'One step closer': Acceptability of a programme of plasma donation for fractionation from men who have sex with men.


Journal

Vox sanguinis
ISSN: 1423-0410
Titre abrégé: Vox Sang
Pays: England
ID NLM: 0413606

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 28 02 2019
revised: 27 06 2019
accepted: 28 06 2019
pubmed: 10 8 2019
medline: 11 1 2020
entrez: 10 8 2019
Statut: ppublish

Résumé

In Canada, Héma-Québec is considering the possibility of allowing men who have sex with men (MSM) to donate plasma for fractionation combined with a mandatory quarantine period. This study aims to assess the acceptability and operational feasibility of the programme in the targeted population. Seven focus groups with MSM (N = 47) were conducted in Montréal, regarding their beliefs underlying attitudes, subjective norms and perceived behavioural control relating to intention to participate in a programme of plasma donation for fractionation. A theoretical thematic content analysis was realized. Participants brought up benefits of the programme. Some are altruistic (help others, save lives, contribute as citizens), while others are linked to what it could bring to their community (progress, opportunity to include MSM in blood donation programmes, acknowledgement of MSM's contributions to the well-being of others). However, even if the programme is in accordance with their altruistic values, it clashes with their values of equality and social justice. Many disadvantages were raised (discrimination and stigmatization of MSM, the fact that their blood is presented as being not as good as the blood of others). Facilitating factors and barriers to participation were put forward in terms of programme characteristics and sites where donations would be made. The findings suggest some interest in the programme of plasma donation for fractionation, but this is significantly tempered by the fact that differential treatment for MSM would continue and that their demands regarding access to whole blood donation are still unmet.

Sections du résumé

BACKGROUND AND OBJECTIVES OBJECTIVE
In Canada, Héma-Québec is considering the possibility of allowing men who have sex with men (MSM) to donate plasma for fractionation combined with a mandatory quarantine period. This study aims to assess the acceptability and operational feasibility of the programme in the targeted population.
MATERIALS AND METHODS METHODS
Seven focus groups with MSM (N = 47) were conducted in Montréal, regarding their beliefs underlying attitudes, subjective norms and perceived behavioural control relating to intention to participate in a programme of plasma donation for fractionation. A theoretical thematic content analysis was realized.
RESULTS RESULTS
Participants brought up benefits of the programme. Some are altruistic (help others, save lives, contribute as citizens), while others are linked to what it could bring to their community (progress, opportunity to include MSM in blood donation programmes, acknowledgement of MSM's contributions to the well-being of others). However, even if the programme is in accordance with their altruistic values, it clashes with their values of equality and social justice. Many disadvantages were raised (discrimination and stigmatization of MSM, the fact that their blood is presented as being not as good as the blood of others). Facilitating factors and barriers to participation were put forward in terms of programme characteristics and sites where donations would be made.
CONCLUSION CONCLUSIONS
The findings suggest some interest in the programme of plasma donation for fractionation, but this is significantly tempered by the fact that differential treatment for MSM would continue and that their demands regarding access to whole blood donation are still unmet.

Identifiants

pubmed: 31396980
doi: 10.1111/vox.12827
pmc: PMC6851744
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

675-686

Subventions

Organisme : Canadian Blood Services MSM Research Grant Programme
Organisme : federal government (Health Canada)
Organisme : provincial and territorial ministries of health

Informations de copyright

© 2019 The Authors. Vox Sanguinis published by John Wiley & Sons Ltd on behalf of International Society of Blood Transfusion.

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Auteurs

Jessica Caruso (J)

Université du Québec à Montréal, Montreal, QC, Canada.

Marc Germain (M)

Héma-Québec, Quebec, QC, Canada.

Gaston Godin (G)

Université Laval, Quebec, QC, Canada.

Geneviève Myhal (G)

Héma-Québec, Quebec, QC, Canada.

Frédérick Pronovost (F)

RÉZO, Montreal, QC, Canada.

Michel Morin (M)

COCQ-SIDA, Montreal, QC, Canada.

Joanne Otis (J)

Université du Québec à Montréal, Montreal, QC, Canada.

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Classifications MeSH