Evidence map›Paper›PMID 40944508›Full record

ArticleTransfusion2025

Openness about sexuality predicts deferral policy noncompliance among recent MSM (men who have sex with men) blood donors: An exploratory analysis.

Koson Tony Sriamporn, Nathan S Consedine, Peter J W Saxton

Abstract read
In one paragraph

Article in Transfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Koson Tony SriampornDepartment of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0003-1027-5182
Nathan S ConsedineDepartment of Psychological Medicine, School of Medicine, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-7691-0938
Peter J W SaxtonDepartment of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand.ORCID https://orcid.org/0000-0001-8696-0755

Funding

Health Research Council of New Zealand 20/887
6 · The paper itself

Abstract

backgroundBlood service providers use deferral policies to reduce the risk of transfusion-transmitted infections, but policy effectiveness depends on donors' honesty in disclosing risk behaviors. Identifying specific social factors within men who have sex with men (MSM) may provide insight into noncompliance with sexual behavioral deferral criteria.

methodsWe identified a sample of 136 recent blood donors from a large behavioral surveillance survey of MSM in New Zealand. Univariate analyses were used to identify factors associated with self-reported noncompliance before a two-step hierarchical regression assessed whether MSM-related social factors added to the prediction of noncompliance, compared to only considering background characteristics.

resultsIncorporating the MSM-related social factors significantly enhanced the model fit, explaining 23.2% additional variance in noncompliance (Nagelkerke R

conclusionThis exploratory evidence suggests that blood service providers should consider the broader social context, particularly openness about sexuality, in understanding noncompliance with time-based sexual behavior donor deferral criteria. This "outness" in MSM donors likely reflects confidence in making disclosure decisions based on their perceived HIV risk, challenging the notion that noncompliance necessarily arises from discomfort or lack of knowledge about policies. Future research should explore the gap between perceived risk and policy understanding to better address MSM donors' complex decision-making processes.

Indexed as

Blood DonorsHomosexuality, MaleAdolescentAdultHumansMaleMiddle AgedNew ZealandSexual BehaviorYoung Adultattitudesblood donationdonor deferral policygay and bisexual men (GBM)men who have sex with men (MSM)noncompliancesexual identitysocial identity

Identifiers

PMID40944508
PMCPMC12432803

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