在加拿大实施性风险行为捐赠者查
Mindy Goldman1,2, Antoine Lewin3, Christian Renaud3,4
1Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Ontario, Canada.
Transfusion
|May 17, 2024
概括
加拿大献血政策从基于时间的延期转向性风险行为评估. 这一变化维持了艾滋病毒的发病率,并导致了捐赠者的可管理的延期率.
科学领域:
- 公共卫生 公共卫生
- 输血医学 输血医学
- 流行病学 流行病学
背景情况:
- 加拿大血液供应商 (加拿大血液服务局和Héma-Québec) 从对与男性发生性关系的男性的基于时间的延期转向基于行为的查.
- 这一政策变化旨在评估对血液供应安全性和充足性的影响.
研究的目的:
- 评估实施性风险行为查对加拿大血液供应中的艾滋病毒率的影响.
- 评估政策变化后的延期率和捐助者特征.
主要方法:
- 实施了一种新的查过程,询问捐赠者在过去三个月内是否有新的或多个性伴侣以及交.
- 在实施前和实施后的18个月内监测HIV捐赠率.
- 采访了艾滋病毒阳性献血者,并分析了献血者的人口统计和延期特征.
主要成果:
- 实施后,艾滋病毒捐赠率保持稳定 (0.27/100,000前与0.28/100,000后).
- 3.2%的捐赠者报告了风险因素,导致延期率为0.17%.
- 延期在首次捐赠者和年轻捐赠者中最常见,两性之间的比例相似.
结论:
- 转向性风险行为查并没有改变血液供应中的艾滋病毒率.
- 新的选方法导致可管理的延期率,表明成功实施.
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