ArticleFrontiers in public health2026
Investigating the mediating role of comprehensive self-efficacy in the relationship between altruistic factors and voluntary non-remunerated blood donation behavior.
Article in Frontiers in public health, 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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13 authors.
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Abstract
Objective: To investigate the relationship between altruistic factors and voluntary non-remunerated blood donation behavior, and to examine the potential mediating role of comprehensive self-efficacy in this relationship. Methods: A cross-sectional survey was conducted from June 2023 to April 2024 in Zhengzhou and Xinxiang, Henan Province, China. Using stratified random sampling, 9,622 residents aged 18-60 years were recruited. Data were collected via questionnaires assessing sociodemographic characteristics, altruistic factors (score range: 0-3), comprehensive self-efficacy regarding blood donation (a composite score of knowledge, situational confidence, policy awareness, and service evaluation), and self-reported blood donation history. Blood donation behavior was categorized for analysis as non-donor versus donor (≥1 donation). Multinomial logistic regression and bootstrap mediation analysis were employed. Results: Altruistic factors showed a significant positive association with donation behavior, exhibiting a clear dose-response relationship (ORs ranged from 1.673 to 2.592, all Conclusion: Altruistic motivation provides the foundational impetus for blood donation, but its translation into action is channeled through an individual's perceived comprehensive self-efficacy. This suggests that promotion strategies should evolve from solely emphasizing altruism towards integrated efforts that systematically build public knowledge, confidence, and trust in the donation process. Integrated strategies that enhance both altruistic motivation and comprehensive self-efficacy are essential for improving donor recruitment and retention.
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