{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T04:24:06Z","timestamp":1777004646721,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,4,6]],"date-time":"2015-04-06T00:00:00Z","timestamp":1428278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Hong Kong Red Cross Blood Transfusion Service and the Li Ka Shing Institute of Health Science"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>To date, most studies on deferral of blood donors have focused on men who have sex with men (MSM) and\/or injecting drug users. Few have examined deferrable risk behaviors relating to transfusion\u2010transmissible infections (TTIs) in general. This study aimed to examine the prevalence of, and factors associated with, nondisclosure of TTI\u2010related risk behaviors in donors.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND METHODS<\/jats:title><jats:p>Chinese\u2010speaking donors who had just given blood in Hong Kong were invited to self\u2010complete an anonymous questionnaire. Practices of one or more of seven deferrable risk behaviors associated with TTI were inquired. Factors associated with noncompliance with self\u2010disclosure were evaluated by logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Over a 4\u2010week study period in 2012, a total of 1143 donors were recruited. Overall, 0.2% gave a history of drug injection, 1.7% had had sex with sex worker(s), and 0.3% had had sex with a human immunodeficiency virus\u2013infected partner, while none had been paid for sex. Some 1.5% of male donors reported having same\u2010sex behaviors. Factors associated with noncompliance were male gender (odds ratio [OR] 31.1; 95% confidence interval [CI], 3.7\u2010263.6), having multiple sex partners (OR, 89.7; 95% CI, 28.7\u2010279.9), and previous history of temporary deferral (OR, 11.4; 95% CI, 2.5\u201053.3). If suspected noncompliance was included, the overall prevalence of nondisclosure of deferrable behaviors could be high at 6.5%.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Albeit uncommon, some donors fail to provide accurate answers to predonation screening questions and are not deferred appropriately. There is room for improvement to make deferral policy acceptable and understandable, so as to minimize the risk of TTI. Efforts are also needed to tackle the paucity of data on noncompliance of non\u2010MSM donors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.13106","type":"journal-article","created":{"date-parts":[[2015,4,6]],"date-time":"2015-04-06T06:43:31Z","timestamp":1428302611000},"page":"2175-2183","source":"Crossref","is-referenced-by-count":21,"title":["Failure of self\u2010disclosure of deferrable risk behaviors associated with transfusion\u2010transmissible infections in blood donors"],"prefix":"10.1111","volume":"55","author":[{"given":"Horas Tze Hoo","family":"Wong","sequence":"first","affiliation":[{"name":"Stanley Ho Centre for Emerging Infectious Diseases the Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shui Shan","family":"Lee","sequence":"additional","affiliation":[{"name":"Stanley Ho Centre for Emerging Infectious Diseases the Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheuk\u2010Kwong","family":"Lee","sequence":"additional","affiliation":[{"name":"Hong Kong Red Cross Blood Transfusion Service  Kowloon Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise Pui Chung","family":"Chan","sequence":"additional","affiliation":[{"name":"Stanley Ho Centre for Emerging Infectious Diseases the Chinese University of Hong Kong Shatin Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2004.04215.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2007.09.002"},{"key":"e_1_2_8_4_1","first-page":"1335","article-title":"HIV transmission through transfusion\u2014Missouri and Colorado, 2008","volume":"59","author":"Centers for Disease Control and Prevention (CDC).","year":"2010","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1423-0410.2011.01489.x"},{"key":"e_1_2_8_6_1","first-page":"958967","article-title":"Community\u2010based surveys for determining the prevalence of HIV, chlamydia, and gonorrhoea in men having sex with men in Hong Kong","volume":"2013","author":"Wong HT","year":"2013","journal-title":"J Sex Transm Dis"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000163929.84154.87"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2009.03.004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-10-290"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12554"},{"key":"e_1_2_8_11_1","volume-title":"UK Department of Health. 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