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Evaluating a program to increase blood donation among racial and ethnic minority communities in N ew Y ork C ity
Author(s) -
Frye Victoria,
Caltabiano Melinda,
Kessler Debra A.,
Schaffler Harvey,
Reboza Mark,
Hillyer Christopher D.,
Shaz Beth H.
Publication year - 2014
Publication title -
transfusion
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.045
H-Index - 132
eISSN - 1537-2995
pISSN - 0041-1132
DOI - 10.1111/trf.12767
Subject(s) - donation , ethnic group , blood donor , demography , medicine , immunology , political science , sociology , law
Background Individuals with sickle cell disease ( SCD ), thalassemia, and leukemia often require frequent transfusion and run the risk of red blood cell ( RBC ) alloimmunization. To prevent alloimmunization or when alloimmunization is present, phenotype‐matched and antigen‐negative RBC s are transfused. To increase the probability of a phenotypic match, donors and recipients should share the same racial and/or ethnic background. Because the majority of patients with SCD are of A frican and H ispanic or L atino descent, a donor base of racial and ethnic minority donors providing an adequate supply of antigen‐negative RBC units that can be phenotypically matched is required to meet the needs of frequently transfused patients. Study Design and Methods The N ew Y ork B lood C enter began the Pr ecise M atch program in 2005 to increase donations among A frican A merican and H ispanic/ L atino donors by 150 incremental units per month. To evaluate the program, we conducted a systematic analysis of program documentation, focus group results, and collections data by race and ethnicity over time. Results The program achieved 75% of the operationalized goal of a 150‐unit‐per‐month increase; 75% of donors were first‐time donors, with deferral rates at new drives as high as 50%. Significant time and effort was involved in cultivating the community connections that facilitated new drives. Conclusions Although P recise M atch fell short of targets, it served as a foundation for relationships with diverse communities. Further research is needed to understand better how to increase minority donation using existing infrastructure and in the face of market pressures to collect blood as efficiently as possible.