Mills Richard, Merz Eva-Maria, Croucher Mark, Masser Barbara, Brailsford Susan R, Smith Robert, Ferguson Eamonn
School of Psychology, The University of Nottingham, Nottinghamshire, UK.
National Institute for Health and Care Research Blood and Transplant Research Unit in Donor Health and Behaviour, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Transfus Med. 2024 Dec;34(6):478-490. doi: 10.1111/tme.13108. Epub 2024 Nov 12.
The UK's Infected Blood Inquiry (IBI) highlighted a major public health scandal, with at least 30 000 people infected and more than 3000 deaths attributable to infected blood and blood products. This study investigates the impact of the IBI announcement on May 20, 2024, on public perceptions of blood supply risk, safety, and donation intentions in the UK compared to the USA.
A 2 (country: UK vs. USA) × 2 (time: pre-, post-IBI announcement) between-within-subject study was conducted with 1635 participants (888 UK, 747 USA). Pre-IBI data were collected from May 3 to 7, 2024, and post-IBI data from May 30 to June 30, 2024. Key measures were perceived infection risk from transfusion, transfusion safety, willingness to donate and encourage others. The impact was assessed using differences-in-differences (DiD) and reliable-change-indices (RCI).
UK participants showed a significant but small decrease in perceived safety compared to USA participants, with 1 in 30 UK individuals perceiving a significant reduction in perceived transfusion safety. Decreases in perceived safety were associated with significant decreases in willingness to donate and encouragement of others in the whole sample and in USA participants and significant decreases in willingness to encourage others in UK participants. Older people reported a greater reduction in safety, and non-donors were more likely to be put off donating and not ask others to donate as a result of their perception that safety had been reduced.
Overall, perceived safety decreased marginally in the UK general population. Future research should explore the long-term impacts of the IBI.
英国的感染血液调查(IBI)凸显了一起重大的公共卫生丑闻,至少3万人因感染血液和血液制品而感染,超过3000人死亡。本研究调查了2024年5月20日IBI公告对英国与美国公众对血液供应风险、安全性及献血意愿认知的影响。
对1635名参与者(888名英国人和747名美国人)进行了一项2(国家:英国与美国)×2(时间:IBI公告前、后)的组内组间研究。IBI公告前的数据于2024年5月3日至7日收集,IBI公告后的数据于2024年5月30日至6月30日收集。关键指标包括对输血感染风险的认知、输血安全性、献血意愿及鼓励他人献血的意愿。使用双重差分法(DiD)和可靠变化指数(RCI)评估影响。
与美国参与者相比,英国参与者感知到的安全性显著但小幅下降,每30名英国个体中有1人认为输血安全性显著降低。感知安全性的下降与整个样本、美国参与者中献血意愿及鼓励他人献血意愿的显著下降相关,在英国参与者中鼓励他人献血的意愿也显著下降。老年人报告安全性下降幅度更大,非献血者因认为安全性降低而更有可能推迟献血且不要求他人献血。
总体而言,英国普通人群的感知安全性略有下降。未来研究应探讨IBI的长期影响。