Hemominas Foundation, Rua Grão Pará, 882 Belo Horizonte, Minas Gerais, Brazil 30150-241.
Transfusion. 2010 Apr;50(4):918-25. doi: 10.1111/j.1537-2995.2009.02529.x. Epub 2009 Dec 10.
The profile of blood donors changed dramatically in Brazil over the past 20 years, from remunerated to nonremunerated and then from replacement to community donors. Donor demographic data from three major blood centers establish current donation profiles in Brazil, serving as baseline for future analyses and tracking longitudinal changes in donor characteristics.
Data were extracted from the blood center, compiled in a data warehouse, and analyzed. Population data were obtained from the Brazilian census.
During 2007 to 2008, there were 615,379 blood donations from 410,423 donors. A total of 426,142 (69.2%) were from repeat (Rpt) donors and 189,237 (30.8%) were from first-time (FT) donors. Twenty percent of FT donors returned to donate in the period. FT donors were more likely to be younger, and Rpt donors were more likely to be community donors. All were predominantly male. Replacement donors still represent 50% of FT and 30% of Rpt donors. The mean percentage of the potentially general population who were donors was approximately 1.2% for the three centers (0.7, 1.5, and 3.1%). Adjusting for the catchment's area, the first two were 2.1 and 1.6%.
Donors in the three Brazilian centers tended to be younger with a higher proportion of males than in the general population. Donation rates were lower than desirable. There were substantial differences in sex, age, and community/replacement status by center. Studies on the safety, donation frequencies, and motivations of donors are in progress to orient efforts to enhance the availability of blood.
在过去的 20 年中,巴西的献血者群体发生了巨大变化,从有偿献血者变为了无偿献血者,然后又从替代献血者变为了社区献血者。来自三个主要血液中心的献血者人口统计学数据确定了巴西当前的献血者概况,为未来的分析和跟踪献血者特征的纵向变化提供了基础。
从血液中心提取数据,将其汇编到数据仓库中并进行分析。人口数据从巴西人口普查中获得。
在 2007 年至 2008 年期间,共有 410423 名献血者捐献了 615379 份血液。其中共有 426142 份(69.2%)来自重复献血者,189237 份(30.8%)来自首次献血者。20%的首次献血者在该期间再次献血。首次献血者更年轻,重复献血者更有可能是社区献血者。所有献血者均以男性为主。替代献血者仍然占首次献血者和重复献血者的 50%和 30%。三个中心中潜在的一般人群中献血者的平均百分比约为 1.2%(分别为 0.7%、1.5%和 3.1%)。调整服务区面积后,前两个中心分别为 2.1%和 1.6%。
三个巴西中心的献血者往往更年轻,男性比例高于一般人群。献血率低于理想水平。各中心之间在性别、年龄和社区/替代状态方面存在显著差异。目前正在进行关于献血者安全性、献血频率和动机的研究,以指导努力增加血液供应。