title: Blood Donor Test-Seeking Motivation and Prior HIV Testing Experiences in São Paulo, Brazil.
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.
authors: University of California, San Francisco, 550 16th Street, 3rd Floor, San Francisco, CA, 94158, USA, Hong-Ha.Truong@ucsf.edu.
authors: Hong-Ha M
authors: HM
authors: Truong
authors: Paula F
authors: PF
authors: Blatyta
authors: Fernanda M
authors: FM
authors: Santos
authors: Sandra
authors: S
authors: Montebello
authors: Sandra P D
authors: SP
authors: Esposti
authors: Fatima N
authors: FN
authors: Hangai
authors: Nanci Alves
authors: NA
authors: Salles
authors: Alfredo
authors: A
authors: Mendrone
authors: Ester C
authors: EC
authors: Sabino
authors: Willi
authors: W
authors: McFarland
authors: Thelma T
authors: TT
authors: Gonçalez
mesh_terms: D000293:Adolescent; D000328:Adult; D001771:Blood Banks; D001782:Blood Donors / Q000523:psychology*; D001938:Brazil; D003376:Counseling; D005260:Female; D015483:HIV Antibodies / Q000097:blood*; D015658:HIV Infections / Q000097:blood / Q000175:diagnosis* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011795:Surveys and Questionnaires
chemical_list: D015483:HIV Antibodies