Feng Nan, Lü Fan, Zeng Gang, Nan Lei, Wang Xin-ya, Xu Peng, Zhang Jian-xun, Zhang Se-er
School of Public Health, Peaking Union Medical College, Beijing 100730, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Mar;31(3):281-5.
To explore the acceptability of male circumcision (MC) as an HIV prevention method and its related factors among young men of Yi ethnicity in Liangshan prefecture.
446 young men were selected in Butuo county, under stratified sampling method. Using a self-designed questionnaire, face to face interviews were taken to collect HIV-related risk behaviors, knowledge and acceptability of MC.
After an introduction on MC by interviewers, 40.6% of the interviewees expressed their willingness in taking this surgery. The main reason for acceptance was that they felt this surgery might reduce the risk of HIV infection (90.1%). For those who refused to take this surgery, most of them thought it was too sensitive and embarrassing (52.5%) and were afraid that it might affect their procreation ability. Data from logistic regression analysis indicated that the acceptability of MC was associated with the following factors as:age, income, experience of commercial sexual behavior. They also felt that messages related to male MC surgery could reduce the risk of being infected with HIV/STDs or induce pain when having sexual intercourse, or it might cause partial infection after surgery, or they might be mocked at if taking the surgery.
It is the prerequisite in helping young people of Yi ethnicity to have a good understanding on MC as for Yi people, embarrassment attitudes towards sex appears to be one of the big obstacles against the popularization of this surgery. The operation should be provided by trained and professional doctors, with standardized procedure, in good sanitary conditions and free for service.
探讨凉山州彝族青年男性对男性包皮环切术作为一种艾滋病预防方法的接受程度及其相关因素。
采用分层抽样方法在布拖县选取446名青年男性。使用自行设计的问卷，进行面对面访谈，收集与艾滋病相关的危险行为、知识以及对男性包皮环切术的接受程度。
在访谈者介绍男性包皮环切术后，40.6%的受访者表示愿意接受该手术。接受的主要原因是他们认为该手术可能降低感染艾滋病病毒的风险（90.1%）。对于那些拒绝接受该手术的人，大多数人认为这过于敏感和尴尬（52.5%），并且担心这可能影响他们的生育能力。逻辑回归分析数据表明，男性包皮环切术的可接受性与以下因素有关：年龄、收入、商业性行为经历。他们还认为与男性包皮环切术相关的信息可能会降低感染艾滋病毒/性传播疾病的风险或在性交时引起疼痛，或者术后可能导致局部感染，或者如果接受手术可能会被嘲笑。
帮助彝族青年男性充分了解男性包皮环切术是前提条件，因为对性的尴尬态度似乎是阻碍该手术推广的一大障碍。该手术应由训练有素的专业医生进行，操作程序规范，卫生条件良好且免费服务。
