重庆市男性包皮环切术接受意愿及影响因素分析

摘要

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.%Objective To explore the willingness of circumcision and its influencing factors among the general population in Chongqing. Methods A questionnaire - hased 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 different hackground ( education levels , jobs, and others ) ( P ＜0. 05 ) . The willingness of circumcision was mainly influenced by factors including concerns about whether the circumcision can mcrease future satisfaction to sexual life [ OR = 1. 419, 95％ CI ( 1. 027, 1. 960 )], whether the respondents have relatives, friends, or classmates who have undergone circumcision [ OR = 1. 686, 95％ CI ( 1. 210. 2. 351 )], whether circumcision or redundant prepuce casuses phallic cancer [ OR = 1. 555 , 95％ CI ( 1. 114. 2. 168 ) ], and whether the respondents have capistration or redundant prepuce [ OR = 28. 071 , 95％ CI ( 14. 829 , 53. 138 ) ] . Conclusion The function of circumcision ( especially the influence of circumcision on sexual function ) is somehow related with the willingness of circumcision. Therefore , it is important to strengthen public education on the hazards of capistration or redundant prepuce. Peer education may play an important role in this field.