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. 2024 May;119(5):409-416.
doi: 10.1111/vox.13596. Epub 2024 Feb 19.

Advancing gender inclusivity for Two-Spirit, trans, nonbinary and other gender-diverse blood and plasma donors

Jennie Haw  1   2 , Terrie Butler-Foster  1   3 , Benjamin Murray  4 , Don Lapierre  1 , Jesse Bosse  5 , Jack Edwards  6 , Şansal Gümüşpala  7 , Catherine Jenkins  8 , Aaron Devor  7
Affiliations

Advancing gender inclusivity for Two-Spirit, trans, nonbinary and other gender-diverse blood and plasma donors

Jennie Haw et al. Vox Sang. 2024 May.

Abstract

Background and objectives: Two-Spirit, trans, nonbinary and other gender-diverse (2STGD) donors face challenges in donation. While many blood operators aim to address these challenges, to date, no empirical study with these donors has been conducted to guide their efforts. This paper reports 2STGD donors' views on a two-step approach asking donors their gender and sex assigned at birth (SAAB), and expanding gender options in donor registration.

Materials and methods: A qualitative community-based study was conducted with 2STGD donors (n = 85) in Canada. Semi-structured, in-depth interviews were conducted from July to October 2022, audio-recorded and transcribed. Data were analysed using a thematic analytic framework.

Results: Participants were divided on their views of a two-step approach asking gender and SAAB. Themes underlying views in favour of this approach included the following: demonstrating validation and visibility, and treating 2STGD donors and cisgender donors alike. Themes underlying views not in favour or uncertain included potential for harm, compromising physical safety, and invalidation. All participants were in favour of expanding gender options if blood operators must know donors' gender.

Conclusion: Results indicate that a two-step approach for all donors is not recommended unless the blood operator must know both a donor's gender and SAAB to ensure donor and/or recipient safety. Gender options should be expanded beyond binary options. Ongoing research and evidence synthesis are needed to determine how best to apply donor safety measures to nonbinary donors.

Keywords: blood donors; donor screening; gender diversity; nonbinary; plasma donors; qualitative methods; transgender.

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References

REFERENCES

    1. Karp JK, Hall N. I am Cait, and I am a transgender blood donor. Transfusion. 2017;57:705–708.
    1. Butler‐Foster T, Chin‐Yee I, Huang M, Jackson K. Toward understanding culturally sensitive care for transgender blood donors: a scoping review of health care provider knowledge. Transgend Health. 2020;5:104–115.
    1. Goldman M, Butler‐Foster T, Lapierre D, O'Brien SF, Devor A. Trans people and blood donation. Transfusion. 2020;60:1084–1092.
    1. Pandey S, Gorlin JB, Townsend M, Van Buren N, Leung JNS, Lee CK, et al. International forum on gender identification and blood collection: summary. Vox Sang. 2022;117:447–456.
    1. Reynolds V, Van Buren NL, Gorlin JB. Confronting the challenge of gender nonconforming donors: a blood center's three‐year experience. Transfusion. 2023;63:1284–1289.

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