Goldman M, W-Y Shih A, O'Brien S F, Devine D
Canadian Blood Services, Ottawa, ON, Canada.
Vancouver General Hospital, Vancouver, BC, Canada.
Vox Sang. 2018 Feb;113(2):95-103. doi: 10.1111/vox.12623. Epub 2017 Dec 13.
We review the history and evolution of blood donor criteria for men who have sex with men (MSM). Deferral policies in many jurisdictions, including Australia, New Zealand, Canada, the United States, Brazil and many western European countries are based on a period of abstinence from MSM, often of 12 months duration. Several countries (Italy, Spain and Portugal) defer donors based on sexual behaviours considered to be at high risk, regardless of whether the partner is same sex or opposite sex. Compliance is a key determinant in the efficacy of any deferral policy. We summarize research themes and strategies discussed at a January 2017 meeting held in Toronto, Canada, to provide an evidence basis for future policy changes.
我们回顾了男男性行为者（MSM）献血者标准的历史与演变。包括澳大利亚、新西兰、加拿大、美国、巴西以及许多西欧国家在内的许多司法管辖区的延期献血政策，都是基于一段时间内避免男男性行为，通常为期12个月。有几个国家（意大利、西班牙和葡萄牙）根据被视为高风险的性行为来延期献血者，而不论其性伴侣是同性还是异性。依从性是任何延期献血政策有效性的关键决定因素。我们总结了2017年1月在加拿大多伦多举行的一次会议上讨论的研究主题和策略，为未来的政策变化提供证据基础。
