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目的了解非穆斯林男性吸毒者对包皮环切术的接受意愿及其影响因素。方法采用横断面调查研究,于2010年1-11月对新疆乌鲁木齐市350名非穆斯林男性吸毒者进行问卷调查。结果 350名非穆斯林男性吸毒人员中,55.1%(193/350)有意愿接受包皮环切术,其中74.6%(144/193)完全是出于个人意愿,其次是医生的建议、周围朋友的影响、配偶或女友的支持和父母的安排,分别占15.5%(30/193)、13.0%(25/193)、11.9%(23/193)和8.8%(17/193);有44.8%(157/350)不愿意接受,其中,87.9%(138/157)认为没有必要、不影响健康;不愿意选择该手术的人有93.0%(146/157)完全是出于个人意愿;多因素logistic回归分析结果显示,身边有亲戚朋友或者同学做过该手术(OR=2.071,95%CI=1.043～4.110)和感觉自己包茎或包皮过长(OR=9.355,95%CI=4.607～18.993)与包皮环切术的接受意愿相关。结论该人群中大部分人有意愿接受包皮环切术,但其预防艾滋病的相关知识了解不够。
Objective To understand the acceptance of circumcision by non-Muslim male drug users and its influential factors. Methods A cross-sectional investigation was conducted to investigate the survey of 350 non-Muslim male drug users in Urumqi, Xinjiang from January to November in 2010. Results Out of 350 non-Muslim male drug addicts, 55.1% (193/350) were willing to undergo circumcision, of whom 74.6% (144/193) were entirely out of personal preference, followed by the doctor’s advice and the impact of friends around 15.5% (30/193), 13.0% (25/193), 11.9% (23/193) and 8.8% (17/193) respectively for spousal or girlfriend support and parental arrangements; and 44.8% (157 / 350) were unwilling to accept. Of these, 87.9% (138/157) considered unnecessary and did not affect their health. 93.0% (146/157) of those who did not choose this procedure were entirely out of personal desire. Multivariate logistic regression The results of the analysis showed that relatives, friends and students around had the operation (OR = 2.071, 95% CI = 1.043-4.110) and the feeling of phimosis or prepuce (OR = 9.355,95% CI = 4.607-18.993) Circumcision related to the willingness to accept. Conclusion Most of the people in this population are willing to accept circumcision, but their knowledge about HIV / AIDS prevention is not well understood.