{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T17:44:22Z","timestamp":1789062262138,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"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":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The two Canadian blood suppliers, Canadian Blood Services and H\u00e9ma\u2010Qu\u00e9bec, removed the time\u2010based deferral for men who have sex with men and adopted criteria assessing sexual risk behaviors. We report the impact of these changes on the safety and adequacy of the Canadian blood supply.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>Since 2022, all donors are asked if (1) they have had a new partner and (2) more than one sexual partner in the last 3\u2009months. Donors answering yes to either question are asked if they had anal sex in the last 3\u2009months; if yes, they are deferred for 3\u2009months. We followed HIV rates for the 18\u2009months before and 14 (H\u00e9ma\u2010Qu\u00e9bec) or 18\u2009months (Canadian Blood Services) post\u2010implementation and interviewed HIV\u2010positive whole blood donors. We assessed the number and characteristics of whole blood donors answering yes to the two first questions with or without deferral.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were four HIV\u2010positive donations out of 1,492,355 donations pre\u2010implementation and four out of 1,447,772 post\u2010implementation (0.27\/100,000 vs. 0.28\/100,000, <jats:italic>p<\/jats:italic>\u2009=\u20091.00). Post\u2010implementation, one HIV\u2010positive donor was non\u2010compliant with multiple criteria, no risk factors were identified in the others. 3.2% of donors answered yes to questions (1) and\/or (2); 0.17% were deferred for a new partner and\/or more than one partner and anal sex. Deferral rates were highest in first time, younger donors, and similar in males and females.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation of sexual risk behavior donor screening resulted in unchanged HIV rates to date and a manageable deferral rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.17878","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T10:38:49Z","timestamp":1715942329000},"page":"1254-1261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Implementation of sexual risk behavior donor screening in Canada"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9904-9952","authenticated-orcid":false,"given":"Mindy","family":"Goldman","sequence":"first","affiliation":[{"name":"Medical Affairs and Innovation Canadian Blood Services  Ottawa Ontario Canada"},{"name":"Department of Pathology &amp; Laboratory Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1748-4198","authenticated-orcid":false,"given":"Antoine","family":"Lewin","sequence":"additional","affiliation":[{"name":"Medical Affairs and Innovation H\u00e9ma\u2010Qu\u00e9bec  Saint\u2010Laurent Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Renaud","sequence":"additional","affiliation":[{"name":"Medical Affairs and Innovation H\u00e9ma\u2010Qu\u00e9bec  Saint\u2010Laurent Qu\u00e9bec Canada"},{"name":"Department of Microbiology, Infectious Diseases and Immunology University of Montreal  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5332-2789","authenticated-orcid":false,"given":"Sheila F.","family":"O'Brien","sequence":"additional","affiliation":[{"name":"Medical Affairs and Innovation Canadian Blood Services  Ottawa Ontario Canada"},{"name":"School of Epidemiology and Public Health University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12592"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.17164"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13277"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.16753"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.17398"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12623"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13443"},{"key":"e_1_2_7_9_1","unstructured":"FAIR.Can donor selection policy move from a population\u2010based donor selection policy to one based on a more individualised risk assessment? Conclusions from the For the Assessment of Individualised Risk (FAIR) group.2020Available at:https:\/\/nhsbtdbe.blob.core.windows.net\/umbraco\u2010assets\u2010corp\/21001\/fair_sabto_20201211.pdf. [Accessed 21 August 2023]"},{"key":"e_1_2_7_10_1","unstructured":"Canadian Blood Services Donor Questionnaire. Available at:https:\/\/www.blood.ca\/en\/blood\/donating\u2010blood\/donor\u2010questionnaire. [Accessed 21 August 2023]"},{"key":"e_1_2_7_11_1","unstructured":"H\u00e9ma\u2010Qu\u00e9bec Donor Screening Questionnaire. Available at:https:\/\/www.Hema-Quebec.qc.ca\/userfiles\/file\/media\/anglais\/stemcells\/ENR-01763.pdf. [Accessed 21 August 2023]"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tracli.2022.06.001"},{"key":"e_1_2_7_13_1","unstructured":"Safe supplies 2021: FAIRer donor selection. NHS Blood and Transplant. Available at:https:\/\/nhsbtdbe.blob.core.windows.net\/umbraco\u2010assets\u2010corp\/27793\/annual\u2010review\u2010with\u2010a4\u2010infographics\u2010final\u2010accessible\u2010features\u2010v3.pdf. 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