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. 2017 Sep;15(5):382-397.
doi: 10.2450/2017.0064-17. Epub 2017 Jun 13.

Individual, contextual and network characteristics of blood donors and non-donors: a systematic review of recent literature

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Individual, contextual and network characteristics of blood donors and non-donors: a systematic review of recent literature

Tjeerd W Piersma et al. Blood Transfus. 2017 Sep.

Abstract

Background: The ageing population and recent migration flows may negatively affect the blood supply in the long term, increasing the importance of targeted recruitment and retention strategies to address donors. This review sought to identify individual, network and contextual characteristics related to blood donor status and behaviour, to systematically discuss differences between study results, and to identify possible factors to target in recruitment and retention efforts.

Methods: The systematic review was conducted in accordance with a predefined PROSPERO protocol (CRD42016039591). After quality assessments by multiple independent raters, a final set of 66 peer-reviewed papers, published between October 2009 and January 2017, were included for review.

Results: Individual and contextual characteristics of blood donor status and behaviour were categorised into five main lines of research: donor demographics, motivations and barriers, adverse reactions and deferral, contextual factors, and blood centre factors. Results on donor demographics, motivations and barriers, and contextual factors were inconclusive, differing between studies, countries, and sample characteristics. Adverse reactions and deferral were negatively related to blood donor behaviour. Blood centre factors play an important role in donor management, e.g., providing information, reminders, and (non-)monetary rewards. No studies were found on network characteristics of (non-)donors.

Discussion: Although individual and contextual characteristics strongly relate to blood donor status and behaviour, mechanisms underlying these relations have not been studied sufficiently. We want to stress the importance of longitudinal studies in donor behaviour, exploring the role of life events and network characteristics within blood donor careers. Increased understanding of donor behaviour will assist policy makers of blood collection agencies, with the ultimate goal of safeguarding a sufficient and matching blood supply.

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Conflict of interest statement

The Authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Overview of the inclusion and exclusion process during and after the systematic search.
Figure 2
Figure 2
Categorisation of the 66 included papers among the two main categories (individual and contextual characteristics), and associated subtopics.
Figure 3
Figure 3
Overview of the self-reported individual and contextual motivations and barriers to donate blood, differentiated by donor group.

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