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Interventions to increase blood donation among ethnic/racial minorities: a systematic review

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Abstract
Ethnic/racial minorities are under-represented in blood donor populations in most developed countries. .is is of particularconcern where minorities differ from a country’s majority population in terms of blood or tissue typing, especially where typematching is required for effective management of rare disorders such as sickle-cell disease that require multiple transfusions. .issystematic review assessed the effectiveness of interventions to increase blood donation among ethnic/racial minority populationsin developed countries. We searched MEDLINE, EMBASE, CINAHL, and ProQuest on 20 March 2017 with no date restrictionsand supplemented this with searches on Google Scholar, blood collection agency websites, reference lists of included studies, and aforward search of citations of included studies. We included intervention studies designed to increase recruitment and/orretention of adult, ethnic/racial minority blood donors in developed countries. .e review identified eight studies reported in ninepublications. Six were conducted in the USA with African Americans. Four studies reported on multifaceted, community-basedinterventions; three reported on one-off information and educational video interventions, presented face-to-face, or delivered viapost or e-mail. .e level of evidence for efficacy was low, and the majority of studies were assessed as having some risk of biasrelated to one or more methodological issues. All eight studies reported positive outcomes in blood donation and/or intention todonate. Seven trials found that the intervention increased presentation for donation, and three found an increase in the percentageof new donors from the ethnic minority targeted. .e review findings demonstrate that it is possible to design and implementeffective interventions to motivate individuals from ethnic/racial minority groups to donate blood. One-off interventions may beas effective as multifaceted, community-based interventions. .ere was insufficient evidence to recommend particular interventions,and future research should empirically assess alternative interventions using robust study designs.
Item Type: | Article |
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Authors/Creators: | Makin, JK and Francis, KL and Polonsky, MJ and Renzaho, AMN |
Keywords: | blood donors, ethnic groups, minority groups, systematic review, interventions |
Journal or Publication Title: | Journal of Environmental and Public Health |
Publisher: | Hindawi Publishing Corporation |
ISSN: | 1687-9805 |
DOI / ID Number: | https://doi.org/10.1155/2019/6810959 |
Copyright Information: | Copyright 2019 The Author(s)Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)https://creativecommons.org/licenses/by/4.0/ |
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