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德国全血献血者流失特征及初次献血四年后再次献血的障碍

Characteristics of Lapsed German Whole Blood Donors and Barriers to Return Four Years after the Initial Donation.

作者信息

Weidmann Christian, Müller-Steinhardt Michael, Schneider Sven, Weck Eberhard, Klüter Harald

机构信息

Mannheim Institute of Public Health, Medical Faculty Mannheim, University of Heidelberg, Germany.

出版信息

Transfus Med Hemother. 2012 Feb;39(1):9-15. doi: 10.1159/000335602. Epub 2011 Dec 23.

Abstract

BACKGROUND

The aim of the study was to identify characteristics of lapsed donors 4 years after the initial donation as well as self-reported barriers to return for further blood donations. METHODS: A random number of 8,000 blood donors, donating for the German Red Cross Blood Service Baden-Württemberg - Hessen, were asked to fill in a self-administered questionnaire. The response rate was 38.5%. Donors were categorized as 'lapsed' if they had not donated within the last 24 months. The odds of being a lapsed donor were determined in a multivariate logistic regression. RESULTS: Multivariate analysis showed that lapsed donors were more likely to be female, between 26 and 33 years old, not employed, have moved, and were dissatisfied with the last donation experience. Furthermore, lapsed donors were less likely to have family members or friends who also donate blood. Medical reasons and having moved to another city were the most frequently named reasons preventing lapsed donors from continuing to donate blood. CONCLUSION: The importance of medical reasons and having moved was rated much higher than in previous studies. We conclude that barriers to return may vary considerably between countries and blood services. Therefore, donor surveys are required to guide reactivation campaigns.

摘要

背景

本研究的目的是确定初次献血4年后不再献血者的特征以及自我报告的再次献血障碍。方法:随机抽取8000名向德国红十字会巴登-符腾堡-黑森州血液服务中心献血的献血者,要求他们填写一份自填式问卷。回复率为38.5%。如果献血者在过去24个月内未献血,则被归类为“不再献血者”。通过多因素逻辑回归确定成为不再献血者的几率。结果:多因素分析显示,不再献血者更可能为女性,年龄在26至33岁之间,未就业,已搬家,并且对上次献血经历不满意。此外,不再献血者有家庭成员或朋友也献血的可能性较小。医疗原因和搬到另一个城市是不再献血者不再继续献血最常提到的原因。结论:医疗原因和搬家的重要性比以往研究中的评价要高得多。我们得出结论,不同国家和血液服务机构的再次献血障碍可能有很大差异。因此,需要进行献血者调查以指导重新激活活动。

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