{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T19:09:25Z","timestamp":1785784165570,"version":"3.56.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T00:00:00Z","timestamp":1701475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In many countries, sexually active gay, bisexual and other men who have sex with men (gbMSM) continue to be screened based on their sex or gender\u00a0and the sex or gender of their sexual partner. However, there is growing support that screening based on specific sexual behaviors that pose risk of transfusion transmissible infection is a better approach to donor screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>This paper reports results from Phase 1 (qualitative) of a mixed\u2010methods study on Canadian blood and plasma donors' views on expanding eligibility for gbMSM by changing to sexual behavior\u2010based screening. Semistructured interview data with 40 donors (whole blood\u2009=\u200920, plasma\u2009=\u200920; male\u2009=\u200921, female\u2009=\u200918, nonbinary\u2009=\u20091; mean age\u2009=\u200946.2; 10% participation rate) in Canada were analyzed using a thematic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All participants, except one, supported the change as they anticipated that at least one of three outcomes would be achieved: increasing blood supply, enhancing equity, and improving or maintaining the safety of blood supply. One donor who was more skeptical of the change questioned the scientific evidence for the change and indicated mistrust of state institutions. The discussion considers implications for blood operators' communication strategies that can be used to reduce donor discomfort with the changes to donor screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a nonrandom, purposive sample of 40 Canadian blood and plasma donors, most participants held favorable views regarding expanding the eligibility of gbMSM donors based on sexual risk behavior. Understanding donors' views on increasing eligibility may inform Canadian Blood Services and other blood operators as they develop their communications plans.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.17606","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T19:43:16Z","timestamp":1701546196000},"page":"85-92","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Qualitative analysis of <scp>Canadian<\/scp> blood and plasma donors' views on expanding donor screening eligibility for gay, bisexual, and other men who have sex with men"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5871-9881","authenticated-orcid":false,"given":"Hyunjin","family":"Woo","sequence":"first","affiliation":[{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Western University  London Ontario Canada"},{"name":"Department of Psychology Western University  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Kohut","sequence":"additional","affiliation":[{"name":"Department of Psychology Western University  London Ontario Canada"},{"name":"Institut de Recherche en Sciences Psychologiques Universit\u00e9 Catholique de Louvain  Louvain\u2010La\u2010Neuve Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennie","family":"Haw","sequence":"additional","affiliation":[{"name":"Donation Policy and Studies, Canadian Blood Services  Ottawa Ontario Canada"},{"name":"Department of Health Sciences Carleton University  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538720.2016.1261385"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41271-016-0032-1"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12892"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13443"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12623"},{"key":"e_1_2_10_7_1","unstructured":"Canadian Blood Services.Sexual behaviour\u2010based screening. Available from:https:\/\/www.blood.ca\/en\/blood\/am-i-eligible-donate-blood\/sexual-behaviour-based-screening(2022). Accessed 21 Oct 2022."},{"key":"e_1_2_10_8_1","volume-title":"Recommendations for evaluating donor eligibility using individual risk\u2010based questions to reduce the risk of human immunodeficiency virus transmission by blood and blood products: draft guidance for industry","author":"FDA","year":"2023"},{"key":"e_1_2_10_9_1","unstructured":"NHS Blood and Transplant.Men who have sex with men (MSM). Available from:https:\/\/www.blood.co.uk\/who-can-give-blood\/men-who-have-sex-with-men\/Accessed 25 Apr 2022."},{"key":"e_1_2_10_10_1","unstructured":"KelleherP.Dutch blood bank expecting hundreds more donors as it allows queer men to come forward. Available from:https:\/\/www.pinknews.co.uk\/2021\/09\/01\/netherlands-gay-bisexual-blood-donation\/(2021). Accessed 25 Apr 2022."},{"key":"e_1_2_10_11_1","unstructured":"AnarteE.Germany to ease rules on gay and bisexual men donating blood. Available from:https:\/\/www.reuters.com\/article\/us-germany-lgbt-health-trfn-idUSKCN2E520Y\/(2021). 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Available from:https:\/\/www.canada.ca\/en\/public\u2010health\/services\/publications\/diseases\u2010conditions\/summary\u2010estimates\u2010hiv\u2010incidence\u2010prevalence\u2010canadas\u2010progress\u201090\u201090\u201090.html#s11(2020). 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