Compliance with gender‐neutral sexual behavior‐based blood donor screening questions

Sheila F. O’Brien · Lori Osmond · Mindy Goldman

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Blood donation and transfusion practices HIV/AIDS Research and Interventions HIV, Drug Use, Sexual Risk

Abstract

BACKGROUND: In September 2022, Canadian Blood Services replaced the time-based deferral for gay and bisexual men who have sex with men (gbMSM) with sexual behavior-based questions. All donors who had sex with a new partner or >1 partner in the last 3 months and anal sex were deferred, permitting gbMSM with one regular partner to donate. We aimed to measure compliance with the new criteria post-implementation. STUDY DESIGN AND METHODS: Pre-implementation 42,999; post-implementation 41,157 donors were invited to complete an anonymous online sexual risks survey. Results were weighted reflecting the donor base age, sex, and geography base. Frequencies and 95% confidence intervals were calculated. RESULTS: In total, 13,159 donors participated pre-implementation (33% participation, 6532 females and 6627 males of whom 183 had ever had sex with another man (gbMSM)); post-implementation 11,217 donors (28% participation, 5253 females and 5964 males of whom 188 were gbMSM). Pre-implementation 9.3% (4.3%-14.2%) gbMSM had a new or >1 partner and anal sex in the last 3 months (all ineligible), similar to post-implementation when some were eligible (8.9%, 4.1%-13.8%, p > .05). There was no difference between pre- and post-implementation for non-gbMSM males (pre- 0.7%, 0.5%-1.0% vs. post-0.7%, 0.4-0.9) and females (pre- 0.8%, 0.6%-1.0% vs. post-0.6%, 0.4-0.8%) (p > .05). The estimated non-compliance of those with deferrable behavior was 87% (79%-93%). Most donors reported being comfortable with the new questions. DISCUSSION: The majority of donors with deferrable sexual behaviors failed to disclose post-implementation. Donors may make a judgment about whether they need to disclose behaviors in screening.

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2017Personality change across the life span: Insights from a cross‐cultural, longitudinal study 2020HIV antiretroviral therapy and prevention use in US blood donors: a new blood safety concern 2015Blood donor deferral for men who have sex with men: the Blood Donation Rules Opinion Study (Blood DROPS)2017Residual risk of HIV, HCV and HBV in Canada 2020Donor screening question alternatives to men who have sex with men time deferral: Potential impact on donor deferral and discomfort 2021HIV incidence and compliance with deferral criteria over three progressively shorter time deferrals for men who have sex with men in Canada 2019Noncompliance with blood donor selection criteria ‐ Complidon 2017, France 2015Donor attention to reading materials

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