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

• Published in: Frontiers in medicine Vol. 11; p. 1361671
• Main Authors: Ren, Ruofei, Li, Hongye, Zhang, Jie, Li, Xuhua, Yuan, Liqing, Li, Dongxiao, Shan, Shuzhi, Shi, Bin, Jiang, Jing
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 08.04.2024
• Subjects: attitudes; cross-sectional study; knowledge; Medicine; practices; uterine adenomyosis; cross-sectional study; attitudes; practices; knowledge; uterine adenomyosis
• ISSN: 2296-858X; 2296-858X
• DOI: 10.3389/fmed.2024.1361671

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.