男男性接触者包皮环切术接受意愿调查

Acceptability of male circumcision among men who have sex with men

目的了解男男性接触者(MSM)对进行包皮环切术(Male Circumcision,MC)的接受意愿。方法2008年8-9月,通过"滚雪球"和方便抽样招募方式对辽宁省沈阳市123名MSM进行访谈式问卷调查。结果123名调查对象中,61.8%的MSM存在异性性伴,其中57.9%在最近1个月与女性性伴的性行为中未使用安全套。4.9%的MSM曾接受过包皮环切手术。未进行过包皮环切术的MSM中47.0%愿意接受MC。而对于免费提供的MC,接受比例为60.0%。Logistic回归分析显示,存在包茎现象及认为包皮环切可预防性病感染与MSM愿意接受MC存在显著的关联性(P<0.05)。结论MSM存在向其异性性伴传播人类免疫缺陷病毒(HIV)的危险性。MC干预可降低MSM的HIV感染率及向普通人群传播的风险。

Objective To learn acceptability of male circumcision（MC） among men who have sex with men（MSM）.Methods Snow-balling and convenient sampling were used to recruit MSM in Shenyang city.Questionnaire interviews were administrated to MSM participants.Results Overall 123 MSM attended the survey.61.8% of MSM had female sexual partners,of which 57.9% failed to use condom with female sexual partners in past month.4.9% of MSM experienced MC.47.0% and 60.0% of uncircumcised MSM participants accepted paid MC and MC free of charge,respectively.Phimosis and knowing MC could prevent sexually transmitted diseases had statistically significant association with acceptability of MC（P〈0.05）.Conclusion MSM participants have high risk to transmit HIV to their female sex partners.MC intervention to MSM may be an important choice to curb the rapid increase of HIV epidemic and the risk of transmission HIV to general population.