Joshi Dhaara, Meakin Richard
The Research Department of Primary Care and Population Health, University College London Medical School, London, UK.
BMJ Open. 2017 Oct 22;7(10):e018279. doi: 10.1136/bmjopen-2017-018279.
To explore the views and attitudes of Indians living in England on blood donation.
In light of the predicted shortages in blood supply, it is vital to consider ways in which to maximise donation rates. These include addressing the issue of lower donation rates among ethnic minorities, including Indians. However research specifically among minority ethnicities in UK is sparse.
General practice in North London.
A convenience sample of 12 non-donor Indians living in England.
This is a qualitative investigation involving semistructured interviews. Themes derived were analysed using thematic framework analysis.
Five key themes emerged from the data, and these concerned participants' perspectives regarding attitudes towards blood, blood donation as a 'good thing', donation disincentives, the recipient matters and the donor matters.
A variety of attitudes were presented, but were generally positive, and blood was conceptualised in a manner previously found to be consistent with donation. However, lack of awareness and accessibility were prominent barriers, indicating the need for improvement in these capacities. In contrast to this, blood was also greatly associated with family and acted as a symbol of kinship: this 'emotional charge' often acted to dissuade participants from separating with their blood through donation. Possibly due to this, there was also a strong preference for donated blood to be distributed within the family, as opposed to strangers. This presents a potential barrier to blood donation for some Indians within the current system in which donations are given to unknown recipients.
探讨居住在英国的印度人对献血的看法和态度。
鉴于预计血液供应短缺,考虑如何最大限度提高献血率至关重要。这些措施包括解决少数民族(包括印度人)献血率较低的问题。然而,英国针对少数族裔的具体研究很少。
伦敦北部的全科医疗诊所。
居住在英国的12名非献血印度人的便利样本。
这是一项涉及半结构化访谈的定性调查。使用主题框架分析法对得出的主题进行分析。
数据中出现了五个关键主题,这些主题涉及参与者对血液的态度、献血是“好事”、献血阻碍因素、受血者因素和献血者因素的看法。
呈现出了多种态度,但总体较为积极,血液的概念化方式与之前发现的献血情况一致。然而,缺乏认识和可及性是突出的障碍,表明在这些方面需要改进。与此形成对比的是,血液也与家庭密切相关,是亲属关系的象征:这种“情感因素”常常使参与者不愿通过献血献出自己的血液。可能正因如此,人们也强烈倾向于将捐献的血液在家庭内部分配,而不是给陌生人。这在当前将血液捐献给未知受血者的系统中,对一些印度人献血构成了潜在障碍。