Sriamporn Koson Tony, Saxton Peter J W, Consedine Nathan S
Department of Social and Community Health, School of Population Health, University of Auckland, New Zealand.
Department of Psychological Medicine, School of Medicine, University of Auckland, New Zealand.
Transfus Med. 2025 Oct;35(5):424-436. doi: 10.1111/tme.70012. Epub 2025 Aug 24.
To examine whether specific attitudes towards blood donation vary across MSM demographic groups; and preliminarily test whether these attitudes predict prior donation behaviour.
Insights into blood donors' attitudes facilitate effective donor management, especially as policies for men who have sex with men (MSM) become more inclusive. While attitudes towards donating blood can predict donor decisions, it is unclear whether attitudinal factors specific to MSM groups will be important considerations for blood service providers engaging with this newly eligible donor group.
Data were drawn from a large (N = 3157) online cross-sectional survey of MSM in New Zealand. New items were developed to assess three attitudinal constructs: negative attitudes towards the MSM deferral policy, favourable attitudes towards blood services, and the tendency to view blood donation as a form of civic participation and belonging. Univariate analyses descriptively characterised demographic factors associated with those various attitudes, and multivariate logistic regressions were used to predict self-reported donation histories.
Negative views of deferral policies and blood services varied across sample characteristics in univariate analyses, but did not systematically differ between donors and nondonors. However, a perception of blood donation as a means of civic belonging was consistently associated with greater donation, including 1.46 times the odds of having ever donated (p < 0.001) and 1.40 times the odds of having donated recently under the current 3-month deferral policy (p = 0.017).
These findings highlight the importance of recognising broader civic-related attitudes in MSM donor research and engagement strategies.
研究男男性行为者（MSM）不同人口统计学群体对献血的特定态度是否存在差异；并初步测试这些态度能否预测既往献血行为。
深入了解献血者的态度有助于进行有效的献血者管理，尤其是在男男性行为者献血政策变得更加包容的情况下。虽然对献血的态度可以预测献血者的决定，但尚不清楚MSM群体特有的态度因素是否会成为血液服务机构与这个新纳入的献血者群体打交道时的重要考虑因素。
数据来自对新西兰MSM进行的一项大型（N = 3157）在线横断面调查。开发了新的项目来评估三种态度结构：对MSM延期献血政策的负面态度、对血液服务的积极态度以及将献血视为公民参与和归属感形式的倾向。单因素分析描述了与这些不同态度相关的人口统计学因素，多因素逻辑回归用于预测自我报告的献血历史。
在单因素分析中，对延期献血政策和血液服务的负面看法因样本特征而异，但献血者和非献血者之间没有系统性差异。然而，将献血视为公民归属感的一种方式始终与更多的献血行为相关，包括曾经献血的几率是其他人的1.46倍（p < 0.001），在当前3个月延期献血政策下最近献血的几率是其他人的1.40倍（p = 0.017）。
这些发现凸显了在MSM献血者研究和参与策略中认识更广泛的公民相关态度的重要性。
