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Trust and distrust: Identifying recruitment targets for ethnic minority blood donors

Ferguson, Eamonn; Dawe‐Lane, Erin; Khan, Zaynah; Reynolds, Claire; Davison, Katy; Edge, Dawn; Brailsford, Susan R.

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Authors

EAMONN FERGUSON eamonn.ferguson@nottingham.ac.uk
Professor of Health Psychology

Erin Dawe‐Lane

Zaynah Khan

Claire Reynolds

Katy Davison

Dawn Edge

Susan R. Brailsford



Abstract

Background: We explore the role of trust, distrust, and the prevailing socio-political context to better understand why people from ethnic minority communities are less likely to be blood donors compared to people from White communities. Recruiting more ethnic minority donors will enhance representativeness, reduce inequality, and help meet the clinical need to increase the proportion of blood with Ro Kell antigen to treat Sickle Cell Disease (SCD). Study design and methods: A 2 (donor-status: current donor; non-donors) by 4 (ethnicity: People from Asian, Black, Mixed and White ethnic backgrounds) quasi-experiment (N=981) was conducted to examine perceptions of trust/distrust and their influence on willingness to donate blood, within the socio-political context of the Windrush scandal and Brexit. Results: We identified five domains of trust (‘National Health Service [NHS] and staff,’ ‘NHS Blood and Transplant,’ ‘outgroups,’ ‘individuals’ and ‘politics’), and a single domain of conditional distrust domain. Trust across all the domains was lower, and ‘conditional distrust’ higher for ethnic minorities. Trust in ‘individuals’ and ‘NHSBT’ predicted willingness to donate in non-donors from ethnic minorities and White non-donors, respectively. Concerns about the Windrush scandal were related to lower political trust. Viewing Brexit as ‘positive for the UK’ was related to lower trust across domains and reduced willingness to donate in White non-donors through its influence on reduced trust in NHSBT. Conclusion: Distinct domains of trust and distrust are identified, and targeting ‘trust in others’ through conditional cooperation is recommended as a strategy to increase donor numbers from ethnic minority communities.

Citation

Ferguson, E., Dawe‐Lane, E., Khan, Z., Reynolds, C., Davison, K., Edge, D., & Brailsford, S. R. (2022). Trust and distrust: Identifying recruitment targets for ethnic minority blood donors. Transfusion Medicine, 32(4), 276-287. https://doi.org/10.1111/tme.12867

Journal Article Type Article
Acceptance Date Apr 3, 2022
Online Publication Date May 2, 2022
Publication Date 2022-08
Deposit Date Apr 11, 2022
Publicly Available Date May 3, 2022
Journal Transfusion Medicine
Print ISSN 0958-7578
Electronic ISSN 1365-3148
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 32
Issue 4
Pages 276-287
DOI https://doi.org/10.1111/tme.12867
Keywords Hematology
Public URL https://nottingham-repository.worktribe.com/output/7755559
Publisher URL https://onlinelibrary.wiley.com/doi/10.1111/tme.12867

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