Non‐compliance to infectious disease deferral criteria among Hong Kong's blood donors

Lee, S. S.; Cheung, Edwin Kwan Hung; Leung, Jennifer; Lee, C. K.

doi:10.1111/vox.12520

Cited by 7 publications

(6 citation statements)

References 29 publications

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“…However, many noncompliant MSM in Complidon reported consistently using condoms to protect their sexual relations, and/or having the same partner for at least 12 months, and/or having only one sexual intercourse with a man in the year preceding their most recent donation. These reasons, also cited in other studies [10,[22][23][24], show that the donors self-assess their own risks and consider themselves to be at low risk of HIV infection. Accordingly, increasing awareness and understanding of existing donor exclusion criteria, and explaining to donors why these criteria must be respected, are two essential proactive interventions towards greater compliance [24].…”

Section: Discussionsupporting

confidence: 57%

“…This result reflects the fact that the most frequent reason for noncompliance in this population was that they believed no criteria for donation should be based on sexual orientation. This motive for noncompliance, more ‘protest’‐based than those of other donors [12], is also cited in surveys conducted in other countries, where MSM did not declare their male partners because they did not accept the policy of MSM blood donor deferral [10, 22, 23]. Noncompliant MSM in Complidon also more frequently forgot or hid information during their pre‐donation interview.…”

Section: Discussionmentioning

confidence: 99%

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Noncompliance to blood donor selection criteria by men who have sex with men – Complidon 2017, France

et al. 2020

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Background and objectives In France, blood donation deferral for men who have sex with men (MSM) was reduced from permanent to 12 months in July 2016. Assessing noncompliance (rate and reasons) with this criterion is important to maintain a high level of viral safety in blood products. Materials and methods An anonymous online survey (Complidon) of a sample of blood donors was conducted in 2017. Data were post-stratified to be representative of all those who donated blood between July 2016 and December 2017. A multivariable analysis was performed to assess factors associated with noncompliance. Results Among male donors, 0Á73% [95% CI: 0Á63-0Á83] reported having sex with men in the 12 months preceding their donation. Factors associated with noncompliance were as follows: young age, a low educational level, concerns about privacy, and better knowledge of donor selection criteria and the window period than compliant men. More than half of noncompliant MSM donors (57Á6% [95% CI: 50Á6-64Á3]) felt that sexual orientation should not be a criterion for donation, 47Á2% [95% CI: 40Á4-54Á0] did not disclose their male-to-male sexual relations in order to avoid being excluded from donating, 40Á5% [95% CI: 34Á0-47Á4] reported using condoms and 21Á8% [95% CI: 16Á7-27Á9] had the same male partner for at least 12 months. Conclusion Complidon showed that compliance with blood donation criteria in MSM was high, but not optimal, especially among younger men. HIV residual risk did not increase after the implementation of 12-month deferral. Data from Complidon helped French policymakers to assess the additional HIV risk posed by increased access to blood donation for MSM.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Noncompliance to blood donor selection criteria by men who have sex with men – Complidon 2017, France

et al. 2020

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“…In this study, we compared the non‐compliance rate of MSM towards donor deferral before and after the implementation of the 12‐month deferral policy in Hong Kong, a city in the Asia Pacific region where similar studies are scarce. Using a unified recruitment method and a standard questionnaire, we showed a consistently low non‐compliance rate among MSM at <1% both in the pre‐implementation and 2 post‐implementation periods of the new policy, compared to previous local studies with results ranging from 1·2–2·2% [14–16], and similar to that of 0·23% in Australia [8], and 0·8% to 1·0% in Canada [17]. The slightly lower non‐compliance rate could be related to the increased awareness of MSM about the deferral policy, which was increasingly reported in the media, though the effect of having more men becoming eligible for blood donation may play a role.…”

Section: Discussionmentioning

confidence: 47%

“…A structured questionnaire in Chinese language was developed to collect information on (i) demographics; (ii) deferrable risk behaviours; (iii) donation history and compliance with deferral; and (iv) attitudes towards the change of policy from permanent to 12‐month deferral in reference to our previous study [14]. Part (ii) included items on oral or anal sex with another man; condom use; number of male sexual partners, sexual partners' HIV status; and sex with bi‐sexual persons, injecting illicit drug users, or commercial sex worker in the last 12 months, identical to those listed on the HSQ administered by the donor centres, for both male and female donors.…”

Section: Methodsmentioning

confidence: 99%

Compliance and attitudes of blood donors following transitioning from permanent to 12‐month deferral of men who have sex with men in Hong Kong

et al. 2020

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Background and Objectives Blood safety hinges not just on the scientific rationale for deferral period but potential donors' compliance with the prevailing policy. This study aimed to investigate donors' awareness, attitudes and compliance with the two-phased policy implementation of time-limited deferral for men who have sex with men (MSM) in Hong Kong. Materials and MethodsThree rounds of questionnaire survey were conducted between July 2017 and June 2019 covering the periods of pre-implementation (Round A), post-implementation without and with pre-donation questionnaire revision (Round B and C). Chi-square test and multivariable regression analysis were performed.Results Of 3085 donors recruited, 968, 1036 and 1081 completed the surveys in Round A, B and C, respectively. The non-compliance rate of MSM remained stable at 0Á6% (3/497), 0Á4% (2/551) and 0Á5% (3/587) among male donors in Round A, B and C, respectively. Two MSM donors from Round C complying with the prevailing policy were identified. About two-thirds (60Á7%) of respondents from Round B and C were unaware of the policy change. Overall, over 80% were either neutral or positive about the change. ConclusionOur study showed a consistently low non-compliance rate of MSM over the three periods. The generally high level of acceptance of time-limited deferral among donors lends support to science-based policy development to protect blood safety. The identification of compliant MSM donors suggests that the 12-month deferral is effective and acceptable to MSM. With a deferral period far exceeding the window period, it is a step towards a more equitable policy.

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“…As confidentiality is a prerequisite for the pre-donation interview, regular attendance by a third person (supervisor) is not recommended even with a view to evaluating the competency of each HP. Furthermore, the presence of a third person could influence the behavior of both the donor, who might hesitate to disclose all the relevant data [donors’ compliance is not always achieved ( 8 , 9 )] and the HP, who might be more inclined to apply all the procedures than when conducting the interviews alone.…”

Section: Introductionmentioning

confidence: 99%

An Original Approach to Evaluating the Quality of Blood Donor Selection: Checking Donor Questionnaires and Analyzing Donor Deferral Rate

Gillet¹,

Neijens²

2018

Front. Med.

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Blood donor selection is a cornerstone for blood transfusion safety, designed to safeguard the health of both donors and recipients. In the Service du Sang, Belgian Red Cross, French and German-speaking part of Belgium (SFS), health professionals (HPs) are allowed to interview donors on their own after formal qualification. This qualification is afterward evaluated by means of two complementary quality indicators: monitoring of donor health questionnaires (DHQs) and analysis of donor deferral rate. The study aims to evaluate the degree to which both quality indicators may be useful and appropriate tools to evaluate the quality of blood donor selection. An analysis performed on 2016 data showed that noncompliance detected by means of DHQ monitoring seems to be more frequent in HPs who conduct a low number of interviews compared to all HPs as a group (5.67 vs. 3.23%; p < 0.001). Deferral rates are also higher in HPs with a lower activity compared to HPs who interview more donors (14.80 vs. 13.00%, p < 0.001). Furthermore, statistically differences are observed between the type of blood donation venue in terms of the global deferral rate (for instance fixed site vs. schools: 11.9 vs. 19.5%; p < 0.001), and specific reasons for deferral (such as sexual risk behavior and travel in at-risk areas, the differences being highly significant between each category of blood donation venue; p < 0.001). Providing the HPs with feedback on these findings was an opportunity to draw their attention to some aspects of the selection process in order to improve it.

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Non‐compliance to infectious disease deferral criteria among Hong Kong's blood donors

Cited by 7 publications

References 29 publications

Noncompliance to blood donor selection criteria by men who have sex with men – Complidon 2017, France

Noncompliance to blood donor selection criteria by men who have sex with men – Complidon 2017, France

Compliance and attitudes of blood donors following transitioning from permanent to 12‐month deferral of men who have sex with men in Hong Kong

An Original Approach to Evaluating the Quality of Blood Donor Selection: Checking Donor Questionnaires and Analyzing Donor Deferral Rate

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