泸州市男童家长对包皮环切术知晓率现况调查及科普宣讲效果评价

Survey on the awareness of circumcision by parents in Luzhou city and analysis of the effect of popular science publicity

目的了解男童家长对包皮环切术知晓率、接受意愿以及对男童外生殖器健康重视度现况,评价包皮环切术科普宣传的干预效果。方法本研究主要采用横断面调查和自身前后对照干预试验。偶遇抽样抽取895名泸州市小学及初中门口接送孩子的男童家长进行横断面问卷调查。选择横断面调查人群中愿意配合并且两次问卷所用手机微信账号一致的男童家长作为对象进行自身前后对照干预试验,干预后再次派发问卷进行效果评价,使用SPSS 17.0统计学软件,应用χ^(2)检验、方差分析等统计方法分析数据。结果横断面调查收集有效问卷895份,科普干预效果评价收集有效问卷402份。横断面调查结果显示家长对包皮环切术的总体知晓率为52.18%,接受意愿为65.14%;对男童外生殖器卫生、健康的关注度为60.67%。经过一个月的科普干预,参与干预试验的402名家长的知晓率由46.76%升至82.09%(χ^(2)=109.43,P<0.001),接受意愿由55.72%升至96.02%(χ^(2)=178.30,P<0.001),对男童外生殖器健康的关注度由23.38%升至98.75%(χ^(2)=480.30,P<0.001),干预前后差异显著。结论泸州市男童家长对包皮环切术相关知识的知晓率、接受意愿以及对外生殖器关注度仍有待提高,通过公众号推文、视频讲解、直播讲座和专家答疑等方式进行科普宣传后,家长的知晓率、接受意愿以及对外生殖器关注度明显提高,科普宣传效果显著。

Objective To investigate the awareness rate and willingness of parents of male boys to circumcision and their emphasis on their children’s external genital health,and to evaluate the effect of intervention in popularizing circumcision.Methods This study mainly adopted cross-sectional investigation and self-control intervention test.A cross-sectional questionnaire survey was conducted among a total of 895 parents of boys who picked up their children at the gates of primary schools and junior high schools in the Luzhou City.The parents of boys who were willing to cooperate in the cross-sectional survey and used the same mobile phone WeChat account in the two questionnaires were selected as the objects to carry out their own pre-and post-control intervention experiments.After the intervention,the questionnaires were distributed again to evaluate the effect,and the data were analyzed by statistical methods such asχ^(2)test and variance analysis.Results A total of 895 valid questionnaires were collected in the cross-sectional survey,and 402 valid questionnaires were collected in the evaluation of the effect of the scientific intervention.The results of the cross-sectional survey showed that the overall awareness rate of parents on circumcision was 52.18%,and the acceptance willingness was 65.14%;the attention to the health of children’s external genitalia was 60.67%.After a month of scientific intervention,the awareness rate of 402 parents who participated in the intervention experiment increased from 46.76%to 82.09%(χ^(2)=109.43,P<0.001),the acceptance willingness increased from 55.72%to 96.02%(χ^(2)=178.30,P<0.001),and the attention to the health of children’s external genitalia increased from 23.38%to 98.75%(χ^(2)=480.30,P<0.001),with significant differences before and after the intervention.Conclusion The awareness,acceptance,and attention of male parents in the Luzhou City towards circumcision-related knowledge still need to be improved.After conducting publicity and promotion through WeChat articles,video explanations,live lectures,and expert Q&A,the awareness,acceptance,and attention of male parents towards circumcision-related knowledge have significantly improved,showing a significant effect of the publicity and promotion.