Knowledge, attitude and practice survey regarding blood donation in a Northwestern Chinese city
N. Zaller
Departments of Epidemiology and International Health, Bloomberg, School of Public Health, Johns Hopkins University,
Search for more papers by this authorK. E. Nelson
Departments of Epidemiology and International Health, Bloomberg, School of Public Health, Johns Hopkins University,
Search for more papers by this authorP. Ness
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA, and
Search for more papers by this authorG. Wen
Urumqi City Blood Center and Military Production and Construction Corps Blood Center, Urumqi, Xinjiang, China
Search for more papers by this authorX. Bai
Urumqi City Blood Center and Military Production and Construction Corps Blood Center, Urumqi, Xinjiang, China
Search for more papers by this authorCorresponding Author
H. Shan
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA, and
Hua Shan, Department of Pathology, Johns Hopkins School of Medicine, 600 N. Wolfe Street, Room 311C, Baltimore, MD 21287, USA. Tel.: +1 410 614 4246; fax: +1 410 614 0430; e-mail: [email protected]Search for more papers by this authorN. Zaller
Departments of Epidemiology and International Health, Bloomberg, School of Public Health, Johns Hopkins University,
Search for more papers by this authorK. E. Nelson
Departments of Epidemiology and International Health, Bloomberg, School of Public Health, Johns Hopkins University,
Search for more papers by this authorP. Ness
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA, and
Search for more papers by this authorG. Wen
Urumqi City Blood Center and Military Production and Construction Corps Blood Center, Urumqi, Xinjiang, China
Search for more papers by this authorX. Bai
Urumqi City Blood Center and Military Production and Construction Corps Blood Center, Urumqi, Xinjiang, China
Search for more papers by this authorCorresponding Author
H. Shan
Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA, and
Hua Shan, Department of Pathology, Johns Hopkins School of Medicine, 600 N. Wolfe Street, Room 311C, Baltimore, MD 21287, USA. Tel.: +1 410 614 4246; fax: +1 410 614 0430; e-mail: [email protected]Search for more papers by this authorAbstract
summary. Recruitment of low-risk blood donors in developing countries is challenging. We studied the attitudes towards blood donation in several populations in a city in Western China. A survey of knowledge, attitude and practice was performed including 1280 individuals from eight distinct populations in Urumqi, Xinjiang Uyghur Autonomous Region, China. Included were Han Chinese and Uyghur populations of blood donors, non-donors, injection drug users, students and factory workers. Knowledge about blood donation varied between the groups. Factors motivating blood donation included social pressure, desire to know screening results and altruism. Inhibiting factors included fear of contracting an infection and other adverse health effects, including loss of vitality. Misconceptions about the effects of blood donation are widespread, even among educated persons in Urumqi. Fear of acquiring a serious infection may have been increased by the reports of HIV acquisition during plasma donations in China.
References
- Andaleeb, S. & Basu, A. (1995) Explaining blood donation: the trust factor. Journal of Health Care Marketing, 15, 42–49.
- Boulware, L.E., Ratner, L.E. et al. (2002a) Understanding disparities in donor behavior: race and gender differences in willingness to donate blood and cadaveric organs. Medical Care, 40, 85–95.
- Boulware, L.E., Ratner, L.E. et al. (2002b) The contribution of sociodemographic, medical, and attitudinal factors to blood donation among the general public. Transfusion, 42, 669–678.
- De Rodas, I.M. & Mazariegos, L.M. (2003) Study on sociocultural issues related to voluntary donation of blood in Latin America and the Caribbean: synthesis of results in 15 countries. Consultancy Report 2003. Pan American Health Organizations, World Health Organization.
- Domen, R.E. (1995) Paid-versus-volunteer blood donation in the United States: a historical review. Transfusion Medicine Reviews, 9, 53–59.
- Eastlund, T. (1998) Monetary blood donation incentives and the risk of transfusion-transmitted infection. Transfusion, 38, 874–882.
- Farley, S. & Stasson, M.F. (2003) Relative influences of affect and cognition on behavior: are feelings or beliefs more related to blood donation intentions? Experimental Psychology, 50, 55–62.
- Fernandez-Montoya, A., Lopez-Barrio, A. & Luna del Castillo, J.D. (1998) How some attitudes, beliefs and motivations of Spanish blood donors evolve over time. Vox Sanguinis, 74, 140–147.
- Gibbs, W.N. & Corcoran, P. (1994) Blood safety in developing countries. Vox Sang, 67, 377–381.
- Giles, M. & Cairns, E. (1995) Blood donation and Ajzen's theory of planned behaviour: an examination of perceived behavioural control. British Journal of Social Psychology, 34, 173–188.
- Glynn, S.A., Kleinman, S.H. et al. (2002) Motivations to donate blood: demographic. comparisons. Transfusion, 42, 216–225.
- Hosain, G.M.M., Anisuzzaman, M. & Begum, A. (1997) Knowledge and attitude towards voluntary blood donation among Dhaka University students in Bangladesh. East African Medical Journal, 73, 549–552.
- Jacobs, B. & Berege, Z.A. (1995) Attitudes and beliefs about blood donation among adults in Mwansza region, Tanzania. East African Medical Journal, 72, 345–348.
- Jager, H., Jersild, C. & Emmanuel, J.C. (1991) Safe blood transfusions in Africa. AIDS, 5 (Suppl. 1), S163–S168.
- Kolins, J. & Herron, R. (2003) On bowling alone and donor recruitment: lessons learned. Transfusion, 43, 1634–1638.
- Markinor. (2003) Project Lifeline: Top-line report for South African National Blood Service (SANBS).
- Moltzan, C., Proulx, N. et al. (2001) Perceptions and motivations of Canadian autologous blood donors. Transfusion Medicine, 11, 177–182.
- Rapport, F.L. & Maggs, C.J. (2002) Titmuss and the gift relationship: altruism revisited. Journal of Advance Nursing, 40, 495–503.
- Royse, D. & Doochin, K.E. (1995) Multi-gallon blood donors: who are they? Transfusion, 35, 826–831.
- Sandborg, E. (2000) Getting people to give blood. Vox Sanguinis, 78 (Suppl. 2), 297–301.
- Schreiber, G.B., Sanchez, A.M. et al. (2003) Increasing blood availability by changing donation patterns. Transfusion, 43, 591–597.
- Shan, H., Wang, J. et al. (2002) Blood Banking in China. Lancet, 360, 1770–1775.
- Sojka, B.N. & Sojka, P. (2002) The blood-donation experience: perceived physical psychological and social impact of blood donation on the donor. Vox Sanguinis, 84, 120–128.
- Strauss, R.G. (2001) Blood donations, safety and incentives. Transfusion, 41, 165–167.
- Tang, S. (1993) Seroepidemiological study on hepatitis C virus infection among blood donors from various regions in China. Zhonghua Liu Xing Bing Xue Za Zhi, 14, 271–274.
- Titmuss, R.M. (1971) The Gift Relationship: From Human Blood to Social Policy. Vintage Press, New York, USA.
- Van Der Poel, C.L., Seifried, E. & Schaasberg, W.P. (2002) Paying for blood donations: still a risk? Vox Sanguinis, 83, 285–293.
- Viswananthan, C. (2001) Are our donors safe? Indian Journal of Pediatrics, 68, 69–75.
- Wang, J.X. (2004) Director, Chinese Institute of Blood Transfusion: Personal Communication.
- Wiwanikit, V. (2000) A study on attitude towards blood donation among people in a rural district, Thailand. Southeast Asian Journal of Tropical Medical Public Health, 31, 609–611.
- Wiwanikit, V. (2002) Knowledge about blood donation among a sample of Thai University students. Vox Sanguinis, 83, 97–99.
- Wu, Z., Rou, K. & Detels, R. (2001) Prevalence in HIV infection among former commercial plasma donors in rural eastern China. Health Policy and Planning, 16, 41–46.
- Yahoo News Service. Officials say most provinces in China could have AIDS from blood selling. Retrieved March 3, 2004 from the World Wide Web.
- Yan, K., Zheng, X. et al. (2000) The survey of prevalence of HIV infection among paid blood donors in one county in China. Zhonghua Liu Xing Bing Xue Za Zhi, 21, 10–13.
- Zhang, X., Zhang, B. & Cheng, W. (2002) A comparison of test results on the blood safety of organized blood donors and volunteer donors. Journal of Clinical Transfusion and Laboratory Medicine, 4, 60 (article in Chinese).