Fear of blood draws, vasovagal reactions, and retention among high school donors

France, Christopher; France, Janis L.; Carlson, Bruce W.; Himawan, Lina K.; Stephens, Kirsten Yunuba; Frame-Brown, Terri A.; Venable, Geri A.; Menitove, Jay E.

doi:10.1111/trf.12368

Cited by 46 publications

(66 citation statements)

References 37 publications

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“…While this decision is laudable, among blood donors higher anxiety has been related to greater needle pain, decreased donation satisfaction, increased risk for vasovagal reactions, and a decreased likelihood of repeat donation . Indeed, donors who report any level of fear in response to the question “How afraid are you of having blood drawn from your arm?” are more likely to experience a faint or prefaint reaction and are less likely to provide a future donation . This effect, which has been shown in both high school and community samples, is not triggered by the question itself as donors had similar reaction rates regardless of whether or not they received the fear question.…”

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confidence: 70%

Fear of donation‐related stimuli is reported across different levels of donation experience

France

2017

Transfusion

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BACKGROUND: This study aimed to characterize the extent of donation-related fears among donors with different levels of donation experience. STUDY DESIGN AND METHODS:A sample of 1054 recent donors (48.3% female; mean 6 SD age 33.1 6 9.8 years) completed an anonymous, online survey of their fear of donation-related stimuli, including blood, needles, pain, and fainting. Respondents also provided information regarding demographics, pain, and vasovagal symptoms associated with their recent donation and confidence and intention with respect to a future donation. RESULTS:The sample was divided into four donation history subgroups, including one, two or three, four or five, or six or more prior donations. A significant negative relationship was observed between donation history and each of the assessed fears, indicating less fear with more experience. However, at least one-third of even the most experienced donors reported some fear for each of the stimuli. Further, greater fear was associated with more pain (r 5 0.35-0.56, all p < 0.001) and more intense vasovagal symptom reports (r 5 0.41-0.61, all p < 0.001). Finally, greater fear was associated with less donor confidence (r 5 -0.24 to -0.33, all p < 0.001) and lower intentions of donating again (r 5 -0.14 to -0.20, all p < 0.001).CONCLUSION: These data provide novel evidence that fear persists for many donors, despite increasing experience, and suggest that a greater appreciation of individual differences in fear is needed to address these concerns and promote long-term donor motivation.

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confidence: 70%

Fear of donation‐related stimuli is reported across different levels of donation experience

France

2017

Transfusion

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“…Given prior work on the important direct and indirect role of anxiety in both health and blood donation intention and behavior, it was not surprising that we found a positive association between self‐reported anxiety and higher hazards of voluntary lapse from the donor pool. Interestingly, in this study baseline donation‐related anxiety, measured before the first donation, could directly predict donor lapse up to 4 years later and beyond.…”

Section: Discussionmentioning

confidence: 60%

Psychosocial characteristics of blood donors influence their voluntary nonmedical lapse

2018

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BACKGROUND Approximately 10% of Dutch donors lapse yearly. Common reasons are nonvoluntary medical issues (e.g., low hemoglobin), reaching the upper age limit, and voluntary (e.g., own request, nonresponse). Little is known about predictors of voluntary noncompliance (lapses). Psychosocial characteristics have been linked to various health behaviors, including voluntary noncompliance. Hence, we investigated whether psychosocial characteristics, measured before the first donation, similarly predict subsequent voluntary nonmedical lapse. STUDY DESIGN AND METHODS New donors (n = 4861) randomly received a blood donation survey between July 2008 and March 2009, before their first appointment at the blood bank. Voluntary lapses included personal reasons, nonresponse to invitations, donor who could not be reached, and no show. Univariate and multivariate Cox regression models of lapse on psychosocial characteristics and confounders (e.g., demographics) were estimated. RESULTS Of 2964 donors who took the questionnaire, more than one‐third (36.5%) had voluntarily lapsed due to nonmedical reasons by 2016. Univariate regression showed that lapse negatively associated with norms, attitudes, and intentions toward blood donation; self‐efficacy; and more donation experience. Lapse positively associated with anxiety. Multivariate Cox models showed that lapse was primarily driven by anxiety and need for information. CONCLUSION Certain psychosocial characteristics increase risks of voluntary lapse. Especially donors with higher donation anxiety had increased lapsing risks. They might benefit from extra attention during donation. Donors with more information need or wish about procedure and patients were less likely to lapse, indicating that binding with the blood bank might prevent lapse. Generally, this study showed that donor lapse and donor return are determined by different psychosocial factors not just the reverse of each other.

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“…This was supported by research done by France CR., et al that showed 56.7% of non fearful blood donors had no vaso-vagal reaction after blood donation as compared to the 33.2% of fearful donors who experienced fainting (26). A study conducted by Japanese Red Cross Tokyo Blood Centre (JRC) in 2007 shows that most frequent side effect following whole blood donation is vaso-vagal reaction (VVR), 67% cases of VVR were reported for 1.18% blood donation (27).…”

Section: Factors Refraining Medical Students From Blood Donation; a Tmentioning

confidence: 99%

“…Holland PV reviewed that risk of HCV infection by transfusion is 1 in 3,300 (16). A study conducted at Karachi shows that among 148268 total donors, 1.03% donors were reactive for HIV and Treponema pallidum of which 99.94% were males of younger age group (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) years (29) Since the subjects of our research are medical students so time management is very important. Our result showed that 21.57% of students were not donating blood because of lack of time.…”

Section: Factors Refraining Medical Students From Blood Donation; a Tmentioning

confidence: 99%

Factors Refraining Medical Students from Blood Donation; a Tertiary Care Experience from a Medical College of Pakistan

2017

ARC Journal of Public Health and Community Medicine

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Fear of blood draws, vasovagal reactions, and retention among high school donors

Cited by 46 publications

References 37 publications

Fear of donation‐related stimuli is reported across different levels of donation experience

Fear of donation‐related stimuli is reported across different levels of donation experience

Psychosocial characteristics of blood donors influence their voluntary nonmedical lapse

Factors Refraining Medical Students from Blood Donation; a Tertiary Care Experience from a Medical College of Pakistan

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