中国人群无偿献血参与率及其影响因素的Meta分析
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摘要
目的对中国人群无偿献血参与率及其影响因素进行系统综述和Meta分析,为我国无偿献血招募策略的制定提供理论依据。方法检索2007年1月至2016年11月公开发表在中国生物医学文献数据库、中国知网、Pub Med的关于无偿献血行为及其影响因素的观察性研究。制定纳入和排除标准,对符合纳入标准的文献进行质量评价,利用R3.3.2软件的随机效应模型或固定效应模型计算无偿献血参与率及95%可信区间、相关影响因素的合并比值比及其95%可信区间,并按照调查对象、文献质量对纳入研究进行亚组分析,采用Egger回归法对发表偏倚进行分析。结果纳入文献29篇,有效样本含量35 759人;无偿献血参与率为30.0%,95%可信区间26.0%~34.0%;性别为男性(合并比值比1.47,95%可信区间1.13~1.91)、亲友有献血经历(合并比值比2.04,95%可信区间1.30~3.19)、主观规范(合并比值比2.09,95%可信区间1.43~3.04)、献血知识(合并比值比2.50,95%可信区间1.90~3.28)、献血态度(合并比值比2.32,95%可信区间1.59~3.40)是无偿献血行为的促进因素。结论未来无偿献血的招募策略应重视对女性献血者的招募、促进街头献血向团体献血转移、加强固定献血队伍的建立,普及献血者健康征询知识和用血政策等。
Objective To review and analyze the determinants and prevalence of recruitment in blood donorsamong Chinese population,and to provide scientific evidence for the recruitment of blood donors. Methods Thepublished papers of observational studies on the determinants and prevalence of recruitment in blood donors from January2007 to November 2016 were collected from Chinese Bio Medical Literature Base(CBM),Chinese National KnowledgeInfrastructure(CNKI),Pub Med. The papers which met the inclusion criteria were evaluated. The pooled recruitment rateand 95% confidence interval(CI)as well as OR and its 95%CI for the determinants of recruitment in blood donors werecalculated with R software version of 3.3.2. Subgroup analysis were conducted based on the different population and thequality of literature. Egger was used to explore the publication bias. Results A total of 29 papers were selected,involving 35 759 subjects. The results showed that the recruitment rate of the blood donors was 30.0%(95%CI 26.0%~34.0%);and male(OR=1.47,95%CI 1.13~1.91),blood donor experience of relevant(OR=2.04,95%CI 1.30~3.19),subjective norms(OR=2.09,95%CI 1.43~3.04),with blood donor knowledge(OR=2.50,95%CI 1.90~3.28)and positiveattitudes toward blood donation(OR=2.32,95% CI 1.59~3.40) were the promotion factors for blood donation.Conclusion The strategies of the blood donor recruitment should be focused on the female blood donor,and blooddonor population transferred from street blood donor to group blood donor,and enhanced the fixed blood donor team,andpromoted health literacy of the blood donor and explained the policy of blood use.
Objective To review and analyze the determinants and prevalence of recruitment in blood donorsamong Chinese population,and to provide scientific evidence for the recruitment of blood donors. Methods Thepublished papers of observational studies on the determinants and prevalence of recruitment in blood donors from January2007 to November 2016 were collected from Chinese Bio Medical Literature Base(CBM),Chinese National KnowledgeInfrastructure(CNKI),Pub Med. The papers which met the inclusion criteria were evaluated. The pooled recruitment rateand 95% confidence interval(CI)as well as OR and its 95%CI for the determinants of recruitment in blood donors werecalculated with R software version of 3.3.2. Subgroup analysis were conducted based on the different population and thequality of literature. Egger was used to explore the publication bias. Results A total of 29 papers were selected,involving 35 759 subjects. The results showed that the recruitment rate of the blood donors was 30.0%(95%CI 26.0%~34.0%);and male(OR=1.47,95%CI 1.13~1.91),blood donor experience of relevant(OR=2.04,95%CI 1.30~3.19),subjective norms(OR=2.09,95%CI 1.43~3.04),with blood donor knowledge(OR=2.50,95%CI 1.90~3.28)and positiveattitudes toward blood donation(OR=2.32,95% CI 1.59~3.40) were the promotion factors for blood donation.Conclusion The strategies of the blood donor recruitment should be focused on the female blood donor,and blooddonor population transferred from street blood donor to group blood donor,and enhanced the fixed blood donor team,andpromoted health literacy of the blood donor and explained the policy of blood use.
引文
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[2]朱国标,肖洁,于丽君.继发性凝血功能障碍的输血治疗对策[J].中国输血杂志,2013,26(9):926-927.
[3]邬时民.临床输血的历史[J].内蒙古林业,2012,(11):33.
[4]李红新,屠文娟,李林.外周动静脉换血疗法治疗新生儿重症感染性疾病的疗效分析[J].中国妇幼保健,2009,24(25):3542-3543.
[5]穆光宗,张团.我国人口老龄化的发展趋势及其战略应对[J].华中师范大学学报(人文社会科学版),2011,50(5):29-36.
[6]臧谋红,周永彤,段敏,等.某高校大学生无偿献血行为及影响因素分析[J].安徽医学,2014,35(4):523-526.
[7]世界献血者日:2015年我国人口献血率达千分之十[EB/OL].青岛新闻网.http://news.qingdaonews.com/zhongguo/2016-06/14/content_11642339.htm.
[8]World Health Organization.Global database on blood safety summary report 2011[EB/OL].http://www.who.int/bloodsafety/global_database/GDBS_Summary_Report_2011.pdf?ua=1.
[9]OKPARA R A.Attitudes of Nigerians towards blood donation and blood transfusion[J].Trop Geogr Med,1989,41(1):89-93.
[10]周睿.基于KAP理论的安徽省某市无偿献血者招募的影响因素及社会营销策略分析[D].安徽医科大学,2014.
[11]唐丽娜.长春市1104名居民对无偿献血知识认知情况调查[D].吉林大学,2013.
[12]苏相耿,何宁宇,陆祝选,等.精准营销策略应用于农村无偿献血宣传招募中的可行性分析及调查研究[J].中国输血杂志,2014,27(4):408-413.
[13]赵燕.献血者献血意愿及献血服务的Logistic回归研究[J].基层医学论坛,2016,(10):1320-1322.
[14]YOUNG H M,LIERMAN L,POWELL-COPE G,et al.Operationalizing the theory of planned behavior[J].Res Nurs Health,1991,14(2):137-144.
[15]AJZEN I.The theory of planned behavior[J].Organ Behav Hum Dec,1991,50(2):179-211.
[16]MASSER B M,WHITE K M,HYDE M K,et al.Predicting blood donation intentions and behavior among Australian blood donors:Testing an extended theory of planned behavior model[J].Transfusion,2009,49(2):320-329.
[17]流行病学观察性研究报告规范——STROBE声明介绍[J].第三军医大学学报,2014,(13):1444.
[18]张莹,焦怡琳,陆凯,等.中国成年人超重肥胖影响因素Meta分析[J].中国公共卫生,2015,31(2):232-235.
[19]缪维芬,刘璇璇,缪维芳,等.医学大学生对无偿献血的认知、态度及影响因素研究[J].中国煤炭工业医学杂志,2016,19(5):787-791.
[20]陈玉萍,沈子琳,陈悦,等.南京市大学生无偿献血现状及宣传干预手段调查研究[J].中国输血杂志,2016,20(5):515-517.
[21]陈小萍.影响公民自愿无偿献血的因素调查分析[J].今日健康,2015,14(10):466.
[22]周素,李国强,陆彩慧,等.桂林市居民自愿无偿献血影响因素调查分析[J].内科,2015,10(3):365-367.
[23]杨弋星,张态,李友.边疆民族地区某高校大学生无偿献血知识、态度和行为调查[J].中国输血杂志,2014,27(8):849-851.
[24]刘冬,曾付芳.公民自愿无偿献血的影响因素调查分析[J].医学信息,2014,(1):331-332.
[25]胡慧颖,王婷,傅强,等.献血者和未献血者献血决策相关社会认知因素[J].中国输血杂志,2014,27(11):1225-1227.
[26]李浩.影响街头自愿无偿献血的因素[J].职业与健康,2013,29(4):388-390.
[27]李燕琴,白斌,田晶.西安市大学生无偿献血知识、态度和行为调查[J].现代预防医学,2013,40(2):303-305.
[28]章亮,邹蕾.基于KAP理论的浙江省大学生无偿献血意愿影响因素分析[J].中国输血杂志,2013,26(12):1262-1264.
[29]张玉英,商晓丽.邯郸市大学生无偿献血的状况[J].职业与健康,2012,28(5):576-577.
[30]傅利英.萧山区居民无偿献血的认知和行为影响因素分析[J].医学与社会,2012,25(11):14-15.
[31]张素玲.某学院大学生无偿献血状况及其影响因素调查[J].中国误诊学杂志,2012,12(15):3985-3986.
[32]赵密红,袁义厘.大学生献血行为的影响因素现状分析[J].健康必读(下旬刊),2011,(7):394.
[33]林毅胜,许艺斌,黄莹,等.泉州市居民无偿献血服务导向调查[J].中国输血杂志,2011,24(4):346-348.
[34]苟加明,刘娟,黎桂菊,等.大学生无偿献血状况及影响因素调查与分析[J].中国输血杂志,2010,24(6):472-474.
[35]王丹,倪少凯.医学生无偿献血状况的调查[J].广东医学,2010,31(10):1336-1338.
[36]李启龙,李晨雯,陈萍,等.大学生献血行为及其影响因素的现况调查[J].辽宁医学院学报,2010,31(6):533-535.
[37]周银素,陆典瑞,卢岑,等.影响无偿献血模式的多因素研究[J].现代预防医学,2007,34(20):3862-3864.
[38]张笑梅.无偿献血者的健康相关生命质量及其影响影响因素的研究[D].北京中医药大学,2016.
[39]蔡广菊.安徽两市无偿献血工作情况调查与分析[D].安徽医科大学,2015.
[40]程洁.蚌埠市大学生无偿献血现状、献血认知及意愿影晌因素分析[D].山东大学,2015.
[41]周睿.基于KAP理论的安徽省某市无偿献血者招募的影响因素及社会营销策略分析[D].安徽医科大学,2014.
[42]臧谋红.安徽某卫生职业技术学院护理系学生无偿献血知识、态度、行为及其相关因素的调查研究[D].安徽医科大学,2014.
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