Why donors intend to return: Motivation, satisfaction and post-donation intention in a high-demand tertiary hospital setting in Lagos, Nigeria.

IF 1.6 4区 医学 Q3 HEMATOLOGY
Vox Sanguinis Pub Date : 2026-08-16 DOI:10.1111/vox.70345
Obiageli B Okwunze, Ademola S Adewoyin, Olufemi A Oyedeji, Chika L Uche, Titilayo F Adeleke, Ayoola M Bakare, Debora Onyedikachi Ohanete, Ann A Ogbenna
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Abstract

Background and objectives: Maintaining safe and adequate blood supply in low- and middle-income countries requires understanding factors influencing donor return intentions. Nigeria faces chronic blood shortages, yet evidence on determinants of return intention among blood donors in tertiary hospitals remains limited. This study assessed donor motivation, satisfaction and intention to return among blood donors at Lagos University Teaching Hospital (LUTH) and identified factors independently associated with post-donation intention.

Materials and methods: A descriptive cross-sectional study was conducted among 1589 consecutive donors using a structured interviewer-administered questionnaire adapted from validated instruments. Motivation, satisfaction and intention to return were measured using Likert-scale items. Participants retrospectively reported pre-donation intention and current post-donation intention immediately after donation. Descriptive statistics, chi-square tests, McNemar's test, subgroup analyses and binary logistic regression were performed.

Results: Most donors were family-replacement (70.5%) and male (91.8%), with a mean age of 30.9 years. Motivation was high (84%), driven primarily by altruism, personal choice and perceived health benefits. Satisfaction was also high (mean 4.59 ± 0.64). Intention to return increased significantly after donation (56.1%-64.2%, p < 0.001). Motivation (odds ratio [OR] = 7.32, p < 0.001) and pre-donation intention (OR = 0.014, p < 0.001) were independently associated with post-donation intention, whereas satisfaction was not significant after adjustment. Family replacement and voluntary non-remunerated donors differed significantly in motivation, satisfaction and post-donation intention.

Conclusion: Blood donors at LUTH demonstrated high motivation and satisfaction. Donation experience strengthened intention to return. Differences between donor types highlight the need for donor-specific retention strategies in replacement-dominated blood systems.

捐赠者为何打算返回:尼日利亚拉各斯一家高需求三级医院的动机、满意度和捐赠后意愿。
背景和目标:在低收入和中等收入国家维持安全和充足的血液供应需要了解影响献血者回血意愿的因素。尼日利亚长期面临血液短缺问题,但关于三级医院献血者返回意愿的决定因素的证据仍然有限。本研究评估了拉各斯大学教学医院(LUTH)献血者的献血动机、满意度和返回意愿,并确定了与献血后意愿独立相关的因素。材料和方法:对1589名连续供体进行了描述性横断面研究,采用结构化的访谈者管理问卷,采用经过验证的工具。动机、满意度和回归意向采用李克特量表进行测量。参与者在捐赠后立即回顾性地报告了捐赠前的意向和目前的捐赠后意向。进行描述性统计、卡方检验、McNemar检验、亚组分析和二元logistic回归。结果:献血者以家庭替代者(70.5%)和男性(91.8%)居多,平均年龄30.9岁。动机很高(84%),主要是出于利他主义、个人选择和感知到的健康益处。满意度也很高(平均4.59±0.64)。献血后再次献血意愿明显增加(56.1% ~ 64.2%,p)。结论:我院献血者献血动机高,满意度高。捐赠经历增强了回报意愿。供者类型之间的差异突出了在替代为主的血液系统中需要针对供者的保留策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Vox Sanguinis
Vox Sanguinis 医学-血液学
CiteScore
4.40
自引率
11.10%
发文量
156
审稿时长
6-12 weeks
期刊介绍: Vox Sanguinis reports on important, novel developments in transfusion medicine. Original papers, reviews and international fora are published on all aspects of blood transfusion and tissue transplantation, comprising five main sections: 1) Transfusion - Transmitted Disease and its Prevention: Identification and epidemiology of infectious agents transmissible by blood; Bacterial contamination of blood components; Donor recruitment and selection methods; Pathogen inactivation. 2) Blood Component Collection and Production: Blood collection methods and devices (including apheresis); Plasma fractionation techniques and plasma derivatives; Preparation of labile blood components; Inventory management; Hematopoietic progenitor cell collection and storage; Collection and storage of tissues; Quality management and good manufacturing practice; Automation and information technology. 3) Transfusion Medicine and New Therapies: Transfusion thresholds and audits; Haemovigilance; Clinical trials regarding appropriate haemotherapy; Non-infectious adverse affects of transfusion; Therapeutic apheresis; Support of transplant patients; Gene therapy and immunotherapy. 4) Immunohaematology and Immunogenetics: Autoimmunity in haematology; Alloimmunity of blood; Pre-transfusion testing; Immunodiagnostics; Immunobiology; Complement in immunohaematology; Blood typing reagents; Genetic markers of blood cells and serum proteins: polymorphisms and function; Genetic markers and disease; Parentage testing and forensic immunohaematology. 5) Cellular Therapy: Cell-based therapies; Stem cell sources; Stem cell processing and storage; Stem cell products; Stem cell plasticity; Regenerative medicine with cells; Cellular immunotherapy; Molecular therapy; Gene therapy.
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