{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T15:49:00Z","timestamp":1773157740998,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,6,28]],"date-time":"2016-06-28T00:00:00Z","timestamp":1467072000000},"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":[[2016,8]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Differences in motivating factors that contribute to the decision to donate blood between infected and uninfected donors may help to identify areas for improving donor education.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND METHODS<\/jats:title><jats:p>As part of a risk factor study, confirmed\u2010positive donors (cases) based on serology\u2010only (human T\u2010lymphotropic virus [HTLV]) or serology and nucleic acid testing (NAT) or NAT\u2010only (human immunodeficiency virus [HIV], hepatitis B virus [HBV], hepatitis C virus [HCV]), and serology\u2010unconfirmed, NAT\u2010negative false\u2010positive donors (controls) were asked about motivations and opinions toward blood donation. \u201cTest seeking\u201d was inferred if a donor answered \u201cyes\u201d to \u201cI wanted to get my test results\u201d and one of the following: \u201cblood center testing is confidential,\u201d \u201cfree,\u201d \u201cmore accurate than other test centers,\u201d or \u201ctests will identify problems with my blood.\u201d Cases were compared to controls using descriptive and multivariable analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Whether a case or control, the most common donation reason was \u201cto help someone in need\u201d (&gt;90% in each group). After adjusting for demographic characteristics, test seeking was not significantly associated with infection status. Test seeking was more common in first\u2010time, younger males and nonwhite, non\u2010Hispanic donors. Of donors with HIV, 13% considered selection policies to be unfair, compared with 1, 2, 0.5, and 6% of donors with HBV, HCV, and HTLV and controls, respectively (adjusted odds ratio for HIV cases vs. controls, 3.9; 95% confidence interval, 2.3\u20106.7).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Most donors give to help those in need, including HIV\u2010positive donors. Our results establish a baseline from which additional studies can be compared focused on alternate ways to reduce noncompliance and improved messaging to ensure that high\u2010risk potential donors understand the reasons for blood donor screening policies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.13678","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T10:00:52Z","timestamp":1467194452000},"page":"2013-2020","source":"Crossref","is-referenced-by-count":21,"title":["Motivations for donating and attitudes toward screening policies in US blood donors with viral infection"],"prefix":"10.1111","volume":"56","author":[{"given":"Farnaz","family":"Vahidnia","sequence":"first","affiliation":[{"name":"Blood Systems Research Institute San Francisco California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan L.","family":"Stramer","sequence":"additional","affiliation":[{"name":"American Red Cross Gaithersburg 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