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Contexte et perceptions sociales du don du sang chez des donneurs trouvés positifs pour le VIH en France

Abstract : Background – In France, information collected during post-donation interviews showed that a majority of HIV infected donors were not eligible to donate as per donor selection criteria. In the interest of blood safety, this study aimed to explore the mechanisms of non-compliance with blood donor selection criteria, notably the permanent deferral of men who have sex with men (MSM). Material and methods – Semi-structured individual interviews were conducted with 32 blood donors found positive for HIV between mid-2011 and 2014. Topics such as the experience and motivations for donating blood, understanding of selection criteria, sexual risk management, and opinions on donor selection were discussed. Transcripts were analyzed inductively. Results – More than 50% (17/32) of study participants were non-compliant with donor selection criteria. Reasons for non-disclosure of risk factors in the pre-donation questionnaire or the pre-donation interview included stigma, test-seeking motivations, symbolic attachment to blood donation and context of donation (confidentiality, type of blood collection…). Donors lacked self-reflexivity in their assessment of risky sexual behavior. Finally, the “window period” and the underlying epidemiological arguments for donor selection criteria were poorly understood. Nearly all participants disapproved of the permanent ban on blood donations from MSM. Conclusion – This study demonstrated the need for more communication on the epidemiological basis for donor selection criteria and on the window period to facilitate donor compliance. These findings have already advanced improvements to pre-donation documents, in a larger context of 2016 donor selection criteria revision
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https://hal-cnrs.archives-ouvertes.fr/hal-03480026
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Submitted on : Tuesday, December 14, 2021 - 3:15:48 PM
Last modification on : Monday, January 24, 2022 - 11:57:48 AM

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J Pillonel, A Duquesnoy, B Danic, A Santos, C Martinaud, et al.. Contexte et perceptions sociales du don du sang chez des donneurs trouvés positifs pour le VIH en France. Bulletin Epidémiologique Hebdomadaire - BEH, Saint-Maurice (Val de Marne) : Institut de veille sanitaire, 2017, 57 (29-30), pp.623-629. ⟨10.1111/trf.14187⟩. ⟨hal-03480026⟩

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