AIDS and Behavior

, 12:39 | Cite as

Knowledge, Attitudes and Motivations Among Blood Donors in São Paulo, Brazil

  • Thelma T. Goncalez
  • Ester C. Sabino
  • Sanny Chen
  • Nanci Alves Salles
  • Dalton A. F. Chamone
  • Willi McFarland
  • Edward L. Murphy
Original Paper


Recruiting safe, volunteer blood donors requires understanding motivations for donating and knowledge and attitudes about HIV. We surveyed 1,600 persons presenting for blood donation at a large blood bank in São Paulo, Brazil using a self-administered, structured questionnaire, and classified motivations into three domains as well as categorizing persons by HIV test-seeking behavior. Motivations, in descending order, and their significant associations were: “altruism”: female gender, volunteer donor and repeat donor status; “direct appeal”: female gender, repeat donor status and age 21–50 years; “self-interest”: male gender, age under 20 years, first-time donor status and lower education. HIV test-seekers were more likely to give incorrect answers regarding HIV risk behavior and blood donation and the ability of antibody testing to detect recent HIV infections. Altruism is the main motivator for blood donation in Brazil; other motivators were associated with specific demographic subgroups. HIV test-seeking might be reduced by educational interventions.


Blood donors Motivation Altruism HIV infections Health knowledge Attitudes and practices 



This study was supported in part by grants from the National Institutes of Health to Dr. Murphy (K24-HL-75036), the University of California San Francisco-Gladstone Institute of Virology & Immunology Center for AIDS Research (P30-AI27763), and the University of California, Berkeley Fogarty International AIDS Training Program, D43-TW-00905, and by Blood Systems Research Institute. We wish to acknowledge the support of the University of California, San Francisco, Center for AIDS Prevention Studies, US National Institute of Mental Health (NIMH), P30 MH062246; AIDS International Training in Research Program (AITRP), Fogarty International Center, D43TW00003 and the International Clinical, Operational and Health Services Research Training Award (ICOHRTA), Brazil Scientists Program, Fogarty International, Center D43TW005799.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Thelma T. Goncalez
    • 1
    • 2
  • Ester C. Sabino
    • 1
  • Sanny Chen
    • 3
  • Nanci Alves Salles
    • 1
  • Dalton A. F. Chamone
    • 1
    • 4
  • Willi McFarland
    • 3
    • 5
  • Edward L. Murphy
    • 2
    • 6
  1. 1.Fundação Pro-Sangue/Hemocentro de São PauloSao PauloBrazil
  2. 2.Blood Systems Research InstituteSan FranciscoUSA
  3. 3.San Francisco Department of Public HealthSan FranciscoUSA
  4. 4.Department of Hematology and HemotherapySão Paulo UniversitySao PauloBrazil
  5. 5.Center for AIDS Prevention StudiesUniversity of CaliforniaSan FranciscoUSA
  6. 6.Departments of Laboratory Medicine and Epidemiology/BiostatisticsUniversity of CaliforniaSan FranciscoUSA

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