{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T13:10:30Z","timestamp":1769692230029,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T00:00:00Z","timestamp":1606867200000},"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":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alternative screening questions could permit low\u2010risk men who have sex with men (MSM) to donate blood without a time deferral. We performed a study to determine the proportion of current donors who may be deferred by various questions and their comfort with them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>Donors attending collection sites in Canada in January and February 2018 were offered one of two questionnaires but not both. Questionnaire 1 asked about risk behaviors; Questionnaire 2 rated comfort with the questions. Volunteers uncomfortable with questions participated in short qualitative telephone interviews to understand reasons. Quantitative data were analyzed using <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 36\u2009241 donors attending, 31\u2009904 (88%, Period 1) completed Questionnaire 1; of 34\u2009947, a total of 30\u2009278 (87%, Period 2) completed Questionnaire 2; 294 completed an interview. In the past 3\u2009months 3.1% (95% confidence interval [CI], 3.1%\u20103.6%) had more than one partner; 6.0% (95% CI, 5.7%\u20106.2%) had a new partner; 6.7% (95% CI, 6.4%\u20106.9%) were in a nonexclusive relationship; 11.2% (95% CI, 10.9%\u201011.6%) had at least one of these; 3.7% (95% CI, 3.4%\u20103.9%) had anal sex; and 62.8% (95% CI, 62.2%\u201063.3%) had condomless sex. More than 6% were uncomfortable with each question, but more (17.2%; 95% CI, 16.8%\u201017.7%) were uncomfortable with anal sex. Key reasons for discomfort were questions being too personal and unclear safety benefit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most donors are comfortable answering alternative questions (except very personal ones) but question the benefit. Implementing alternative questions would result in substantive deferrals. Other policies such as using an MSM capture question to ask additional questions only to MSM should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.16165","type":"journal-article","created":{"date-parts":[[2020,12,2]],"date-time":"2020-12-02T23:04:49Z","timestamp":1606950289000},"page":"94-101","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Donor screening question alternatives to men who have sex with men time deferral: Potential impact on donor deferral and discomfort"],"prefix":"10.1111","volume":"61","author":[{"given":"Sheila F.","family":"O'Brien","sequence":"first","affiliation":[{"name":"Canadian Blood Services  Ottawa Ontario Canada"},{"name":"School of Epidemiology, Public Health and Preventive Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9904-9952","authenticated-orcid":false,"given":"Mindy","family":"Goldman","sequence":"additional","affiliation":[{"name":"Canadian Blood Services  Ottawa Ontario Canada"},{"name":"Department of Pathology &amp; Laboratory Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Robillard","sequence":"additional","affiliation":[{"name":"H\u00e9ma\u2010Qu\u00e9bec  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Osmond","sequence":"additional","affiliation":[{"name":"Canadian Blood Services  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevi\u00e8ve","family":"Myhal","sequence":"additional","affiliation":[{"name":"H\u00e9ma\u2010Qu\u00e9bec  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9lise","family":"Roy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences Sherbrooke University  Longueuil Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15098"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12826"},{"key":"e_1_2_8_4_1","first-page":"441","article-title":"Changing blood donor screening criteria from permanent deferral for men who have sex with men to individual risk assessment: no evidence of a significant impact on the human immunodeficiency virus epidemic in Italy","volume":"11","author":"Suligoi B","year":"2013","journal-title":"Blood Transfus"},{"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","unstructured":"Canadian Blood Services.MSM research program.https:\/\/www.blood.ca\/en\/blood\/am\u2010i\u2010eligible\/men\u2010who\u2010have\u2010sex\u2010men\/knowledge\u2010synthesis\u2010interim\u2010report. Accessed August 7 2020."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7123-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2006.00744.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15155"},{"key":"e_1_2_8_10_1","unstructured":"Catie.The epidemiology of HIV in gay bisexual and other men who have sex with men.https:\/\/www.catie.ca\/en\/fact\u2010sheets\/epidemiology\/epidemiology\u2010hiv\u2010gay\u2010men\u2010and\u2010other\u2010men\u2010who\u2010have\u2010sex\u2010men. Accessed on August 6 2020."},{"key":"e_1_2_8_11_1","unstructured":"Public Health Agency of Canada.Summary: Estimates of HIV incidence prevalence and Canada's progress on meeting the 90\u201090\u201090 HIV targets 2016.https:\/\/www.canada.ca\/en\/public\u2010health\/services\/publications\/diseases\u2010conditions\/summary\u2010estimates\u2010hiv\u2010incidence\u2010prevalence\u2010canadas\u2010progress\u201090\u201090\u201090.html. Accessed August 7 2020."},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3148.2012.01184.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2020006890"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12328"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13587"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/tme.12225"},{"key":"e_1_2_8_17_1","unstructured":"FAIR Steering Group.The work of the FAIR (For the assessment of individualized risk assessment) Steering Group.https:\/\/www.scotblood.co.uk\/media\/2343\/fair_position-statement_final.pdf. Accessed August 7 2020."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12975"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15677"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12827"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12766"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.16165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/trf.16165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.16165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T11:55:19Z","timestamp":1693655719000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.16165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,2]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1111\/trf.16165"],"URL":"https:\/\/doi.org\/10.1111\/trf.16165","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,2]]},"assertion":[{"value":"2020-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}