Woo Hyunjin, Fisher William, Kohut Taylor, Haw Jennie
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Department of Obstetrics and Gynaecology, Western University, London, Ontario, Canada.
Transfusion. 2024 Jan;64(1):85-92. doi: 10.1111/trf.17606. Epub 2023 Dec 2.
In many countries, sexually active gay, bisexual and other men who have sex with men (gbMSM) continue to be screened based on their sex or gender and the sex or gender of their sexual partner. However, there is growing support that screening based on specific sexual behaviors that pose risk of transfusion transmissible infection is a better approach to donor screening.
This paper reports results from Phase 1 (qualitative) of a mixed-methods study on Canadian blood and plasma donors' views on expanding eligibility for gbMSM by changing to sexual behavior-based screening. Semistructured interview data with 40 donors (whole blood = 20, plasma = 20; male = 21, female = 18, nonbinary = 1; mean age = 46.2; 10% participation rate) in Canada were analyzed using a thematic approach.
All participants, except one, supported the change as they anticipated that at least one of three outcomes would be achieved: increasing blood supply, enhancing equity, and improving or maintaining the safety of blood supply. One donor who was more skeptical of the change questioned the scientific evidence for the change and indicated mistrust of state institutions. The discussion considers implications for blood operators' communication strategies that can be used to reduce donor discomfort with the changes to donor screening.
In a nonrandom, purposive sample of 40 Canadian blood and plasma donors, most participants held favorable views regarding expanding the eligibility of gbMSM donors based on sexual risk behavior. Understanding donors' views on increasing eligibility may inform Canadian Blood Services and other blood operators as they develop their communications plans.
在许多国家，性活跃的男同性恋者、双性恋者及其他与男性发生性行为的男性（男男性行为者）仍基于其自身及性伴侣的性别进行筛查。然而，越来越多的人支持基于存在输血传播感染风险的特定性行为进行筛查，这是一种更好的献血者筛查方法。
本文报告了一项关于加拿大血液和血浆捐献者对通过改为基于性行为的筛查来扩大男男性行为者献血资格的看法的混合方法研究第一阶段（定性）的结果。采用主题分析法对加拿大40名捐献者（全血捐献者 = 20名，血浆捐献者 = 20名；男性 = 21名，女性 = 18名，非二元性别 = 1名；平均年龄 = 46.2岁；参与率为10%）的半结构化访谈数据进行了分析。
除一名参与者外，所有参与者都支持这一改变，因为他们预计会实现以下三个结果中的至少一个：增加血液供应、提高公平性以及改善或维持血液供应安全。一名对这一改变持更多怀疑态度的捐献者质疑了这一改变的科学依据，并表示对国家机构不信任。讨论考虑了对血液运营者沟通策略的影响，这些策略可用于减少捐献者对献血者筛查变化的不适感。
在40名加拿大血液和血浆捐献者的非随机、有目的样本中，大多数参与者对基于性风险行为扩大男男性行为者捐献者资格持赞成态度。了解捐献者对扩大资格的看法可能会为加拿大血液服务机构和其他血液运营者制定沟通计划提供参考。
