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郑敏, 刘民, 姚永明, 申莉梅. 贵阳市男男性行为者包皮环切术接受意愿调查[J]. 中国公共卫生, 2012, 28(7): 918-920. DOI: 10.11847/zgggws-2012-28-07-13
引用本文: 郑敏, 刘民, 姚永明, 申莉梅. 贵阳市男男性行为者包皮环切术接受意愿调查[J]. 中国公共卫生, 2012, 28(7): 918-920. DOI: 10.11847/zgggws-2012-28-07-13
ZHENG Min, LIU Min, YAO Yong-ming, . Acceptability of male circumcision among men who have sex with men in Guiyang city[J]. Chinese Journal of Public Health, 2012, 28(7): 918-920. DOI: 10.11847/zgggws-2012-28-07-13
Citation: ZHENG Min, LIU Min, YAO Yong-ming, . Acceptability of male circumcision among men who have sex with men in Guiyang city[J]. Chinese Journal of Public Health, 2012, 28(7): 918-920. DOI: 10.11847/zgggws-2012-28-07-13

贵阳市男男性行为者包皮环切术接受意愿调查

Acceptability of male circumcision among men who have sex with men in Guiyang city

  • 摘要: 目的 探索包皮环切术作为艾滋病预防干预措施在贵州省贵阳市男男性行为人群(MSM)中的可接受性及影响因素。方法 对贵阳市招募的符合条件的302名男男性行为行者进行包皮环切术(MC)接受意愿及其影响因素问卷调查。结果 本次调查的MSM性取向为同性恋的占57.3% (173/302),发生首次性行为的平均年龄是21.7岁,首次性行为的性伴61.6% (186/302)是男性;最近6个月男性性伴数平均是4.2人,94.4% (285/302)的MSM与男性有过肛交性行为,且与男性发生性行为时只有31.4% (89/302)的MSM每次都使用了安全套,17.9% (54/302)的MSM有与女性发生性行为史,只有35.1% (19/54)的人每次都使用了安全套;包皮环切术接受率为48.01% (145/302);多因素非条件logistic回归分析结果表明,认为包皮环切术能预防艾滋病性病传播、自认为包皮过长及包茎现象、认为MC提高性生活质量和相信MC质量好是包皮环切术接受意愿的主要影响因素。结论 包皮环切术对性功能和预防疾病方面的影响与该手术的接受意愿有一定的关系。

     

    Abstract: Objective To investigate the acceptability of male circumcision(MC)and its influencing factors among men who have sex with men(MSM)in Guiyang municipality to promote the acceptability of male circumcision for the prevention of sexually transmitted diseases. Methods Questionnaire interviews were administered to 357 MSM recruited and the results of 302 MSM without MC experience were analyszed. Results Among the MSM,57.3% (173/302)had the first sex at the average age of 21.7 years and 61.6% (186/302)had the first sex with men.For the MSM the average number of male partners in the latest 6 months was 4.2 and 94.4% (285/302)of MSM had anal sex with men but only 31.4% (89/302)used a condom everytime.There were 17.9% (54/302)of MSM having anal sex with female,of which only 35.1% (19/54)used a condom everytime.Totally 48.01% (145/302)of the MSM accepted MC.Multivariate logistic regression analyses showed the influencing factors included knowing the effect of MC on prevention of sexually transmitted diseases(P=0.016),with self-diagnosed prepuce or phimosis(P=0.006),awareness of effect of MC on quality of sex(P=0.000),and believing in good quality of MC(P=0.000). Conclusion The knowledge about effects of MC on sexual function and prevention of sexually transmitted diseases are related to the acceptability on MC among MSM in Guiyang city.

     

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