Prevalence and associated factors of behavioral intention for risk compensation following voluntary medical male circumcision among male sexually transmitted diseases patients in China
Prevalence and associated factors of behavioral intention for risk compensation following voluntary medical male circumcision among male sexually transmitted diseases patients in China
复制标题
中国男性性病患者自愿包皮环切术后风险补偿行为意愿现状及影响因素
DOI：
10.1080/09540121.2016.1178696
复制
发表时间：
2016-10-01
影响因子：
1.7
通讯作者：
Lau, Joseph T. F.
中科院分区：
文献类型：
--
作者：
Wang, Zixin;Feng, Tiejian;Lau, Joseph T. F.
风险补偿是推广男性自愿医疗包皮环切术（VMMC）活动的一个重要关注点。尚无研究对男性性传播疾病患者（MSTDP）接受VMMC后的风险补偿情况进行调查。一项横断面调查对中国深圳的308名未接受包皮环切的MSTDP进行了访谈。其中26.9%的人打算在接受VMMC后至少实施五种风险补偿行为中的一种。在综合逐步模型中，对艾滋病/性传播疾病知识问题回答错误（多元优势比（ORm）=2.30）、生殖器疱疹感染（ORm = 3.19）、无保护性行为风险降低评分以及消极安全套态度量表（ORm = 1.13）与接受VMMC后实施至少一种风险补偿行为的意向显著相关。研究结果为制定相关干预措施提供了一个框架。对于所有MSTDP，无论其是否有接受VMMC的意向，预防风险补偿都应是推广VMMC的一个重要组成部分。
ABSTRACT Risk compensation was an important concern of voluntary medical male circumcision (VMMC) promotion campaigns. No study investigated risk compensation following VMMC among male sexually transmitted diseases patients (MSTDP). A cross-sectional survey interviewed 308 uncircumcised MSTDP in Shenzhen, China. 26.9% of them intended to perform at least one of the five types of risk compensation behaviors following VMMC. In the summary stepwise model, provision of incorrect response to HIV/sexually transmitted diseases knowledge items (multivariate odds ratios (ORm) = 2.30), genital herpes infection (ORm = 3.19), Risk Reduction Score for Unprotected Sex, and Negative Condom Attitudes Scale (ORm = 1.13) were significantly associated with behavioral intention to perform at least one type of risk compensation behavior following VMMC. The results provided a framework for developing related interventions. Prevention of risk compensation should be an essential component of VMMC promotion for all MSTDP, irrespective of their intention for VMMC.