ArticleVox sanguinis2026
Bridging the attitude-behaviour gap in blood donation: A large-scale knowledge-attitudes-practices study among university students in China.
Article in Vox sanguinis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesUniversity students are a vital yet underutilized donor population, constrained by a knowledge-attitude-practice (KAP) gap. We sought to assess the KAP status and identify modifiable determinants of blood donation among university students in a major Chinese city to inform targeted recruitment strategies. MATERIALS AND
methodsA cross-sectional online survey was conducted from September to November 2023, involving students from all 17 universities in Wuxi, China. The questionnaire covered socio-demographic data, blood donation knowledge, attitudes and influencing factors. Data were analysed using descriptive statistics, chi-square tests and multivariable logistic regression.
resultsAmong 8537 valid respondents, 917 (10.7%) reported a history of blood donation. Attitudes were generally positive, but knowledge gaps were evident, particularly regarding operational details. Despite this positive outlook, a pronounced attitude-behaviour gap was observed: 59.8% expressed willingness to donate, yet only 10.7% had actually done so. Multivariable analysis identified political/league membership, student leadership roles and club participation as significant positive predictors of donation behaviour. Notably, while experiential factors (sense of glory/honour, donation environment, staff competence) were significant predictors, perceived physical eligibility was not, implying that for non-donors, this commonly cited barrier may be overridden by positive experiential factors.
conclusionA significant gap between willingness to donate (59.8%) and reported donation behaviour (10.7%) exists among students, shaped by distinct factors for donors and non-donors. Bridging this gap requires a strategic shift from general awareness campaigns to tailored, experiential interventions that address specific cognitive and experiential barriers and reinforce positive donor experiences.
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