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The crucial question is what impact a revised MSM donor deferral criterion might have on compliance.
18 Should a revision be made to the MSM donor deferral criterion in the UK, careful monitoring of its effects will be needed.
A crucial finding, that some "non-compliers" dissociated past male sexual experience from the MSM donor deferral, has important implications for communication of any deferral criterion.
Although most participants felt they would continue to comply with a revised donor deferral criterion, many were reluctant to speculate on other men's likely future compliance.
We used a topic guide to explore experiences of and motivations for donating blood, including disclosure of sex with men; views on the MSM donor deferral criterion; suggestions for alternative MSM deferral criteria; likely impact of a revised criterion on donating practice and compliance; views on communicating a revised deferral; and sexual identity.
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However, the generally accepted deferral criteria for blood donors at risk seem highly efficient.
This is the first published study reporting experience of and views on blood donation deferral criteria in a general population sample of gay, bisexual, and other men who have had sex with men.
Our data suggest considerable scope for improving the clarity with which deferral criteria are communicated; the privacy afforded potential donors in disclosing sexual behaviours; and the adequacy of explanation for the rationale for donor deferrals, including the fallibility of blood screening.
In Spain and Italy deferral criteria now apply to high risk sexual behaviours, removing any mention of partner gender. 2 20 In the UK, Canada, and the US any man who has ever had oral or anal sex with another man (or since 1977 in North America), whether protected or unprotected, is permanently excluded from donating blood.
Almost a third believed that only unprotected penetrative male sex was a criterion for deferral.
A borrower who doesn't meet criteria for a deferral can try for a forbearance, which also postpones or reduces payments.
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