Factors associated with failure to disclose complete information regarding transfusion‐transmissible infections among blood donors in Lahore, Pakistan.

Background and Objectives: This study aims to address the gap in understanding the factors associated with the non‐disclosure of complete information by blood donors in Lahore, Pakistan. Materials and Methods: This was a cross‐sectional study, conducted from February to April 2024. The study involved interviewing transfusion‐transmitted infection (TTI)‐positive blood donors from three large hospitals in Lahore. A validated questionnaire was used to analyse the factors associated with non‐disclosure of information by these donors. Results: A total of 25,155 blood donors were screened, of whom 1048 tested positive for TTIs. Among these, 218 participated in the study. The majority of them (92%) reported being unaware of their infection. Among those who were aware of their infection but still proceeded with blood donation, the primary reasons for the non‐disclosure of infection status included a lack of seriousness, inadequate interviewing by blood bank staff and overcrowded interview areas. A significant proportion of TTI‐positive donors reported uncertain sources of infection (47%), while others reported high‐risk behaviours such as interaction with sex workers (34%) and blood transfusions at unauthorized clinics (7%). Future disclosure attitudes varied, with 22% preferring to keep their status confidential. Significant correlations were found between future non‐disclosure and factors such as age, marital status, education, socio‐economic status and number of blood donations. Conclusion: These findings emphasize the need for targeted interventions to improve donor screening and pre‐donation interview protocols. The study suggests the potential use of adequate counselling and provision of appropriate interview sites to reduce non‐compliant behaviour and ensure safe blood donation practices. [ABSTRACT FROM AUTHOR]