| Objective: To understand the demographic, willing to be circumcisionand factors, the health services and so on through the cross-sectioninvestigation among the general adult males in Chongqing. Evaluating theintervention measures and exporing the model developed by our groups ingeneral adult male after interventions.Method:①Cross-sectional quantitative study: A questionnaire surveywas conducted among760persons aged from18years old to45years oldselected in4districts in Chongqing (Jiulongpo District, Yuzhong District,Dadukou District, Banan District) by the method of multi-stage stratifiedrandom sampling from November2009to January2010.②Qualitativeinvestigation method was applied in this study. Key people, such as50people who were aged18～45years old. To get the inclusions, we used theMAXQDA2007software to analysis the data.③Intervention mode study:By the convenience sampling of non-probability sampling, the participantswere divided into3groups which were ordinary intervention group, specialintervention group1, and special intervention group2. The groups intervened by3times,2times,1time, respectively. And it was evaluatedafter every intervention in a month from May2010to November2010. Aquestionnaire survey and indentified serologically was conducted amongparticipants in our follow-up study.Results:①C ross-sectional study: There were differences of the rate ofawareness about HIV.46.9%was willing to accept the circumcision, thecause of the willingness of circumcision was mainly associated with thefactors including the circumcision could increase future satisfaction tosexual life（OR=1.419,95%CI:1.027～1.960）,whether had relatives,friendsand classmates done the circumcision（OR=1.686,95%CI:1.210～2.351）,itwas easy to casuse phallic cancer by capistration or redundant prepuce（OR=1.555,95%CI:1.114～2.168）,whether you were capistration orredundant prepuce（OR=28.071,95%CI:14.829～53.138）.The knowledgeabout circumcision:48.8%participant knew the knowledge by newspaperand magazine;84.0%participant thought the prepuce or phimosis was thesurgery pointer;38.4%participant thought the circimucision could improvethe sexual function.Health service:38.5%participant chosen the specializedhospital;48.4%person was willing to be circumcised by the chief physician;55.5%person could afford1000yuan;41.4%participant thoughtcircumcision was private;The difference about choosing hospital amongdifferent education levels or different occupations had statisticsmeaning(P<0.05).The difference about whether they could afford1000 yuan among different occupations had statistics meaning(P<0.05).73.9%thought it did not affect the health.②Qualitative investigation：Advertising,books and friends were the main ways to know the knowledges ofcircumcison.Nearly did all the people think the circumcision was a minoroperation and know the primary operation indication was prepuce orphimosis.Only did1/5think was individual privacy. Before the peopleaccepted the operation,they would like to go to the governmental hospitaland safety was the preconsidieration.66%was willingness to accept theoperation and how much they could afford was1000yuan.39persons hadsexual intercouse,and including2persons had been approached the‘Miss’,and only1person had venereal.③Intervention mode research: Thefollow-up rate was94.9%, and19.5%person was circumcised. The level ofknowledge of circumcision and the willing to be circumcised of everyintervention which were improved. The awareness rate of ordinaryintervention group and special intervention group1were statisticallysignificant difference(P<0.05),by the Chi-square trend(ordinaryintervention group：χ~2=9.362，P<0.05；special intervention group1：χ~2=22.476，P<0.001). The favorite materials were acoustical and therelationship between circumcision and HIV. The demographic did notaffect the satisfaction about the hospital and doctors(P<0.05); Thesatisfaction of the doctors could affect the satisfaction of hospital(P<0.05);The main factors about the satisfaction of the doctors were the satisfaction of hospital,the sexual changes and the number of the benefitsafter operation(P<0.05).Conclusions: The main reasons of circumcision are whether haveknown the functions of the circumcision, whether have known theirreproductive health and the influence of peer education.The propagandaand education about the knowledge of circumcision should include thegeneral adult males and their spouse or girl friend. The main content is theknowledge about the relationship between circumcision and HIV. It is aneffective way to teach by the strengthen education, acoustical and papermaterials. The first considered is males were HIV negative, but theirspouses are HIV positive.The governments supply the different healthservices base on the economies and the different health servicesrequirements, especially for the famers and common workers.The hospitalsshould have a certain amount of equipment and some qualified doctors whoshould have skills and psychological knowledges. |
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