{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:25:22Z","timestamp":1790803522753,"version":"4.1.0"},"reference-count":60,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Sanquin Research","award":["PPOC-14-25"],"award-info":[{"award-number":["PPOC-14-25"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Medicine"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The present study aimed to gain more insight into, and summarise, blood donation determinants among migrants or minorities of Sub\u2010Saharan heritage by systematically reviewing the current literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sub\u2010Saharan Africans are under\u2010represented in the blood donor population in Western high\u2010income countries. This causes a lack of specific blood types for transfusions and prevention of alloimmunisation among Sub\u2010Saharan African patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods\/materials<\/jats:title>\n                    <jats:p>Medline, EMBASE, PsycINFO and BIOSIS were searched for relevant empirical studies that focused on barriers and facilitators of blood donation among Sub\u2010Saharan Africans in Western countries until 22 June 2017. Of the 679 articles screened by title and abstract, 152 were subsequently screened by full text. Paired reviewers independently assessed the studies based on predefined eligibility and quality criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 31 included studies, 24 used quantitative and 7 used qualitative research methods. Target cohorts varied from Black African Americans and refugees from Sub\u2010Sahara Africa to specific Sub\u2010Saharan migrant groups such as Comorians or Ethiopians. Main recurring barriers for Sub\u2010Saharan Africans were haemoglobin deferral, fear of needles and pain, social exclusion, lack of awareness, negative attitudes and accessibility problems. Important recurring facilitators for Sub\u2010Saharan Africans were altruism, free health checks and specific recruitment and awareness\u2010raising campaigns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings of this review can be used as a starting point to develop recruitment and retention strategies for Sub\u2010Saharan African persons. Further research is needed to gain more insight in the role of these determinants in specific contexts as socioeconomic features, personal histories and host country regulations may differ per country.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tme.12517","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T02:46:38Z","timestamp":1519872398000},"page":"28-41","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Blood donation barriers and facilitators of Sub\u2010Saharan African migrants and minorities in Western high\u2010income countries: a systematic review of the literature"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5800-0060","authenticated-orcid":false,"given":"E. 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