中国西部医科大学在校大学生对男性包皮环切术的接受度：一项横断面研究
Acceptability of Male Circumcision among College Students in Medical Universities in Western China: A Cross-Sectional Study.
作者信息
Jiang Junjun, Su Jinming, Yang Xiaobo, Huang Mingbo, Deng Wei, Huang Jiegang, Liang Bingyu, Qin Bo, Upur Halmurat, Zhong Chaohui, Wang Qianqiu, Wang Qian, Ruan Yuhua, Ye Li, Liang Hao
机构信息
Guangxi Key Laboratory of AIDS Prevention and Treatment, School of Public Health, Guangxi Medical University, Nanning, Guangxi, 530021, China.
Department of Microbiology, Biochemistry, and Immunology, Morehouse School of Medicine, Atlanta, Georgia, 30310, United States of America.
出版信息
PLoS One. 2015 Sep 21;10(9):e0135706. doi: 10.1371/journal.pone.0135706. eCollection 2015.
BACKGROUND
Male circumcision (MC) has been shown to reduce the risk of female to male transmission of HIV. The goal of this survey was to explore MC's acceptability and the factors associated with MC among college students in medical universities in western China.
METHODS
A cross-sectional study was carried out in three provinces in western China (Guangxi, Chongqing and Xinjiang) to assess the acceptability of MC as well as to discover factors associated with the acceptability among college students in medical universities. A total of 1,790 uncircumcised male students from three medical universities were enrolled in this study. In addition, 150 students who had undergone MC were also enrolled in the survey, and they participated in in-depth interviews.
RESULTS
Of all the uncircumcised participants (n = 1,790), 55.2% (n = 988) were willing to accept MC. Among those who accepted MC, 67.3% thought that MC could improve their sexual partners' hygiene, 46.3% believed that HIV and sexually transmitted diseases (STDs) could be partially prevented by MC. The multivariable logistic regression indicates that MC's acceptability was associated with three factors: the redundant foreskin (OR = 10.171, 95% CI = 7.629-13.559), knowing the hazard of having a redundant foreskin (OR = 1.597, 95% CI = 1.097-2.323), and enhancing sexual pleasure (OR = 1.628, 95% CI = 1.312-2.021). The in-depth interviews for subjects who had undergone MC showed that the major reason for having MC was the redundant foreskin (87.3%), followed by the benefits and the fewer complications of having MC done. In addition, most of these participants (65.3%) said that the MC could enhance sexual satisfaction.
CONCLUSIONS
MC's acceptance among college students in medical universities is higher than it is among other populations in western China. An implementation of an MC programme among this population is feasible in the future.
背景
男性包皮环切术已被证明可降低女性向男性传播艾滋病毒的风险。本次调查的目的是探讨中国西部医科大学学生对男性包皮环切术的接受程度及其相关因素。
方法
在中国西部三个省份（广西、重庆和新疆）开展了一项横断面研究，以评估男性包皮环切术的可接受性，并找出医科大学学生中与可接受性相关的因素。本研究共纳入了三所医科大学的1790名未行包皮环切术的男学生。此外，150名已接受包皮环切术的学生也参与了调查，并接受了深入访谈。
结果
在所有未行包皮环切术的参与者（n = 1790）中，55.2%（n = 988）愿意接受包皮环切术。在接受包皮环切术的人中，67.3%认为包皮环切术可改善性伴侣的卫生状况，46.3%认为包皮环切术可部分预防艾滋病毒和性传播疾病。多变量逻辑回归表明，包皮环切术的可接受性与三个因素相关：包皮过长（比值比=10.171，95%置信区间=7.629-13.559）、了解包皮过长的危害（比值比=1.597，95%置信区间=1.097-2.323）以及增强性快感（比值比=1.628，95%置信区间=1.312-2.021）。对已接受包皮环切术的受试者进行的深入访谈表明，进行包皮环切术的主要原因是包皮过长（87.3%），其次是包皮环切术的益处和较少的并发症。此外，这些参与者中的大多数（65.3%）表示包皮环切术可提高性满意度。
结论
医科大学学生对包皮环切术的接受程度高于中国西部其他人群。未来在这一人群中实施包皮环切术项目是可行的。
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