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目的了解男男性接触者(MSM)对进行包皮环切术(Male Circumcision,MC)的接受意愿。方法2008年8-9月,通过“滚雪球”和方便抽样招募方式对辽宁省沈阳市123名MSM进行访谈式问卷调查。结果123名调查对象中,61.8%的MSM存在异性性伴,其中57.9%在最近1个月与女性性伴的性行为中未使用安全套。4.9%的MSM曾接受过包皮环切手术。未进行过包皮环切术的MSM中47.0%愿意接受MC。而对于免费提供的MC,接受比例为60.0%。Logistic回归分析显示,存在包茎现象及认为包皮环切可预防性病感染与MSM愿意接受MC存在显著的关联性(P<0.05)。结论MSM存在向其异性性伴传播人类免疫缺陷病毒(HIV)的危险性。MC干预可降低MSM的HIV感染率及向普通人群传播的风险。
Objective To understand the willingness of men who have sex with men (MSM) to accept circumcision (Male Circumcision). Methods From August to September 2008, 123 MSMs in Shenyang City, Liaoning Province were interviewed by means of “Snowball” and convenient sampling and recruiting methods. RESULTS: Of the 123 respondents, 61.8% of MSM had heterosexual partners, of whom 57.9% did not use condoms in the last month with female partners. 4.9% of MSM had undergone circumcision. Forty-seven percent of MSM who did not undergo circumcision were willing to accept MC. For the free MC, the acceptance rate is 60.0%. Logistic regression analysis showed that there was a significant correlation between the presence of phimosis and the willingness of circumcision for the prevention of venereal infection and the willingness of MSM to accept MC (P <0.05). Conclusion MSM is at risk of transmitting human immunodeficiency virus (HIV) to its heterosexual partners. MC intervention can reduce the HIV infection rate of MSM and the risk of transmission to the general population.