重庆市成年男性包皮环切术接受意愿及其影响因素分析_《中国循证医学杂志》

作者：

刘晨煜 ¹ ,  钟朝晖 ¹ , 唐晓君 ¹ , 秦波 ² , 李革 ¹ , 李君 ¹ , 文静 ¹

1. 重庆医科大学公共卫生学院流行病学教研室（重庆?400016）；2. 重庆医科大学附属第一医院（重庆?400016）;

关键词：

包皮环切接受意愿影响因素

DOI：

10.7507/1672-2531.20110189

视频：

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目的　了解重庆市成年男性包皮环切术接受意愿现状及其影响因素，为制定包皮环切推广模式及开发健康教育材料提供科学依据。
方法　采用分层多级整群随机抽样方法对重庆市18～45岁成年男性进行包皮环切术的接受意愿进行调查。
结果　共调查了1 502名成年男性，其中661人表示愿意做包皮环切手术，手术接受意愿率为44.01%。18～30岁组接受意愿率高于31～45岁组；文化程度越高，手术接受意愿率越高；工人、商业人员手术接受意愿率都高于农民。多因素logistic回归分析结果显示：“知道包茎和包皮过长者可以采用包皮环切术治疗”［OR=21.01，95%CI（14.21，31.06）］、“身边有朋友做过手术”［OR=1.65，95%CI(1.25，2.19）］和“知晓包茎和包皮过长的危害”［OR=1.43，95%CI（1.01，2.02）］是影响手术接受意愿率的积极因素；而“害怕手术并发症”［OR=0.69，95%CI（0.50，0.95）］和“害怕周围人取笑”［OR=0.63，95%CI（0.40，0.99）］是影响手术接受意愿率的消极因素。
结论　重庆市成年男性包皮环切术接受意愿率偏低，应有针对性地加强宣传教育，营造良好社会氛围，提高包皮环切术接受意愿率。

引用本文： 刘晨煜,钟朝晖,唐晓君,秦波,李革,李君,文静. 重庆市成年男性包皮环切术接受意愿及其影响因素分析. 中国循证医学杂志, 2011, 11(10): 1125-1128. doi: 10.7507/1672-2531.20110189 复制

1.	1 Dunsmuir WD, Gordon EM. The history of circumcision. Br J Urol , 1999, 83(1): l-12.
2.	4 Auvert B, Taljaard D, Lagarde E, et al. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoSMed , 2005, 2(11): 1-11.
3.	5 Gray RH, Kigazi G, Serwadda D, et al . Male circumcision for HIV prevention in men in Rakai, Uganda: a randomized trial. Lancet , 2007, 369(9562): 657-666.
4.	6 Bailey RC, Moses S, Parker CB, et al . Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomized controlled trial. Lancet , 2007, 369(9562): 643-656.
5.	7 Weiss HA, Dickson KE, Agot K, et al . Male circumcision for HIV prevention: current research and programmatic issues. AIDS , 2010, 24(4): S61-69.
6.	8 Halperin DT, Fritz K, Mcfarland W, et al . Acceptability of Aault male circumcision for sexually transmitted disease and HIV prevention in Zimbabwe. Sex Trans Dis , 2005, 32(4): 238-239.
7.	9 Lukobo MD, Bailey RC. Acceptability of male circumcision for Prevention of HIV infection in Zambia. AIDS Care , 2007, 19(4): 47l-477.
8.	10 Ngalande RC, Levy J, Kapondo CP, et al . Acceptability of male circumcision for prevention of HIV infection in Malawi. AIDS Behav , 2006, 10(4): 377-385.
9.	11 Scott BE, Weiss HA, Viljoen JI. The acceptability of male circumcision as an HIV intervention among a rural Zulu population, Kwazulu-Natal, South Africa. AIDS Care , 2005, 17(3): 304-313.
10.	12 Mattson CL, Bailey RC, Muga R, et al . Acceptability of male circumcision and predictors of circumcision preference among men and women in Nyanza Province, Kenya. AIDS Care , 2005, 17(2): 182-94.
11.	13 Westercamp N, Bailey RC. Acceptability of male circumcision for prevention of HIV/AIDS in Sub—Saharan Africa: a review. AIDS Behav , 2007, 11(3): 341-355.
12.	14 Kebaabetswe P, Lockman S, Mogwe S, et al . Male circumcision: an acceptable strategy for HIV prevention in Botswana. Sex Tram Infect , 2003, 79(3): 214-219.
13.	15 Bailey RC, Neema S, Othieno R. Sexual behaviors and other HIV risk factors in circumcised and uncircumcised men in Uganda. J Acquir Immune Defic Syndr , 1999, 22(3): 294-301.
14.	贲昆龙, 徐建春, 陆林, 等. 推广男性包皮环切, 预防艾滋病, 提高国民生殖健康水平. 中华男性学杂志, 2008, 14(4): 291-297.
15.	冯楠, 吕繁, 曾刚, 等. 四川省凉山地区彝族男青年对包皮环切可接受性及影响因素分析. 中华流行病学杂志, 2010, 31(3): 281-285.

1. 1 Dunsmuir WD, Gordon EM. The history of circumcision. Br J Urol , 1999, 83(1): l-12.
2. 4 Auvert B, Taljaard D, Lagarde E, et al. Randomized, controlled intervention trial of male circumcision for reduction of HIV infection risk: the ANRS 1265 trial. PLoSMed , 2005, 2(11): 1-11.
3. 5 Gray RH, Kigazi G, Serwadda D, et al . Male circumcision for HIV prevention in men in Rakai, Uganda: a randomized trial. Lancet , 2007, 369(9562): 657-666.
4. 6 Bailey RC, Moses S, Parker CB, et al . Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomized controlled trial. Lancet , 2007, 369(9562): 643-656.
5. 7 Weiss HA, Dickson KE, Agot K, et al . Male circumcision for HIV prevention: current research and programmatic issues. AIDS , 2010, 24(4): S61-69.
6. 8 Halperin DT, Fritz K, Mcfarland W, et al . Acceptability of Aault male circumcision for sexually transmitted disease and HIV prevention in Zimbabwe. Sex Trans Dis , 2005, 32(4): 238-239.
7. 9 Lukobo MD, Bailey RC. Acceptability of male circumcision for Prevention of HIV infection in Zambia. AIDS Care , 2007, 19(4): 47l-477.
8. 10 Ngalande RC, Levy J, Kapondo CP, et al . Acceptability of male circumcision for prevention of HIV infection in Malawi. AIDS Behav , 2006, 10(4): 377-385.
9. 11 Scott BE, Weiss HA, Viljoen JI. The acceptability of male circumcision as an HIV intervention among a rural Zulu population, Kwazulu-Natal, South Africa. AIDS Care , 2005, 17(3): 304-313.
10. 12 Mattson CL, Bailey RC, Muga R, et al . Acceptability of male circumcision and predictors of circumcision preference among men and women in Nyanza Province, Kenya. AIDS Care , 2005, 17(2): 182-94.
11. 13 Westercamp N, Bailey RC. Acceptability of male circumcision for prevention of HIV/AIDS in Sub—Saharan Africa: a review. AIDS Behav , 2007, 11(3): 341-355.
12. 14 Kebaabetswe P, Lockman S, Mogwe S, et al . Male circumcision: an acceptable strategy for HIV prevention in Botswana. Sex Tram Infect , 2003, 79(3): 214-219.
13. 15 Bailey RC, Neema S, Othieno R. Sexual behaviors and other HIV risk factors in circumcised and uncircumcised men in Uganda. J Acquir Immune Defic Syndr , 1999, 22(3): 294-301.
14. 贲昆龙, 徐建春, 陆林, 等. 推广男性包皮环切, 预防艾滋病, 提高国民生殖健康水平. 中华男性学杂志, 2008, 14(4): 291-297.
15. 冯楠, 吕繁, 曾刚, 等. 四川省凉山地区彝族男青年对包皮环切可接受性及影响因素分析. 中华流行病学杂志, 2010, 31(3): 281-285.

《中国循证医学杂志》

重庆市成年男性包皮环切术接受意愿及其影响因素分析

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《中国循证医学杂志》

重庆市成年男性包皮环切术接受意愿及其影响因素分析

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