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目的调查男性矿工对包皮环切术的接受意愿,分析影响其接受意愿的关键因素。方法采用随机整群抽样的方法,抽取广西百色市煤矿中男性矿工作为研究对象,对其包皮环切术接受意愿及影响因素进行问卷调查。结果 569名男性矿工中有包皮环切意愿的占25.13%(143/569)。单因素分析结果显示,愿意接受包皮环切手术组和不愿意接受手术组矿工中的婚姻、文化程度、对包茎或包皮过长的危害及实施包皮环切手术的原因的认知差异有统计学意义(P均<0.05);两组矿工中患包茎或包皮过长的比例差异也有统计学意义(P=0.0001)。多因素Logistic回归分析结果显示,未婚(OR=0.498,95%CI=0.272~0.913)、有包皮疾患(OR=8.181,95%CI=4.252~15.741)和知道包皮过长可形成包皮垢(OR=1.713,95%CI=1.090~2.693)更愿意手术。结论男性矿工包皮环切接受意愿较低,提高艾滋病和包皮环切术基本知识可能有助于在该人群中推广包皮环切术。
Objective To investigate the willingness of male miners to accept circumcision and to analyze the key factors affecting their willingness to accept. Methods A random cluster sampling method was used to select male miners in coal mines in Baise City of Guangxi as the research object. Questionnaires on their willingness to accept circumcision and its influencing factors were investigated. Results Among 569 male miners, 25.13% (143/569) were circumcised. Univariate analysis showed that there was statistical difference in the willingness to accept the circumcision group and unwilling to accept the group of miners in the surgery group, the degree of education, the harm to the phimosis or prepuce, and the reason of circumcision. (P <0.05). There was also a statistically significant difference in the proportion of phimosis or prepuce between two groups of miners (P = 0.0001). Multivariate logistic regression analysis showed that there were foreskin disorders (OR = 8.181, 95% CI = 4.252-15.741) and unilateral (OR = 0.498, 95% CI = 0.272-0.913) = 1.713, 95% CI = 1.090 ~ 2.693) is more willing to surgery. CONCLUSIONS: Male miners have a lower willingness to undergo circumcision, and raising the basics of AIDS and circumcision may help promote circumcision in this population.