Vol. 23 No. 2 (2024)
Original Articles

Analysis of the epidemiological profile of men who have sex with men as blood donors: Risky behavior and blood donation

Andreza Brigith Ribeiro de Oliveira
State University of Rio de Janeiro
Bio
Kallic B. Fonseca
Herbert Souza Hemotherapy Service
Bio
Dayana P. Coelho
Herbert Souza Hemotherapy Service
Bio
Regina M. R. Oliveira
Herbert Souza Hemotherapy Service
Bio
Cristiane M. Costa
Herbert Souza Hemotherapy Service
Bárbara S. Santos
Herbert Souza Hemotherapy Service
Bio
Samantha V. Baião
Herbert Souza Hemotherapy Service
Bio
Tatiana R. A. Eleuterio
School of Nursing at the State University of Rio de Janeiro
Bio
Flavia M. G. C. Bandeira
School of Medical Sciences at the State University of Rio de Janeiro
Bio

Published 2024-12-20

Keywords

  • Men Who Have Sex With Men,
  • Blood-Borne Infections,
  • Gender Dysphoria,
  • Gender Identity,
  • Blood Donors

How to Cite

1.
Ribeiro de Oliveira AB, Borba Fonseca K, Page Coelho D, Márcia Rangel de Oliveira R, Magalhaes da Costa C, Suzana Santos B, Veloso Baiao S, Rodrigues de Araujo Eleuterio T, Miranda Gomes de Constantino Bandeira F. Analysis of the epidemiological profile of men who have sex with men as blood donors: Risky behavior and blood donation. BJHBS [Internet]. 2024 Dec. 20 [cited 2025 Jan. 22];23(2). Available from: https://bjhbs.hupe.uerj.br/bjhbs/article/view/182

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

Metrics Loading ...

References

  1. 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.
  2. 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#.
  3. 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/.
  4. 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/.
  5. Conselho Nacional de Saúde. RESOLUÇÃO No 466 [internet]. 2012 [cited 2023 June 25]. Available from: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf.
  6. 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.
  7. 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.
  8. 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.
  9. 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.
  10. 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.
  11. 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#.
  12. 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 .
  13. 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.
  14. 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.
  15. 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.