Health Protection Agency, Centre for Infections, London, United Kingdom.
Sex Transm Dis. 2011 Oct;38(10):928-31. doi: 10.1097/OLQ.0b013e318221562a.
OBJECTIVES: To explore attitudes toward circumcision among men who have sex with men (MSM) in London and the feasibility of conducting research into circumcision and HIV prevention in this population. METHODS: A convenience sample of MSM visiting central London gyms completed a confidential, self-administered questionnaire between May and June 2008. Information was collected on participants' demographic characteristics, self-reported HIV status, sexual behavior, circumcision status, attitudes toward circumcision, and willingness to participate in research on circumcision and HIV prevention. RESULTS: Of 653 MSM, 29.0% reported that they were circumcised. Overall, HIV prevalence was 23.3%; this did not differ significantly between circumcised and uncircumcised men (18.6% vs. 25.2%, respectively; adjusted odds ratio 0.79, 95% confidence interval: 0.50-1.26). A similar proportion of circumcised and uncircumcised men reported unprotected anal intercourse in the previous 3 months (38.8% vs. 36.7%, adjusted odds ratio 1.06, 95% confidence interval: 0.72-1.55). Uncircumcised men were less likely to think that there were benefits of circumcision than circumcised men (31.2% vs. 65.4, P < 0.001). Only 10.3% of uncircumcised men said that they would be willing to participate in research on circumcision as an HIV prevention strategy. CONCLUSIONS: Most uncircumcised MSM in this London survey were unwilling to participate in research on circumcision and HIV prevention. Only a minority of uncircumcised men thought that there were benefits of circumcision. It is unlikely that circumcision would be a feasible strategy for HIV prevention among MSM in London.
目的:探索伦敦男男性行为者(MSM)对割礼的态度,以及在该人群中开展割礼和 HIV 预防研究的可行性。
方法:2008 年 5 月至 6 月,采用便利抽样法,选取在伦敦市中心健身房的 MSM 作为研究对象,完成一份匿名、自填式问卷。收集的信息包括参与者的人口统计学特征、自我报告的 HIV 感染状况、性行为、割礼状况、对割礼的态度,以及对割礼和 HIV 预防研究的参与意愿。
结果:653 名 MSM 中,29.0%报告其接受过割礼。总体 HIV 感染率为 23.3%;割礼组和未割礼组之间差异无统计学意义(分别为 18.6%和 25.2%;调整后的比值比为 0.79,95%置信区间:0.50-1.26)。在过去 3 个月中,割礼组和未割礼组有未保护的肛交性行为的比例相似(分别为 38.8%和 36.7%,调整后的比值比为 1.06,95%置信区间:0.72-1.55)。与割礼者相比,未割礼者认为割礼有好处的可能性较小(31.2%比 65.4%,P<0.001)。仅有 10.3%的未割礼者表示愿意参与割礼作为 HIV 预防策略的研究。
结论:在这项伦敦调查中,大多数未割礼的 MSM 不愿意参与割礼和 HIV 预防研究。只有少数未割礼者认为割礼有好处。割礼不太可能成为伦敦 MSM 中预防 HIV 的可行策略。
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