男男性行为人群包皮环切术预防HIV意愿调查

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。

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

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.