Analysis of the epidemiological profile of men who have sex with men as blood donors: Risky behavior and blood donation
Published 2024-12-20
Keywords
- Men Who Have Sex With Men,
- Blood-Borne Infections,
- Gender Dysphoria,
- Gender Identity,
- Blood Donors
How to Cite
Copyright (c) 2024 Brazilian Journal of Health and Biomedical Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Abstract
Introduction: In May 2020, the Brazilian Supreme Court ruled that men who have sex with men (MSM) should be eligible to donate blood. Objectives: This study aims to describe the epidemiological, sociodemographic, and serological profile of MSM donors in the haemotherapy centre of a university hospital. Methodology and Resources: A cross-sectional study was conducted between June 2020 and June 2023. The study was approved by the Ethics Review Board of the Pedro Ernesto University Hospital. Results: There was a predominance of young people, single, and with higher education (complete or incomplete). Regarding gender specification, 46 (92%) identified as cis. In the sample, 64% (32) of candidates had taken at least one rapid test in the 12-month period. Most of the individuals analysed were donor eligible (90%), non-reactive for the serology of interest in the research (91.3%). Discussion: Among MSM donors, the prevalence of homosexual orientation and the regular use of condoms were observed. Even with the prior restriction of Resolution No. 399/2020, a proportion of these candidates donated blood. The reactivity for syphilis (6%) among the volunteers is below expectations, while for hepatitis B (2%) it is above the target, considering that the indicator presented by the state blood bank network, and there was no HIV reactivity. Conclusions: The importance of using risky sexual behaviour, rather than sexual orientation, as a criterion for donor eligibility was observed. This change allowed for the possibility of including minorities in the blood donation process.
Metrics
References
- Ministério da Saúde. Resolução da Diretoria Colegiada - RDC No 399 [internet], 2020 [cited 2023 June 10]; 1–1. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2020/rdc0399_7_07_2020.pdf.
- Zucoloto ML, Gonçalez TT, McFarland W et al. Blood donation deferral policies among men who have sex with men in Brazil. Hematol Transfus Cell Ther [internet]. 2019 [cited 2023 June 10];41:164–8. Available from: https://www.scielo.br/j/htct/a/HP86ZqrL6xdRJfCqS8dQxnc/abstract/?lang=en#.
- Park C, Gellman C, O’Brien M et al. Blood donation and COVID-19: Reconsidering the 3-month deferral policy for gay, bisexual, transgender, and other men who have sex with men. Am J Public Health [internet]. 2021 [cited 2023 June 10];111:247–52. Available from: https://pubmed.ncbi.nlm.nih.gov/33211588/.
- Hahn B, Quee F, Prinsze FJ et al. Balancing non-discriminatory donor selection and blood safety in the Netherlands: Evaluation of an individual risk assessment of sexual behavior. Transfusion [internet]. 2022 [cited 2023 June 25]; 62:1241–50. Available from: https://pubmed.ncbi.nlm.nih.gov/35502143/.
- Conselho Nacional de Saúde. RESOLUÇÃO No 466 [internet]. 2012 [cited 2023 June 25]. Available from: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf.
- Zago A, Silveira MF, Dumith SC. Prevalência de doação de sangue e fatores associados, Pelotas, RS. Rev Saude Publica [internet]. 2010 [cited 2023 June 25];44: 112–20. Available from: https://doi.org/10.1590/S0034-89102010000100012.
- Reynolds V, Van Buren NL, Gorlin JB. Confronting the challenge of gender nonconforming donors: A blood center's three-year experience. Transfusion [internet]. 2023 [cited 2023 Aug 05]; 63: 1284-89. Available from: https://doi.org/10.1111/trf.17446.
- Silva RMG, Kupek E, Peres KG. Prevalência de doação de sangue e fatores associados em Florianópolis, Sul do Brasil: Estudo de base populacional. Cad Saude Publica [internet]. 2013 [cited 2023 Aug 05]; 29: 2008–16. Available from: https://doi.org/10.1590/0102-311X00174312.
- Patavino GM, Almeida-Neto C, Liu J et al. NHLBI Retrovirus Epidemiology Study-II (REDS-II), International Component. Number of recent sexual partners among blood donors in Brazil: associations with donor demographics, donation characteristics, and infectious disease markers. Transfusion [internet]. 2012 [cited 2023 Aug 05]; 52: 151-9. Available from: https://doi.org/10.1111/j.1537-2995.2011.03248.x.
- Martinez EZ, Galdino G, Zucoloto ML. Perceptions and practices of the Brazilian LGBT+ population toward blood donation. Transfus Apher Sci [internet]. 2023 [cited 2023 Aug 11]; 62: 103578. Available from: https://doi.org/10.1016/j.transci.2022.103578.
- Hemorrede do estado do Rio de Janeiro. Hemorio Indicadores 2021 [internet]. 2021 [cited 2023 June 10]. Available from: http://www.hemorio.rj.gov.br/Html/Apresentacoes/Indicadores_Hemorio_2021/Dados.htm#.
- Hemorrede do estado do Rio de Janeiro. Hemorio Indicadores 2022 [internet]. 2022 [cited 2023 June 10]. Available from: http://www.hemorio.rj.gov.br/Html/Apresentacoes/Indicadores_Hemorio_2022/Dados.htm#1 .
- Schroyens N, Borra V, Compernolle V et al. Men who have sex with men and risk for transfusion-transmissible infections in blood donors in Western countries: A systematic review update. Vox Sang [internet]. 2023 [cited 2023 Sept 10]; 118: 709–20. Available from: https://doi.org/10.1111/vox.13482.
- Costa LSL, Eleuterio TA, Menezes RA et al. A Triagem clínica e a experiência na doação na perspectiva do doador de sangue. Global Academic Nursing Journal [internet]. 2020 [cited 2023 Sept 10]. Available from: https://doi.org/10.5935/2675-5602.20200038.
- Costa LSL, Eleuterio TA, Pereira SS et al. Perfil epidemiológico do doador voluntário de sangue em um hospital universitário no Rio de Janeiro. Saúde (Santa Maria) [internet]. 2020 [cited 2023 Sept 10]. Available from: https://doi.org/10.5902/2236583443186.