{"id":{"repo_id":"auckland-ms","oai_identifier":"oai:researchspace.auckland.ac.nz:2292/76141"},"canonical_url":"https://search.dev.ndltd.org/etd/auckland-ms/oai:researchspace.auckland.ac.nz:2292/76141","repository":{"repo_id":"auckland-ms","name":"University of Auckland","base_url":"https://researchspace.auckland.ac.nz/server/oai/request"},"display":{"title":"A Future Once Deferred: Re-envisioning Men Who Have Sex With Men as Prospective Blood Donors","abstract":"This thesis examines men who have sex with men (MSM) as a prospective blood donor population in New Zealand, at a time when international and local policy is shifting toward individualised assessments. Three overarching aims guide this work: to descriptively characterize MSM with different donation experiences; to build empirical evidence on predictors of MSM donation behaviour; and to inform future strategies for engaging prospective MSM donors under individualised donor assessment policies. Part 1 reviews the global and local policy landscape and uses previously unpublished national data to describe MSM’s engagement, attitudes, and intentions toward blood donation, establishing the empirical and conceptual foundation for subsequent analyses. Part 2 draws on data from the large-scale Sex and Prevention of Transmission Study (SPOTS) to investigate the diversity, motivations, and social determinants of MSM as (non)donors. Donor segmentation characterized subgroups (non-donors, active donors, and lapsed donors) previously invisible to services, such as MSM who donate without triggering a deferral. More importantly, the papers in this section demonstrate the importance of MSM-specific experiences for understanding how this population engages with blood donation. While persistent negative views of policy were evident, seeing donation as a civic contribution consistently predicted willingness to donate, and sexual identity and community connection significantly predicted noncompliance with the existing deferral policy. Thus, highlighting the central role of MSM-specific experiences and contexts in shaping donation practices. Part 3 applies these insights within a group of MSM who had never donated to inform future engagement. A latent class analysis identified four subgroups differing in eligibility and recruitment potential, importantly showing that eligibility alone does not determine donation. Instead, decisions are shaped by the interplay of identity, behaviour, and attitudes, highlighting the need for tailored engagement strategies. Overall, this thesis advances understanding of MSM as a diverse and heterogeneous donor population. It re-envisions MSM beyond the monolithic framing of “higher-risk” to reveal a population long deferred, marked by varied eligibility, desire, and opportunity to donate. Donation behaviours are inseparable from the social worlds and civic identities in which they are embedded, and these findings provide evidence to guide more inclusive and effective recruitment strategies as New Zealand prepares to implement individualised risk policies.","abstract_html":"This thesis examines men who have sex with men (MSM) as a prospective blood donor population in New Zealand, at a time when international and local policy is shifting toward individualised assessments. Three overarching aims guide this work: to descriptively characterize MSM with different donation experiences; to build empirical evidence on predictors of MSM donation behaviour; and to inform future strategies for engaging prospective MSM donors under individualised donor assessment policies. Part 1 reviews the global and local policy landscape and uses previously unpublished national data to describe MSM’s engagement, attitudes, and intentions toward blood donation, establishing the empirical and conceptual foundation for subsequent analyses. Part 2 draws on data from the large-scale Sex and Prevention of Transmission Study (SPOTS) to investigate the diversity, motivations, and social determinants of MSM as (non)donors. Donor segmentation characterized subgroups (non-donors, active donors, and lapsed donors) previously invisible to services, such as MSM who donate without triggering a deferral. More importantly, the papers in this section demonstrate the importance of MSM-specific experiences for understanding how this population engages with blood donation. While persistent negative views of policy were evident, seeing donation as a civic contribution consistently predicted willingness to donate, and sexual identity and community connection significantly predicted noncompliance with the existing deferral policy. Thus, highlighting the central role of MSM-specific experiences and contexts in shaping donation practices. Part 3 applies these insights within a group of MSM who had never donated to inform future engagement. A latent class analysis identified four subgroups differing in eligibility and recruitment potential, importantly showing that eligibility alone does not determine donation. Instead, decisions are shaped by the interplay of identity, behaviour, and attitudes, highlighting the need for tailored engagement strategies. Overall, this thesis advances understanding of MSM as a diverse and heterogeneous donor population. It re-envisions MSM beyond the monolithic framing of “higher-risk” to reveal a population long deferred, marked by varied eligibility, desire, and opportunity to donate. Donation behaviours are inseparable from the social worlds and civic identities in which they are embedded, and these findings provide evidence to guide more inclusive and effective recruitment strategies as New Zealand prepares to implement individualised risk policies.","abstract_has_math":false,"creators":["Sriamporn, Koson (Tony)"],"institution":"ResearchSpace@Auckland","degree_name":"PhD","degree_level":"Doctoral","degree_discipline":"Population Health","degree_department":null,"school":null,"contributors":[],"advisors":["Saxton, Peter","Consedine, Nathan"],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-24T01:04:52Z","subjects":["blood donation","msm","men who have sex with men","blood donation policy","hiv","sexual health"],"languages":[],"rights":["Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated."],"rights_urls":["https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm"],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2292/76141","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Saxton, Peter","Consedine, Nathan"]},{"key":"dc:creator","label":"Author","values":["Sriamporn, Koson (Tony)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2026-06-28T20:40:53Z"]},{"key":"dc:date.issued","label":"Date","values":["2025"]},{"key":"dc:publisher","label":"Institution","values":["ResearchSpace@Auckland"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Population Health"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Doctoral"]},{"key":"thesis:degree_name","label":"Degree Name","values":["PhD"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["The University of Auckland"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["blood donation","msm","men who have sex with men","blood donation policy","hiv","sexual health"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated."]},{"key":"dc:rights.uri","label":"Rights URI","values":["https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/2292/76141"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This thesis examines men who have sex with men (MSM) as a prospective blood donor population in New Zealand, at a time when international and local policy is shifting toward individualised assessments. Three overarching aims guide this work: to descriptively characterize MSM with different donation experiences; to build empirical evidence on predictors of MSM donation behaviour; and to inform future strategies for engaging prospective MSM donors under individualised donor assessment policies. Part 1 reviews the global and local policy landscape and uses previously unpublished national data to describe MSM’s engagement, attitudes, and intentions toward blood donation, establishing the empirical and conceptual foundation for subsequent analyses. Part 2 draws on data from the large-scale Sex and Prevention of Transmission Study (SPOTS) to investigate the diversity, motivations, and social determinants of MSM as (non)donors. Donor segmentation characterized subgroups (non-donors, active donors, and lapsed donors) previously invisible to services, such as MSM who donate without triggering a deferral. More importantly, the papers in this section demonstrate the importance of MSM-specific experiences for understanding how this population engages with blood donation. While persistent negative views of policy were evident, seeing donation as a civic contribution consistently predicted willingness to donate, and sexual identity and community connection significantly predicted noncompliance with the existing deferral policy. Thus, highlighting the central role of MSM-specific experiences and contexts in shaping donation practices. Part 3 applies these insights within a group of MSM who had never donated to inform future engagement. A latent class analysis identified four subgroups differing in eligibility and recruitment potential, importantly showing that eligibility alone does not determine donation. Instead, decisions are shaped by the interplay of identity, behaviour, and attitudes, highlighting the need for tailored engagement strategies. Overall, this thesis advances understanding of MSM as a diverse and heterogeneous donor population. It re-envisions MSM beyond the monolithic framing of “higher-risk” to reveal a population long deferred, marked by varied eligibility, desire, and opportunity to donate. Donation behaviours are inseparable from the social worlds and civic identities in which they are embedded, and these findings provide evidence to guide more inclusive and effective recruitment strategies as New Zealand prepares to implement individualised risk policies."]},{"key":"dc:title","label":"Title","values":["A Future Once Deferred: Re-envisioning Men Who Have Sex With Men as Prospective Blood Donors"]}]}],"canonical_facts":{"dc:contributor.advisor":["Saxton, Peter","Consedine, Nathan"],"dc:creator":["Sriamporn, Koson (Tony)"],"dc:date.accessioned":["2026-06-28T20:40:53Z"],"dc:date.issued":["2025"],"dc:description.abstract":["This thesis examines men who have sex with men (MSM) as a prospective blood donor population in New Zealand, at a time when international and local policy is shifting toward individualised assessments. Three overarching aims guide this work: to descriptively characterize MSM with different donation experiences; to build empirical evidence on predictors of MSM donation behaviour; and to inform future strategies for engaging prospective MSM donors under individualised donor assessment policies. Part 1 reviews the global and local policy landscape and uses previously unpublished national data to describe MSM’s engagement, attitudes, and intentions toward blood donation, establishing the empirical and conceptual foundation for subsequent analyses. Part 2 draws on data from the large-scale Sex and Prevention of Transmission Study (SPOTS) to investigate the diversity, motivations, and social determinants of MSM as (non)donors. Donor segmentation characterized subgroups (non-donors, active donors, and lapsed donors) previously invisible to services, such as MSM who donate without triggering a deferral. More importantly, the papers in this section demonstrate the importance of MSM-specific experiences for understanding how this population engages with blood donation. While persistent negative views of policy were evident, seeing donation as a civic contribution consistently predicted willingness to donate, and sexual identity and community connection significantly predicted noncompliance with the existing deferral policy. Thus, highlighting the central role of MSM-specific experiences and contexts in shaping donation practices. Part 3 applies these insights within a group of MSM who had never donated to inform future engagement. A latent class analysis identified four subgroups differing in eligibility and recruitment potential, importantly showing that eligibility alone does not determine donation. Instead, decisions are shaped by the interplay of identity, behaviour, and attitudes, highlighting the need for tailored engagement strategies. Overall, this thesis advances understanding of MSM as a diverse and heterogeneous donor population. It re-envisions MSM beyond the monolithic framing of “higher-risk” to reveal a population long deferred, marked by varied eligibility, desire, and opportunity to donate. Donation behaviours are inseparable from the social worlds and civic identities in which they are embedded, and these findings provide evidence to guide more inclusive and effective recruitment strategies as New Zealand prepares to implement individualised risk policies."],"dc:identifier.uri":["https://hdl.handle.net/2292/76141"],"dc:publisher":["ResearchSpace@Auckland"],"dc:rights":["Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated."],"dc:rights.uri":["https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm"],"dc:subject":["blood donation","msm","men who have sex with men","blood donation policy","hiv","sexual health"],"dc:title":["A Future Once Deferred: Re-envisioning Men Who Have Sex With Men as Prospective Blood Donors"],"dc:type":["Thesis"],"thesis:degree_discipline":["Population Health"],"thesis:degree_level":["Doctoral"],"thesis:degree_name":["PhD"],"thesis:institution_name":["The University of Auckland"]},"updated_at":"2026-07-24T01:04:52Z"}