{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T23:29:44Z","timestamp":1776986984198,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In September 2022, Canadian Blood Services replaced the time\u2010based deferral for gay and bisexual men who have sex with men (gbMSM) with sexual behavior\u2010based questions. All donors who had sex with a new partner or &gt;1 partner in the last 3\u2009months and anal sex were deferred, permitting gbMSM with one regular partner to donate. We aimed to measure compliance with the new criteria post\u2010implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design and Methods<\/jats:title><jats:p>Pre\u2010implementation 42,999; post\u2010implementation 41,157 donors were invited to complete an anonymous online sexual risks survey. Results were weighted reflecting the donor base age, sex, and geography base. Frequencies and 95% confidence intervals were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 13,159 donors participated pre\u2010implementation (33% participation, 6532 females and 6627 males of whom 183 had ever had sex with another man (gbMSM)); post\u2010implementation 11,217 donors (28% participation, 5253 females and 5964 males of whom 188 were gbMSM). Pre\u2010implementation 9.3% (4.3%\u201314.2%) gbMSM had a new or &gt;1 partner and anal sex in the last 3\u2009months (all ineligible), similar to post\u2010implementation when some were eligible (8.9%, 4.1%\u201313.8%, <jats:italic>p<\/jats:italic>\u2009&gt;\u2009.05). There was no difference between pre\u2010 and post\u2010implementation for non\u2010gbMSM males (pre\u2010 0.7%, 0.5%\u20131.0% vs. post\u20100.7%, 0.4\u20130.9) and females (pre\u2010 0.8%, 0.6%\u20131.0% vs. post\u20100.6%, 0.4\u20130.8%) (<jats:italic>p<\/jats:italic>\u2009&gt;\u2009.05). The estimated non\u2010compliance of those with deferrable behavior was 87% (79%\u201393%). Most donors reported being comfortable with the new questions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The majority of donors with deferrable sexual behaviors failed to disclose post\u2010implementation. Donors may make a judgment about whether they need to disclose behaviors in screening.<\/jats:p><\/jats:sec>","DOI":"10.1111\/trf.18302","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T01:05:43Z","timestamp":1750122343000},"page":"1451-1459","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Compliance with gender\u2010neutral sexual behavior\u2010based blood donor screening questions"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5332-2789","authenticated-orcid":false,"given":"Sheila F.","family":"O'Brien","sequence":"first","affiliation":[{"name":"Epidemiology &amp; Surveillance Canadian Blood Services  Ottawa Ontario Canada"},{"name":"School of Epidemiology &amp; Public Health University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Osmond","sequence":"additional","affiliation":[{"name":"Epidemiology &amp; Surveillance Canadian Blood Services  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":"Donation and Policy Studies Canadian Blood Services  Ottawa Ontario Canada"},{"name":"Department of Pathology &amp; Laboratory Medicine University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.16753"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13443"},{"key":"e_1_2_8_4_1","unstructured":"FAIR Steering group.Can donor selection policy move from a population\u2010based selection policy to one based on a more individualized risk assessment? Conclusions from the For the Assessment of Individualized Risk (FAIR) group. Accessed February 11 2025https:\/\/nhsbtdbe.blob.core.windows.net\/umbraco-assets-corp\/21001\/fair_sabto_20201211.pdf"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.17878"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/tme.12888"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tracli.2022.06.001"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.16165"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tracli.2022.07.001"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15623"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13587"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transci.2017.03.010"},{"key":"e_1_2_8_13_1","unstructured":"Canadian Blood Services.Surveillance Report 2023. Accessed February 11 2025https:\/\/www.blood.ca\/en\/about-us\/our-organization\/reports-and-publications#Reports"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jopy.12332"},{"key":"e_1_2_8_15_1","first-page":"141","article-title":"Are donors in Canada compliant with deferral for tattoos and piercing?","volume":"12","author":"O'Brien SF","year":"2014","journal-title":"Blood Transfus"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12976"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.13033"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13247"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood.2020006890"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.12298"}],"container-title":["Transfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/trf.18302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T07:36:44Z","timestamp":1754293004000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/trf.18302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,16]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/trf.18302"],"URL":"https:\/\/doi.org\/10.1111\/trf.18302","archive":["Portico"],"relation":{},"ISSN":["0041-1132","1537-2995"],"issn-type":[{"value":"0041-1132","type":"print"},{"value":"1537-2995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,16]]},"assertion":[{"value":"2025-03-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}