Author:
Vesnaver Elisabeth,Butler-Foster Terrie,Goldman Mindy,Gibson Emily,Palumbo Amelia,Lapierre Don,Hill Nolan E.,MacDonagh Richard,Rubini Kyle A.,Bridel William,Miguel Glenndl,Rosser Andrew,MacPherson Paul,Randall Taylor,Osbourne-Sorrell William,O’Brien Sheila F.,Otis Joanne,Greaves Mark,Al-Bakri Taim Bilal,Germain Marc,Orvis Shane,Clapperton Andrew T.,Reid Marco,Labrecque Maximilian,Devine Dana,Presseau Justin
Abstract
Abstract
Background
Canada 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.
Methods
We 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.
Results
Twenty-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.
Conclusion
Findings 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.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference48 articles.
1. Goldman M, Shih WY, ’Brien AO. Donor deferral policies for men who have sex with men: past, present and future. Vox Sang. Feb; 2018;113(2):95–103.
2. Martucci J, Negotiating Exclusion. MSM, Identity, and blood policy in the age of Aids. Soc Stud Sci. 2010;40(2):215–41.
3. Institute of Medicine (US) Committee to Study HIV Transmission Through Blood and Blood, Products, Leveton LB, Harold C, Sox J, Stoto MA. History of the Controversy [Internet]. HIV And The Blood Supply: An Analysis Of Crisis Decisionmaking. National Academies Press (US); 1995 [cited 2023 Jan 6]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK232419/
4. Young RM, Meyer IH. The trouble with “MSM” and “WSW”: erasure of the sexual-minority person in Public Health Discourse. Am J Public Health. 2005 Jul;95(7):1144–9.
5. Timmins L, Duncan DT, It’s Raining MSM. The continued ubiquity of contentious terminology in research on sexual minority men’s Health. Am J Public Health. 2020 Nov;110(11):1666–8.
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