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Blood Types

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All human blood may look alike but when it is tested using special agents, differences become apparent. The main red blood cell groups are A, B, AB, and O. The letters stand for two antigens (chemical substances that can be targeted by one's immune system) labeled A and B.

  • Group A blood has only the A antigen
  • Group B has the only the B antigen
  • Group AB has both
  • Group O has neither

You can't donate red blood cells to just anyone and you can't receive blood from just anyone — blood groups need to be matched. Rollover the descriptions and donor types in the chart below to find how blood groups match.

Blood type chart

Blood groups further classified as Rh-positive or Rh-negative are called blood types. Blood is Rh-positive if the blood antigen labeled "D" is present and it is Rh-negative if the "D" antigen is absent.

O+ is the most common blood type. Not all racial and ethnic groups have the same mix of these blood types. Hispanic people, for example, have a relatively high number of O’s, while Asian people have a relatively high number of B’s. The mix of the different blood types in the U.S. population is:

  White African American Hispanic Asian
O + 37% 47% 53% 39%
O - 8% 4% 4% 1%
A + 33% 24% 29% 27%
A - 7% 2% 2% 0.5%
B + 9% 18% 9% 25%
B - 2% 1% 1% 0.4%
AB + 3% 4% 2% 7%
AB - 1% 0.3% 0.2% 0.1%


Some patients require a closer blood match than that provided by the ABO +/- blood typing. For example, sometimes if the donor and recipient are from the same racial or ethnic background, the chance of a reaction can be reduced. That’s why an African-American blood donation may be the best hope for the needs of patients with sickle cell disease, 98% of whom are of African-American descent.

Blood Type Inheritance
It’s inherited...
Like eye color, blood type ispassed genetically from parents to children. Whether your blood type is A, B, AB or O, is based on the blood types of your mother and father.

Parent 1 AB AB AB AB B A A O O O
Parent 2 AB B A O B B A B A O
Possible
blood
type
of
child
O         X X X X X X
A X X X X   X X   X  
B X X X X X X   X    
AB X X X     X        


* Note: Testing difficulties can cause exceptions to the above patterns. ABO blood typing is not sufficient to prove or disprove paternity or maternity.

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