医学生包皮环切术接受意愿影响因素分析

Factors affecting willingness to accept circumcision in male medical students

目的了解重庆医科大学男性医学生对包皮环切术的认知状况及影响因素,为进一步提高艾滋病重点人群包皮环切术接受意愿宣传提供科学依据。方法采用自制问卷对整群随机抽样法抽取的580名1～4年级大学生进行横断面调查。结果男生对包皮过长或包茎的危害、手术常见原因有一定了解,但完全知晓率分别为39.65%(224/565)、7.69%(35/455);认为手术可以预防艾滋病及其他性传播疾病的占38.9%(177/455);不选择手术的原因:76.31%(190/249)觉得不影响健康、没必要,38.96%(97/249)担心手术风险,26.51%(66/249)不知道手术的医学益处,22.89%(57/249)担心影响性功能,15.66%(39/249)担心费用过高;当男生了解手术并发症发生率很低,而且可预防艾滋病及其他性传播疾病,保护生殖健康后,33.06%(81/245)愿意手术,40.82%(100/245)不确定。结论相关知识的掌握情况、手术的安全性和费用影响医学生对包皮环切术的接受意愿。

Objective To examine cognitive status of circumcision and related factors for providing basis for developing materials of promoting willingness to accept circumcision in key population of AIDS prevention.Methods Cluster random sampling method was used to select 581 students of grade 1-4 from a medical university and a cross-sectional survey was conducted with a self-administrated questionnaire.Results The male students had certain understanding of the hazards of too long foreskin or phimosis and the common causes of surgery,and the full awareness rates of all hazards and common causes of surgery were 39.65%（224/565） and 7.69%（35/455）.Only 38.9%（177/455） of the students realized the operation could prevent human immunodeficiency virus infection and other sexually transmitted diseases.The reasons for the students not to choose the surgery were no health risk caused by phimosis（76.31%,190/249）,worrying about the risk of surgery（38.96%,97/249）,without knowledge about medical benefits of the surgery（26.51%,66/249）,worrying about the influence of the surgery on sexual function（22.89%,57/249）,and worrying about high cost of the surgery（15.66%,39/249）.The acceptance rate of the surgery was increased to 33.06%（81/253）after knowing very low surgical complication rate and the preventive effects for AIDS and other sexually transmitted diseases among the students.Conclusion Popularizing related knowledge and making the surgery more safe and less cost may increase the willingness to accept circumcision among male medical students.