遵守基于性别中立的性行为的献血者查问题
Sheila F O'Brien1,2, Lori Osmond1, Mindy Goldman3,4
1Epidemiology & Surveillance, Canadian Blood Services, Ottawa, Ontario, Canada.
Transfusion
|June 17, 2025
概括
加拿大血液服务局转向基于行为为同性恋和双性恋男性与男性发生性关系 (gbMSM) 的捐赠者查. 大多数具有可推迟行为的捐赠者没有披露这些行为,这表明新的查标准可能存在问题.
科学领域:
- 输血安全 输血安全
- 公共卫生政策 公共卫生政策
- 性健康研究性健康研究
背景情况:
- 加拿大血液服务局在2022年9月更新了献血者查,从基于时间的推迟转向基于行为的推迟,针对与男性发生性关系的男性 (gbMSM).
- 新的标准旨在允许一个常规伴侣的gbMSM捐献,同时推迟那些有新或多个伴侣并在过去三个月内进行交的人.
研究的目的:
- 评估捐赠者是否符合修订后的基于性行为的查标准.
- 评估血液捐献者在实施后的可推迟性行为的披露率.
主要方法:
- 在实施新标准之前和之后,对献血者进行了匿名在线性风险调查.
- 分析了来自13,159名捐赠者 (实施前) 和11,217名捐赠者 (实施后) 的数据,根据年龄,性别和地理位置加权结果.
主要成果:
- 在gbMSM捐赠者 (9.3%与8.9%) 实施前和后之间没有观察到可推迟性行为的显著差异.
- 据估计,87%的可推迟行为捐赠者未能披露这些行为.
- 对非gbMSM男性和女性的披露率始终低,并没有显著变化.
结论:
- 大多数具有可推迟性行为的献血者在新的查系统下没有披露这些行为.
- 捐赠者可能会自行判断是否需要在查期间披露某些性行为,这可能会影响政策的有效性.
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