Levy Itzchak, Olmer Liraz, Livnat Yuval, Shalhavi Ran, Hizki Ohad, Shinar Eilat
Unit of Infectious Diseases, Sheba Medical Center, Ramat Gan, Israel.
Sackler Medical School, Tel Aviv University, Tel Aviv, Israel.
Vox Sang. 2019 May;114(4):310-316. doi: 10.1111/vox.12766. Epub 2019 Mar 11.
In June 2017, Israel lifted the ban on blood donations from men who have sex with men (MSM) and accepts donations if 12 months have passed since the last sexual contact. Recently, the National Blood Services suggested a novel approach that involves acceptance of MSM blood donations without deferral, keeping solely the frozen plasma in quarantine and releasing it for transfusion if a subsequent donation, at least 4 months later, is found negative for transfusion-transmitted agents. In this study, we examined the attitudes and perceptions of MSM to the new Frozen Plasma Quarantine Policy (FPQP).
A survey was published on gay-oriented websites, collecting anonymous demographic data, history of blood donations and attitudes towards the new policy.
We analysed responses from 1233 MSM. Of these, 13·4% had donated blood at least once during the previous year, almost all of them (89·7%) not complying with the current 12-month deferral. Most respondents (64·5%) supported the suggested new approach and would consider donating blood if it were introduced. Of MSM who had donated blood in the previous year, 85% stated they would agree to reveal their sexual practice in the donor health questionnaire (DHQ) in order to be included in the programme, compared with 8·5% under the current 12-month deferral policy.
The suggested Plasma Quarantine Policy may be more acceptable to MSM than a 12-month deferral and increase their compliance with the blood services policy. This and retesting of donors may increase blood safety.
2017年6月,以色列解除了对男男性行为者(MSM)献血的禁令,若自上次性接触已过去12个月,则接受其献血。最近,国家血液服务机构提出了一种新方法,即接受MSM的献血而无需延期,仅将冷冻血浆隔离,若至少4个月后随后的一次献血被检测出血液传播病原体呈阴性,则将冷冻血浆放行用于输血。在本研究中,我们调查了MSM对新的冷冻血浆检疫政策(FPQP)的态度和看法。
在面向同性恋者的网站上发布了一项调查,收集匿名的人口统计学数据、献血历史以及对新政策的态度。
我们分析了1233名MSM的回复。其中,13.4%的人在前一年至少献血过一次,几乎所有人(89.7%)都不符合当前12个月延期的规定。大多数受访者(64.5%)支持所建议的新方法,并表示如果实施该方法会考虑献血。在前一年献血的MSM中,85%表示他们会同意在献血者健康问卷(DHQ)中披露其性行为,以便能参与该计划,而在当前12个月延期政策下这一比例为8.5%。
所建议的血浆检疫政策可能比12个月延期更易被MSM接受,并能提高他们对血液服务政策的依从性。这一点以及对献血者的重新检测可能会提高血液安全性。