Université du Québec à Montréal, Montreal, QC, Canada.
Héma-Québec, Quebec, QC, Canada.
Vox Sang. 2021 Nov;116(10):1051-1059. doi: 10.1111/vox.13110. Epub 2021 May 4.
Several approaches are currently under study to contribute to efforts to allow men who have sex with men (MSM) to donate blood. One of these approaches involves implementing a programme of plasma donation for fractionation, with a quarantine period. The goal of this article is to identify the determinants of intention to participate in the plasma donation programme among MSM in Montreal, Canada.
Based on the theory of planned behaviour, a questionnaire was developed to measure MSM's intention to donate plasma and identify influencing factors. A multiple linear regression analysis was conducted to identify the determinants of intention to donate plasma.
Respondents' (N = 933) intention to donate plasma in the next six months was moderate. The multiple linear regression model explained 55% (P < 0·001) of the variation of intention. Intention was predicted by attitudes (β = 0·34, P < 0·001), perceived behavioural control (β = 0·28, P < 0·001), aged under 35 years (β = 0·26, P < 0·001), history of blood donation (β = 0·24, P < 0·001), subjective norm (β = 0·21, P < 0·001), income above $40,000 (β = 0·20, P < 0·001), moral norm (β = 0·18, P < 0·001) and higher level of involvement in various issues LGBTQ+ communities are fighting for (β = 0·09, P < 0·001).
Our analyses show that intention to donate plasma within the proposed programme is associated with personal, social and structural factors, but more strongly predicted by factors related to the theory of planned behaviour. Our results also highlight the importance of involving MSM; community acceptability of the plasma donation programme would probably be higher if MSM felt respected and party to the decisions.
目前有几种方法正在研究中,以帮助男男性接触者(MSM)献血。其中一种方法是实施血浆捐献计划进行分离,并进行隔离期。本文的目的是确定加拿大蒙特利尔的 MSM 参与血浆捐献计划的意愿的决定因素。
基于计划行为理论,我们开发了一个问卷来衡量 MSM 捐献血浆的意愿,并确定影响因素。进行了多元线性回归分析,以确定捐献血浆的意愿的决定因素。
在接下来的六个月内,受访者(N=933)捐献血浆的意愿是中等的。多元线性回归模型解释了意图的 55%(P<0.001)变化。意图由态度(β=0.34,P<0.001)、感知行为控制(β=0.28,P<0.001)、年龄在 35 岁以下(β=0.26,P<0.001)、有献血史(β=0.24,P<0.001)、主观规范(β=0.21,P<0.001)、收入高于 40,000 美元(β=0.20,P<0.001)、道德规范(β=0.18,P<0.001)和对 LGBTQ+社区争取的各种问题的更高程度的参与(β=0.09,P<0.001)预测。
我们的分析表明,参与拟议计划的捐献血浆的意愿与个人、社会和结构因素有关,但与计划行为理论相关的因素更能预测意愿。我们的结果还强调了让 MSM 参与的重要性;如果 MSM 感到被尊重并参与决策,那么社区对血浆捐献计划的接受度可能会更高。