重庆市美沙酮服药者包皮环切术接受意愿影响因素研究

IMPACT FACTORS ON WILLINGNESS FOR ACCEPTING MALE CIRCUMCISION IN DRUG ADDICTS ON METHADONE MAINTENANCE TREATMENT IN CHONGQING

目的:了解重庆市美沙酮服药者对包皮环切术的接受意愿情况及其影响因素,为制定良好的包皮环切术推广模式提供依据。方法:采用面对面一对一的问卷调查方式对408名年龄在18-45 a的美沙酮男性服药者进行调查。结果:研究对象的一般人口学,吸毒行为,性行为等特征描述结果与重庆市其他调查中美沙酮门诊服药者结果一致。在单因素分析中,包皮是否过长,知道该手术原因数多少,是否知道该手术并发症,身边是否有人做过该手术等方面,包皮环切术接受愿意和不愿意组之间差异有统计学意义。Logistic多因素回归分析结果也显示,包皮过长和不知道该手术并发症在两组之间仍存在统计学差异。结论:包皮是否过长和是否知道该手术并发症可能是影响接受包皮环切术意愿的主要因素。因此可针对本次调查结果和美沙酮门诊服药人群的特征,制定最佳的包皮环切术宣传方式。

Objective： To understand the situation and the impact factors on willingness for accepting male circumcision in drug addicts on methadone maintenance treatment（MMT） in Chongqing,and provide basis for the establishment of good extension model of male circumcision.Methods：A face to face survey was conducted among 408 drug addicts aged from 18 to 45 who were on MMT with a self-designed questionnaires.Results：The socio-demographic characteristics,drug use history and sexual behavior were described,the results of which were similar with other investigations made among MMT patients.The univariate analysis showed that there were significant difference（P0.05） between those who accept male circumcision and those who not in redundant prepuce,the number of reasons for operation,knowing its complications,friends with.Logistic multivariate analysis also found difference between the two groups in redundant prepuce and unknowing complication.Conclusion：Redundant prepuce and unknowing complications might be the impact factors for unwilling to accept male circumcision.We should establish ways to publicize and extend male circumcision according to the characters of drug addicts on MMT and the impact factors hindering male circumcision.