Original article

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Exploring Italians’ knowledge of, and perceptions and feelings about stem cell donation: a GITMO-IBMDR nationwide survey

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Key words: stem cell donation, cord blood, stem cell collection, bone marrow transplantation, donation awareness

Abstract

Background - The current stem cell donor shortage is likely partially due to many individuals’ lack of knowledge, beliefs and feelings about the donation process. The aim of this study was to explore these factors to provide the Italian Bone Marrow Donor Registry with information to guide and optimize their awareness campaigns.

Materials and methods - A nationwide anonymous online survey was developed on behalf of the Gruppo Italiano Trapianto di Midollo Osseo and shared on various online platforms. The data were analysed for frequencies and central tendency values, and geographic areas (Northern, Central and Southern Italy), sex and median age were compared.

Results - The average age of the 1,518 recruited participants was
37.6 (±13.3) years, and 1,142 (75.2%) were females. Half of the sample (No.=759) was from Southern Italy, 213 (14%) from Central Italy and 546 (36.0%) from Northern Italy. Of the sample, 87.9% knew about The Italian Bone Marrow Donor Registry, and 72.4% were aware that donor centres recruit donors. Respondents from the north, females and older individuals knew significantly more about the stem cell donation process; on a 4-point Likert scale,
55.7% of the sample reported the strongest sense of solidarity, 36.8% felt the most gratification and 39.4% the most satisfaction. Respondents from Southern Italy systematically had significantly higher levels of negative feelings.

Discussion - Our findings identified a specific group of potential donors who systematically correlated with lower awareness about stem cell donation; educational campaigns should target this group.

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Authors

Stefano Botti - Hematology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy https://orcid.org/0000-0002-0678-0242

Roberto Lupo - San Giuseppe da Copertino Hospital, Local Health Authority, Copertino, Lecce, Italy https://orcid.org/0000-0001-6151-2294

Simona Pollichieni - Italian Bone Marrow Donor Registry, EO Ospedali Galliera di Genova, Genoa, Italy

Nicoletta Sacchi - Italian Bone Marrow Donor Registry, EO Ospedali Galliera di Genova, Genoa, Italy https://orcid.org/0000-0002-7164-401X

Nicola Serra - Department of Neuroscience, Reproductive Sciences and Dentistry-Audiology Section, University Federico II of Naples, Naples, Italy https://orcid.org/0000-0001-8086-6362

Marco Cioce - Department UOC SITRA, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy https://orcid.org/0000-0003-0345-5468

Simonetta Pupella - National Blood Centre, Italian National Institute of Health, Rome (ISS), Rome, Italy https://orcid.org/0000-0002-5356-6003

Fabio Ciceri - Hematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy https://orcid.org/0000-0003-0873-0123

Aurora Vassanelli - Transfusion Medicine Department, Azienda Ospedaliera Universitaria Integrata, Verona, Italy

Letizia Lombardini - Italian National Transplant Centre, National Institute of Health, Rome, Italy

Massimo Martino - Stem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande Ospedale Metropolitano "Bianchi-Melacrino-Morelli", Reggio Calabria, Italy https://orcid.org/0000-0002-3987-419X

Ivan Rubbi - School of Nursing, University of Bologna, Bologna, Italy https://orcid.org/0000-0001-6067-9578

Chiara Ianne - San Giuseppe da Copertino Hospital, Local Health Authority, Copertino, Lecce, Italy https://orcid.org/0009-0001-1378-2465

Alessia Lezzi - ANT Italia ONLUS Foundation (National Cancer Association), Lecce, Italy https://orcid.org/0000-0003-4779-1017

Teresa Rea - Department of Public Health, University of Naples “Federico II”, Naples, Italy https://orcid.org/0000-0001-6444-0951

Assunta Guillari - Department of Translational Medical Science, University of Naples Federico II, Naples, Italy https://orcid.org/0000-0001-8423-8195

Angela Capuano - Department of Emergency, AORN Santobono-Pausilipon, Naples, Italy

Donato Cascio - Department of Physics and Chemistry, University of Palermo, Italy

Elsa Vitale - Medical Oncology, IRCCS Istituto Tumori “Giovanni Paolo II” Bari, Italy https://orcid.org/0000-0002-9738-3479

Giorgio De Nunzio - Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Lecce, Italy https://orcid.org/0000-0002-1998-0286

Luana Conte - Laboratory of Biomedical Physics and Environment, Department of Mathematics and Physics “E. De Giorgi”, University of Salento, Lecce, Italy https://orcid.org/0000-0002-8741-3478

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