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Hierarchical analysis of anaemia deferral in blood donor candidates: the individual in the population perspective.
MedLine Citation:
PMID:  22032634     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background and objectives: Deferral due to anaemia is common in blood donor selection, mainly owing to iron deficiency. This study analysed the prevalence of anaemia, its individual and group-associated factors in 335 095 blood donor candidates in the Hemominas Foundation, a public blood centre in Minas Gerais State, Brazil. Materials and methods: For the hierarchical analysis, gender, self-reported skin colour and age were included as independent variables at the individual level. Second level variables included proportion of self-reported white, male proportion, prevalence of sickle cell trait and Human Development Index (HDI) for the cities where the blood centres were located. Results: Deferral due to anaemia was 9·71% in the donor population in the present study. Differences among geographic areas throughout the State were observed; living in an area with lower HDI (P < 0·032), female gender and non-white skin colour (both P < 0·001) were significantly associated with anaemia. Cities with a lower HDI had higher prevalence rates of anaemia when compared with the others. Anaemia was more pronounced among female and non-white donors and in the northern part of the State. Conclusion: A high deferral of blood donors due to anaemia, mostly associated with poverty was observed and deserves attention from the public health perspective. Blood centres should consider the profile of donors and their geographic location when planning mobile blood collection or regional campaigns.
Authors:
C Di Lorenzo Oliveira; G Martins; B Custer; F A Proietti; A B F Carneiro-Proietti; C Comini César
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-27
Journal Detail:
Title:  Transfusion medicine (Oxford, England)     Volume:  -     ISSN:  1365-3148     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301182     Medline TA:  Transfus Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Transfusion Medicine © 2011 British Blood Transfusion Society.
Affiliation:
São João del-Rei Federal University, Epidemiology Department, Divinópolis, Brazil Hemominas Foundation, Research Department, Belo Horizonte, Brazil Blood Systems Research Institute, San Francisco, CA, USA Federal University of Minas Gerais, School of Medicine and School of Statistics, Belo Horizonte, Brazil.
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