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Published on: March 14, 2017
The Sickle Cell Sabbath: a community program increases first-time blood donors in the African American faith
Cynthia L Price1, Michael T Johnson, Terianne Lindsay
1Department of Pediatrics, Division of Genetics, Washington University School of Medicine, St Louis Children's Hospital, St Louis, Missouri 63110, USA.
Insights
Engaging African American churches in sickle cell disease (SCD) education significantly increased first-time blood donations. This faith-based approach more than quadrupled expected donor rates, addressing a critical need for compatible blood types.
Area of Science:
- Hematology
- Public Health
- Community Engagement
Background:
- Sickle cell disease (SCD) disproportionately affects African Americans, necessitating compatible blood transfusions.
- Transfusions are vital for stroke prevention in children with SCD.
- African American donors are crucial for providing compatible minor red blood cell antigens.
Purpose of the Study:
- To test if informing African Americans about SCD at church increases first-time blood donation rates.
- To evaluate the effectiveness of a faith-based community program in boosting blood donations.
Main Methods:
- The Sickle Cell Sabbath Program involved educational sessions in African American churches.
- Churches hosted blood drives following a 5-minute educational talk on SCD and donation importance.
- Data collected from 34 blood drives across 13 churches between 2003-2006.
Main Results:
- Approximately 1200 donors participated, with a majority being first-time donors.
- The first-time donor rate was 60% (422/699), significantly higher than the metropolitan St. Louis area's 12.2% (p=0.001).
- This represents a greater than expected rate of first-time blood donors.
Conclusions:
- Community-based educational programs in African American faith communities can dramatically increase blood donation rates.
- Engaging the faith community quadrupled the expected rate of first-time blood donors.
- This program demonstrates a successful strategy for addressing blood donor diversity for SCD patients.
Background:
Blood transfusion therapy is an established treatment for primary and secondary prevention of strokes in children with sickle cell disease (SCD), a disease that predominantly affects African Americans. African American blood donors are more likely to have compatible minor red blood cell antigens for children with SCD who routinely receive transfusions. This study tested the hypothesis that when informed at church about the importance of blood donation, African Americans will have a higher than expected rate of first-time blood donation compared to the general population.
Study Design And Methods:
The Sickle Cell Sabbath Program was developed to increase awareness about SCD and the importance of blood donations within the African American faith community. Church involvement in the program included a 5-minute scripted educational session about SCD that included the importance of blood donations followed by a blood donor drive that was hosted by the church.
Results:
Thirteen African American churches sponsored 34 blood drives from 2003 through 2006. Each church sponsored at least two blood drives. Approximately 1200 donors participated in the sickle cell blood drives. The majority of the donors were first-time donors and represented a greater than expected first-time donor rate when compared to first-time donors in the metropolitan St Louis area, 60 percent (422 of 699) and 12.2 percent (21,516 of 175,818), respectively (p = 0.001).
Conclusion:
An educational program that engages the African American faith community more than quadruples the rate of expected first-time blood donors when compared to the general community over this 4-year period.
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