Charles K S, Poon King A, Ramai A, Rajnath K, Ramkissoon D, Ramkissoon S, Ramlal C, Ramnarine K, Rampersad K, Legall G, Pooransingh S, Chantry A D
Department of Paraclinical Sciences, Faculty of Medical Sciences, The University of the West Indies, Saint Augustine, Trinidad and Tobago.
Velindre Cancer Centre, Cardiff, South Wales, UK.
Transfus Med. 2017 Aug;27(4):249-255. doi: 10.1111/tme.12429. Epub 2017 May 26.
To assess the attitude towards voluntary non-remunerated blood donation among blood donors in Trinidad and Tobago (TRT).
Blood donors in TRT are either family replacement (F/R, 87%) or remunerated (13%). There is chronic blood shortage and high seroreactivity for transfusion-transmissible infections (TTI) in donors. Converting existing to voluntary non-remunerated donors (VNRD) reduces the need to recruit news donors in achieving 100% VNRD.
A questionnaire-based, cross-sectional survey was conducted at two blood collection centres at an interval of 8 years. Donors were surveyed for sociodemographic characteristics, awareness of the blood shortage, previous donation behaviour, donor-beneficiary linkage if F/R, willingness to become VNRD and choice of motivators for converting to VNRD.
A total of 400 and 595 donors respectively participated in Surveys 1 and 2, of whom 92·8 and 86·3% were F/R (P < 0·001), respectively. In both surveys, 52% of participants were unaware of an existing blood shortage (P = 0·983). Only 9·8 and 9·1% of participants expressed unwillingness to become VNRD (P = 0·720). The main motivators to convert to VNRD were reminders from the centre (84%) and extended opening hours (78%) in Survey 1 as compared to confidence that donated blood was used properly (73%) and shortened waiting times to donate (73%) in Survey 2.
Despite low awareness of blood shortage, willingness to become VNRD was high among existing donors. Accountability and donor convenience underpinned the main motivators for converting to VNRD.
评估特立尼达和多巴哥（TRT）献血者对自愿无偿献血的态度。
TRT的献血者要么是亲属替代献血者（F/R，87%），要么是有偿献血者（13%）。存在长期血液短缺问题，且献血者中输血传播感染（TTI）的血清反应性较高。将现有献血者转变为自愿无偿献血者（VNRD）可减少为实现100% VNRD而招募新献血者的需求。
在两个采血中心每隔8年进行一次基于问卷的横断面调查。对献血者进行社会人口学特征、血液短缺意识、既往献血行为、若为F/R献血者的献血者与受血者关联、成为VNRD的意愿以及转变为VNRD的动机选择等方面的调查。
分别有400名和595名献血者参与了调查1和调查2，其中分别有92.8%和86.3%为F/R献血者（P < 0.001）。在两项调查中，52%的参与者不知道存在血液短缺问题（P = 0.983）。只有9.8%和9.1%的参与者表示不愿意成为VNRD（P = 0.720）。与调查2中相信所献血液得到妥善使用（73%）和缩短献血等待时间（73%）相比，调查1中转变为VNRD的主要动机是中心的提醒（84%）和延长开放时间（78%）。
尽管对血液短缺的认识较低，但现有献血者中成为VNRD的意愿较高。问责制和献血者便利性是转变为VNRD的主要动机。
