广西部分男男性行为者包皮环切术接受意愿分析

摘要

目的:了解广西男男性行为人群对包皮环切术的接受意愿情况.方法:利用滚雪球法招募302名男男性行为者(MSM),并进行包皮体检和面对面问卷调查.结果:302名MSM中,平均男性性伴数中位数为3.5个,19.5%与女性有过性关系,41.1%最近1年接受过HIV检测,18.5%自述最近1年出现过性病相关症状.与男性发生性关系时每次都是用安全套的比例为46.1%,与女性发生性关系时每次都是用安全套的比例为37.3%.既往12.3%接受过包皮环切术,主要原因为包皮过长、父母安排、能预防艾滋病等.25.7%未接受包皮环切术者愿意接受包皮环切术,多因素回归分析结果显示,包皮长度(OR=2.63,95%CI 1.93～3.58)、最近6个月与女性发生过性关系(OR=0.38,95%CI 0.16～0.91)与包皮环切术接受意愿比较差异有统计学意义(P＜0.05).结论:MSM是艾滋病的高风险人群和桥梁人群,包皮过长和与女性有过性关系的MSM更愿意接受包皮环切术.%Objective: To learn the willing of male circumcision (MC) among men who have sex with men (MSM) in Guangxi. Methods:To recruit 302 MSM by snow-balling. Questionnaire interviews and foreskin check were administrated to MSM participants. Results:Overall 302 MSM attended the survey. The average of male sex partner was 3. 5; 19. 5% of MSM had female sexual partners;41. 1% of MSM had received HIV test; 18. 5% of MSM appeared sexually transmitted disease (STD) related symptoms in the past year. The proportions of condom use each time in male-male sex and male female sex were 46. 1 % and 37. 3% respectively; 12. 3% of MSM experienced MC. The reasons of MS were prepuce redundant, parents arrangement, for the HIV prevention; 25. 7% of uncircumcised MSM were willing to accept MC. In multiple regression analysis, the foreskin length (OR=2. 63, 95% CI 1. 93-3. 58), the last six months had sexual relations with women (OR = 0. 38, 95% CI 0. 16-0. 91) were significantly associated with the willing of circumcision. Census registration and the history of anal sex in the last 6 months were significantly associated with HIV infection( P ＜0. 05). Conclusion: MSM are high-risk and bridge crowd of HIV/AIDS. The MSM who are prepuce redundant and/or had sex with female are willing to accept MC.