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目的了解男男性行为人群进行包皮环切手术以预防艾滋病感染的意愿情况及其影响因素。方法于2009年2月-3月,在北京市招募男男性行为者进行问卷调查,了解其对艾滋病及包皮环切术预防艾滋病感染的认知情况。结果在参加调查的200名男男性行为者中,13人已经接受了包皮环切,3人不清楚是否做过包皮环切;在参加者184人未做过包皮环切的中,36.4%表示愿意参加今后的包皮环切预防男男性行为感染艾滋病的科学研究。多因素Logistic回归分析显示,其影响因素包括包皮过长(OR=2.82,95%CI=1.45～5.49)和认为包皮环切能增加自己/同伴性伴的同性性乐趣或性快感(OR=4.50,95%CI=1.77～11.49)。结论应在该人群中加大包皮环切及艾滋病知识的普及力度,消除人们对包皮环切手术及相关预防艾滋病感染研究的担心和歧视。
Objective To understand the willingness of circumcision and circumcision to prevent HIV infection in men who have sex with men and its influencing factors. Methods From February to March 2009, MSM was recruited in Beijing to conduct a questionnaire survey to understand its cognition of HIV / AIDS and circumcision prevention of HIV infection. Results Of the 200 MSM participants surveyed, 13 had undergone circumcision and 3 had no knowledge of circumcision; 36.4% of the 184 participants who did not undergo circumcision Willing to participate in the future circumcision to prevent men who have sex with men infected with AIDS research. Multivariate logistic regression analysis showed that the influencing factors include the long prepuce (OR = 2.82, 95% CI = 1.45-5.49) and the suggestion that circumcision can increase the sexual pleasure or sexual pleasure (OR = 4.50 , 95% CI = 1.77 ~ 11.49). Conclusions The prevalence of circumcision and HIV / AIDS knowledge should be increased in this population and the concerns and discrimination of circumcision and related HIV prevention research should be eliminated.