{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:50:15Z","timestamp":1790697015767,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Blood donation deferral for men who have sex with men (MSM) in France was reduced from permanent to 12\u2009months in July 2016. To inform a further reduction of the deferral period, an HIV risk assessment was conducted with two scenarios: S1, 4\u2010month deferral; S2, 4\u2010month deferral only in the case of more than one sexual partner (i.e., similar to other blood donors).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Baseline HIV residual risk (RR) was calculated from July 2016 to December 2017, using the Incidence Rate\u2013Window Period method. The impact of both scenarios on RR was assessed using data from surveys on MSM and blood donors, to estimate 1) the number of additional MSM expected to donate in each scenario and 2) HIV incidence among these donors.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Baseline HIV RR was estimated at 1 in 6,380,000 donations. For S1, an additional 733 MSM donors, and an additional 0.09 HIV\u2010positive donations were estimated, yielding an unchanged RR of 1 in 6,300,000. For S2, these numbers were estimated at 3102 and 3.92, respectively, yielding an RR of 1 in 4,300,000. Sensitivity analyses showed that, under worst\u2010case assumptions, the RR would equal 1 in 6,225,000 donations for S1 and 1 in 3,000,000 for S2.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>For both scenarios, the HIV RR remains very low. For S1, the risk is identical to the baseline RR. For S2, it is 1.5 times higher, and sensitivity analysis shows that this estimate is less robust than for S1. The French Minister of Health announced that S1 will be implemented in April 2020.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.15677","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T11:58:31Z","timestamp":1580990311000},"page":"525-534","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["The evolving blood donor deferral policy for men who have sex with men: impact on the risk of HIV transmission by transfusion in France"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1350-776X","authenticated-orcid":false,"given":"Josiane","family":"Pillonel","sequence":"first","affiliation":[{"name":"Sant\u00e9 publique France Direction des Maladies Infectieuses  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Pelat","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France Direction Appui, Traitements et Analyses de donn\u00e9es  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Tiberghien","sequence":"additional","affiliation":[{"name":"Etablissement Fran\u00e7ais du Sang  La Plaine Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1664-9691","authenticated-orcid":false,"given":"Claire","family":"Sauvage","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France Direction des Maladies Infectieuses  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Danic","sequence":"additional","affiliation":[{"name":"Etablissement Fran\u00e7ais du Sang de Bretagne  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Martinaud","sequence":"additional","affiliation":[{"name":"Centre de Transfusion Sanguine des Arm\u00e9es  Clamart France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Barin","sequence":"additional","affiliation":[{"name":"CHU Bretonneau &amp; Universit\u00e9 Fran\u00e7ois Rabelais Centre National de R\u00e9f\u00e9rence du VIH\u2010Laboratoire associ\u00e9, Inserm U1259  Tours France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Sainte\u2010Marie","sequence":"additional","affiliation":[{"name":"Agence Nationale de S\u00e9curit\u00e9 du M\u00e9dicament et des produits de sant\u00e9  Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Coignard","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France Direction des Maladies Infectieuses  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"Gross","sequence":"additional","affiliation":[{"name":"Etablissement Fran\u00e7ais du Sang  La Plaine Saint\u2010Denis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syria","family":"Laperche","sequence":"additional","affiliation":[{"name":"Centre National de R\u00e9f\u00e9rence Risques Infectieux Transfusionnels Institut National de Transfusion Sanguine (INTS)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Lot","sequence":"additional","affiliation":[{"name":"Sant\u00e9 publique France Direction des Maladies Infectieuses  Saint\u2010Maurice France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12623"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1700740"},{"key":"e_1_2_9_4_1","volume-title":"Bilan sur le respect des crit\u00e8res de s\u00e9lection des donneurs de sang deux ans apr\u00e8s leur modification","author":"Pillonel J","year":"2018"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15623"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199606273342601"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.43.9.4441-4447.2005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2008.01739.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2004.04215.x"},{"key":"e_1_2_9_10_1","volume-title":"Genre et sexualit\u00e9. 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