Willingness to be circumcised for preventing HIV among Chinese men who have sex with men.
Willingness to be circumcised for preventing HIV among Chinese men who have sex with men.
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DOI：
10.1089/apc.2008.0199
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发表时间：
2009-05
影响因子：
4.9
通讯作者：
Shao Y
中科院分区：
文献类型：
--
作者：
Ruan Y;Qian HZ;Li D;Shi W;Li Q;Liang H;Yang Y;Luo F;Vermund SH;Shao Y
男性包皮环切术可以降低异性恋男性感染艾滋病毒的风险，但其在男男性行为者（MSM）中的有效性尚不确定。此外，由于缺乏认可新生儿和成人包皮环切术的历史和文化规范，中国男性的接受程度尚不清楚。本研究评估了328名中国男男性接触者参加包皮环切术临床试验的意愿。约有11.6%的受访者报告曾接受过包皮环切术，其中大多数是因为包皮过紧。在284名未接受包皮环切术的男男性行为者中，16.9%的人表示绝对愿意参加，26.4%的人可能愿意，28.9%的人可能不愿意，27.8%的人绝对不愿意; 81%的人表示男性包皮环切术有助于保持生殖器卫生。参与艾滋病防治的主要动机是为艾滋病科研做出贡献和获得免费医疗服务。男性还担心包皮环切术在减少艾滋病毒/性传播感染风险和手术副作用方面的效果不佳。没有北京居民卡的（调整的比值比[AOR]，1.99; 95%置信区间[CI]，1.17-3.38），未通过互联网找到性伴侣（AOR，2.13; 95%CI，1.21-3.75），并且不关心包皮环切术的有效性（AOR，2.37; 95%CI，1.34-4.19）更有可能愿意参加试验。研究表明，包皮环切术在中国MSM中并不常见。在中国男男性行为人群中开展包皮环切术宣传需要大量的社区教育。应考虑在MSM人群中进行疗效的临床试验。
Male circumcision can reduce the risk of HIV acquisition among heterosexual men, but its effectiveness is uncertain in men who have sex with men (MSM). Additionally, its acceptability among Chinese men is unknown given a lack of history and cultural norms endorsing neonatal and adult circumcision. This study evaluated the willingness to participate in a clinical trial of circumcision among 328 Chinese MSM. Some 11.6% respondents reported having been circumcised, most of them due to a tight foreskin. Of 284 uncircumcised MSM, 16.9% said they were absolutely willing to participate, 26.4% were probably, 28.9% were probably not, and 27.8% were absolutely not; 81% said male circumcision would help maintain genital hygiene. The major motivators for willingness to participate included contribution to AIDS scientific research and getting free medical service. Men also had concerns about ineffectiveness of circumcision in reducing HIV/sexually transmitted infection (STI) risks and side effects of the surgery. Those who did not have a Beijing resident card (adjusted odds ratio [AOR], 1.99; 95% confidence interval [CI], 1.17–3.38), did not find sexual partners through the Internet (AOR, 2.13; 95% CI, 1.21–3.75), and were not concerned about the effectiveness of circumcision (AOR, 2.37; 95% CI, 1.34–4.19) were more likely to be willing to participate in a trial. The study suggests that circumcision is uncommon among Chinese MSM. Considerable community education will be needed in circumcision advocacy among MSM in China. A clinical trial for efficacy among MSM should be considered.
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