CAJ | 학술논문

目的研究艾滋病流行区彝族男青年对包皮环切手术作为HIV预防措施的可接受性及其影响因素.方法采用分层抽样方法在四川省凉山州布拖县抽取446名彝族男青年,利用自行设计的问卷进行一对一的面访,收集HIV相关危险行为、对包皮环切手术的认知及可接受性.结果 446名中经访谈员介绍包皮环切手术后,40.6%的人表示愿意接受该手术.调查对象自述愿意接受手术的原因主要为能够降低自身HIV的感染风险(90.1%).不愿意接受手术的原因主要为:"觉得手术部位太敏感,不好意思(52.5%)","害怕以后不能生孩子(50.9%)".logistic回归分析显示,影响包皮环切手术可接受性的因素为:年龄、收入水平、"最近一年是否有商业性行为"、"是否担心感染HIV"、"是否担心感染性病"、"是否认为包皮环切能够降低感染HIV的风险"、"是否认为包皮环切术后更容易发生性交时疼痛"、"是否担心手术后发生局部感染"、"是否担心进行手术遭到周围人嘲笑".结论彝族对性问题害羞和隐讳的态度可能是推行包皮环切手术的一大障碍.采取免费的形式,由专业医生进行手术是较好的方式.
목적 연구애자병류행구이족남청년대포피배절수술작위HIV예방조시적가접수성급기영향인소.방법 채용분층추양방법 재사천성량산주포타현추취446명이족남청년,이용자행설계적문권진행일대일적면방,수집HIV상관위험행위、대포피배절수술적인지급가접수성.결과 446명중경방담원개소포피배절수술후,40.6%적인표시원의접수해수술.조사대상자술원의접수수술적원인주요위능구강저자신HIV적감염풍험(90.1%).불원의접수수술적원인주요위:"각득수술부위태민감,불호의사(52.5%)","해파이후불능생해자(50.9%)".logistic회귀분석현시,영향포피배절수술가접수성적인소위:년령、수입수평、"최근일년시부유상업성행위"、"시부담심감염HIV"、"시부담심감염성병"、"시부인위포피배절능구강저감염HIV적풍험"、"시부인위포피배절술후경용역발생성교시동통"、"시부담심수술후발생국부감염"、"시부담심진행수술조도주위인조소".결론 이족대성문제해수화은휘적태도가능시추행포피배절수술적일대장애.채취면비적형식,유전업의생진행수술시교호적방식.
Objective To explore the acceptability of male circumcision (MC) as an HIV prevention method and its related factors among young men of Yi ethnicity in Liangshan prefecture. Methods 446 young men were selected in Butuo county,under stratified sampling method. Using a self-designed questionnaire,face to face interviews were taken to collect HIV-related risk behaviors,knowledge and acceptability of MC. Results After an introduction on MC by interviewers,40.6% of the interviewees expressed their willingness in taking this surgery. The main reason for acceptance was that they felt this surgery might reduce the risk of HIV infection (90.1%). For those who refused to take this surgery,most of them thought it was too sensitive and embarrassing (52.5%) and were afraid that it might affect their procreation ability. Data from logistic regression analysis indicated that the acceptability of MC was associated with the following factors as: age,income,experience of commercial sexual behavior. They also felt that messages related to male MC surgery could reduce the risk of being infected with HIV/STDs or induce pain when having sexual intercourse,or it might cause partial infection after surgery,or they might be mocked at if taking the surgery. Conclusion It is the prerequisite in helping young people of Yi ethnicity to have a good understanding on MC as for Yi people,embarrassment attitudes towards sex appears to be one of the big obstacles against the popularization of this surgery. The operation should be provided by trained and professional doctors,with standardized procedure,in good sanitary conditions and free for service.