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打破障碍:在爱尔兰招募非洲裔捐赠者。

Breaking down barriers: Recruiting donors of African ancestry in Ireland.

作者信息

Waters Allison, O'Flaherty Niamh, McSweeney Ellen, Eltom Safa, Egan Barry, Hervig Tor

机构信息

Irish Blood Transfusion Service, National Blood Centre, Dublin, Ireland.

UCD School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin 4, Ireland.

出版信息

Vox Sang. 2025 Aug;120(8):765-775. doi: 10.1111/vox.70051. Epub 2025 May 23.

Abstract

BACKGROUND AND OBJECTIVES

The diversity of the donor pool has an impact on blood provision for patients with inherited blood disorders, such as sickle cell anaemia. Many patients are critically dependent on red cell transfusions and due to uneven antigen distribution among different ethnic groups, they are at high risk of red cell alloimmunization. The aims of the present study were to understand the motivators and barriers to young Black Irish people donating blood, to explore the views of older Black individuals who were previously excluded but may now be eligible to donate following the recent changes to donor screening, and lastly, to make recommendations for future campaigns that appeal to the Irish Black community.

MATERIALS AND METHODS

Online focus groups with people of African Ancestry living in Ireland were conducted (n = 6 focus groups, n = 47 participants). A semi-structured format was adopted. The focus group transcripts were analysed to identify the key themes expressed.

RESULTS

The main barriers to blood donation were (i) personal beliefs, (ii) distrust of healthcare organizations, (iii) previous negative donation experiences, (iv) a lack of basic information and (v) replacement donation. Motivators to donate blood included (i) altruism, (ii) Black representation, (iii) targeted information, (iv) helping the Black community and (v) building trust.

CONCLUSION

Blood donor recruitment among the Irish Black community should be informed by an understanding of the varied attitudes to blood donation and the current social norms within Irish African communities. Ireland is a modern multicultural society and its blood donor pool should strive to reflect this diversity.

摘要

背景与目的

献血者群体的多样性会影响对患有遗传性血液疾病(如镰状细胞贫血)患者的血液供应。许多患者严重依赖红细胞输血,并且由于不同种族群体中抗原分布不均,他们面临红细胞同种免疫的高风险。本研究的目的是了解爱尔兰年轻黑人献血的动机和障碍,探讨以前被排除在外但由于最近献血者筛查变化现在可能有资格献血的老年黑人的观点,最后,为吸引爱尔兰黑人社区的未来宣传活动提出建议。

材料与方法

对生活在爱尔兰的非洲裔人群进行了在线焦点小组访谈(n = 6个焦点小组,n = 47名参与者)。采用半结构化形式。对焦点小组访谈记录进行分析,以确定所表达的关键主题。

结果

献血的主要障碍包括:(i)个人信仰,(ii)对医疗机构的不信任,(iii)以前的负面献血经历,(iv)缺乏基本信息,以及(v)替代献血。献血的动机包括:(i)利他主义,(ii)黑人代表性,(iii)有针对性的信息,(iv)帮助黑人社区,以及(v)建立信任。

结论

爱尔兰黑人社区的献血者招募工作应基于对献血的不同态度以及爱尔兰非洲社区当前社会规范的理解。爱尔兰是一个现代多元文化社会,其献血者群体应努力反映这种多样性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af44/12390370/6f54822faf06/VOX-120-765-g002.jpg

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