Jiang Yan, Zhong DaiJun, Han Yang, Zhou Yong, Zhou HaiJian
Department of Epidemiology and Health Statistics, School of Public Health, Xiangnan University, Chenzhou, China.
Department of Parasitic and Vector-borne Disease Control, Changjiang County Center for Disease Control and Prevention, Changjiang, China.
Front Public Health. 2025 Jun 17;13:1618292. doi: 10.3389/fpubh.2025.1618292. eCollection 2025.
To assess the knowledge, attitudes, and preventive behaviors (KAP) regarding avian influenza among poultry farmers living near migratory bird habitats in Guidong County, China, and to identify determinants of these practices using structural equation modeling.
A cross-sectional survey was conducted in July 2021 among 221 poultry farmers from three towns adjacent to migratory bird habitats. A structured questionnaire was used to collect data on KAP related to avian influenza. Descriptive statistics was used to analyze KAP levels. A structural equation model was developed with AMOS 24.0 to examine the relationships among knowledge, attitudes, and behaviors.
The overall mean KAP score was 32.97 ± 7.95 (51.5%) of maximum possible score, indicating suboptimal levels. In the fitted model, knowledge exerted both a direct effect on preventive behaviors (standardized path coefficient = 0.183) and an indirect effect mediated through attitudes (0.056). Attitude additionally influenced behavior directly (0.181). Goodness-of-fit indices confirmed robust model fit.
Study findings indicate that poultry farmers living near migratory bird habitats in Guidong County demonstrate insufficient avian influenza-related knowledge, attitudes, and practices. Targeted health education that enhances accurate knowledge and fosters positive attitudes is critical to strengthening preventive behaviors and mitigating transmission risk.
评估中国桂东县候鸟栖息地附近家禽养殖户对禽流感的知识、态度和预防行为（KAP），并使用结构方程模型确定这些行为的决定因素。
2021年7月对来自毗邻候鸟栖息地的三个镇的221名家禽养殖户进行了横断面调查。使用结构化问卷收集与禽流感相关的KAP数据。描述性统计用于分析KAP水平。使用AMOS 24.0开发结构方程模型，以检验知识、态度和行为之间的关系。
KAP总体平均得分是最高可能得分的32.97±7.95（51.5%），表明水平欠佳。在拟合模型中，知识对预防行为有直接影响（标准化路径系数=0.183），并通过态度产生间接影响（0.056）。态度还直接影响行为（0.181）。拟合优度指数证实模型拟合良好。
研究结果表明，桂东县候鸟栖息地附近的家禽养殖户对禽流感的知识、态度和行为不足。加强准确知识并培养积极态度的针对性健康教育对于加强预防行为和降低传播风险至关重要。
