{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T06:37:34Z","timestamp":1784875054529,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","award":["20\/887"],"award-info":[{"award-number":["20\/887"]}],"id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001504","name":"Ministry of Health, New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001504","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vox Sanguinis"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>As blood donor deferral policies in many countries transition from blanket time\u2010based approaches towards individualized risk\u2010based approaches, blood services need to understand whether and why men who have sex with men (MSM) intend to donate blood. Such knowledge can help blood services develop communication strategies with a population they have historically excluded. We examined why MSM in New Zealand (NZ) intended or not to donate blood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>In a large and diverse NZ online human immunodeficiency virus behavioural surveillance survey (<jats:italic>n<\/jats:italic>\u2009=\u20093838), we asked participants: \u2018In your own words, please tell us why you intend to or don't intend to donate blood in the future?\u2019 We interpreted 2363 responses by MSM using reflexive thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We constructed four themes to explain why MSM intend to donate blood: (1) helping out by donating blood, (2) donor ineligibility and hesitancy, (3) considerations of individual and collective risk and (4) discrimination, exclusion, frustration and resentment. Our study showed that whether or not MSM in NZ assessed blanket deferral policies as discriminatory, many MSM in NZ were altruistically and civically motivated to donate blood. Some MSM were reluctant to donate because they were resentful or mistrustful of the New Zealand Blood Service (NZBS) or believed that donating blood was inconsistent with their indigenous values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Further research is required to enhance communication, improve MSM's understanding of the donation process and residual risks and accommodate the cultural values of prospective indigenous donors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vox.70043","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T21:08:56Z","timestamp":1747084136000},"page":"664-670","source":"Crossref","is-referenced-by-count":4,"title":["Why men who have sex with men in New Zealand intend to donate or not donate blood"],"prefix":"10.1111","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0673-9263","authenticated-orcid":false,"given":"Carl","family":"Webber","sequence":"first","affiliation":[{"name":"School of Population Health, University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1027-5182","authenticated-orcid":false,"given":"Koson Tony","family":"Sriamporn","sequence":"additional","affiliation":[{"name":"School of Population Health, University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2999-4737","authenticated-orcid":false,"given":"Sarah L.","family":"Morley","sequence":"additional","affiliation":[{"name":"New Zealand Blood Service  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Ritchie","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke M.","family":"Hollingshead","sequence":"additional","affiliation":[{"name":"Burnett Foundation Aotearoa  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"McAllister","sequence":"additional","affiliation":[{"name":"AIDS Epidemiology Group, Department of Preventive and Social Medicine University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Priest","sequence":"additional","affiliation":[{"name":"AIDS Epidemiology Group, Department of Preventive and Social Medicine University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Fisher","sequence":"additional","affiliation":[{"name":"Body Positive Inc.  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Saxton","sequence":"additional","affiliation":[{"name":"School of Population Health, University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.15768"},{"key":"e_1_2_9_3_1","volume-title":"SPOTS blood donation community report","author":"Saxton P","year":"2024"},{"key":"e_1_2_9_4_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. Last accessed 26 Nov 2024."},{"key":"e_1_2_9_5_1","unstructured":"NHS Blood and Transplant.Blood Safety: Donor and Patient Safety is Very Important to Us. Available from:https:\/\/www.blood.co.uk\/the-donation-process\/further-information\/your-safety\/. 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