Donor and Transplantation Services, Epidemiology and Surveillance, and Public Relations, Canadian Blood Services, Ottawa, Ontario, Canada.
Transfusion. 2011 Aug;51(8):1829-34. doi: 10.1111/j.1537-2995.2011.03078.x. Epub 2011 Mar 7.
Few donor criteria are as contentious as the deferral of men who have had sex with men (MSM). We performed an anonymous donor survey to determine attitudes toward current screening and the feasibility and acceptability of adoption of alternate donor criteria for MSM.
Donors who had successfully donated to Canadian Blood Services were randomly mailed an anonymous questionnaire several weeks after donation; there were 40,000 donors sampled, evenly split between first-time and repeat donors.
The response rate was 45.5%. The vast majority of donors found the current screening questions and clinic environment acceptable. Attention to clinic educational materials was poor. A total of 53% felt that the MSM criteria should be changed; many were supportive of criteria based on specific behaviors rather than a period of abstinence. Gender-neutral questions such as number of sexual partners would result in deferral of large numbers of donors.
Many donors would support a change in MSM deferral policy. Implementation of strategies based on donor attention to additional material would be challenging. Universal use of simple gender-neutral questions would result in very high donor loss and are therefore not an acceptable option. The acceptability and feasibility of various screening approaches should be explored further with both donors and advocacy groups.
几乎没有任何供者标准像男男性行为者（MSM）供者的延迟使用那样存在争议。我们进行了一项匿名供者调查，以确定对当前筛查以及为 MSM 采用替代供者标准的可行性和可接受性的态度。
在成功向加拿大血液服务中心捐献后，供者会被随机邮寄一份匿名问卷，时间在捐献后数周；对 40,000 名供者进行了抽样，在初次供者和重复供者之间平均分配。
回复率为 45.5%。绝大多数供者认为当前的筛查问题和诊所环境可以接受。对诊所教育材料的关注度较差。共有 53%的供者认为 MSM 标准应该改变；许多人支持基于特定行为而非禁欲期的标准。中性别的问题，如性伴侣的数量，将导致大量供者被延迟。
许多供者会支持改变 MSM 延迟使用政策。根据供者对其他材料的关注实施策略将具有挑战性。普遍使用简单的中性问题将导致极高的供者流失，因此不是一个可接受的选择。应进一步与供者和宣传团体探讨各种筛查方法的可接受性和可行性。
