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July 2004, Vol 94, No. 7 | American Journal of Public Health 1224-1229
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Geographic Location of Commercial Plasma Donation Clinics in the United States, 1980–1995

Robert C. James, PhD and Cameron A. Mustard, ScD

At the time of the study, Robert James was with the Department of Community Health Sciences, University of Manitoba Faculty of Medicine, Winnipeg. Cameron A. Mustard is with the Department of Community Health Sciences, University of Manitoba Faculty of Medicine; the Department of Public Health Sciences, University of Toronto Faculty of Medicine; the Institute for Work and Health, Toronto; and the Population Health Program, Canadian Institute for Advanced Research, Toronto.

Correspondence: Requests for reprints should be sent to Cameron A. Mustard, ScD, Institute for Work and Health, 481 University Ave, Ste 800, Toronto, ON, Canada, M5G 2E9 (e-mail: cmustard{at}iwh.on.ca).

Objective. We examined the location of commercial plasma donation centers in the United States over the period 1980 to 1995 relative to the geographic distribution of risk behaviors associated with transfusion-transmissible infections.

Methods. The census tract locations of commercial source plasma clinics were described by measures of neighborhood social disadvantage and the prevalence of illicit drug use and active local drug economies.

Results. Depending on the measure of social environment used, commercial plasma clinics were 5 to 8 times more likely to be located in census tracts designated high-risk than would be expected by chance.

Conclusions. Commercial source plasma clinics were overrepresented in neighborhoods with very active local drug economies. These patterns persisted after the links between human immunodeficiency virus and hepatitis C virus infections and plasma products had been established and may present risks to blood system safety.




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[Abstract] [Full Text] [PDF]


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