重庆市男性包皮环切术接受意愿及影响因素分析  

Willingness of Circumcision and Its Influencing Factors among General Population in Chongqing

作　　者：文静[1] 唐晓君[1] 钟朝晖[1] 李君[1] 刘晨煜[1] 李革[1] 秦波[2] 

机构地区：[1]重庆医科大学流行病学教研室,重庆市400016 [2]重庆医科大学附属第一医院感染科

出　　处：《中国全科医学》2011年第15期1690-1692,共3页Chinese General Practice

基　　金：国家十一五重大专项(2008ZX10001-016-5)

摘　　要：目的了解包皮环切术在重庆市男性接受意愿及影响因素,为在该市推广包皮环切术提供依据。方法 采用多阶段分层随机抽样,对重庆市4个区(九龙坡区、渝中区、大渡口区、巴南区)共760人进行包皮环切术接受意愿性等问卷调查。结果包皮环切术接受率为46.9%,不同年龄、文化程度和职业男性居民接受率比较差异有统计学意义(P<0.05)。多因素非条件Logistic回归分析显示,包皮环切术是否增加未来性生活满意度〔OR=1.419,95%CI(1.027,1.960)〕、身边是否有亲戚朋友或者同学做过该手术〔OR=1.686,95%CI(1.210,2.351)〕、包茎或包皮过长易致阴茎癌〔OR=1.555,95%CI(1.114,2.168)〕、自己是否有包茎或包皮过长〔OR=28.071,95%CI(14.829,53.138)〕是包皮环切术接受意愿的主要影响因素。结论包皮环切术的作用与该手术的接受意愿有一定的关系,特别是该手术对性功能方面的影响;其次,还应该加强关于包皮过长或包茎的危害及该手术适应证的宣传,增强男性居民对自身生殖健康的了解;在宣传该手术时,可以采用同伴教育的宣传方式进行。Objective To explore the willingness of circumcision and its influencing factors among the general population in Chongqing. Methods A questionnaire-based survey was conducted among 760 residents in 4 districts of Chongqing（Jiulongpo District,Yuzhong District,Dadukou District,and Banan District）.Subjects were enrolled by multi-stage stratified random sampling. Results 46.9% of the respondents were willing to receive circumcision,and this proportion was different among respondents at different ages and with different background（education levels,jobs,and others）（P〈0.05）.The willingness of circumcision was mainly influenced by factors including concerns about whether the circumcision can increase future satisfaction to sexual life[OR=1.419,95%CI（1.027,1.960）],whether the respondents have relatives,friends,or classmates who have undergone circumcision[OR=1.686,95%CI（1.210,2.351）],whether circumcision or redundant prepuce casuses phallic cancer[OR=1.555,95%CI（1.114,2.168）],and whether the respondents have capistration or redundant prepuce[OR=28.071,95%CI（14.829,53.138）]. Conclusion The function of circumcision（especially the influence of circumcision on sexual function） is somehow related with the willingness of circumcision.Therefore,it is important to strengthen public education on the hazards of capistration or redundant prepuce.Peer education may play an important role in this field.

关 键 词：获得性免疫缺陷综合征 包皮环切手术 接受意愿 影响因素 

分 类 号：R699.8[医药卫生—泌尿科学]