PREVALENCE OF HIGH-RISK BEHAVIOUR AMONG BLOOD DONORS AND PROPORTION OF SELFDEFERRAL AFTER EDUCATION AMONG THOSE WITH HIGH-RISK BEHAVIOUR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 64
Abstract
BACKGROUND Prevalence of infection, which can be transmitted by transfusion are increasing in the community. Even after the introduction of screening tests, the incidence of transfusion transmitted infections are still reported. The seronegative window can be closed to certain extent by educating and interviewing the donor. This study is undertaken to analyse the high-risk behaviour among the donors and to find out the proportion of self-deferral of donors attending the Department of Transfusion Medicine, Medical College, Thiruvananthapuram. MATERIALS AND METHODS This is a prospective analysis of the donors attending the Department of Transfusion Medicine, Govt. Medical College, Thiruvananthapuram from November 2010 to January 2011, for having high-risk behaviour. Analysis of the prevalence of high-risk behaviour according to age, marital status and gender is done by making them fill a proforma and education was given to the donors to promote self-deferral. A hospital-based cross-sectional study was done. Statistical tests done were Chi square test and Z test for proportion. RESULTS In the study, 5184 apparently healthy donors between the age group of 18 and 60 years were studied during the period from November 2010 to January 2011. Among the 5184 donors, 639 (12.3%) donors were admitted of having high-risk behaviour and 4545 (87.7%) donors did not give any history of high-risk behaviour. Among the high-risk donors 39 (6.1%) were alcoholics, 15 (2.3%) were drug addicts, 90 (14.1%) had the habit of chain smoking, 54 (8.5%) had history of extramarital sex, 318 (49.8%) had history of homosexuality and 366 (57.3%) had history of pre-marital sex. Many of the donors had more than one risk factor. According to age wise classification in 18 - 30 years of age group, out of the 3213 (62%) donors 390 (12%) gave history of risk factors, 2823 (88%) had no history of risk factor. In 31 - 40 age group, out of the total 1500 (28.9%) donors 1314 (88%) had negative history and 186 (12%) gave positive history. Among the 450 (8.6%) donors of 41 - 50 years’ age group, 387 (86%) gave negative history and 63 (14.1%) gave positive history. In age group of 51 - 60 years out of the total 21 (0.5%) donors none gave any history of risk factors. The age wise distribution of high-risk behaviour among donors were almost the same as in the distribution of donors according to age. There was no statistically significant variation in any of the age groups, p value > 0.05. On gender wise analysis, only six females donated during the study period and one of them gave positive history for high-risk behaviour. Of the total 5184 donors, 2283 (44%) of the donors were married and 2901 (56%) were unmarried. Among the donors with positive history, 51.6% belonged to the married group and 48.4% belonged to the unmarried group. Donors with negative history, 43% belonged to married group and 57% to unmarried group. The positive history for risk factors were significantly high in the married group and significantly low in the unmarried group, p value < 0.01; 18 - 30 years of age group showed total of 477 married donors, of which 369 (77%) gave negative history and 108 (22%) was with positive history which was significantly high. While in the unmarried group where a total of 2736 was analysed, 252 (90%) gave negative history. A significantly lower number 282 (10%) gave positive history. High risk behaviour was significantly high among the married group, p value < 0.014. In 31 - 40 age group, among the 1362 married donors positive risk factor was given by 159 (12%) and negative by 1203 (88%). Among the 138 unmarried donors, 111 (80%) donors gave negative history and 27 (20%) positive history. High risk donors were more in the unmarried group. This finding was statistically significant, p value < 0.01. Evaluating the 423 donors of 41 - 50 years of age group, negative history was given by 360 (85%) of married donors and 63 (14%) gave positive history. Among the unmarried donors, all the 27 (100%) gave negative history. This was statistically significant, p value < 0.01. Of the donors of age group 51 - 60 all were married and none gave a positive history. Since the proportion of self-deferral was high during the study period. Seropositivity among blood donors for the five transfusion transmitted infections in the study period showed a significant reduction. Among the 5814 donors during the study period, only 91 (1.76%) were seropositive. CONCLUSION In the study, many admitted of having high-risk behaviour. Most of them admitted that they were not fit for donation. Few were of the opinion that they were fit to donate.
Authors and Affiliations
Kala V. L, Kumari K. C Usha, Prema N. S, Sajith V, Mariya Baby
Keywords
Related Articles
- EP ID EP231487
- DOI 10.14260/Jemds/2017/1007
- Views 71
- Downloads 0
RETROSPECTIVE ANALYSIS OF LSIS VERSUS PHARMACOLOGICAL MANAGEMENT IN ACUTE ANAL FISSURE- A STUDY IN ZONAL SERVICE HOSPITAL
BACKGROUND Acute anal fissure is a quite common and extremely painful condition of anal canal. The prevalence of anal fissures has changed due to change in food habits in the Indian subcontinent. Medical management is a...
MICROBIOLOGICAL STUDY AND ANTIBIOGRAM IN CONGENITAL NASOLACRIMAL DUCT OBSTRUCTION- AT A TERTIARY CARE EYE HOSPITAL
BACKGROUND Commonest cause for congenital dacryocystitis is obstruction at the lower end of nasolacrimal duct. It is due to an imperforate membrane at the lower end of nasolacrimal duct and usually affects the babies wit...
THE STUDY, CLINICAL IMPLICATIONS AND SOLUTIONS FOR FAILED VARICOSE VEIN SURGERY WITH RECURRENT VENOUS ULCERS: AN ANALYSIS OF 12 PATIENTS WITH DUPLEX SCAN CORRELATED WITH INTRA OPERATIVE FINDINGS AT SECOND SURGERY
BACKGROUND Venous ulcer is an under-recognized and under-treated disease and it affects quality of life. Chronicity and recurrence is disappointing finding, both for the patient and surgeon. AIM To study any...
CLINICAL AND HISTOLOGICAL EVALUATION OF PATIENTS WITH BREAST DISEASES
BACKGROUND Breast pathologies being benign and malignant with varying treatment options remain a challenge for the surgeons. Also, the prognosis of the breast disease varies from one condition to the other. With this var...
SYMPATHETIC OPHTHALMITIS AFTER LIMBAL CORNEAL TEAR REPAIR - A CASE STUDY
Sympathetic ophthalmia is a rare bilateral granulomatous inflammation that follows accidental or surgical insult to the uvea of one eye. In this study, we discuss a case of who presented after corneal tear repair...