Abstract
HIV test-seeking behavior among blood donors has been observed worldwide and may pose a threat to the safety of the blood supply. We evaluated current test-seeking motivations and prior alternative HIV testing experiences among blood donors in São Paulo, Brazil. All candidate or potential blood donors were consecutively approached and recruited to participate in the study upon presentation at Fundação Pró-Sangue Hemocentro, the largest blood bank in Brazil. Participants were recruited between August 2012 and May 2013 after they were screened for donor eligibility. Questionnaires were administered through audio computer-assisted self-interview. Among 11,867 donors, 38 % previously tested for HIV apart from blood donation, of whom 47.7 % tested at public facilities and 2.7 % acknowledged getting tested for HIV as the primary reason for donating. Dissatisfaction with prior alternative testing experience was reported by 2.5 % of donors. Current test-seeking motivation was associated with dissatisfaction with prior alternative testing experience and testing at a public alternative facility. The most common reasons for dissatisfaction were too long of a wait to get tested and for results, counseling was too long, lack of privacy, and low confidence in the equipment and accuracy of the test. Lack of awareness about the availability of free and confidential public HIV testing services as well as dissatisfaction with past HIV testing and counseling experiences motivate some individuals to test at blood banks. Test-seeking behavior among blood donors may be best addressed by improving alternative testing programs, particularly with respect to time delays, privacy and perceptions about test accuracy. Educational campaigns on safe blood donation and HIV testing for diagnosis, risk counseling and referral to care are also needed for the general public and for health care providers.
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References
Cohen MS, Chen YQ, McCauley M, et al. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505.
World Health Organization. Universal access to safe blood. http://www.who.int/bloodsafety/en. Accessed 26 Aug, 2014.
World Health Organization. Screening donated blood for transfusion-transmissible infections. http://www.who.int/bloodsafety/ScreeningTTI.pdf. Accessed 26 Aug 2014.
Doll LS, Petersen LR, White CR, et al. Human immunodeficiency virus type 1-infected blood donors: behavioral characteristics and reasons for donation. The HIV Blood Donor Study Group. Transfusion. 1991;31(8):698–703.
Lefrère JJ, Elghouzzi MH, Paquez F, et al. Interviews with anti-HIV-positive individuals detected through the systematic screening of blood donations: consquences on predonation medical interview. Vox Sang. 1992;62(1):25–8.
Chiavetta J, Ennis M, Gula CA, et al. Test-seeking as motivation in volunteer blood donors. Transfus Med Rev. 2000;14(3):205–15.
McGarrigle CA, Mercer CH, Fenton KA, et al. Investigating the relationship between HIV testing and risk behaviour in Britain: National Survey of Sexual Attitudes and Lifestyles 2000. AIDS. 2005;19(1):77–84.
França-Junior I, Calazans G, Zucchi EM. Changes in HIV testing in Brazil between 1998 and 2005. Rev Saude Publica. 2008;42(Suppl 1):84–97.
Goncalez T, Sabino E, Sales N, et al. Human immunodeficiency virus test-seeking blood donors in a large blood bank in São Paulo, Brazil. Transfusion. 2010;50(8):1806–14.
Gonçalez TT, Sabino EC, Murphy EL, et al. Human immunodeficiency virus test-seeking motivation in blood donors, São Paulo, Brazil. Vox Sang. 2006;90:170–6.
Gonçalez TT, Sabino EC, Chen S, et al. Knowledge, attitudes and motivations among blood donors in São Paulo, Brazil. AIDS Behav. 2008;12(4 Suppl):S39–47.
Ferreira O, Passos AD. Factors associated with failure of clinical screening among blood donors who have altered serological results in the Centro Regional de Hemoterapia de Ribeirão Preto. Rev Bras Hematol Hemoter. 2012;34(6):411–5.
Truong HM, Grant RM, McFarland W, et al. Routine surveillance for the detection of acute and recent HIV infections and transmission of drug resistance. AIDS. 2006;20(17):2193–7.
Truong HM, Kellogg TA, McFarland W, et al. Sentinel surveillance of HIV-1 transmitted drug resistance, acute infection and recent infection. PLoS One. 2011;6(10):e2281.
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Funding support for this study was provided by the National Heart, Lung and Blood Institute (NIH R01 HL108704).
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Truong, HH.M., Blatyta, P.F., Santos, F.M. et al. Blood Donor Test-Seeking Motivation and Prior HIV Testing Experiences in São Paulo, Brazil. AIDS Behav 19, 1574–1578 (2015). https://doi.org/10.1007/s10461-015-1036-8
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DOI: https://doi.org/10.1007/s10461-015-1036-8