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Acceptance of male circumcision among male rural-to-urban migrants in Western China

机译：西部男性农村到城市流动人口接受包皮环切术的接受程度

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摘要

To describe the acceptability of male circumcision (MC) and explore potential factors associated with MC acceptability among male rural-to-urban migrants in western China, a cross-sectional survey of MC acceptability was conducted with 1,904 subjects in three western provinces with high HIV prevalence (Guangxi, Chongqing, and Xinjiang) in China between June 2009 and November 2009. Through face-to-face interviews, the participants completed a self-administered questionnaire about demographics, MC knowledge, willingness and reasons to accept or refuse MC, sexual behaviors, and other psychosocial variables. Factors associated with acceptability of MC were identified by multiple logistic regression analysis. Of the participants (n=1,904), 710 men were willing to accept MC (37.3%); the reasons included promotion of the partners' genital hygiene (54.9%), redundant prepuce or phimosis (43.1%), enhancement of sexual pleasure (40.6%), prevention of penile inflammation or cancer (35.5%), and protection against HIV and sexual transmitted diseases (STDs)(31.1%). A multivariable logistic regression showed that four factors were associated with acceptability of MC, including education level (OR=1.286, 95% CI=1.025～1.614), redundant prepuce or phimosis (OR=13.751, 95% CI=10.087～18.745), having one or more circumcised friends (OR=2.468, 95% CI=1.953～3.119), and having sexual intercourse with a temporary partner in the past year (OR=1.543, 95% CI=1.101～2.162). Compared with previously published data among the general population in China or worldwide, the acceptability of MC (37.3%) was low among the male rural-to-urban migrants in western China. Nevertheless, appropriate education could greatly improve the acceptability of MC. More public campaigns and health education on MC are needed to increase the rate of MC in China.
机译：为了描述男性包皮环切术（MC）的可接受性并探讨与中国西部农村从农村到城市移民的男性包皮环切术的可接受性相关的因素，在三个西部艾滋病高发省份对1,904名受试者进行了MC可接受性横断面调查患病率（2009年6月至2009年11月）在中国（广西，重庆和新疆）发生。通过面对面访谈，参与者填写了一份有关人口统计学，MC知识，接受或拒绝MC的意愿和理由，性的自我管理问卷行为和其他社会心理变量。通过多元逻辑回归分析确定与MC可接受性相关的因素。参与者（n = 1,904）中，有710名男性愿意接受MC（37.3％）;原因包括促进伴侣的生殖器卫生（54.9％），包皮过长或包茎（43.1％），增强性快感（40.6％），预防阴茎发炎或癌症（35.5％）以及预防艾滋病毒和性行为传播疾病（STD）（31.1％）。多因素logistic回归分析显示，受教育程度（OR = 1.286，95％CI = 1.025〜1.614），多余包皮过长或包茎（OR = 13.751，95％CI = 10.087〜18.745）与MC的可接受性有关。有一个或多个割礼的朋友（OR = 2.468，95％CI = 1.953〜3.119），并且在过去的一年中与一个临时伴侣发生性行为（OR = 1.543，95％CI = 1.101〜2.162）。与之前在中国或全球普通人群中发布的数据相比，在中国西部从农村到城市的男性移民中，MC的接受度较低（37.3％）。但是，适当的教育可以大大提高MC的接受度。需要开展更多的关于MC的公共运动和健康教育，以提高MC在中国的普及率。

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