Reasons for noncompliance in donor risk reporting regarding male-to-male sex

Bas Romeijn, Anne van Dongen, Gerjo Kok

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: In the Netherlands men who have had sex with men were permanently excluded from donating blood or blood products. This study aimed to determine the rate of not disclosing male-to-male sex (noncompliance) among Dutch donors and reasons for noncompliance.

STUDY DESIGN AND METHODS: Invitations to participate in an anonymous online survey were sent out to a sample of the Dutch donor population (50,000 male and 5000 female donors). Male donors were asked if they ever had sex with a man. Second, a definition of male-to-male sex was given, followed by the same question. Donors who reported to have had male-to-male sex on the second question were defined as noncompliant and were asked what reasons they had for not reporting. We asked all donors questions regarding the Dutch donor policy.

RESULTS: A total of 18,137 male donors responded to the questionnaire. Of male donors, 1.4% reported to have had sex with a man, and 0.7% reported to have donated after their first male-to-male sex. Discrepancies were found in male donors' interpretation of male-to-male sex. The most frequently reported reasons for noncompliance had to do with the timing and/or frequency of male-to-male sex, perceived privacy, perceived risk status, and knowledge about the policy. Compliers, noncompliers, and female donors had different opinions on a number of policy issues.

CONCLUSION: The percentage found for noncompliance is similar to percentages in other compliance studies worldwide. Based on reported reasons, a substantial amount of noncompliers would become eligible for donating under a revised policy, possibly without jeopardizing blood safety.

Original languageEnglish
Pages (from-to)1899–1906
Number of pages8
JournalTransfusion
Volume56
Issue number7
Early online date9 May 2016
DOIs
Publication statusPublished - Jul 2016

Keywords

  • TRANSFUSION-TRANSMITTED HIV
  • EVER HAD SEX
  • BLOOD-DONORS
  • MEN
  • DONATION
  • QUESTIONNAIRE
  • TRANSMISSION
  • INFECTIONS
  • ENGLAND
  • IMPACT

Cite this

Romeijn, Bas ; van Dongen, Anne ; Kok, Gerjo. / Reasons for noncompliance in donor risk reporting regarding male-to-male sex. In: Transfusion. 2016 ; Vol. 56, No. 7. pp. 1899–1906.
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title = "Reasons for noncompliance in donor risk reporting regarding male-to-male sex",
abstract = "BACKGROUND: In the Netherlands men who have had sex with men were permanently excluded from donating blood or blood products. This study aimed to determine the rate of not disclosing male-to-male sex (noncompliance) among Dutch donors and reasons for noncompliance.STUDY DESIGN AND METHODS: Invitations to participate in an anonymous online survey were sent out to a sample of the Dutch donor population (50,000 male and 5000 female donors). Male donors were asked if they ever had sex with a man. Second, a definition of male-to-male sex was given, followed by the same question. Donors who reported to have had male-to-male sex on the second question were defined as noncompliant and were asked what reasons they had for not reporting. We asked all donors questions regarding the Dutch donor policy.RESULTS: A total of 18,137 male donors responded to the questionnaire. Of male donors, 1.4{\%} reported to have had sex with a man, and 0.7{\%} reported to have donated after their first male-to-male sex. Discrepancies were found in male donors' interpretation of male-to-male sex. The most frequently reported reasons for noncompliance had to do with the timing and/or frequency of male-to-male sex, perceived privacy, perceived risk status, and knowledge about the policy. Compliers, noncompliers, and female donors had different opinions on a number of policy issues.CONCLUSION: The percentage found for noncompliance is similar to percentages in other compliance studies worldwide. Based on reported reasons, a substantial amount of noncompliers would become eligible for donating under a revised policy, possibly without jeopardizing blood safety.",
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Reasons for noncompliance in donor risk reporting regarding male-to-male sex. / Romeijn, Bas; van Dongen, Anne; Kok, Gerjo.

In: Transfusion, Vol. 56, No. 7, 07.2016, p. 1899–1906.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Reasons for noncompliance in donor risk reporting regarding male-to-male sex

AU - Romeijn, Bas

AU - van Dongen, Anne

AU - Kok, Gerjo

N1 - © 2016 AABB.

PY - 2016/7

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N2 - BACKGROUND: In the Netherlands men who have had sex with men were permanently excluded from donating blood or blood products. This study aimed to determine the rate of not disclosing male-to-male sex (noncompliance) among Dutch donors and reasons for noncompliance.STUDY DESIGN AND METHODS: Invitations to participate in an anonymous online survey were sent out to a sample of the Dutch donor population (50,000 male and 5000 female donors). Male donors were asked if they ever had sex with a man. Second, a definition of male-to-male sex was given, followed by the same question. Donors who reported to have had male-to-male sex on the second question were defined as noncompliant and were asked what reasons they had for not reporting. We asked all donors questions regarding the Dutch donor policy.RESULTS: A total of 18,137 male donors responded to the questionnaire. Of male donors, 1.4% reported to have had sex with a man, and 0.7% reported to have donated after their first male-to-male sex. Discrepancies were found in male donors' interpretation of male-to-male sex. The most frequently reported reasons for noncompliance had to do with the timing and/or frequency of male-to-male sex, perceived privacy, perceived risk status, and knowledge about the policy. Compliers, noncompliers, and female donors had different opinions on a number of policy issues.CONCLUSION: The percentage found for noncompliance is similar to percentages in other compliance studies worldwide. Based on reported reasons, a substantial amount of noncompliers would become eligible for donating under a revised policy, possibly without jeopardizing blood safety.

AB - BACKGROUND: In the Netherlands men who have had sex with men were permanently excluded from donating blood or blood products. This study aimed to determine the rate of not disclosing male-to-male sex (noncompliance) among Dutch donors and reasons for noncompliance.STUDY DESIGN AND METHODS: Invitations to participate in an anonymous online survey were sent out to a sample of the Dutch donor population (50,000 male and 5000 female donors). Male donors were asked if they ever had sex with a man. Second, a definition of male-to-male sex was given, followed by the same question. Donors who reported to have had male-to-male sex on the second question were defined as noncompliant and were asked what reasons they had for not reporting. We asked all donors questions regarding the Dutch donor policy.RESULTS: A total of 18,137 male donors responded to the questionnaire. Of male donors, 1.4% reported to have had sex with a man, and 0.7% reported to have donated after their first male-to-male sex. Discrepancies were found in male donors' interpretation of male-to-male sex. The most frequently reported reasons for noncompliance had to do with the timing and/or frequency of male-to-male sex, perceived privacy, perceived risk status, and knowledge about the policy. Compliers, noncompliers, and female donors had different opinions on a number of policy issues.CONCLUSION: The percentage found for noncompliance is similar to percentages in other compliance studies worldwide. Based on reported reasons, a substantial amount of noncompliers would become eligible for donating under a revised policy, possibly without jeopardizing blood safety.

KW - TRANSFUSION-TRANSMITTED HIV

KW - EVER HAD SEX

KW - BLOOD-DONORS

KW - MEN

KW - DONATION

KW - QUESTIONNAIRE

KW - TRANSMISSION

KW - INFECTIONS

KW - ENGLAND

KW - IMPACT

U2 - 10.1111/trf.13627

DO - 10.1111/trf.13627

M3 - Article

C2 - 27159881

VL - 56

SP - 1899

EP - 1906

JO - Transfusion

JF - Transfusion

SN - 0041-1132

IS - 7

ER -