The Kirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
School of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Transfusion. 2024 Oct;64(10):1940-1948. doi: 10.1111/trf.17993. Epub 2024 Aug 27.
Currently in Australia, men are deferred from donating blood if they have had sex with another man within the past 3 months. However, a proposed gender-neutral assessment (GNA) process will ask all donors questions about sex with new or multiple recent partners, with deferral based on responses to a question about anal sex. Understanding the acceptability of such questions among existing and potential blood donors is paramount for successful implementation of GNA.
We used data from a nationally representative survey to estimate the levels of comfort with the proposed GNA questions among the Australian population and subgroups, defined by self-reported ethnicity and religion. Respondents were aged over 18 and living in Australia. Results were weighted to represent the population.
Most of the 5178 respondents described themselves as comfortable with answering questions about new partners (73.1%) or anal sex (64.0%) to donate blood. However, 2.2% and 4.5% indicated that questions about new sex partners and anal sex, respectively, would stop them from donating, and 4.4% and 7.7% respectively, said they were "completely uncomfortable." By religion, the least comfortable were Muslim or Eastern Orthodox respondents, and by country of birth, the least comfortable were those born in the Middle East, followed by those born in Southern Europe and Asia.
GNA appears to be broadly acceptable in the Australian context, but our findings suggest that key GNA questions are less acceptable in some population subgroups, indicating a need for targeted campaigns that consider cultural sensitivities.
目前在澳大利亚，如果男性在过去 3 个月内与另一名男性发生过性行为，他们将被推迟献血。然而，拟议的性别中立评估 (GNA) 程序将要求所有献血者询问与新伴侣或多个近期伴侣发生性行为的问题，并根据对肛交问题的回答来推迟献血。了解现有和潜在献血者对这些问题的接受程度对于成功实施 GNA 至关重要。
我们使用来自全国代表性调查的数据来估计澳大利亚人口和亚群对拟议 GNA 问题的舒适度水平，这些亚群按自我报告的种族和宗教定义。受访者年龄在 18 岁以上，居住在澳大利亚。结果经过加权以代表人口。
大多数 5178 名受访者表示，他们愿意回答有关新伴侣（73.1%）或肛交（64.0%）的问题来献血。然而，2.2%和 4.5%的人分别表示，关于新性伴侣和肛交的问题会阻止他们献血，分别有 4.4%和 7.7%的人表示他们“完全不舒服”。按宗教划分，最不舒服的是穆斯林或东正教的受访者，按出生地划分，最不舒服的是出生在中东的人，其次是出生在南欧和亚洲的人。
GNA 在澳大利亚背景下似乎得到了广泛的认可，但我们的研究结果表明，一些人群亚组对关键的 GNA 问题的接受程度较低，这表明需要开展有针对性的宣传活动，考虑到文化敏感性。
