Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy

Yu, Hui; Li, Ling; Gu, Jing; Wang, Jing; Su, Hui; Lu, Hui; Zhou, Yuqing; Xia, Jingfang; Xu, Yongping; Liang, Danhua; Yang, Yuling; Chen, Ying

doi:10.3389/fmed.2025.1433849

ORIGINAL RESEARCH article

Front. Med.

Sec. Gastroenterology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1433849

This article is part of the Research Topic Foods, Dietary Supplements, and Herbal Products Treating the Diseases of the 21st Century: Moving from Traditional to Scientific Research: Volume II View all 12 articles

Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy

Provisionally accepted

Hui Yu

Ling Li

Jing Gu

Jing Wang

Hui Su

Hui Lu

Yuqing Zhou

Jingfang Xia

Yongping Xu

Danhua Liang

Yuling Yang

Ying Chen ^*

Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China

The final, formatted version of the article will be published soon.

Background: To investigate the knowledge, attitude, and practice (KAP) of patients with gastric cancer (GC) toward nutritional therapy.Methods: This cross-sectional study was conducted from January to March 2024 at the Affiliated Hospital of Jiangnan University (Wuxi, China) and enrolled patients with GC. Questionnaires (Cronbach’s α=0.923) were used to collect data on demographics and KAP dimensions. Scores >75% were considered good. Multivariable analyses were performed to examine the factors associated with KAP. A structural equation modeling (SEM) analysis was performed to examine the relationships among KAP dimensions.Results: The analysis included 486 valid questionnaires. The median knowledge, attitude, and practice scores were 6.0 (0-16; 37.5%), 26.0 (7-35; 74.3%), and 28.7 (8-40; 71.7%) indicating poor KAP. Only agricultural, forestry, animal husbandry, fishery, and water conservancy production personnel (OR=0.09, 95%CI: 0.02-0.49, P=0.006) were independently associated with knowledge. Knowledge (OR=1.11, 95%CI: 1.05-1.18, P<0.001) and a monthly income of 10,000-20,000 (OR=3.85, 95%CI: 1.23-12.06, P=0.021) were independently associated with attitude. Knowledge (OR=1.22, 95%CI: 1.15-1.30, P<0.001), attitude (OR=1.21, 95%CI: 1.11-1.32, P<0.001), personnel other than leading cadres of state organs and enterprises (all OR<1 and all P<0.05), and a monthly income of 10,000-20,000 yuan (OR=3.02, 95%CI: 1.15-7.96, P=0.025) were independently associated with practice. Knowledge had a direct positive influence on attitude (β=0.350, P<0.001) and practice (β=0.460, P<0.001) and an indirect positive influence on practice (β=0.146, P<0.001). Attitude had a direct positive influence on practice (β=0.417, P<0.001).Conclusion: Patients with GC in Wuxi partly had poor KAP toward nutritional support.

Keywords: Knowledge, attitude, practice, gastric cancer, Patients, Nutritional Support, Crosssectional study

Received: 16 May 2024; Accepted: 17 Feb 2025.

Copyright: © 2025 Yu, Li, Gu, Wang, Su, Lu, Zhou, Xia, Xu, Liang, Yang and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ying Chen, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China

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