{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:06:01Z","timestamp":1747188361856,"version":"3.40.5"},"reference-count":48,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T00:00:00Z","timestamp":1686355200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T00:00:00Z","timestamp":1686355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015539","name":"Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015539","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["RG132750"],"award-info":[{"award-number":["RG132750"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["RG192651"],"award-info":[{"award-number":["RG192651"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In Australia, men who have sex with men (MSM) are deferred from blood donation for 3\u2009months from last sexual contact. Internationally, deferral policies for MSM are evolving in the direction of expanded inclusivity in response to community expectations. To inform future policy options, we assessed perceptions of the risk of HIV transmission from blood transfusion among Australian MSM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>Flux is an online prospective cohort of Australian gay and bisexual men (cis or trans, regardless of their sexual history) and other men who have had sex with men (gbMSM). We included questions on blood donation rules, window period (WP) duration, infectivity of blood from people with HIV on treatment and attitudes to more detailed questioning of sexual practices in the regular survey of Flux participants and conducted a descriptive analysis of responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 716 Flux participants in 2019, 703 responded to the blood donation questions. The mean age was 43.7\u2009years (SD 13.6\u2009years). Overall, 74% were willing to confidentially respond to specific sexual behavior questions, such as the last time they had sex and the type of sex they had, in order to be considered eligible to donate blood. The majority (92%) of participants correctly assessed the duration of the WP as less than 1\u2009month. When asked whether transfusion of blood from a donor with HIV and an undetectable viral load could transmit HIV, just under half (48%) correctly said yes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study suggests Australian gbMSM are generally comfortable with answering more detailed questions regarding sexual activity during the assessment to donate, indicating they would do so honestly. gbMSM are knowledgeable about the WP duration, important for their ability to correctly self\u2010assess their HIV risk. However, half of participants incorrectly assessed the transmissibility by blood transfusion from an HIV positive person with an undetectable viral load, suggesting the need for a targeted education campaign.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.17456","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T07:35:33Z","timestamp":1686382533000},"page":"1528-1537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perceived risk of <scp>HIV<\/scp> transmission by blood transfusion among gay, bisexual, and other men who have sex with men (<scp>gbMSM<\/scp>) in Australia"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3012-2530","authenticated-orcid":false,"given":"Luke","family":"Gahan","sequence":"first","affiliation":[{"name":"School of Humanities and Social Sciences, La Trobe University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0234-4507","authenticated-orcid":false,"given":"Clive R.","family":"Seed","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7952-7969","authenticated-orcid":false,"given":"Mohamed A.","family":"Hammoud","sequence":"additional","affiliation":[{"name":"Kirby Institute, Faculty of Medicine, UNSW Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3917-8992","authenticated-orcid":false,"given":"Garrett","family":"Prestage","sequence":"additional","affiliation":[{"name":"Kirby Institute, Faculty of Medicine, UNSW Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7827-3661","authenticated-orcid":false,"given":"Veronica C.","family":"Hoad","sequence":"additional","affiliation":[{"name":"Australian Red Cross Lifeblood  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Kaldor","sequence":"additional","affiliation":[{"name":"Kirby Institute, Faculty of Medicine, UNSW Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1537-2995.1996.361097017180.x"},{"volume-title":"Screening blood donors:science, reason, and the donor history questionnaire","year":"2007","author":"Kleinman S","key":"e_1_2_9_3_1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1423-0410.2011.01489.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2010.02793.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13033"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.16753"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2020007003"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15768"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13336"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.14445"},{"volume-title":"Review of Australian Blood Donor Deferrals relating to sexual activity","year":"2012","key":"e_1_2_9_12_1"},{"key":"e_1_2_9_13_1","unstructured":"Australian Red Cross Lifeblood.Sexual activity policy feedback [monograph on the internet].2021Available from:https:\/\/www.lifeblood.com.au\/blood\/eligibility\/sexual-activity\/sexual-activity-policy-feedback"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12623"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15706"},{"key":"e_1_2_9_16_1","unstructured":"US Department of Health and Human Services.Revised recommendations for reducing the risk of human immunodeficiency virus transmission by blood and blood products: guidance for industry. Available from:https:\/\/www.fda.gov\/regulatoryinformation\/search\u2010fda\u2010guidance\u2010documents\/revised\u2010recommendations\u2010reducing\u2010risk\u2010humanimmunodeficiency\u2010virus\u2010transmission\u2010blood\u2010andblood(2020). Accessed 11 Jan 2022."},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15677"},{"key":"e_1_2_9_18_1","unstructured":"New Zealand Blood Service.Detailed eligibility criteria [monograph on the internet].2022Available from:https:\/\/www.nzblood.co.nz\/become\u2010a\u2010donor\/am\u2010i\u2010eligible\/detailed\u2010eligibility\u2010criteria\/?filter=H#Homosexual"},{"key":"e_1_2_9_19_1","unstructured":"Finnish Red Cross Blood Service.Blood donation deferral period after sex between men to shorten to four months[monograph on the internet].2021. Available from:https:\/\/www.bloodservice.fi\/news\/blood\u2010donation\u2010deferral\u2010period\u2010after\u2010sex\u2010between\u2010men\u2010to\u2010shorten\u2010to\u2010four\u2010months"},{"key":"e_1_2_9_20_1","first-page":"441","article-title":"Changing blood donor screening criteria from permanent deferral for men who have sex with men to individual sexual 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_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12933"},{"key":"e_1_2_9_22_1","first-page":"3","volume-title":"Sanquin implements revised MSM deferral criteria ABC newsletter","author":"America's Blood Centers","year":"2021"},{"key":"e_1_2_9_23_1","unstructured":"Israel eases restrictions on blood donations by gay men. 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