Research Office, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.
Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.
Vox Sang. 2024 Jul;119(7):656-663. doi: 10.1111/vox.13636. Epub 2024 Apr 14.
An increasing number of blood operators around the world, including those in Canada, have removed time-based deferral periods for gay, bisexual and other men who have sex with men and replaced them with sexual behaviour-based questions for all donors. While this marks a significant shift in screening approach, what remains unclear is how members of two-spirit, lesbian, gay, bisexual, transgender and queer (2S/LGBTQ+) communities view blood operators' initiatives to be more inclusive. As such, this study was conducted to assess the awareness of donor screening changes and other initiatives among members of 2S/LGBTQ+ communities and to explore their recommendations for blood operators' work with these communities.
Semi-structured qualitative interviews (n = 15) were conducted with 2S/LGBTQ+ people across Canada. Data were analysed using open inductive coding methods.
Reported here are the key results on recommendations for blood operators. Three themes were identified from the data: (1) the need for increased communications with 2S/LGBTQ+ communities surrounding changes to donor policies and guidelines; (2) the need for trans-inclusive policy and procedures; and (3) the need for culturally responsive and equity-informed staff training at donor centres.
Results suggest that blood operators should consider 2S/LGTBQ+ communities when developing blood and plasma donation policies, screening procedures and staff training. Increased consultation with these communities is desired, and further research specific to the experiences of transgender blood donors is needed.
世界上越来越多的血液中心（包括加拿大的血液中心）取消了对男同性恋、双性恋和其他与男性发生性行为的男性的基于时间的延迟期，代之以针对所有献血者的基于性行为的问题。虽然这标志着筛查方法的重大转变，但仍不清楚的是，双灵、女同性恋、男同性恋、双性恋、跨性别和酷儿（2S/LGBTQ+）社区的成员如何看待血液中心更具包容性的举措。因此，进行这项研究是为了评估 2S/LGBTQ+社区成员对献血者筛查变化和其他举措的认识，并探讨他们对血液中心与这些社区合作的建议。
对加拿大各地的 2S/LGBTQ+人群进行了半结构式定性访谈（n=15）。使用开放式归纳编码方法对数据进行分析。
报告了与血液中心合作的建议的关键结果。从数据中确定了三个主题：（1）需要在献血者政策和指南发生变化时，与 2S/LGBTQ+社区增加沟通；（2）需要具有跨性别包容性的政策和程序；（3）需要在献血中心进行文化响应和公平知情的员工培训。
结果表明，血液中心在制定血液和血浆捐赠政策、筛查程序和员工培训时，应考虑 2S/LGTBQ+社区。希望与这些社区进行更多的协商，并需要进一步研究跨性别献血者的具体经验。
