Evidence map›Paper›PMID 37098497›Full record

ArticleBMC public health2023

Improved access yet inequitable experience: gay, bisexual and other men who have sex with men's views of more inclusive criteria for source plasma donation.

Elisabeth Vesnaver, Terrie Butler-Foster, Mindy Goldman, Emily Gibson, Amelia Palumbo, Don Lapierre, Nolan E Hill, Richard MacDonagh, Kyle A Rubini, William Bridel and 16 more

Abstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Toward a Sociology of Plasma Products.International journal of social determinants of health and health services · 2024
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Elisabeth VesnaverClinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, K1H 8M2, Ottawa, Canada. evesnave@uottawa.ca.
Terrie Butler-FosterMedical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada.
Mindy GoldmanMedical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada.
Emily GibsonClinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, K1H 8M2, Ottawa, Canada.
Amelia PalumboClinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, K1H 8M2, Ottawa, Canada.
Don LapierreMedical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada.
Nolan E HillCentre for Sexuality, Calgary, Canada.
Richard MacDonaghLocal Advisory Group, London, Canada.
Kyle A RubiniLocal Advisory Group, London, Canada.
William BridelLocal Advisory Group, Calgary, Canada.
Glenndl MiguelLocal Advisory Group, Calgary, Canada.
Andrew RosserLocal Advisory Group, London, Canada.
Paul MacPhersonClinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, K1H 8M2, Ottawa, Canada.
Taylor RandallLocal Advisory Group, London, Canada.
William Osbourne-SorrellLocal Advisory Group, London, Canada.
Sheila F O'BrienMedical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada.
Joanne OtisDepartment of Sexology, Université du Québec À Montréal, Montreal, Canada.
Mark GreavesLocal Advisory Group, Calgary, Canada.
Taim Bilal Al-BakriLocal Advisory Group, London, Canada.
Marc GermainMedical Affairs, Héma-Québec, Quebec City, Canada.
Shane OrvisLocal Advisory Group, Calgary, Canada.
Andrew T ClappertonLocal Advisory Group, Calgary, Canada.
Marco ReidLocal Advisory Group, Calgary, Canada.
Maximilian LabrecqueLocal Advisory Group, Calgary, Canada.
Dana DevineCanadian Blood Services, Vancouver, Canada.
Justin PresseauClinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, K1H 8M2, Ottawa, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCanada has incrementally reduced restrictions to blood and plasma donation that impact men who have sex with men, gay, bisexual, and queer men, and some Two Spirit, transgender and non-binary individuals (MSM/2SGBTQ+). Prior to the launch of a pilot program in 2021 enabling some MSM/2SGBTQ + to donate source plasma, we explored the acceptability of the program among individuals who could become eligible to donate in the program.

methodsWe invited men identifying as MSM/2SGBTQ + to participate in two consecutive semi-structured interviews to explore their views on blood and plasma donation policy, plasma donation, and the proposed Canadian plasma donation program. Interview transcripts were analyzed thematically and acceptability-related themes were mapped onto the Theoretical Framework of Acceptability.

resultsTwenty-seven men identifying as having sex with men participated in 53 interviews. Eighteen themes were mapped onto the seven construct domains of the Theoretical Framework of Acceptability. Underlying all aspects of acceptability was a tension between four primary values influencing participants' views: altruism, equity, supply sufficiency, and evidence-based policy. The program was viewed as welcome progress on a discriminatory policy, with many excited to participate, yet tension with inequitable aspects of the program undermined support for the program and interest to contribute to it. The high demands of the program are unique for MSM/2SGBTQ + and are only tolerable as part of a program that is an incremental and instrumental step to more equitable donation policies.

conclusionFindings highlight past experiences of exclusion in Canada as a unique and critical part of the context of the donation experience among MSM/2SGBTQ+. Despite the program's goals of greater inclusivity of MSM/2SGBTQ + individuals, the anticipated experience of the program included continued stigmatization and inequities. Future research should seek to understand the experienced views of MSM/2SGBTQ + donors to ensure that as policies change, policies are implemented equitably.

Indexed as

HIV InfectionsSexual and Gender MinoritiesBisexualityBlood DonationCanadaHomosexuality, MaleHumansMaleAcceptabilityBlood donationIntegrated knowledge translationMSMParticipatory researchQualitative

Identifiers

PMID37098497
PMCPMC10131411

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.