A Survey of Blood Donors in Delaware County An Honors Thesis (ID 499) by Marni J. Heimendinger Sharon Kelly ~fwb Ball State University Muncie, Indiana April 1990 May 5, 1990 Table of contents Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . .. 2 Blood Donor Qualifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Resul ts of Survey.......................................... 4 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 References. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 9 Appendix. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . .. 10 Survey. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. I Figures and Tables 1. Blood Donor Age............ . . . . . . . . . . . . . . . . . . . . .. II 2. Blood Donor Gender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III 3. Blood Donor Occupation . . . . . . . . . . . . . . . . . . . . . . . . . . . IV 4. Donation Frequency............................... V 5. Donor Blood Type................................. VI 6. Blood Donor Motivators ..........•.........•....•. VII 7. Donation Location................................ VIII Every year, 3-4 million people receive transfusions of whole blood, platelets, and/or plasma averaging to about 3.5 units per person (Bennett volunteer Douglas M. 1). donations A majority which, Surgenor, M. D., of this according at the to a blood comes recent Center for from survey by Blood Research, Boston, Massachusetts, have decreased in comparison to donations of the 1970' s survey was (Marwick 968). given, in For this reason an eight week association with Ball Memorial Hospital Blood Bank, member of the American Association of Blood Banks, to determine a blood donor cross-section for Delaware ,County. post-donation survey was given from January 15, 11, 1990, and 631 people responded. donate blood every eight weeks, survey duplication. determine the age, The gender, 1990, The to March Since a person can only this ensured there would be no results of the occupation, survey were used to frequency of donation, knowledge of blood type, and what motivates a person to donate. Blood Donor Qualifications To ensure relative standardization of the blood supply, potential donor permitted to must donate. meet certain A donor requirements must be between before the a being ages of seventeen and sixty-six, unless he has been a "regular donor" up to his 66th birthday, then he may donate until reaching his 70th birthday. The reason for the age restriction is to keep both the blood donor and the recipient healthy. 2 Prior to age seventeen, the body's chemical make-up is slightly varied from those who have completed puberty; therefore, individuals under seventeen are not allowed to donate. At the upper end of the scale, the sixty-six to seventy range, the individual is not permitted to donate approval unless a doctor's has been given. This precaution is simply to maintain the health of the blood donor. A potential donor must weigh a minimum of 110 pounds in order to donate. A minimum weight requirement is used to ensure that the health of the donor is maintained. There is no maximum weight for donors. The percentage of iron in the blood is another important criteria used to screen blood donors. Men and women must have a hematocrit of at least thirty-eight to be allowed to donate. maintaining a minimum iron level in donated blood, By a doctor is able to transfuse red blood cells in cases of severe anemia and to know approximately how much iron the recipient is receiving. Pulse, blood pressure, and temperature are also criteria used in the donor screening process to ensure a healthy blood supply. Unless a potential donor is a regular runner he must have a minimum pulse of 42 beats/minute, a regular runner's pulse may be lower, and the pulse cannot exceed 100 beats/minute. In order to donate blood, a potential donor's blood pressure can be no higher than 180/100, and he must also have a temperature under 99.6 o F. The potential donor is also required to fill medical history. out a brief This brief history is used to defer potential 3 , donors who may otherwise contaminate the blood supply. One may not donate blood has had internal cancer if he: is a diabetic using insulin; within the past ten years; has used non- prescribed intravenous drugs; has had Hepatitis after the age of ten or currently has Hepatitis; is in the high risk category for AIDS or has had sexual contact with someone who has AIDS or is in the high risk category. A positive response to any of the above medical history questions results in permanent deferral, and the individual resul t throat, is not allowed to donate. if the individual: chest cold, ears or a tattoo A temporary deferral may suffers currently from the flu, fever, or cold sore; sore has received pierced in the past six months; is currently taking prescription drugs for infection or disease; has undergone dental surgery in the past three days; has donated plasma in the past three , , ' days; has donated blood in the past eight weeks; is currently pregnant or has been in the past six weeks; has visited a malarial area in the past six months or has lived there in the past three years; has had close contact with hepatitis in the last six months; has undergone major surgery or received a blood transfusion in the past six months. Although the individual may not donate immediately if he has answered yes to the temporary deferrals, he may donate as soon as the time limit has expired or the condition has cleared (Ball Memorial Hospital Blood Bank). If the individual meets all of the above requirements he is now eligible to donate blood. 4 , Results of the Data Age The majority of blood donors and twenty-two years of age, age (14.3%) Table 1, (51.8%) are between seventeen followed by people 30-39 years of and 40-49 years of age (13.5%). Appendix, II) (See Figure 1 and The reason for the high percentage of seventeen to twenty-two year old donors is due to mobile drives held at area high schools and Ball State University, which have a heavy concentration of this age group. Gender According to Figure 2 (Appendix,III), men donate about 60% of the blood donated in Delaware County. These statistics do not necessarily mean that men give more often then women. means that men may meet donor their female counterparts. It just qualifications more often than Two qualifications which may defer women more often then men are the 110 pound weight minimum and the hematocrit results. Occupation The primary occupation of blood donors in Delaware County is that of a student. student donor (See Table 3 and Figure 3, Appendix IV) makes up over half of the "eight week The donor population" due to the mobile drives held at area high schools and Ball State University, students. machine where a majority of the donors are The students are followed by tradesmen, laborers, and operators who compose slightly over one-tenth of the donors and professional and technical workers who also comprise 5 one-tenth of the donors. occupations. Some individuals have two or more For example, a person may be a full time college professor but also owns his own business; therefore, the number of responses to this question are greater than the number of surveys completed. Frequency of Donation In Delaware County, four times a year a majority of people donate three to (27.3%) twice a year (25.2%). followed closely by those who donate Figure 4 (Appendix, V) also shows 17.1% of blood donors do so every eight weeks. For this eight week period 12.8% of the donors were donating for the first time. Although this was the smallest percentage of those responding, the eightyone pints it represents made a difference in the blood supply. Knowledge of Blood Type According to this survey over 25% of Delaware County do not know their blood type. blood types were 0+ (23.5%) and A+ (21.2%). blood donors in The most common The remaining 25% who responded to this question were classified in types B+, AB+, A-, B-, 0-, AB-, A, B, 0, AB. Refer to Table 5 (Appendix, VI) for the breakdown. Motivators The motivation to donate blood comes places (see Table 6 and Figure 6, donating blood is a of a friend or life VII). and they For some, do it as others donate because of the suggestion relative. still 6 ,i Appendix, regular part of frequently as possible. from many different some decide to donate after one-tenth of the donors. occupations. Some individuals have two or more For example, a person may be a full time college professor but also owns his own business; therefore, the number of responses to this question are greater than the number of surveys completed. Freguency of Donation In Delaware County, four times a year a majority of people donate three to (27.3%) twice a year (25.2%). followed closely by those who donate Figure 4 (Appendix, V) also shows 17.1% of blood donors do so every eight weeks. For this eight week period 12.8% of the donors were donating for the first time. Although this was the smallest percentage of those responding, the eightyone pints it represents made a difference in the blood supply. Knowledge of Blood Type According to this survey over 25% of Delaware County do not know their blood type. blood types were 0+ (23.5%) and A+ (21.2%). blood donors in The most common The remaining 25% who responded to this question were classified in types B+, AB+, A-, B-, 0-, AB-, A, B, 0, AB. Refer to Table 5 (Appendix, VI) for the breakdown. Motivators The motivation to donate blood comes places (See Table 6 and Figure 6, donating blood is a of a friend or Appendix, regular part of frequently as possible. from many different VII). For some, life and they do it as others donate because of the suggestion relative. still some decide to donate after 6 " times a Over 70% year, and they donate for a of the wide variety of reasons. blood donors know their blood type, donations occur on mobile drives. 8 and most "" REFERENCES Ball Memorial Hospital Blood Bank. Your Community Blood Program. Bennett, William Ira, M.D., School Health Letter Corcoran, Elizabeth. ed. "Blood Safety." Harvard Medical November, 1989:1-4. "The Burden of Proof." Scientific American April, 1989:79-80. Marwick, Charles. "Six-Year Slowing Noted in Previously Growing Rate of Blood Collections, Transfusions." JAMA 17 February, 1989:968-969. 9 APPENDIX 10 I'" !ij , "" HONORS THESIS SURVEY My name is Marni Heimendinger. I am a senior at Ball State University majoring in microbiology. I am doing a survey of blood donors as part of my honors thesis. I appreciate your assisting in my research by completing this survey. Sincerely, Marni J. Heimendinger 1. How old are you? o o o o 17-22 23-30 30-39 40-49 50-59 060 + o 2. Are you. o 3. o male What is your occupation? 0 student 0 clergy 0 factory worker 0 education ! female 0 skilled labor 0 health care 0 management/administration 4. Approximately how often do you donate? 0 first time donor 0 Every 8 weeks 0 Every 2-3 months 0 Every 6 months 0 Once a year 0 Less than once a year 5. What is your blood type? -------- 6. What promted you to donate? o o o o newspaper ad 0 Poster Radio announcement 0 Regular donor Reminder card 0 Friend Other__________________________________ _ I - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------------- Blood Donor Age 2.70li 6.90li I.BOli D 17-22 Years 01 Age • 23- 29 Years of Age o 30-39 Years 01 Age 121 40-49 Years 01 Age El 50-59 Years of Age 60+ Years of A e IO_80li Figure I Totat p ercent 17-22 years old 327 51.8\ 23-29 years old 68 10.8\ 30-39 years old 90 14.3\ 40-49 years old 85 13.5\ 50-59 years old 44 7.0\ 60+ years old 17 2.7\ A1ge Table 1 II ri. , II .. -------- Blood Donor Gender 1.70r. 38.40~ 59.90n E3 Male Donors ~ • Female Donors No Response Figure 2. Gender Graph Gender Total Percent Male 378 59.9l Female 242 38.4l II 1.7l No Res onse TabJe 2. Gender TabJe III Blood Donor Occupations Self Employed/Business Owner Retired Exculive/Administrator Sales Marketing Homemaker Clerical/Service Worker Middle Man.gment Professional/Technical l7-7'TTl 69 '1~~~8z1;;;Z;;;Z~~~~~ZJ 362 Tr.desm.n/LaborerlMachine Oper Student o o , 100 200 Number of People Figure 3 Occupatlon Tota1 Homemaker 26 Sales/Marketing 1.5 Professional/Technical 69 Clerical/Service Worker 30 Executive/Administrator 1.5 Tradesman/Laborer / Machine Operator 81 Middle Manllgement 33 Self Employed/ Business Owner 11 Student 362 Retired 13 Table 3 IV 300 400 Blood Donation Frequency 3.80~ 12.80~ 13.90~ • ~ o First Time Donor Once a Year Twice a Year f2l 3 or oj Times a Year IliI Every 8 Weeks o No Response Figure 4 Total Percent First Time Donor 81 12.8\ Once A Year 87 13.8\ Twice A Year 159 25.2\ 3 or 4 Times A Year 172 27.3\ Ever 8 Weeks 108 17.1\ No Res onse 24 3.8\ Table 4 v -- ---------- ----- - - -- ------ Blood Donor Type m No Response o AB 00 o B rJ A m ABO 0- N .... N 00 W'\oD ...... " ~..; N .... .,.:. .... ~ ~ I"too~ II'\~" 0";0 NO r.:N Percent of Blood Donors with Specific Blood Type Figure S Tl-ype Total percent A+ B+ 134 21.2' 43 6.8' 0+ 148 AB+ 10 23.5' 1.6, A- 32 5.U B- 9 1.4' 0- 47 7.4' AB- 4 0.6' A 11 1.7' B 2 OJ' 0 16 2.5' AB 2 OJ' No Response 173 27.4' Table 5 VI • El BA- f?l AB+ • EJ 0+ B+ • A+ Blood Donor Motivators 322 Other Donate Regularly Friend/Relative Poster Now5pGpor Advortlomonl Reminder Card Radio Announcement o Iii! 100 200 300 400 Number of Donations Prompted Figure 6 Motivators Total. News a er Advertisement 38 Poster 39 1 Radio Announcement 165 Reminder Card 32 Friend/Relative 108 Other 322 Table 6 VII Donation Location • D Figure 7 Location Total Percent Mobile 484 76.7'1. In Bank 147 23.3'1. Table 7 VIII Mobiles In Bank