了解南亚血统的人献血的系统性障碍:一项定性研究。

IF 2.5
PLOS global public health Pub Date : 2025-09-23 eCollection Date: 2025-01-01 DOI:10.1371/journal.pgph.0005163
Poojan Joshi, Kelly Holloway
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引用次数: 0

摘要

我们探讨了大多伦多地区(GTA)的南亚社区如何理解和体验献血,以及献血的系统性障碍,并为血液运营商提供建议,以促进献血系统的包容性和公平性。采用基于社区的参与性研究方法,我们对10位南亚血统的社区领导人进行了半结构化访谈。反身性主题分析用于确定与身份、归属和献血障碍相关的主题,并通过跨国主义的视角来理解这些主题。参与者展示了身份和归属感的复杂性,以及平衡文化联系与融入加拿大的责任。他们面临着系统性的挑战,包括定居、经济和社会挑战、种族主义和歧视,并在平衡个人和社区需求和责任方面表现出了韧性。献血是一种个人承诺,也是一种服务社会的行为。捐赠的主要动机包括为人类服务、维护文化和精神价值以及互惠。主要障碍包括无障碍、语言障碍、延期政策以及缺乏量身定制的外联和教育战略。尽管存在这些障碍,参与者表现出他们对献血的承诺,并越来越多地参与加拿大的献血系统。血液经营者可以通过与社区领导人建立关系、采取具有文化敏感性的外联战略以及改善可及性,努力解决献血的系统性障碍。尽管这项研究仅限于GTA的社区领袖,但它为南亚社区面临的挑战提供了有意义的见解。涉及其他代表性不足的人口统计数据的进一步研究可以为加强献血系统的参与、包容性和公平性提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Understanding systemic barriers to blood donation for people of South Asian ancestry: A qualitative study.

Understanding systemic barriers to blood donation for people of South Asian ancestry: A qualitative study.

We explored how South Asian communities in the Greater Toronto Area (GTA) understand and experience blood donation, systemic barriers to donation, and offer recommendations for blood operators to foster inclusivity and equity in blood donation systems. Using a community-based participatory research approach, we conducted semi-structured interviews with 10 community leaders of South Asian ancestry. Reflexive thematic analysis was used to identify themes related to identity, belonging, and barriers to blood donation, and these themes were understood through the lens of transnationalism. Participants demonstrated the complexity of identity and belonging, and the responsibility of balancing cultural ties with integration into Canada. They faced systemic challenges, including settlement, economic and social challenges, racism and discrimination, and demonstrated resilience in balancing personal and community needs and responsibilities. Blood donation served as a personal commitment and an act of service to society. Key motivations to donate included service to humanity, upholding cultural and spiritual values, and reciprocity. Key barriers included accessibility, language barriers, deferral policies, and lack of tailored outreach and education strategies. Despite these barriers, participants demonstrated their commitment to donation and increasing participation in Canada's blood donation system. Blood operators can work towards addressing systemic barriers to donation by building relationships with community leaders, adopting culturally sensitive outreach strategies, and improving accessibility. Although limited to community leaders in the GTA, this study provides meaningful insights into the challenges faced by South Asian communities. Further research involving other underrepresented demographics can inform efforts to enhance participation, inclusivity, and equity in blood donation systems.

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