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A systematic review and meta-analysis of antecedents of blood donation behavior and intentions

Author

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  • Bednall, Timothy C.
  • Bove, Liliana L.
  • Cheetham, Ali
  • Murray, Andrea L.

Abstract

This meta-analysis sought to identify the strongest antecedents of blood donation behavior and intentions. It synthesized the results of 24 predictive correlational studies of donation behavior and 37 studies of donation intentions. The antecedents were grouped into six research programs: (1) the Theory of Planned Behavior (TPB) and its extensions, (2) prosocial motivation, (3) affective expectations, (4) donor site experience, (5) past donation behavior, and (6) donor demographics. Antecedent categories were cross-validated by multiple coders, and combined effect sizes were analyzed using a random-effects model. For donation behavior, medium positive associations were found with five of the constructs from the extended TPB: intentions to donate, perceived behavioral control, attitude toward donation, self-efficacy and donor role identity. Other antecedents displaying a positive association with donation behavior included anticipated regret for not donating, number of past donations and donor age. Donor experiences at the collection site in the form of temporary deferral or adverse reactions had a medium negative association with behavior. For donation intentions, strong positive associations were observed for perceived behavioral control, attitude, self-efficacy, role identity and anticipated regret. Medium positive associations were observed for personal moral norm, subjective norm, satisfaction, and service quality. All other potential antecedents had weak or non-significant associations with behavior and intentions. Several of these associations were moderated by between-study differences, including donor experience, the period of data collection in which donation behavior was observed, and the use of a nominal (yes/no return) versus a ratio measure of donation behavior. Collectively, the results underscore the importance of enhancing donors' attitudes towards donation and building their perceived behavioral control and self-efficacy to donate. Further, minimizing the risk of adverse reactions and enacting re-recruitment policies for temporarily deferred donors will help protect future donation behavior. Implications of these findings for blood collection agencies and researchers are discussed.

Suggested Citation

  • Bednall, Timothy C. & Bove, Liliana L. & Cheetham, Ali & Murray, Andrea L., 2013. "A systematic review and meta-analysis of antecedents of blood donation behavior and intentions," Social Science & Medicine, Elsevier, vol. 96(C), pages 86-94.
  • Handle: RePEc:eee:socmed:v:96:y:2013:i:c:p:86-94
    DOI: 10.1016/j.socscimed.2013.07.022
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    References listed on IDEAS

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    1. Chliaoutakis, Joannes & Trakas, Deanna J. & Socrataki, Fotini & Lemonidou, Chrysoula & Papaioannou, Dimitris, 1994. "Blood donor behaviour in Greece: Implications for health policy," Social Science & Medicine, Elsevier, vol. 38(10), pages 1461-1467, May.
    2. Polonsky, Michael Jay & Brijnath, Bianca & Renzaho, André M.N., 2011. ""They don't want our blood": Social inclusion and blood donation among African migrants in Australia," Social Science & Medicine, Elsevier, vol. 73(2), pages 336-342, July.
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    4. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    5. Adams, Vincanne & Erwin, Kathleen & Le, Phuoc V., 2009. "Public health works: Blood donation in urban China," Social Science & Medicine, Elsevier, vol. 68(3), pages 410-418, February.
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    Cited by:

    1. Helena M. Müller & Melanie Reuter-Oppermann, 2024. "Designing Behavior Change Support Systems Targeting Blood Donation Behavior," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 66(3), pages 299-319, June.
    2. Xueli Yao & Yijin Wu, 2023. "Experiences and Perceptions of Chinese University Students Toward Blood Donation: A Qualitative Analysis," SAGE Open, , vol. 13(1), pages 21582440231, January.
    3. Josefa D. Martín-Santana & Lorena Robaina-Calderín & Eva Reinares-Lara & Laura Romero-Domínguez, 2019. "Knowing the Blood Nondonor to Activate Behaviour," Social Sciences, MDPI, vol. 8(12), pages 1-22, November.
    4. Ricciuti, Elisa & Bufali, Maria Vittoria, 2019. "The health and social impact of Blood Donors Associations: A Social Return on Investment (SROI) analysis," Evaluation and Program Planning, Elsevier, vol. 73(C), pages 204-213.
    5. Lucía Melián-Alzola & Josefa D. Martín-Santana, 2020. "Service quality in blood donation: satisfaction, trust and loyalty," Service Business, Springer;Pan-Pacific Business Association, vol. 14(1), pages 101-129, March.
    6. Martín-Santana, Josefa D. & Reinares-Lara, Eva & Romero-Domínguez, Laura, 2020. "Modelling the role of anticipated emotions in blood donor behaviour: A cross-sectional study," Journal of Economic Psychology, Elsevier, vol. 81(C).
    7. Yeong Sheng Tey & Poppy Arsil & Mark Brindal & Sook Kuan Lee & Chi Teen Teoh, 2020. "Motivation structures of blood donation: a means-end chain approach," International Journal of Health Economics and Management, Springer, vol. 20(1), pages 41-54, March.
    8. Marcello Nonnis & Davide Massidda & Claudio Cabiddu & Stefania Cuccu & Maria Luisa Pedditzi & Claudio Giovanni Cortese, 2020. "Motivation to Donate, Job Crafting, and Organizational Citizenship Behavior in Blood Collection Volunteers in Non-Profit Organizations," IJERPH, MDPI, vol. 17(3), pages 1-17, February.
    9. Anya Skatova & James Goulding, 2019. "Psychology of personal data donation," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-20, November.
    10. Hajiheydari, Nastaran & Delgosha, Mohammad Soltani, 2023. "Citizens' support in social mission platforms: Unravelling configurations for participating in civic crowdfunding platforms," Technological Forecasting and Social Change, Elsevier, vol. 189(C).
    11. Robaina-Calderín, Lorena & Martín-Santana, Josefa D. & Melián-Alzola, Lucía, 2023. "Prosocial customer in the public sector: A PLS-SEM analysis applied to blood donation (active donors)," Socio-Economic Planning Sciences, Elsevier, vol. 86(C).

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