论文部分内容阅读
目的了解广西男性居民对包皮环切术(male circumcision,MC)的接受意愿,分析影响其接受意愿的影响因素。方法于2009年10-12月通过多阶段整群抽样方式对广西钦州市和贺州市男性居民进行访谈式问卷调查。结果 668名调查对象中,选择“愿意”、“可能愿意”、“可能不愿意”和“不愿意”接受MC者分别占15.1%(101/668)、8.1%(54/668)、4.2%(28/668)和2.6%(485/668);将“愿意”及“可能愿意”接受MC者作为有接受手术倾向者,则有包皮环切意愿的占23.2%(155/668);“可能不愿意”或“不愿意”接受MC者中89.8%(459/513)认为是“没有必要,不影响健康”;Logistic回归分析结果表明,存在包茎或包皮过长现象及知道包皮过长会引起包皮垢,影响生殖健康与接受MC意愿相关(P<0.05)。结论广西男性居民接受MC意愿较低,提高MC基本知识将有助于在该人群中推广包皮环切术。
Objective To understand the acceptance of male circumcision (MC) in male males in Guangxi and analyze the influencing factors that affect their willingness to accept. Methods A questionnaire survey was conducted on male residents in Qinzhou and Hezhou in Guangxi from October to December in 2009 through multistage cluster sampling. Results Among the 668 survey respondents, 15.1% (101/668), 8.1% (3%), and (54/668), 4.2% (28/668), and 2.6% (485/668). Patients who accepted “willing ” and “may be willing ” as recipients of surgical incline were circumcised 23.2% (155/668) of the willingness; 89.8% (459/513) of the “may not be willing” or “unwilling” to accept the MC as “not necessary, not affecting the health”; Logistic Regression analysis showed that the presence of phimosis or prepuce phenomenon and knowing that the foreskin is too long can cause smegma, affecting reproductive health and willingness to accept MC (P <0.05). Conclusion Guangxi male residents with lower willingness to accept MC, improve the basic knowledge of MC will help promote the circumcision in the crowd.