Yuan Youfang, Yang Li, Hu Jun, Deng Yu, Zhang Hongying
The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
BMJ Open. 2024 Mar 1;14(3):e080890. doi: 10.1136/bmjopen-2023-080890.
To evaluate the knowledge, attitudes and practice (KAP) on ovarian reserve function among women of childbearing age in Chongqing and surrounding regions, China.
Cross-sectional study.
Chongqing and surrounding regions, China.
Women of childbearing age (18-48 years) by convenience sampling.
The demographic characteristics of the respondents and their KAP on ovarian reserve function were collected by administering 38-item questionnaires.
A total of 510 valid questionnaires were collected. The mean knowledge score of all respondents was 7.56±2.03 (possible range: 0-10), the mean attitude score was 29.12±3.98 (possible range: 8-40) and the mean practice score was 23.45±3.58 (possible range: 6-30). The multivariable analysis showed knowledge level (OR 1.175, 95% CI 1.049 to 1.317, p=0.002), attitude level (OR 1.249, 95% CI 1.167 to 1.337, p<0.001) and eating habits (self-cooked vs eating out, OR 1.958, 95% CI 1.201 to 3.190, p=0.007) were independently associated with better practice level. The structural equation modelling analysis showed that knowledge had a direct influence on attitude (β=0.487, p=0.030) and practice (β=0.312, p=0.012) and an indirect influence on practice (β=0.213, p=0.016). Attitude had a direct influence on practice (β=0.438, p=0.007). The total influence of knowledge on practice was significant (β=0.525, p=0.012).
The women living in Chongqing and surrounding regions had good knowledge, moderate attitude and good practice towards ovarian reserve function. The knowledge aspect can be further improved by education, which in turn might also improve practice among women of childbearing age.
评估中国重庆及周边地区育龄期女性对卵巢储备功能的知识、态度和行为(KAP)。
横断面研究。
中国重庆及周边地区。
采用便利抽样法选取的育龄期女性(18 - 48岁)。
通过发放38项问卷收集受访者的人口统计学特征及其对卵巢储备功能的KAP。
共收集到510份有效问卷。所有受访者的知识平均得分为7.56±2.03(可能范围:0 - 10),态度平均得分为29.12±3.98(可能范围:8 - 40),行为平均得分为23.45±3.58(可能范围:6 - 30)。多变量分析显示,知识水平(比值比[OR] 1.175,95%置信区间[CI] 1.049至1.317,p = 0.002)、态度水平(OR 1.249,95% CI 1.167至1.337,p < 0.001)和饮食习惯(自己做饭与外出就餐,OR 1.958,95% CI 1.201至3.190,p = 0.007)与更好的行为水平独立相关。结构方程模型分析表明,知识对态度(β = 0.487,p = 0.030)和行为(β = 0.312,p = 0.012)有直接影响,对行为有间接影响(β = 0.213,p = 0.016)。态度对行为有直接影响(β = 0.438,p = 0.007)。知识对行为的总影响显著(β = 0.525,p = 0.012)。
生活在重庆及周边地区的女性对卵巢储备功能有良好的知识水平、中等的态度和良好的行为。知识方面可通过教育进一步提高,这反过来也可能改善育龄期女性的行为。