【摘要】 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。更多还原

【Abstract】 Objective To investigate the acceptability of male circumcision among male miners in Baise,Guangxi,China.Methods A questionnaire-based survey on the willingness to be circumcised(WTC) and its influential factors were conducted among Guangxi male miners recruited by random cluster sampling.Results Of 569 subjects who were surveyed,143(25.13%) expressed their willingness to be circumcised.Univariate analysis showed that marital status,education level,and the awareness of the hazards of phimosis and redundant prepuce and reasons for circumcision were significantly different between WTC group and the non-WTC group(all P<0.05).Furthermore,the incidence of phimosis or redundant prepuce also significantly differed between these two groups(P=0.0001).Logistic regression analysis found marital status(OR=0.498,95%CI=0.272-0.913),history of foreskin disease(OR=8.181,95%CI=4.252-15.741),and awareness of the risk that a redundant prepuce may cause smegma(OR=1.713,95%CI=1.090-2.693) were significantly correlated with the male miners’ WTC.Conclusions Male miners in this area have low WTC.Education on the basic knowledge of acquired immunodeficiency syndrome and circumcision may help promote the application of circumcision.更多还原