{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T09:36:10Z","timestamp":1758706570669},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,3,22]],"date-time":"2013-03-22T00:00:00Z","timestamp":1363910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Human immunodeficiency virus (<jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>) risk factor screening among blood donors remains a cornerstone for the safety of blood supply and is dependent on prospective donor self\u2010disclosure and an attentive predonation interview. Audio computer\u2010assisted structured interview (<jats:styled-content style=\"fixed-case\">ACASI<\/jats:styled-content>) has been shown to increase self\u2010reporting of risk behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>This cross\u2010sectional study was conducted between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2009 and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2011 at four <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>razilian blood centers to identify the population of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative eligible blood donors that answered face\u2010to\u2010face interviews without disclosing risks, but subsequently disclosed deferrable risk factors by <jats:styled-content style=\"fixed-case\">ACASI<\/jats:styled-content>. Compared to the donor interview, the <jats:styled-content style=\"fixed-case\">ACASI<\/jats:styled-content> contained expanded content on demographics, sexual behavior, and other <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> risk factors questions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 901 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative blood donors were interviewed. On the <jats:styled-content style=\"fixed-case\">ACASI<\/jats:styled-content>, 13% of donors (n\u2009=\u2009120) declared a risk factor that would have resulted in deferral that was not disclosed during the face\u2010to\u2010face assessment. The main risk factors identified were recent unprotected sex with an unknown or irregular partner (49 donors), sex with a person with exposure to blood or fluids (26 donors), multiple sexual partners (19 donors), and male\u2013male sexual behavior (10 donors). Independent factors associated with the disclosure of any risk factor for <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> were age (\u226540 years vs. 18\u201025 years; adjusted odds ratio [AOR],\u20090.45; 95% confidence interval [CI], 0.23\u20100.88) and blood center (<jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>emope vs. <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>emominas; <jats:styled-content style=\"fixed-case\">AOR<\/jats:styled-content>,\u20092.51; 95% CI, 1.42\u20104.44).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">ACASI<\/jats:styled-content> elicited increased disclosure of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> risk factors among blood donors. <jats:styled-content style=\"fixed-case\">ACASI<\/jats:styled-content> may be a valuable modality of interview to be introduced in Brazilian blood banks.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.12166","type":"journal-article","created":{"date-parts":[[2013,3,23]],"date-time":"2013-03-23T02:31:43Z","timestamp":1364005903000},"page":"2734-2743","source":"Crossref","is-referenced-by-count":29,"title":["Undisclosed human immunodeficiency virus risk factors identified through a computer\u2010based questionnaire program among blood donors in <scp>B<\/scp>razil"],"prefix":"10.1111","volume":"53","author":[{"given":"Paula Fraiman","family":"Blatyta","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Pr\u00f3\u2010Sangue Hemocentro de S\u00e3o Paulo  S\u00e3o Paulo SP Brazil"},{"name":"Blood Systems Research Institute  San Francisco California"},{"name":"Westat  Rockville Maryland"},{"name":"Funda\u00e7\u00e3o Hemorio  Rio de Janeiro RJ Brazil"},{"name":"Funda\u00e7\u00e3o Hemope  Recife PE 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