Bone marrow donation: factors influencing intentions in African Americans.

PURPOSE/OBJECTIVES To identify factors influencing the intentions of African Americans to donate or not to donate bone marrow. DESIGN Exploratory, descriptive. SETTING Participants were recruited from three churches, four public housing developments, and a university teaching hospital-all in the Philadelphia, PA, area. SAMPLE African American adults aged 18-60 years and able to read, write, and speak English. METHODS Focus groups were conducted for the purpose of instrument development. A factor analysis was conducted on questionnaire data. A multiple regression was conducted of the demographic variables and the factors that contributed to behavioral intention to donate or not to donate bone marrow. MAIN RESEARCH VARIABLES Attitudes, subjective norms, perceived behavioral control, and behavioral intentions regarding bone marrow donation. FINDINGS "Fear or not trusting," "external influences," and "concerned about resources" correlated significantly with the intention not to donate bone marrow. Helping others, approval of people, and value of knowledge correlated significantly with the intention to donate bone marrow. CONCLUSIONS Greater attention must be paid to increasing donations and improving the critical need for bone marrow donors. Patient education programs should be expanded to improve African Americans' knowledge of the importance of bone marrow donation, including the process, associated costs, and resources available to donors. IMPLICATIONS FOR NURSING Nurses--irrespective of practice areas--are key contributors to increase the rate of bone marrow donation, particularly among African Americans.