Ren Ruofei, Li Hongye, Zhang Jie, Li Xuhua, Yuan Liqing, Li Dongxiao, Shan Shuzhi, Shi Bin, Jiang Jing
Department of Obstetrics and Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Front Med (Lausanne). 2024 Apr 8;11:1361671. doi: 10.3389/fmed.2024.1361671. eCollection 2024.
This study aimed to assess the knowledge, attitudes and practices (KAP) among Chinese reproductive-age women toward uterine adenomyosis.
This web-based cross-sectional study was conducted between April 2023 and September 2023 at the Second Hospital of Hebei Medical University. A self-designed questionnaire was developed to collect demographic information of reproductive-age women, and assess their KAP toward uterine adenomyosis.
A total of 520 valid questionnaires were collected. Among the participants, 127 (24.42%) were diagnosed with uterine adenomyosis, and 120 (23.08%) were accompanied by uterine fibroids. The mean knowledge, attitudes and practices scores were 3.54 ± 3.72 (possible range:0-10), 20.96 ± 3.19 (possible range:5-25) and 24.01 ± 4.95 (possible range:7-35), respectively. The structural equation model demonstrated that knowledge had direct effects on attitudes and practices, as indicated by a path coefficient of 0.714 ( < 0.001) and 1.510 ( < 0.001), respectively. Moreover, attitudes had direct effects on practices, with a path coefficient of 0.226 ( = 0.001).
The findings revealed that reproductive-age women have insufficient knowledge, negative attitudes, and poor practices toward the uterine adenomyosis. Comprehensive training programs are needed to improve reproductive-age women practices in this area.
本研究旨在评估中国育龄期女性对子宫腺肌病的知识、态度和行为。
本基于网络的横断面研究于2023年4月至2023年9月在河北医科大学第二医院进行。设计了一份自填式问卷，以收集育龄期女性的人口统计学信息，并评估她们对子宫腺肌病的知识、态度和行为。
共收集到520份有效问卷。在参与者中，127人（24.42%）被诊断为子宫腺肌病，120人（23.08%）伴有子宫肌瘤。知识、态度和行为的平均得分分别为3.54±3.72（可能范围：0 - 10）、20.96±3.19（可能范围：5 - 25）和24.01±4.95（可能范围：7 - 35）。结构方程模型表明，知识对态度和行为有直接影响，路径系数分别为0.714（<0.001）和1.510（<0.001）。此外，态度对行为有直接影响，路径系数为0.226（=0.001）。
研究结果显示，育龄期女性对子宫腺肌病的知识不足、态度消极且行为不佳。需要开展综合培训项目以改善该领域育龄期女性的行为。
