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目的了解我国西部外来务工者对包皮环切术作为HIV预防措施的认知和行为情况,为相关宣传材料开发及模式推广研究提供理论数据。方法选择广西壮族自治区、重庆市和新疆维吾尔族自治区18岁及以上未做过包皮环切的男性外来务工者各30人,进行个人深入访谈。结果 3个地区中,仅有8人知道包皮环切术可以预防HIV感染。广西壮族自治区和重庆大多数被访者(21/30)认为包茎或包皮过长者才有必要行包皮环切术;新疆维吾尔族自治区有部分被访者(12/30)能说出一些包皮环切相关知识。当知道包皮环切可以预防HIV,并可免费之后,近半数人表示愿意接受手术。存在包茎或包皮过长、认为包皮环切能够保持生殖卫生健康、改善性生活和当地人群包皮环切相关知识是影响包皮环切术可接受性的主要因素。被访者缺乏正确的艾滋病知识、态度,普遍存在无保护性行为。结论包皮环切及艾滋病预防相关知识的匮乏,是在该类人群推行包皮环切术的一大障碍。
Objective To understand the cognitive and behavioral situation of circumcision as a precautionary measure against HIV among migrant workers in the west of China and to provide theoretical data for the development of related publicity materials and the research on model promotion. Methods Thirty individual male migrant workers aged 18 years and above in Guangxi Zhuang Autonomous Region, Chongqing Municipality and Xinjiang Uygur Autonomous Region who were not circumcised were selected for in-depth interviews. Results Of the three regions, only eight knew that circumcision could prevent HIV infection. Guangxi Zhuang Autonomous Region and Chongqing, the majority of respondents (21/30) that the phimosis or prepuce circumcision is necessary for circumcision; some respondents (12/30) in Xinjiang Uygur Autonomous Region can say some of the foreskin Circumstances related knowledge. When you know circumcision can prevent HIV, and free, nearly half of them said they are willing to surgery. Presence of phimosis or foreskin is too long, that circumcision to maintain reproductive health, improve sexual life and local people circumcision knowledge is the main factor affecting the acceptability of circumcision. The respondents lack the correct knowledge of AIDS, attitudes, prevalence of unprotected sex. Conclusions The lack of circumcision and HIV / AIDS prevention knowledge is a major barrier to circumcision in this population.