煤矿农民工包皮环切术健康教育干预效果评价

Evaluation on effects of health education for male circumcision among farmer coal miners

目的评价包皮环切术推广材料在煤矿农民工中的干预效果。方法采用整群抽样的方法抽取广西省某市571名男性煤矿农民工作为研究对象,基线调查后进行健康教育干预,9个月后进行随访、了解研究对象相关包皮环切术预防艾滋病的知、信、行变化情况。结果干预后,煤矿农民工的包皮环切相关知识显著提高,包皮环切可以预防艾滋病及其他性传播疾病、保护性伴生殖卫生与健康、预防生殖器炎症或肿瘤的知晓率分别达到76.61%(321/419)、63.01%(264/419)、52.03%(218/419),与干预前比较,差异均有统计学意义(P=0.000);煤矿农民工的手术意愿明显提高,从基线的26.09%(149/571)上升到9个月后随访的55.37%(232/419)(P=0.000),其中共55人实施了包皮环切术,手术率达到13.13%(55/419)。最近6个月内有商业性行为的煤矿农民工有23人(6.63%),低于干预前的53人(9.81%);在有商业性行为的煤矿农民工中,最近一次商业性行为使用安全套的比例从28.30%(15/53)上升到65.22%(15/23)(P<0 05),且其最近6个月中商业性伴的个数明显减少(P<0.05)。结论推广包皮环切术的健康教育对煤矿农民工包皮环切术预防艾滋病的知、信、行的干预效果显著。

Objective To evaluate the intervention effects of male circumcision（MC） promotion program among farmer coal miners.Methods A total of 571 male farmer coal miners in Guangxi Zhuang Autonomous Region were selected with cluster sampling.After a baseline survey,health education was conducted in the miners.Nine months later,a follow-up survey was conducted to collect information on the knowledge,attitude and practice about MC for AIDS prevention.Results MC knowledge of the farmer miners was generally improved.The awareness for prevention of AIDS and other sexually transmitted diseases,protection of sexual partners＇ reproductive health,and prevention of genital inflammation or cancer caused by MC were significantly improved to 76.61%（321/419）,63.01%（264/419）,and 52.03%（218/419）,respectively（P=0.000）.There was also a significant increase in the ratio of the miners willing to have MC from 26.09%（149/571） to 55.37%（232/419）（P=0.000）,and 55 miners had MC surgery with a circumcision rate of 13.13%（55/419）.There were 23 cases（6.63%） with commercial sex in the last 6 months,which was less than 53 cases（9.81%） before the intervention（P0.05）.Meanwhile,the rate of condom use in the cases with commercial intercourse increased from 28.30%（15/53） to 65.22%（15/23）（P0.05）.Conclusion The health education on MC showed a remarkable positive effect on knowledge,attitude and practice of MC for AIDS prevention among farmer miners.