重庆市成年男性工人包皮环切知识干预效果的评价

Evaluation of intervention measures about the knowledge of circumcision among adult male workers in Chongqing

目的:筛选出适合重庆地区该人群包皮环切的推广方式,以达到有效降低人类免疫缺陷病毒(Human immunodefi-ciency virus,HIV)新发感染率,并提高生殖健康。方法:随机抽取4家工厂,分为3个干预组,分别为普通干预组、特殊干预组1、特殊干预组2,3组分别给予3次、2次、1次干预,并在每次干预后1个月内进行干预效果的评价。结果:各种干预方式干预前后包皮环切术知识知晓率均有所提高,干预前后的差异具有统计学意义(P<0.05);复合干预方式2的知晓率均高于复合干预方式1、复合干预方式3以及单一干预方式1,并且之间的差异具有统计学意义(P<0.05);经趋势卡方检验,普通干预组、特殊干预组1包皮环切知识知晓率的差异均有统计学意义(普通干预组:χ2趋势=9.362,P<0.05;特殊干预组1:χ2趋势=22.476,P<0.001);最喜欢的宣传方式是音像材料,最感兴趣的宣传内容是包皮环切与艾滋病预防的关系。结论:普通干预组较其它两干预组最后知晓率的上升幅度高,达20.81%,复合干预方式2为最好的干预方式;包皮环切与艾滋病(Acquired immure deficiency syndrome,AIDS)的相关知识是主要宣传内容;多种强化相结合的宣教方式是有效的干预方式。

Objective:To screen the way of promoting the circumcision in Chongqing,to achieve to reduce human immunodeficiency virus(HIV) infections effectively,and to improve the reproductive health.Methods: The subjects collected by randomized control were divided into 3 groups:ordinary intervention group,special intervention group 1,and special intervention group 2.The groups were intervened by 3 times,2 times,and 1 time,respectively,and the results were evaluated within a month after every intervention.Results: The level of circumcision knowledge after every intervention was improved and had statistically significant difference(P<0.05).The awareness rate of composite intervention 2 was higher than that of composite intervention 1,composite intervention 3 and single intervention 1,which had statistically significant difference(P<0.05).The awareness rate of ordinary intervention group and special intervention group 1 had statistically significant difference(P<0.05) by the Chi-square trend(ordinary intervention group: χ2trend=9.362,P<0.05;special intervention group 1: χ2trend=22.476,P<0.001).The favorite was acoustical materials and those concerning the relationship between circumcision and HIV.Conclusion: There is a much larger ascending range of the awareness rate in the ordinary intervention group than in the other two intervention groups,which is 20.81%.The composite intervention 2 is the best way of intervention.The knowledge about the circumcision and the acquired immure deficiency syndrome is the main publicized content.Integrated health education and publicity is an effective way of intervention.