男男性行为人群包皮环切术预防HIV意愿调查  

Attitude toward circumcision for prevention of HIV infection among men who have sex with men

作　　者：李东亮[1] 李清春[2,3] 李书明[1] 刘英杰[1] 姜树林[1] 罗凤基[1] 张政[1] 周振海[2] 师伟[1] 阮玉华[2] 邵一鸣 

机构地区：[1]北京市朝阳区疾病预防控制中心,100021 [2]中国疾病预防控制中心性病艾滋病预防控制中心 [3]浙江省杭州市疾病预防控制中心

出　　处：《中国公共卫生》2010年第6期728-729,共2页Chinese Journal of Public Health

基　　金：国家"十五"科技攻关项目(2004BA719A01)

摘　　要：目的了解男男性行为人群进行包皮环切手术以预防艾滋病感染的意愿情况及其影响因素。方法于2009年2月-3月,在北京市招募男男性行为者进行问卷调查,了解其对艾滋病及包皮环切术预防艾滋病感染的认知情况。结果在参加调查的200名男男性行为者中,13人已经接受了包皮环切,3人不清楚是否做过包皮环切;在参加者184人未做过包皮环切的中,36.4%表示愿意参加今后的包皮环切预防男男性行为感染艾滋病的科学研究。多因素Logistic回归分析显示,其影响因素包括包皮过长(OR=2.82,95%CI=1.45～5.49)和认为包皮环切能增加自己/同伴性伴的同性性乐趣或性快感(OR=4.50,95%CI=1.77～11.49)。结论应在该人群中加大包皮环切及艾滋病知识的普及力度,消除人们对包皮环切手术及相关预防艾滋病感染研究的担心和歧视。Objective To investigate the willingenss to participate（WTP） in a clinical trial of circumcision for prevention of HIV infection and related factors of WTP among men who have sex with men（MSM）.Methods Between February and March 2008,MSM were investigated to collect their perception on HIV and male circumcision.Results Of 200 participants,13 reported taking circumcision,3 did not know whether they had circumcision or not.Of 184 MSM uncircumcised,36.4% reported the willing to participate in the clinical trial of circumcision to prevent HIV.The related factors of the attitude toward circumcision included with foreskin （odds ratio[OR]=2.82,95% confidence interval[CI]=1.45-5.49） and the belief that circumcision could increase pleasure of sexual activity （OR=4.50,95%CI=1.77-11.49）.Conclusion Methods should be taken to intensify the dissemination of AIDS and circumcision related knowledge to decrease worries and discrimination among MSM and general population.

关 键 词：男男性行为者 艾滋病 人类免疫缺陷病毒(HIV) 包皮环切 

分 类 号：R167[医药卫生—公共卫生与预防医学]