摘要
目的研究农民工对包皮环切术的接受性,并分析其接受性影响因素。方法采用整群抽样方法选取广西壮族自治区百色市煤矿中569名男性农民工作为研究对象,通过一对一问卷调查收集其包皮环切术的接受性及其影响因素。结果研究对象中有包皮环切意愿的占25.13%（143/569）;当研究对象被告知包皮环切并发症小、可预防艾滋病性病和保护生殖健康、检查时发现有包皮过长或包茎、手术免费时,农民工对包皮环切术的接受性有较大改变,分别为43.23%、58.52%、70.12%、48.86%,与告知前比较差异有统计学意义;单因素分析显示,婚姻状况、包皮环切术知识、人类免疫缺陷病毒（H IV）抗体检测等6个因素与包皮环切的接受性有关;多因素分析显示,未婚者、自觉有包皮过长或包茎、进行过H IV抗体检测者更愿意接受手术,其OR（95%CI）值分别为2.37（1.30~4.32）、8.19（4.25~15.77）、1.95（1.15~3.32）。结论广西农民工包皮环切术接受意愿较低,艾滋病和包皮环切术相关知识知晓率低及担心手术安全性和费用是主要影响因素。
Objective To explore the acceptability of male circumcision and its related factors among farmer workers in coal mine.Methods Questionnaire survey on the acceptability of male circumcision（MC） and its related factors was conducted among farmer workers in a coal mine in Guangxi Zhuang Autonomous Region with random cluster sampling.Results A total of 569 male farmer workers were selected.Among the interviewees,25.13%（143/569）expressed the willingness to accept MC.When knowing that the operation would be free of charge and with few complication and could prevent AIDS and sexually transmitted diseases（STDS）,more interviewees expressed the willingness to accept MC with a significantly increased acceptable rate.Univariate analysis showed that the acceptability of MC was associated with marital status,knowledge on male circumcision,knowledge on phimosis and redundant prepuce,knowledge on protective effects of MC on genital inflammation,tumor,AIDS and STDS,and history of HIV test.The results of logistic regression analysis indicated that three factors were associated with the acceptability of male circumcision：marital status（odds ratio=2.37,95%confidence interval：1.30-4.32）,self-diagnosis of phimosis or redundant prepuce（OR=8.19,95%CI：4.25-15.77）,history of HIV test（OR=1.95,95%CI：1.15-3.32）.Conclusion The acceptability of male circumcision among farmer coal mine workers in Guangxi is low.The major influencing factors for the low rate are lack of knowledge on AIDS and male circumcision and the safety and cost of male circumcision.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2011年第3期282-283,共2页
Chinese Journal of Public Health
基金
国家科技重大专项"十一五"课题(2008ZX10001-016)
广西研究生教育创新计划项目(2010105981004M224)
关键词
农民工
包皮环切术
艾滋病
接受性
影响因素
farmer worker
male circumcision
AIDS
acceptability
influencing factor
