Department of Public Health, Faculty of Medicine Osijek, Croatia.
Blood Transfus. 2011 Oct;9(4):407-12. doi: 10.2450/2011.0084-10. Epub 2011 Jul 18.
In this cross-sectional study we assessed the prevalence of the various blood safety sexual risk behaviours among blood donors from East Croatia and the possibilities for improving the present blood donor screening procedure.
The study included 423 blood donors of both sexes who completed a specially designed anonymous questionnaire immediately after their blood donations. The questionnaire contained questions on demographic data, sexual preferences, and possible sexual risk behaviours in the period before the blood donation.
The study revealed that the most common forms of sexual risk behaviour among Croatian blood donors had been irregular condom use during sexual contacts with new partners (294/423; 69.5%) and five or more sexual partners during the lifetime (213/423; 50.4%). More male than female subjects had had five or more sexual partners during their lifetime (p<0.0001). Compared to married donors, single subjects more frequently reported sexual contacts without using a condom with their new partners in the period from the last blood donation (p<0.0001) and also in the period of 1 month before current blood donation (p=0.0060). A larger number of younger than older subjects had practiced different types of sexual intercourses during the lifetime (p=0.0002) but more older than younger subjects reported irregular use of condom on sexual contacts with a new partner during their lifetime (p=0.0231).
Blood donors who were involved in various forms of sexual risk behaviour represent a serious threat to the health of blood recipients. In this respect a new approach to blood donor screening procedure with additional questions on sexual behaviour in anonymous donor questionnaires would improve the safety of transfusion treatment in East Croatia.
在这项横断面研究中，我们评估了来自克罗地亚东部的献血者中各种血液安全性行为风险的流行情况，并探讨了改进当前献血者筛查程序的可能性。
本研究纳入了 423 名男女献血者，他们在献血后立即填写了一份专门设计的匿名问卷。问卷包含了关于人口统计学数据、性偏好以及献血前可能存在的性行为风险的问题。
研究显示，克罗地亚献血者最常见的性行为风险形式是与新性伴侣发生性行为时不规律使用避孕套（294/423；69.5%）和一生中拥有五个或更多性伴侣（213/423；50.4%）。与女性相比，男性献血者一生中拥有五个或更多性伴侣的比例更高（p<0.0001）。与已婚献血者相比，单身献血者更频繁地报告在最近一次献血后（p<0.0001）和当前献血前 1 个月（p=0.0060）与新伴侣发生性行为时未使用避孕套。与年长献血者相比，年轻献血者一生中更频繁地进行了不同类型的性行为（p=0.0002），但年长献血者更频繁地报告在与新性伴侣发生性行为时不规律使用避孕套（p=0.0231）。
参与各种性行为风险的献血者对受血者的健康构成严重威胁。在这方面，通过在匿名献血者问卷中增加关于性行为的问题，对献血者筛查程序进行新的评估，将提高克罗地亚东部输血治疗的安全性。
