广州市男性工人包皮环切术接受意愿及影响因素分析

目的 调查男性工人包皮环切手术接受意愿现状，分析手术接受意愿的影响因素。方法 以广州市南沙区建筑工地和工厂为基地采用方便整群抽样方法选取4家建筑工地和2家制造业工厂，对男性工人进行现场问卷调查；应用Logistic回归模型分析数据。结果 实际有效调查836名男性工人，其中建筑工地工人391人（46.8%），制造业工人445人（53.2%），手术接受意愿率为85.4%。不同文化程度间的接受意愿差异有统计学意义（χ²=12.67，P=0.002），且手术接受意愿具有随着文化程度的提高而升高的趋势；艾滋病知识高分组的手术接受意愿比低分组高，差异有统计学意义（χ²=16.19，P<0.001）；手术知识高分组与低分组比较差异有统计学意义（χ²=19.90，P<0.001）；调整相关混杂因素后，对手术医学益处认知得分越高（OR=1.84，95% CI：1.44～2.34，P<0.001），身边有人做过包皮环切术（OR=1.83，95% CI：1.06～3.15，P=0.029）是愿意接受手术的促进因素。结论 男性工人的手术接受意愿较高，提示该人群适合手术的推广和普及。

The prevalence and influential factors for the willingness to accept circumcision among male workers in Guangzhou City,China

Objective To investigate the male workers' willingness to accept circumcision and analyze its influential factors. Methods A construction sites, industries-based cross-sectional survey, convenient cluster sampling study was conducted in Nansha District, Guangzhou City. Male workers from four construction sites and two factories were selected to attend the survey. Logistic models were conducted to analyze data. Results Of 836 eligible participants, 391(46.8%) were construction workers and 445(53.2%) were manufacturing industry workers. The proportion willingness to accept circumcision was 85.4%. The willingness to accept circumcision between different educational level had a statistical significance (χ2=12.67,P=0.002). The higher their educational level was the higher their acceptance of circumcision was; Compared to the low score group of AIDS knowledge, the high score group had higher willingness to circumcision, the difference between the two groups had a statistical significance(χ2=16,19,P<0.001). And the difference between the two groups of male circumcision knowledge had the similar result(χ2=19.90,P<0.001). After adjustment, “the more knowledge about medical benefits of male circumcision” (OR=1.84,95% CI:1.44-2.34,P<0.001) and “being affected by surroundings who had circumcision before” (OR=1.83,95% CI:1.06-3.15,P=0.029) were the positive factors for affecting acceptance rate. Conclusions The proportion willingness to accept circumcision among male workers is high, it suggests that the popularization and promotion of male circumcision in this population has an advantage.