重庆市男性包皮环切术接受意愿及影响因素分析

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.

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

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 d...