{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:03:02Z","timestamp":1790611382462,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T00:00:00Z","timestamp":1631923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HL127766"],"award-info":[{"award-number":["R01HL127766"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Elevated fear and anxiety regarding donation\u2010related stimuli (e.g., needles, pain, blood, fainting) has been associated with reduced blood donor recruitment and retention. The present longitudinal study tests the notion that this inverse relationship may be accounted for by lower donation confidence and more negative donation attitudes among fearful first\u2010time donors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>In a sample of 1479 first\u2010time whole blood donors [67.9% female; mean age\u00a0=\u00a019.3 (standard deviation (SD)\u00a0=\u00a02.5) years], path analyses were conducted to examine relationships among donor ratings of fear of blood draw and donation anxiety obtained approximately 1\u2009week after donation, donation confidence and attitudes assessed approximately 6\u2009weeks later, and donation attempts over the 14\u2009months following the original donation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Path analyses indicated that both fear of blood draws and donation anxiety were associated with fewer attempted donations, and that these effects were indirectly mediated by a combination of lower donor confidence and more negative donation attitudes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Because retention of new blood donors is essential to maintain a healthy blood supply, the results of the present study suggest that first\u2010time donors should be assessed for fear and anxiety so that appropriate strategies can be provided to address their concerns, bolster their confidence and attitudes, and ultimately promote their long\u2010term retention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.16671","type":"journal-article","created":{"date-parts":[[2021,9,18]],"date-time":"2021-09-18T08:32:20Z","timestamp":1631953940000},"page":"3372-3380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Fear is associated with attrition of first\u2010time whole blood donors: A longitudinal examination of donor confidence and attitude as potential mediators"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4723-0247","authenticated-orcid":false,"given":"Christopher R.","family":"France","sequence":"first","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0669-4253","authenticated-orcid":false,"given":"Janis L.","family":"France","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lina K.","family":"Himawan","sequence":"additional","affiliation":[{"name":"Department of Psychology Ohio University  Athens Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louisa","family":"Duffy","sequence":"additional","affiliation":[{"name":"New York Blood Center  New York New York 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