重庆美沙酮门诊男性服药者包皮环切术接受意愿定性研究

目的:了解重庆市美沙酮门诊男性服药者包皮环切术接受意愿。方法:在2009年10月至2009年12月期间选取50名美沙酮门诊男性服药者,采用个人深入访谈的方式对每位服药者进行个人访谈,归纳总结美沙酮门诊男性服药者包皮环切术接受意愿。结果:50名访谈对象中,9名访谈对象自觉包皮过长,其中7位愿意进行包皮环切术。在自觉无包皮过长情况的41名访谈对象中,22名在进行包皮环切术能预防艾滋病的前提下愿意(或考虑)进行包皮环切手术。在医疗机构和医疗费用的访问中,24名愿意进行手术的访谈对象选择三甲医院进行手术,并且有23名的访谈对象认为费用不应超过一千元。结论:包皮过长和行包皮环切术后,预防艾滋病能提高包皮环切术的接受意愿。医疗花费能部分影响包皮环切术接受意愿。在包皮环切术的推广中着重提高包皮过长检出率;强调该手术对艾滋病的预防作用和降低医疗花费,能够提高该人群包皮环切术接受意愿。

QUALITATIVE STUDY ON WILLINGNESS FOR ACCEPTING MALE CIRCUMCISION IN DRUG ADDICTS ON METHADONE MAINTENANCE TREATMENT IN CHONGQING

Objective:To understand the situation on willingness of accepting male circumcision in drug addicts on methadone maintenance treatment(MMT) in Chongqing,and provide information for the establishment of a good extension model of male circumcision.Methods:Individual in-depth interviews were conducted among 50 drug addicts from October to December in 2009,the willingness for accepting male circumcision in drug addicts on methadone maintenance treatment(MMT) were summaried.Results:Nine drug addicts believed that they had redundant prepuce,and 7 of them accepted male circumcision.However,22 of 41 drug addicts who had not redundant prepuce accepted male circumcision if this surgery was a way to prevent AIDS.Most of the drug addicts who accepted male circumcision chose Three-A hospitals for their surgeries,and more than half thought that the cost should be less than 1000 RMB.Conclusion:Redundant prepuce and that knowing the surgery can prevent HIV may increase the rate of willingness for accepting male circumcision.Medical cost may impact the willingness for accepting male circumcision.So we should find more male with redundant prepuce,emphasize the preventive function of the surgery for AIDS and reduce the cost in order to increase the number of drug addicts who accept male circumcision.