Return intention and behavior among young lapsed blood donors: a study from the ethical perspective of “benevolence-righteousness-virtue”
10.13303/j.cjbt.issn.1004-549x.2026.08.014
- VernacularTitle:基于“仁—义—德”伦理视角的青年流失献血者回归意愿和行为研究
- Author:
Huahua HU
1
;
Chunyu MA
2
;
Yan YAN
1
;
Yaoyao XU
1
;
Xiuyong WANG
1
;
Lingling PAN
1
Author Information
1. Blood Center of Zhejiang Province, Hangzhou 310052, China
2. School of Public Health, Tianjin Medical University, Tianjin 300070, China
- Publication Type:Journal Article
- Keywords:
lapsed blood donors;
return intention;
return behavior;
blood donation values;
moral identity;
identified regulation;
“benevolence-righteousness-virtue” culture
- From:
Chinese Journal of Blood Transfusion
2026;39(8):1090-1098
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore factors associated with return intention and behavior among young lapsed blood donors from three psychological dimensions: blood donation values, moral identity and internalized responsibility, and to provide a contextualized interpretation of these psychological factors within the traditional Chinese ethical framework of “benevolence-righteousness-virtue”. Methods: A prospective cohort study was performed among 732 young lapsed blood donors in Hangzhou, China, recruited via stratified random sampling. At baseline, participants completed measures of blood donation values, moral identity and identified regulation. Six months later, return intention was assessed among 344 participants who completed the follow-up survey, while actual return behavior was determined from blood center records for all 732 participants at baseline. Univariate and multivariate logistic regression analyses were used to analyze the predictive effects of these psychological variables on return intention and behavior. Results: Blood donation motivations varied significantly across participants with different educational levels (P<0.05). Among the 344 participants who completed the follow-up survey, blood donation values, moral identity, and identified regulation were each significantly associated with return intention (P<0.05). These associations remained significant after adjustment for demographic factors (P<0.01). When the three psychological factors were simultaneously entered into the model, only identified regulation remained independently associated with return intention (OR=1.95, 95%CI:1.35-2.82, P<0.001). Among all 732 participants, the three psychological factors were each significantly associated with actual return behavior in univariate and adjusted analyses；however, none remained independently associated with actual return behavior when entered simultaneously into the model (all P>0.05). Conclusion: Identified regulation may be an important psychological factor underlying the formation of return intention among young lapsed blood donors. From the perspective of the “benevolence - righteousness - virtue” ethical framework, blood donation values, identified regulation, and moral identity represent distinct dimensions of donation motivation, with the dimension of “righteousness” reflected in internalized responsibility, showing a relatively prominent role in return intention. The translation of psychological motivation into actual return behavior may additionally depend on other factors and warrants further investigation.
