Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic., Australia; Research and Development, Australian Red Cross Blood Service, Melbourne, Vic., Australia.
Vox Sang. 2014 Feb;106(2):137-43. doi: 10.1111/vox.12091. Epub 2013 Oct 9.
To establish blood donation rates among African refugees and migrants and identify demographic and socio-economic factors that are associated with their blood donation.
A cross-sectional survey of 425 migrants and refugees living in Victoria and South Australia was used to assess blood donation status. The association between blood donation and demographic and socio-economic factors was assessed using multiple logistic regression analysis.
Overall, 73 participants (17·2%; 95% CI: 13·6-20·8) reported having donated blood previously. Of the total sample, 2·4% (95% CI: 0·9-3·8) reported having given blood in Australia; 12·9% (95% CI: 9·7-16·1) had given blood prior to migration to Australia (i.e. country of birth or transition); and 1·9% (95% CI: 0·6-3·2) indicated they had given blood in an unspecified country. In the univariate model, age, country of birth, blood donation knowledge, religion, educational attainment, migration and employment status were all associated with blood donation status. However, in the multivariate model, only age >45 years (odds ratio [OR] 5·72; 95% CI 2·11-15·46), African region of origin (OR 15·89; 95% CI 3·89-65) and blood donation knowledge (OR 4·46; 95% CI 1·57-12·7) were associated with blood donation.
In order to increase the number of blood donors among African migrants, promoting knowledge and awareness of issues associated with blood donation in Australia should be emphasized. Consideration should be given to identifying these potential migrant donors to improve the availability of compatible blood for patients of African descent.
确定非洲难民和移民的献血率，并确定与他们献血相关的人口统计学和社会经济因素。
使用维多利亚州和南澳大利亚州的 425 名移民和难民的横断面调查来评估献血状况。使用多变量逻辑回归分析评估献血与人口统计学和社会经济因素之间的关联。
总体而言，有 73 名参与者（17.2%；95%CI：13.6-20.8）报告之前曾献血。在总样本中，2.4%（95%CI：0.9-3.8）报告在澳大利亚献血；12.9%（95%CI：9.7-16.1）在移民到澳大利亚之前（即出生国或过境国）献血；1.9%（95%CI：0.6-3.2）表示他们在未指明的国家献血。在单变量模型中，年龄、出生地、献血知识、宗教、教育程度、移民和就业状况均与献血状况相关。但是，在多变量模型中，只有年龄>45 岁（比值比[OR]5.72；95%CI 2.11-15.46）、非洲原籍地区（OR 15.89；95%CI 3.89-65）和献血知识（OR 4.46；95%CI 1.57-12.7）与献血相关。
为了增加非洲移民的献血人数，应强调宣传与澳大利亚献血相关的知识和问题。应考虑确定这些潜在的移民献血者，以增加非洲血统患者的可用相容血液。
