University of Minnesota Medical School, Minneapolis, MN, USA.
University of Minnesota Medical School, Minneapolis, MN, USA.
Transfus Med Rev. 2022 Jul;36(3):152-158. doi: 10.1016/j.tmrv.2022.06.007. Epub 2022 Jul 4.
Eligibility criteria for blood product donation are important for the safety of the blood supply, though many have called into question criteria that limit donations for men-who-have-sex-with-men (MSM). Recently, in the U.S.A., the Food and Drug Administration (FDA), decreased the 'deferral' period, the period in which one must abstain from sex, for MSM, from twelve months to three. This study examined the proportion of MSM respondents that donated blood under past and current deferral policies, as well as the proportion that would consider donating under hypothetical shorter deferral policies. To achieve this, an electronic survey was disseminated on social media platforms via virtual flier calling for participation from a self-selected convenience sample of the MSM community. Compared to either the 12-month or 3-month deferral policies, intent to donate blood was significantly higher in both alternative two week or no deferral policy scenarios. The majority of respondents who did donate did so without following deferral guidelines under both the 12-month and 3-month policies. There was no significant change in the proportion of those who donated against guidelines between the twelve- and three-month deferrals. While social media is an effective tool for survey work it poses significant risk for selection bias. Further studies with diverse sampling are necessary to better elucidate blood production donation trends within the MSM community.
献血资格标准对于血液供应的安全性至关重要,尽管许多人对限制男男性行为者(MSM)献血的标准提出了质疑。最近,在美国,食品和药物管理局(FDA)将 MSM 必须禁欲的“延期”期限从 12 个月缩短至 3 个月。本研究调查了在过去和现行延期政策下献血的 MSM 受访者比例,以及在假设的更短期延期政策下考虑献血的比例。为了实现这一目标,通过虚拟传单在社交媒体平台上发布了电子调查,呼吁 MSM 社区的自选便利样本参与。与 12 个月或 3 个月的延期政策相比,在两种替代的两周或无延期政策情景下,献血的意愿明显更高。大多数献血者在 12 个月和 3 个月的政策下都没有遵守延期指南。在 12 个月和 3 个月的延期之间,违反指南献血的比例没有显著变化。虽然社交媒体是调查工作的有效工具,但它存在显著的选择偏差风险。需要进行更多具有多样性抽样的研究,以更好地阐明 MSM 社区内的血液生产捐赠趋势。