面对性别不合规捐赠者的挑战:一个血液中心的三年经验
Vanessa Reynolds1, Nancy L Van Buren1, Jed B Gorlin1
1Innovative Blood Resources, Division of New York Blood Center, Physician Services, Saint Paul, Minnesota, USA.
Transfusion
|June 2, 2023
概括
在捐赠者历史问卷 (DHQ) 中提供扩展的性别选项可以提高对性别不符合的献血者的包容性. 这一变化支持了一个多元化的捐赠者池,其回报率与 cisgender 捐赠者相比较.
科学领域:
- 血液银行和输血医学.
- 公共卫生和包容性.
- 健康社会学和人口统计学.
背景情况:
- 传统上,血液中心组织 (BCO) 在捐赠者历史问卷 (DHQ) 上使用二元性别选项 (男性/女性).
- 一个BCO在DHQ上实施了额外的性别选择,以改善性别不符合捐赠者的体验.
研究的目的:
- 评估扩大性别选项对献血者人口结构,延期和传染病率的影响.
- 评估跨性别者和其他不符合性别的个人的包容性和捐赠者回报率.
主要方法:
- 对2019年3月至2022年3月献血数据的分析.
- 按性别类别 (男性/女性与跨性别/其他) 和一代 (Z世代,千一代,X世代,婴儿潮一代,沉默) 的捐赠者的分层.
- 评估首次捐赠者身份,捐赠者推迟和传染病标志物率.
主要成果:
- 跨/其他 (T/O) 捐赠者占所有捐赠者的0.22%,主要是Z世代和千一代.
- 首次捐献者返回率相似:男性/女性 (M/F) 的36.75%和T/O的33.84%.
- T/O捐赠者对高风险DHQ的延期率较高 (6.38%对0.57%) 但对于疾病标志物的延期率较低 (0.41%对0.56%).
结论:
- 在DHQ上扩大性别选项增强了性别多样性个体的包容性.
- 跨性别和非二进制捐赠者是一个年轻的人口,回报率与M / F捐赠者相似.
- 政策调整可以确保包容性,并可能扩大符合条件的捐助者基础.
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