背景:目前在澳大利亚,如果男人在过去3个月内与另一个男人发生性关系,他们将被推迟献血。然而,拟议的性别中立评估(GNA)程序将向所有捐助者询问有关与新伴侣或多个近期伴侣发生性行为的问题,根据对肛交问题的回答推迟。了解现有和潜在献血者对此类问题的可接受性对于成功实施GNA至关重要。
方法:我们使用来自全国代表性调查的数据来估计澳大利亚人口和亚组中提出的GNA问题的舒适度。由自我报告的种族和宗教定义。受访者年龄在18岁以上,居住在澳大利亚。结果被加权以代表人口。
结果:5178名受访者中的大多数描述自己对回答有关新伴侣(73.1%)或肛交(64.0%)献血的问题感到满意。然而,2.2%和4.5%表示,关于新性伴侣和肛交的问题,分别,会阻止他们捐赠,分别为4.4%和7.7%,说他们“完全不舒服”。“根据宗教,最不舒服的是穆斯林或东正教的受访者,按出生国划分,最不舒服的是那些出生在中东的人,其次是在南欧和亚洲出生的人。
结论:GNA在澳大利亚的背景下似乎被广泛接受,但是我们的研究结果表明,关键的GNA问题在一些人口亚组中不那么可接受,表明需要有针对性的运动,考虑到文化敏感性。
BACKGROUND: Currently in Australia, men are deferred from donating blood if they have had sex with another man within the past 3 months. However, a proposed gender-neutral assessment (GNA) process will ask all donors questions about sex with new or multiple recent partners, with deferral based on responses to a question about anal sex. Understanding the acceptability of such questions among existing and potential blood donors is paramount for successful implementation of GNA.
METHODS: We used data from a nationally representative survey to estimate the levels of comfort with the proposed GNA questions among the Australian population and subgroups, defined by self-reported ethnicity and religion. Respondents were aged over 18 and living in Australia. Results were weighted to represent the population.
RESULTS: Most of the 5178 respondents described themselves as comfortable with answering questions about new partners (73.1%) or anal sex (64.0%) to donate blood. However, 2.2% and 4.5% indicated that questions about new sex partners and anal sex, respectively, would stop them from donating, and 4.4% and 7.7% respectively, said they were \"completely uncomfortable.\" By religion, the least comfortable were Muslim or Eastern Orthodox respondents, and by country of birth, the least comfortable were those born in the Middle East, followed by those born in Southern Europe and Asia.
CONCLUSIONS: GNA appears to be broadly acceptable in the Australian context, but our findings suggest that key GNA questions are less acceptable in some population subgroups, indicating a need for targeted campaigns that consider cultural sensitivities.