High Level Of Willingness Research Articles

A Mixed-Methods Examination of Factors Related to HPV Vaccination Promotion in Private Dental Settings, Iowa, 2019.

IntroductionHuman papillomavirus (HPV)-associated oropharyngeal cancer rates are rising, particularly in males, although rates of other HPV-related cancers are decreasing. Although the HPV vaccine is safe and effective, vaccination rates remain below the Healthy People 2030 goal of 80% coverage. Engaging dental providers, who have experience with patient education and oropharyngeal cancer, may prove useful in efforts to increase vaccination rates. Our research explores dental providers’ (dentists, dental hygienists) willingness to participate in continuing education about HPV, educate parents of adolescents, recommend the vaccine for adolescents, and refer parents to medical providers.MethodsWe used a mixed-methods approach and conducted a survey with dental hygienists and semistructured interviews with dental providers. We produced frequencies and descriptive statistics for all variables and used regression modeling to explore factors related to willingness to promote the HPV vaccine. We used a deductive approach to code interview transcripts.ResultsRegression models using survey data (n = 470) showed that after controlling for demographic and practice-level characteristics, higher levels of willingness were associated with thinking that parents would act on a recommendation and thinking that engaging in HPV promotion is within the scope of practice. Interview data reflected willingness of dental providers to work on HPV vaccination, but revealed barriers (eg, time, knowledge) that need to be addressed.DiscussionOverall, dental providers expressed a willingness to participate in HPV vaccine promotion, and future efforts should focus on addressing barriers to doing so. Engaging dental providers in HPV vaccine recommendation and referral can help prevent future HPV-related cancers.

Elderly Perception on the Internet of Things-Based Integrated Smart-Home System.

An integrated smart home system (ISHS) is an effective way to improve the quality of life of the elderly. The elderly’s willingness is essential to adopt an ISHS; to the best of our knowledge, no study has investigated the elderly’s perception of ISHS. Consequently, this study aims to investigate the elderly’s perception of the ISHS by comprehensively evaluating its possible benefits and negative responses. A set of sensors required for an ISHS was determined, and interviews were designed based on four factors: perceived comfort, perceived usability, perceived privacy, and perceived benefit. Subsequently, technological trials of the sensor-set followed by two focus group interviews were conducted on nine independently living elderly participants at a senior welfare center in South Korea. Consistent with previous studies, the results of this investigation indicate that elderly participants elicited negative responses regarding usability complexity, and discomfort to daily activities. Despite such negative responses, after acquiring enough awareness about the ISHS’s benefits, the elderly acknowledged its necessity and showed a high level of willingness. Furthermore, these results indicate that for a better adoption of an ISHS, sufficient awareness regarding its benefits and development of elderly-friendly smart home sensors that minimize negative responses are required.

Assessing cycling social feasibility in a medium-size Patagonian city

At present there is a global tendency in urban planning to privilege active mobility, especially in the central areas of the big cities of the world. We address the case of a medium-size city in a developing country like Argentina, which shares characteristics with other Latin American cities.The result of synthesizing experiences carried out in the city of Puerto Madryn, Patagonia Argentina is presented. The use of different instruments throughout various territorial actions allowed us to evaluate the social feasibility of implementing urban cycling policies in the city. Those instruments used were a specially designed mobile application for cyclists and two surveys that cover the cyclist’s profile and behavioral aspects towards cycling, respectively. The three of them have the common characteristics of being low-cost and simple to implement.The resulting social feasibility analysis reflects the importance of citizens’ commitment to cycling mobility. This analysis also gives an idea of the efforts needed to implement a policy in that regard. The results obtained indicate a high level of willingness to cycling, particularly among women. Family and friends support appears as a strength. Although infrastructure emerges as an important issue, it is not considered as urgent as other initiatives like safety driving campaigns, bicycle commuting programs and low infrastructure cost parking places. Traveling long distances and rough weather are inherent drawbacks of the Patagonian cities, however they were not observed as major impediments. We conclude that Puerto Madryn has an acceptable level of social feasibility towards urban cycling policies.

How Different Are the Nordics? Unravelling the Willingness to Make Economic Sacrifices for the Environment

The Nordic countries are often considered as remarkably exceptional in terms of the proenvironmental behavior of their citizens and also as forerunners in environmental policies. However, very few empirical studies have been done at the aggregated level about how the Nordics compare to other countries. The article addresses this knowledge gap and analyzes the Nordic region in terms of willingness to make economic sacrifices, proenvironmental attitudes and behaviors. Data (N = 5877) from the environment module of the International Social Survey Program (ISSP) are utilized, with nonparametric statistical tests and multinomial logistic regression employed—wherein, emphasis is placed on the regression models for willingness as dependent variables as analysis of the first order, with attitudes, behaviors and sociodemographic variables as part of second order analysis. The findings reveal that the region’s higher levels of willingness, attitudes, and behaviors become more salient when compared to third countries. People in the Nordic region who are ‘neither willing nor unwilling’ to protect the environment can be considered as distinct, and should not be arbitrarily lumped within the categories of the ‘unwilling’ or ‘willing’ respondents. These insights allow for a deeper understanding of peoples’ willingness and the relationships to respective attitudes and behaviors beneficial towards engaging the acceptability of extant environmental policies.

Traditional and Nontraditional Mental Healthcare Services: Usage and Preferences Among Adolescents and Younger Adults.

In recent years, nontraditional mental healthcare services and tools (e.g., mobile apps, peer counselors, online support groups) have been developed to increase access to and utilization of behavioral health services. This study investigates how adolescents and younger adults use and perceive various nontraditional mental healthcare services in comparison to traditional services and in comparison to each other. A questionnaire-based study was conducted that included 203 participants between the ages of 17 and 37 (M = 25.01, SD = 5.04). Results showed that while usage rates of nontraditional mental health services were considerably high, the highest rates were reported for traditional services. Similarly, participants reported high levels of willingness to use nontraditional services, yet the highest levels of willingness were reported for traditional services. These findings suggest that the integration of nontraditional services with traditional services may be particularly impactful for young people.Supplementary InformationThe online version contains supplementary material available at 10.1007/s11414-020-09746-w.

Medical marijuana in pediatric oncology: What your patients are thinking.

Medical marijuana in pediatric oncology: What your patients are thinking.

Attitudes toward a mindfulness-based intervention from African American women living with HIV: A qualitative study.

Introduction:Mindfulness-based interventions train participants to pay attention to their own emotions in the current moment without judging themselves. This study aims to assess the attitudes toward a mindfulness-based stress reduction intervention among African American women living with HIV.Methods:We collected qualitative data from three focus group discussions with 18 African American women living with HIV who were purposely recruited from the Palmetto Health-USC Immunology Center in South Carolina, United States. The participants discussed how they coped with stress, and then were given a presentation on mindfulness-based stress reduction and a sample mindfulness-based stress reduction mini workshop with follow-up discussion about their thoughts and opinions on the information presented to them.Results:Participants said that mindfulness could be a useful technique and they were interested in participating in a mindfulness-based stress reduction program. Their main concerns included physical ability to perform some of the mindfulness techniques (e.g. yoga) and logistic barriers, such as schedule constraints. They also provided some suggestions to further tailor the mindfulness-based stress reduction, such as modifying yoga, using familiar terms, and combining both in-person and online components. These results suggest that African American women living with HIV showed strong interest in mindfulness-based stress reduction and a high level of willingness to participate in mindfulness-based stress reduction, but the existing mindfulness-based stress reduction program needs to be tailored to address challenges and barriers these women may face for attendance and completion.Conclusion:The next step is to further test the feasibility, acceptability, and efficacy through a pilot study for African American women living with HIV to practice a tailored mindfulness-based stress reduction for this group.

Nursing Students' Willingness and Confidence to Volunteer in a Pandemic.

IntroductionThe current coronavirus disease 2019 pandemic may result in shortages of health care workers in some areas of the health care system. With adequate support, nursing students could potentially play a role in easing health worker shortages.ObjectiveTo describe and explore nursing students’ willingness and confidence to contribute to the health care workforce during a pandemic.MethodsA mixed-methods descriptive survey design was used to explore the perspectives of second-year nursing students at an Australian University. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed using directed content analysis.ResultsA total of 280 nursing students were invited to complete the survey with a response rate of 32%. The majority of the participants showed moderate to high levels of willingness to volunteer in a pandemic. Of the participants, 50% reported slight confidence that their knowledge and skills would assist them during their volunteering. Reasons that influenced students’ willingness to volunteer included perception of lack of personal protective equipment, need for incentives, fear of transmitting infection to family members, barriers to volunteering, inadequate knowledge and skills to handle a pandemic situation, study and clinical placement arrangements, and disease hazardousness.ConclusionMost nursing students have a level of willingness to volunteer but low confidence that their knowledge and skills would assist them while volunteering in pandemic situations. Universities and health care organizations can benefit from these findings by developing strategies to increase students’ willingness to volunteer, as well as their confidence in their knowledge and skills.

To Hinder or to Facilitate: Retailers' Strategy of Consumer Information Sharing and Target Segment

Motivated by the phenomenon that some retailers with high-end brand images, such as Neiman Marcus and Bergdorf Goodman, prefer to hinder consumers from sharing information through online reviews, we study an online retailer's strategy of hindering or facilitating consumer information sharing in a supply chain and its dependence on the retailer's brand image and target consumer segment. To capture the dynamics of consumer information sharing, we employ a two-period model in which consumers, with heterogeneous valuation of a product, arriving in the first period make purchase decisions based on the retailer's brand image and can find out the product quality only after their purchase, and consumers arriving in the second period learn about the product quality from the first-period consumers if the online retailer's website facilitates information sharing among consumers. We find that a high-end retailer is likely to benefit from hindering information sharing among consumers because hindering information enables the high-end retailer to induce all consumers to purchase. Such a target strategy prevents the manufacturer from extracting all of the profit from the retailer, as compared to a target strategy where the retailer only sells to consumers with high levels of willingness to pay. We also show that, interestingly, the retailer's dominant consumer information sharing strategy often benefits the supply chain when the product quality is exogenously determined. However, when the product quality is endogenous, the retailer's dominant consumer information sharing strategy can hurt the supply chain. Surprisingly, deterring consumers from learning about a product's true quality may generate more consumer surplus. Our work sheds light on the retailer's information sharing strategy by taking into account the target consumer segment as well as the interaction with upstream manufacturers.

Tobacco Smoking and Associated Factors Among People Living With HIV in Uganda.

IntroductionThe prevalence of smoking among people living with HIV (PLWH) in Uganda is high.Aims and MethodsWe assessed the smoking patterns, behaviors, and associated factors among PLWH in Uganda through a cross-sectional survey. Descriptive statistics were used to describe smoking patterns and behaviors. Logistic regression was used to identify factors associated with current smoking status.ResultsWe recruited 777 participants between October and November 2019: 387 (49.8%) current smokers and 390 (50.2%) nonsmokers. 60.9% were males, and the mean age was 40.5 (SD 10.7) years. In multivariate logistic regression, the following increased the odds of being a current smoker: being male (odds ratio [OR] 6.60 [95% confidence interval, CI = 4.34–10.04]), having at least two smokers among five closest friends (OR 3.97 [95% CI = 2.08–7.59]), living in smoking-permitted households (OR 5.83 [95% CI = 3.32–10.23]), alcohol use (OR 3.96 [95% CI = 2.34–6.71]), a higher perceived stress score (OR 2.23 [95% CI = 1.50–3.34]), and higher health-related quality of life (OR 5.25 [95% CI = 1.18–23.35]). Among smokers, the mean Fagerström Test for Nicotine Dependence score was 3.0 (SD 1.9), and 52.5% were making plans to quit. Self-efficacy to resist smoking and knowledge of the impact of smoking on PLWH’s health were low.ConclusionsBeing male, having at least two smokers among five closest friends, living in smoking-permitted households, alcohol use, higher perceived stress scores, and higher health-related quality of life were associated with being a current smoker. Smokers had low to moderate nicotine dependence, high willingness to quit, and low self-efficacy.ImplicationsFuture behavioral smoking cessation interventions for PLWH should address co-consumption with alcohol and comorbid mental health conditions that are common among PLWH such as stress. In addition, they should take into account the lack of knowledge among this population of the impact of smoking on their health, and low self-efficacy. Given the relatively low levels of nicotine dependency and high levels of willingness to quit in our sample, smoking cessation interventions, if offered, are likely to support this population in achieving long-term smoking abstinence.

Psychological perspectives of farmers on mobile based agriculture: Reuters market light (RML)

Today a new paradigm of agricultural development is emerging at a faster pace. The old ways of delivering information and services to citizens are being challenged. Farmers need dynamic information relating to agriculture and rural development. Therefore, to satisfy the need of information and knowledge, a venture promoted and supported by Thomson Reuters, Reuters Market Light (RML) offers highly customized and localized agricultural and related information service. Using a subscription economy model, RML provides information services via mobile phone-based Short Message Service (SMS) primarily aimed at farmers. The study was carried out in the Erode district of Tamil Nadu. In Erode District of Tamil Nadu Reuters Market Light (RML) utilizes Pallavan Grama Bank (Agricultural Rural Bank which is sponsored by the Indian Bank) to distribute the messages. The results revealed that majority of the respondents had a strong positive attitude towards market and a high level of willingness to sell the produce in the market. More than half of the respondents were willing to sell their produce to the traders/ wholesalers avoiding commission agents/middle men in the channel to teach the consumer and the respondents had a high level positive perception towards mobile phone with regard to farm information and technology transfer.

Protective behaviors regarding coastal flooding risk in a context of climate change

The physical vulnerability of coastal areas due to rising sea level and the flooding risk consequent, does not guarantee the implementation of protective behaviors by these risk zones’ inhabitants. This study aims to establish the link between the willingness to carry out protective behaviors and physical and perceived indicators of vulnerability. A typology of coastal flooding vulnerability, uses various physical indicators and their perceived counterparts which have been collected from 490 inhabitants of Cartagena (Colombia, declared world heritage of humanity by UNESCO in 1984), resident in areas of coastal flooding risks. The item-response theory (IRT) approach has been used. The results reveal that the implementation of protective behaviors is more related to perceived indicators, such as distance to the sea, than to actual physical vulnerability. We observe that physical vulnerability is linked to the intention to carry out protective behaviors. The presence of a defensive structure against coastal flooding could be considered as a visual cue and be a good predictor of the willingness to carry out protective behaviors. On the contrary, people in the most vulnerable situation (single-storey house) do not demonstrate a higher level of willingness to carry out protective behavior, as well of participants who lived in residential buildings which have demonstrated lower level of willingness to carry out such behaviors. Therefore, vulnerability of the house is not seen as a criterion that encourages participants to better protect themselves.

AWARENESS, PERCEPTION, AND WILLINGNESS TO CONTRIBUTE TO MICRO WAQF BANKS AMONG MUSLIMS IN INDONESIA

The purpose of this study is to assess the level of awareness, perception, and willingness that Indonesian Muslims towards waqf and Micro Waqf Banks (MWB). By distributing questionnaires to 104 Muslims, the results show that many Muslims still have a relatively low level of awareness about waqf and MWB. This may be due to the lack of socialization, especially regarding cash waqf and the establishment of MWB. Further findings indicate that the majority of Muslims in Indonesia agree on the establishment of MWB and also agree that MWB can be a solution to suppress the loan shark business so as to improve the welfare of the community, especially the lower middle class. Finally, Indonesian Muslims are willing to contribute to MWB especially if they know how to donate and how MWB operates. A higher level of willingness to contribute to MWB provides a great opportunity for MWB to develop its operations in the future. This research contributes to assisting MWB and Indonesian Waqf Board in developing appropriate socialization strategies to build and develop the potential of waqf in Indonesia.

A national survey of attitudes to COVID-19 digital contact tracing in the Republic of Ireland.

BackgroundContact tracing remains a critical part of controlling COVID-19 spread. Many countries have developed novel software applications (Apps) in an effort to augment traditional contact tracing methods.AimConduct a national survey of the Irish population to examine barriers and levers to the use of a contact tracing App.MethodsAdult participants were invited to respond via an online survey weblink sent via e-mail and messaging Apps and posted on our university website and on popular social media platforms, prior to launch of the national App solution.ResultsA total of 8088 responses were received, with all 26 counties of the Republic of Ireland represented. Fifty-four percent of respondents said they would definitely download a contact-tracing App, while 30% said they would probably download a contact tracing App. Ninety-five percent of respondents identified at least one reason for them to download such an App, with the most common reasons being the potential for the App to help family members and friends and a sense of responsibility to the wider community. Fifty-nine percent identified at least one reason not to download the App, with the most common reasons being fear that technology companies or the government might use the App technology for greater surveillance after the pandemic.ConclusionThe Irish citizens surveyed expressed high levels of willingness to download a public health–backed App to augment contact tracing. Concerns raised regarding privacy and data security will be critical if the App is to achieve the large-scale adoption and ongoing use required for its effective operation.

Determining readiness for a reablement approach to care in Australia: Development of a pre-employment questionnaire.

Reablement is described as a goal directed intervention with a view to maintain or improve the independence of clients through "doing with, rather than doing for". As a relatively new concept in care, lack of specific skills in reablement is not uncommon, however, intrinsic values aligned with reablement are beneficial to organisations providing care and support to clients. The aim of this study is to develop a pre-employment questionnaire to assess readiness for a reablement approach to care as a step towards developing a reablement culture across organisations. A questionnaire based on activities of daily living (ADL), developed by the research team in consultation with a local community-based care organisation, was completed by 166 staff members at a community-based care organisation in Tasmania across several timepoints during and following reablement education sessions in 2018. The scores from these questionnaires were utilised to develop a questionnaire appropriate for determining readiness for reablement prior to employment within the organisation. Over a period of twelve months, a total of 407 Reablement Readiness Questionnaires were submitted by staff, indicating high levels of willingness to engage in reablement prior to and following the education sessions. Exploratory factor analyses were performed, and the construct validity and internal consistency of the emerging factors were assessed. An exploratory factor analysis indicated that ADL, in relation to reablement, consist of three dimensions-Lifestyle, My body and Connecting. The corresponding questions were subsequently built into an online questionnaire for pre-employment use. This questionnaire also has potential benefit in recruitment of staff to other community service organisations, to ascertain their readiness for reablement prior to beginning a variety of different roles within client care and support.

Willingness to defend one's own country and to resist in the Baltic states

This article addresses the question of willingness to defend one’s own country and a similar notion of resistance, should Latvia, Lithuania and Estonia be attacked. The study principally relies on quantitative data from a dedicated nationally representative survey across all three countries. The data acquired thereof reaffirm findings from previous studies concluding that the highest level of willingness to defend one’s own country is in Estonia, while it is lower in Latvia and in Lithuania. Asked if and how respondents would resist in case of an attack, more willingness to resist either non-violently or violently was expressed by respondents in Lithuania, ahead of the number of willing to do so in Estonia and more so in Latvia. Demographic background of the respondents visualized and discussed in the article provides further nuances of both research questions. While situation with the willingness to defend Estonia is relatively comfortable, this should not be treated as a reason for complacency. There is still room for progress within some groups of the society. Meanwhile, valuable lessons could be drawn for policies of Latvia and more so of Lithuania to avert some of the less flattery trends identifed in this study.

Willingness of Adults in the United States to Receive HIV Testing in Dental Care Settings: Cross-Sectional Web-Based Study.

BackgroundThe Centers for Disease Control and Prevention estimates that 1.1 million people in the United States are living with HIV and 1 in 8 are estimated to be unaware of their serostatus. Little is known about whether individuals would consider being tested for HIV in nontraditional health care settings such as a dentist’s office. Studies in selected US cities have indicated high acceptability of receiving an HIV test among people attending dental clinics. However, we are not aware of studies that have assessed willingness to receive HIV testing in dental care settings at a national level.ObjectiveUsing a web-based sample of adult residents of the United States, we sought to assess the self-reported willingness to receive any type of HIV testing (ie, oral fluid rapid testing, finger-stick blood rapid testing, or venipuncture blood testing) in a dental care setting and evaluate independent associations of willingness with the extent to which dental care providers were perceived as knowledgeable about HIV and how comfortable participants felt discussing HIV with their dental care providers.MethodsParticipants were recruited using banner advertisements featured on social networking platforms (Facebook and Instagram) from December 2018 to February 2019. Demographic and behavioral data including information on sexual behaviors in the past 6 months, HIV testing history, and dental/health care–seeking history were collected using an anonymous web-based survey. Willingness to receive any type of HIV testing in a dental care setting was assessed on 4-point scale from very willing to very unwilling. Factors independently associated with participants’ willingness were identified using a multivariable logistic regression model.ResultsOf the 421 participants in our study aged 18 to 73 years, 271 (64.4%) reported having oral sex, 197 (46.8%) reported having vaginal sex, and 136 (32.3%) reported having anal sex in the past 6 months. Approximately one-third had never been tested for HIV (137/421, 32.5%), and the same proportion had not been tested in the past year (137/421, 32.5%). Most participants had dental insurance coverage (356/421, 84.6%), and more than three-fourths reported being very or somewhat willing (326/421, 77.4%) to receive any type of HIV testing in a dental care setting. Higher levels of willingness were associated with being 18 to 24 years versus ≥35 years (aOR 3.22, 95% CI 1.48-6.98), 25 to 34 years versus ≥35 years (aOR 5.26, 95% CI 2.52-10.98), believing that one’s dental care provider is knowledgeable about HIV (aOR 2.04, 95% CI 1.06-3.92), and feeling comfortable discussing HIV with one’s dental care provider (aOR 9.84, 95% CI 3.99-24.27).ConclusionsOur data indicate high acceptability of receiving HIV testing in a dental care setting, especially among those who report having a positive patient-provider relationship. Future research should focus on assessing dental care providers’ attitudes, self-efficacy, and beliefs about whether HIV testing fits into the scope of dentistry.

Migrant Workers' Willingness to Participate in Workplace Health Promotion Programs: The Role of Interpersonal and Political Trust in China.

High-level willingness to participate in WHPPs (Workplace Health Promotion Programs) can not only benefit employers and employees, but also can produce many positive social effects. In order to expand the existing body of research, the effects of subject cognition, interpersonal trust, political trust, and occupational safety and health concerns were explored. We surveyed 680 Chinese migrant workers who were in charge of participation decisions in their households (2,500 residents involved) from the three typical provinces. The association of social-economic determinants with the willingness to participate and the participating behavior was studied by logistic regression analysis. We find that almost all of workers show relatively high levels of willingness to participate, while nearly seventy percent of the migrant workers had not engaged in actual participation behavior. Regression analyses revealed that subject cognition, interpersonal trust, political trust, and concern for occupational safety and health were factors significantly influencing participating subjects' willingness to engage in WHPPs. Furthermore, mediation analyses demonstrated that the influence of subject cognition was partially mediated by political trust. The influence of subject cognition was partially mediated by political trust. We discuss why political trust may impact the influence of subject cognition on the willingness to participate. Our results provided important insights for both academic and practical application.

How to Defend COVID-19 in Taiwan? Talk about People's Disease Awareness, Attitudes, Behaviors and the Impact of Physical and Mental Health.

This study explored awareness, attitudes, and behavior in relation to Coronavirus Disease 2019 (COVID-19) prevention among Taiwanese citizens and their physical and mental health statuses. Through collection of 2132 questionnaire responses in field research, the present researchers analyzed the data using descriptive statistics and various approaches. In conclusion, the public’s high level of willingness to share information, sufficient knowledge of and consensus on epidemic prevention between individuals and families, strict compliance with relevant regulations, effective preventive measures, and adequate public facilities have contributed to control of COVID-19. However, vigilance and awareness of the pandemic in some individuals, epidemic-prevention campaigns, and community-based preventive measures were insufficient. Some citizens subsequently suffered from headaches, anxiety, and mood instability. Furthermore, demographic variables (place of residence, sex, age, and occupation) and physical and mental health status produced various effects on citizens’ awareness, attitude, and behavior regarding epidemic prevention as well as the perceived effect of COVID-19 on physical and mental health.

Attitudes and willingness to donate blood among gay and bisexual men in Australia

Men who have sex with men in Australia are currently ineligible to donate blood (are "deferred") for 12 months since last oral or anal sexual contact with another man. In Australia and overseas, there has been limited research on attitudes and perceptions related to blood donation in this population. Questions on blood donation histories and attitudes toward the deferral policy were included in the questionnaire of an online prospective cohort of gay and bisexual men (GBM) living in Australia. In 2018, 1595 GBM responded to the survey. In this sample, 28.7% reported previously donating blood. Among the remaining men who had never donated blood, 64.5% expressed an interest in doing so. Nearly all men indicated they were not willing to abstain from sex with another man for 12 months in order to donate, and the vast majority believed the rule was unfair, too strict, and homophobic. Three-quarters (77.7%) said that if the policy changed, they would likely donate blood. Age and openness about one's sexuality were independently associated with one's willingness to donate blood in the absence of the deferral. There was a high level of willingness and desire to donate blood among GBM. However, rather than abstaining from sex in order to donate, many men comply with the deferral policy and do not donate. A less conservative deferral policy may increase donations from GBM.