Global AIDS Program, Centers for Disease Control and Prevention, Nairobi, Kenya.
Vox Sang. 2011 Feb;100(2):212-8. doi: 10.1111/j.1423-0410.2010.01376.x. Epub 2010 Aug 25.
Blood safety and sufficiency are major challenges in Kenya and other sub-Saharan African countries forcing many countries to rely on family replacement donors (FRD). We analysed data from a national AIDS indicator survey to describe blood donors in Kenya and potential risks of transfusion transmissible infections (TTI) comparing voluntary donors and FRD.
A population-based, cross-sectional survey was conducted in 2007 among 15- to 64-year-olds. Consenting participants were interviewed about blood donation history and were tested for HIV, HSV-2 and syphilis.
Of the 17,940 people surveyed, 445 (2·3%) reported donating blood in the prior 12 months. Sixty-four per cent were voluntary donors, and the rest were FRD. Compared to FRD, the majority of voluntary donors were <25 years old (59% versus 18%), from the highest wealth quintile (57% versus 42%) and single (64% versus 23%). In addition, voluntary donors were less likely to have been sexually active than replacement donors (43% versus 13%). HIV prevalence was lower among voluntary donors than among FRD (2·6% versus 7·4%, P-value=0·07).
The majority of blood donors in Kenya are voluntary with lower potential risk of TTI.
在肯尼亚和其他撒哈拉以南非洲国家，血液安全和充足是主要挑战，这迫使许多国家依赖家庭替代供者（FRD）。我们分析了一项全国艾滋病指标调查的数据，以描述肯尼亚的献血者，并比较自愿献血者和 FRD 输血传播感染（TTI）的潜在风险。
2007 年，在 15 至 64 岁的人群中进行了一项基于人群的横断面调查。同意参与的参与者接受了关于献血史的访谈，并接受了 HIV、HSV-2 和梅毒检测。
在接受调查的 17940 人中，有 445 人（2.3%）报告在过去 12 个月内献血。64%是自愿献血者，其余是 FRD。与 FRD 相比，大多数自愿献血者年龄<25 岁（59%比 18%），来自最高财富五分位数（57%比 42%），单身（64%比 23%）。此外，自愿献血者的性活跃程度低于替代供者（43%比 13%）。自愿献血者的 HIV 感染率低于 FRD（2.6%比 7.4%，P 值=0.07）。
肯尼亚的大多数献血者是自愿的，具有较低的 TTI 潜在风险。
