Abstract

This work is aimed at further developing the study of blood nondonor behaviour through a joint analysis of sociodemographic characteristics, psychological and physical barriers, impure altruism and anticipated emotions, as predictors of intention to donate. To that end, a step-by-step hierarchical regression analysis was applied on a sample of 2383 Spanish nondonors. The study’s results confirm the influence of traditional variables (sociodemographic characteristics, psychological and physical barriers and impure altruism), as well as the power of anticipated emotions, both positive and negative, of donation action and inaction as variables explaining the intention to donate. Another important contribution has been to develop the moderating role of psychological and physical barriers, in addition to impure altruism, on cause–effect relationships between anticipated emotions and intention to donate. A number of practical implications can be derived from this study for transfusion centres responsible for donation promotion.

Highlights

  • Blood transfusion, along with its derivatives, is an essential service for every healthcare system.Despite its importance in satisfying patients’ medical and surgical needs, there is a worrying imbalance between blood offer and demand (World Health Organization and International Federation of RedCross and Red Crescent Societies 2010)

  • Impure altruism has a positive influence on the intention to donate

  • Positive anticipated emotions towards donation have a positive influence on the intention to donate

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Summary

Introduction

This imbalance is caused by multiple factors, e.g., the increasing number of procedures requiring blood transfusion, an aging population, the tighter donor screening criteria and the perishable nature of blood (Zucoloto et al 2019a; Vavić et al 2012). The literature has proven that, in general terms, it is more efficient to retain existing donors than to recruit new donors, there are certain limitations with regard to donor recruitment, which leads transfusion centres to search for other alternatives, such as the number of allowed donations per year, age restrictions and rejection of donors through screening criteria related to health or medical specifications (Godin et al 2007). The interest in recruiting new donors is about increasing donor pool size and replacing donors who are no longer suitable with new donors

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