AUTHOR=Ren Ruofei , Li Hongye , Zhang Jie , Li Xuhua , Yuan Liqing , Li Dongxiao , Shan Shuzhi , Shi Bin , Jiang Jing 

TITLE=Knowledge, attitudes, and practices among Chinese reproductive-age women toward uterine adenomyosis

JOURNAL=Frontiers in Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2024.1361671

DOI=10.3389/fmed.2024.1361671

ISSN=2296-858X

ABSTRACT=<sec id="sec1"><title>Objective</title><p>This study aimed to assess the knowledge, attitudes and practices (KAP) among Chinese reproductive-age women toward uterine adenomyosis.</p></sec><sec id="sec2"><title>Methods</title><p>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.</p></sec><sec id="sec3"><title>Results</title><p>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 (<italic>p</italic> &lt; 0.001) and 1.510 (<italic>p</italic> &lt; 0.001), respectively. Moreover, attitudes had direct effects on practices, with a path coefficient of 0.226 (<italic>p</italic> = 0.001).</p></sec><sec id="sec4"><title>Conclusion</title><p>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.</p></sec>