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A mixed methods investigation of the relationship between blood donor policy, interest in donation, and willingness to donate among gay, bisexual, and other men who have sex with men in Ontario, Canada

Armstrong, J P ; Brennan, David J ; Collict, David ; Kesler, Maya ; Bekele, Tsegaye ; Souleymanov, Rusty ; Grace, Daniel ; Lachowsky, Nathan J ; Hart, Trevor A ; Adam, Barry D

BMC public health, 2022-04, Vol.22 (1), p.849-849, Article 849 [Periódico revisado por pares]

England: BioMed Central Ltd

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A mixed methods investigation of the relationship between blood donor policy, interest in donation, and willingness to donate among gay, bisexual, and other men who have sex with men in Ontario, Canada
Autor: Armstrong, J P ; Brennan, David J ; Collict, David ; Kesler, Maya ; Bekele, Tsegaye ; Souleymanov, Rusty ; Grace, Daniel ; Lachowsky, Nathan J ; Hart, Trevor A ; Adam, Barry D
Assuntos: Acquired immune deficiency syndrome ; AIDS ; Anal sex ; Analysis ; Bisexuality ; Blood ; Blood & organ donations ; Blood donation ; Blood Donors ; Canada ; Clinics ; Data collection ; Diversity training ; Education ; Female ; Gay, bisexual, and other men who have sex with men ; Gays & lesbians ; Gender ; Gender aspects ; Gender Identity ; Health aspects ; HIV ; Homosexuality ; Homosexuality, Male ; Human immunodeficiency virus ; Humans ; Interviews ; Male ; Medical tests ; Men ; Men who have sex with men ; Mens health ; Methods ; Mixed methods ; Mixed methods research ; MSM (Men who have sex with men) ; Ontario ; Operators ; Policies ; Policy ; Public health ; Questionnaires ; Sexual and Gender Minorities ; Sexual Behavior ; Sexual orientation ; Sexuality ; Social aspects ; Sociodemographics
É parte de: BMC public health, 2022-04, Vol.22 (1), p.849-849, Article 849
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: As of 2019, men who have sex with men (MSM) in Canada are ineligible to donate blood if they have had oral or anal sex with another man in the last 3 months. Deferral policies targeting MSM are largely interpreted as unjust by gay, bisexual, and other men who have sex with men (GBMSM) - shaping their desire to donate blood and engage with blood operators. This mixed methods study explores interest in blood donation among GBMSM as well as willingness (and eligibility) to donate under four different deferral policies. We surveyed 447 GBMSM who were recruited from the Ontario-wide #iCruise study. Participants were asked whether they were interested in blood donation and if they were willing to donate under each of our four deferral policies. We also completed interviews with 31 of these GBMSM. Participants were asked to describe their feelings about blood donation, their views on our different deferral policies, the impact of a policy change, as well as other means of redress. Most participants (69%) indicated that they were interested in donating blood. Despite this, an interpretation of the MSM deferral policy as discriminatory was common among all participants. Our mixed methods findings indicate that, among those who were interested in blood donation, the adoption of one of the alternative policies presented in this study (specifically Policy 2 or Policy 3) would significantly increase the number of participants willing to donate and be viewed as "a step in the right direction." However, many participants who were not interested in blood donation argued that a gender-neutral deferral policy would need to be implemented for them to donate. Participants recommended that blood operators consider efforts to repair relations with GBMSM beyond policy change, including pop-up clinics in predominantly queer areas and diversity sensitivity training for staff. We argue that the most impactful policy shift would be the implementation of an individual risk-based deferral policy that is applied to all donors regardless of sexual orientation or gender identity. However, given MSM's historical exclusion from blood donations, blood operators should pair this policy shift with community relationship-building efforts.
Editor: England: BioMed Central Ltd
Idioma: Inglês

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A mixed methods investigation of the relationship between blood donor policy, interest in donation, and willingness to donate among gay, bisexual, and other men who have sex with men in Ontario, Canada

Armstrong, J P ; Brennan, David J ; Collict, David ; Kesler, Maya ; Bekele, Tsegaye ; Souleymanov, Rusty ; Grace, Daniel ; Lachowsky, Nathan J ; Hart, Trevor A ; Adam, Barry D

England: BioMed Central Ltd

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