【摘要】 目的:了解重庆市某高校医学生包皮环切术接受意愿及其影响因素,为针对性的开发出提高艾滋病重点人群包皮环切接受意愿的宣传材料提供依据。方法:采用整群随机抽样法抽取580名1～4年级大学生,用统一的调查问卷进行横断面调查。结果:不愿手术的原因:不影响健康、没必要(76.31%),担心手术风险(38.96%),不知道手术的医学益处(26.51%),担心影响性功能(22.89%),担心费用过高(15.66%)。明确了手术并发症发生率很低,而且可预防艾滋病等性传播疾病、保护生殖健康,接受率增加33.06%,可能增加40.82%(P<.0001)。多元Logistic回归分析结果显示,手术接受意愿分别受自身有无包茎或包皮过长,是否认为手术可以增加未来性生活满意度以及身边有无亲朋好友做过手术等因素影响。结论:推广手术需要加大相关知识的宣传力度,可以培训自身做过手术的医学生给其他人群做健康教育;同时,希望相关部门不断改进技术,使手术更加安全、简便、便宜。更多还原

【Abstract】 Objective:To understand the willingness of medical students in a university in Chongqing to accept circumcision and influencing factors,so as to provide basis for developing publicity materials aiming at promoting the AIDS focus groups’ willingness to accept the circumcision.Methods:A cluster random sampling method was used for finding out 580 students from grade 1 to grade 4,with the same questionnaire to conduct the cross-sectional survey.Results:Reasons for unwillingness were as follows:no effect on health and therefore no need(76.31%),worrying about the risk of surgery(38.96%),not knowing the medical benefits of surgery(26.51%),worrying that surgery would affect sexual function(22.89%),and worrying that the cost may be too high(15.66%).When it became clear to them that the rate of various complications was very low;the operation could prevent AIDS and other sexually transmitted diseases;and keep the reproductive system healthy,the acceptance rate increased by 33.06%,and might increase by 40.82%(P<.0001).The results of the multivariate logistic regression showed that the factors affecting the willingness to accept the surgery were as follows:whether or not they had phimosis or redundant foreskin;whether the surgery could increase the sexual satisfaction in the future or not;whether or not there were close friends or relatives who had had this surgery,and so on.Conclusion:The promotion of the operation in the public needs our promulgation.Medical students who have accepted the operation can be trained for healthy education to other people;meanwhile,relevant divisions or departments can make improvement in technology and make the surgery cheaper,safer and easier.更多还原