PMID: 29190655 PMCID: PMC5708787 DOI: 10.1371/journal.pone.0188765] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 11/13/2017] [Indexed: 11/26/2022] Open
Abstract
Research suggests that African migrants are often positively predisposed towards blood donation, but are under-represented in participation. A culturally-tailored intervention targeting the African migrant community in Australia was developed and implemented, to enhance knowledge about blood donation, improve attitudes towards donating, increase intentions to donate blood, and increase the number of new African donors in Australia. Four weeks after a targeted campaign, a survey evaluation process commenced, administered face-to-face by bilingual interviewers from the African community in Melbourne and Adelaide, Australia (community survey). The questionnaires covered demographics, campaign awareness, blood donation knowledge and intentions, medical mistrust and perceived discrimination, and were analysed to evaluate changes in knowledge and intention. Sixty-two percent of survey participants (n = 454) reported being aware of the campaign. With increasing campaign awareness, there was a 0.28 increase in knowledge score (p = .005); previous blood donation was also associated with an increased blood donation knowledge score. Blood donation intention scores were not associated with campaign awareness (p = 0.272), but were associated with previous blood donation behaviour and a positive blood donation attitude score. More positive scores on the blood donation attitude measure were associated with increasing blood donation intentions, self-efficacy and campaign awareness (score increases of 0.27, 0.30 and 0.04, respectively, all p<0.05). Data were collected on the ethnicity of new blood donors in six blood collection centres before and after the intervention, and independent of the intervention evaluation survey. These data were also used to assess behavioural changes and the proportions of donors from different countries before and after the survey. There was no difference in the number of new African migrant donors, before and after the intervention. The culturally-relevant marketing campaign was associated with improved blood donation knowledge and attitudes, but there was no short-term change in blood donation intentions or the number of African donors.
Collapse
Affiliation(s)
- Kate L. Francis
- Centre for Health and Social Research, Australian Catholic University, Melbourne, Australia
- Department of Marketing, Deakin Business School, Deakin University, Burwood, Australia
- * E-mail:
| | - Michael J. Polonsky
- Department of Marketing, Deakin Business School, Deakin University, Burwood, Australia
| | - Sandra C. Jones
- Centre for Health and Social Research, Australian Catholic University, Melbourne, Australia
| | - Andre M. N. Renzaho
- School of Social Sciences and Psychology, Western Sydney University, Penrith, Australia
| |
Collapse
|
23
|
Volken T, Crawford RJ, Amar S, Mosimann E, Tschaggelar A, Taleghani BM. Blood Group Distribution in Switzerland - a Historical Comparison. Transfus Med Hemother 2017; 44:210-216. [PMID: 28924425 DOI: 10.1159/000479191] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Accepted: 07/05/2017] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Ethnicities differ in prevalence of blood groups and antigens. Substantial donor-recipient mismatch within mixed-ethnic societies may render certain recipients at higher risk for alloimmunization. Data regarding antigen distribution within Switzerland by ethnicity is limited. We examined immigration patterns against the distribution of ABO blood groups using large cross-sectional Swiss samples spanning 70 years. METHODS Historical ABO blood group distribution data (1940-1945) from Swiss army personnel (n = 275,664) were sourced from the literature. Recent blood group phenotypes of 122,925 individuals who presented themselves at army recruitment centers (2004-2015) were obtained, alongside a validation sample of 175,202 patients from a university hospital. Two-sample tests with z-statistics assessing blood groups between samples were used. RESULTS The respective proportions of A (47.2% and 45.2%), B (8.4% and 9.8%), and AB (3.0 and 4.1) in the historical and recent army samples were significantly different (p < 0.001), while group O was not. Conclusion: ABO blood groups in Switzerland have remained stable despite substantial immigration with a changing foreign-national profile. Further research is needed to improve the understanding of antigen differences in newly introduced ethnic groups. Blood product requirements and public health initiatives aimed at recruiting blood donors would benefit from this information.
Collapse
Affiliation(s)
- Thomas Volken
- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
| | - Rebecca J Crawford
- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland.,Faculty of Health Professions, Curtin University, Perth, Australia
| | - Soraya Amar
- Swiss Transfusion SRC, Swiss Red Cross, Bern, Switzerland
| | | | | | - Behrouz Mansouri Taleghani
- Department of Hematology and Central Hematology Laboratory, Inselspital, Bern University Hospital and University of Bern, Bern, Switzerland
| |
Collapse
|
24
|
|
25
|
Bachegowda LS, Timm B, Dasgupta P, Hillyer CD, Kessler D, Rebosa M, France CR, Shaz BH. Impact of predictive scoring model and e-mail messages on African American blood donors. Transfusion 2017; 57:1515-1521. [DOI: 10.1111/trf.14113] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Revised: 02/04/2017] [Accepted: 02/04/2017] [Indexed: 11/28/2022]
Affiliation(s)
| | - Brad Timm
- Hindsait, Inc.; Hackensack New Jersey
| | | | | | | | | | | | | |
Collapse
|
26
|
Yazer MH, Delaney M, Germain M, Karafin MS, Sayers M, Vassallo R, Ziman A, Shaz B. Trends in US minority red blood cell unit donations. Transfusion 2017; 57:1226-1234. [DOI: 10.1111/trf.14039] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Revised: 12/07/2016] [Accepted: 12/08/2016] [Indexed: 01/12/2023]
Affiliation(s)
- Mark H. Yazer
- The Institute for Transfusion Medicine; Pittsburgh Pennsylvania
| | | | | | | | - Merlyn Sayers
- Carter BloodCare and the University of Texas Southwestern; Dallas Texas
| | | | - Alyssa Ziman
- University of California Los Angeles Blood and Platelet Center; Los Angeles California
| | - Beth Shaz
- New York Blood Center; New York New York
| | | |
Collapse
|
27
|
Yuan S, Chang S, Uyeno K, Almquist G, Wang S. Blood donation mobile applications: are donors ready? Transfusion 2015; 56:614-21. [DOI: 10.1111/trf.13387] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Revised: 09/11/2015] [Accepted: 09/12/2015] [Indexed: 01/18/2023]
Affiliation(s)
- Shan Yuan
- Division of Transfusion Medicine Department of Pathology and Laboratory Medicine; City of Hope National Medical Center; Duarte California
| | - Shelley Chang
- Division of Transfusion Medicine Department of Pathology and Laboratory Medicine; UCLA School of Medicine; Los Angeles California
| | - Kasie Uyeno
- Division of Transfusion Medicine Department of Pathology and Laboratory Medicine; City of Hope National Medical Center; Duarte California
| | - Gay Almquist
- Division of Transfusion Medicine Department of Pathology and Laboratory Medicine; City of Hope National Medical Center; Duarte California
| | - Shirong Wang
- Division of Transfusion Medicine Department of Pathology and Laboratory Medicine; City of Hope National Medical Center; Duarte California
| |
Collapse
|