Minority donation in the United States: challenges and needs

Beth H. Shaz · Christopher D. Hillyer

66 citations0/0 files storedCurrent Opinion in Hematology

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Blood donation and transfusion practices Blood transfusion and management Organ Donation and Transplantation

Abstract

PURPOSE OF REVIEW: In the United States, blood donation rates of African-Americans are 25-50% of that of white individuals. As African-Americans make up an ever increasing and now substantial minority, and African-American recipients of blood transfusion, both specialized, such as sickle cell disease patients, and general hospitalized patients, have a better chance of receiving phenotype-matched or appropriate red blood cell units when there is a significant percentage of products in the inventory from African-American donors, it is important to understand the reason for the observed difference. RECENT FINDINGS: Possible reasons for this discrepancy in donation rates include increased rates of donor deferral and ineligibility; increased barriers to donation, such as fear and distrust; and different marketing and education strategies. Thus, to increase the blood availability to African-American recipients, the reasons for these donation rate differences must be better understood and subsequently addressed through improved blood donor recruitment programs. The majority of African-American donor recruitment programs have focused on donating for sickle cell disease patients, particularly children, which have been of limited success. SUMMARY: Significant improvements in African-American donor recruitment are needed to adequately meet the demand of African-American patients as well as the entire population.

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References

2002Blood donors and factors impacting the blood donation decision 2002Motivations to donate blood: demographic comparisons 2002Race and Gender Differences in Willingness to Donate Blood and Cadaveric Organs 2006Convenience, the bane of our existence, and other barriers to donating 2007The consequences of temporary deferral on future whole blood donation 2002The contribution of sociodemographic, medical, and attitudinal factors to blood donation among the general public 1998The effect of short‐term, temporary deferral on future blood donation 2007The United States' potential blood donor pool: estimating the prevalence of donor‐exclusion factors on the pool of potential donors

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