Lau J T F, Thomas J, Lin C K
Centre for Clinical Trials and Epidemiological Research, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong.
AIDS Care. 2002 Aug;14(4):481-92. doi: 10.1080/09540120208629667.
The present study examined the prevalence of and factors associated with deferrable risk behaviours practised by male voluntary blood donors in Hong Kong. Attitudes and knowledge related to HIV/AIDS and blood donation among both male and female blood donors were also studied. In total, 2,162 (1,190 male and 972 female) blood donors in four Hong Kong Red Cross Blood Transfusion Services (HKRCBTS) centres completed an anonymous structured questionnaire. About 11% of the male respondents have practised deferrable risk behaviours (e.g. sharing syringes, commercial sex-networking, or having sex with another man). Furthermore, among male respondents, 5.9% indicated that they are using blood donations as a means of testing for their HIV status. These male 'potential test seekers' tended to be younger, single, unemployed and first-time donors; relevant knowledge and perceptions towards the screening guideline were also associated with potential test seeking and deferrable risk. About 5% of all respondents would go to the HKRCBTS to perform an HIV test, if required. Many blood donors in Hong Kong were not knowledgeable about HIV-related issues. There is a need to review the effectiveness of the present deferral system, which is based on the goodwill of the donor to disclose personal health risk factors.
本研究调查了香港男性无偿献血者中可推迟风险行为的流行情况及其相关因素。同时，还研究了男性和女性献血者对艾滋病毒/艾滋病及献血的态度和知识。共有来自香港红十字会输血服务中心（HKRCBTS）四个中心的2162名献血者（1190名男性和972名女性）完成了一份匿名结构化问卷。约11%的男性受访者有可推迟风险行为（如共用注射器、商业性网络活动或与男性发生性行为）。此外，在男性受访者中，5.9%表示他们将献血作为检测艾滋病毒感染状况的一种方式。这些男性“潜在检测寻求者”往往更年轻、单身、失业且为首次献血者；对筛查指南的相关知识和认知也与潜在检测寻求及可推迟风险有关。约5%的所有受访者表示，如果有需要，会前往HKRCBTS进行艾滋病毒检测。香港许多献血者对与艾滋病毒相关的问题了解不足。有必要重新审视现行基于献血者自愿披露个人健康风险因素的延期系统的有效性。
