AUTHOR=Yao Binlian , Xu Min , Cheng Fang , Peng Min , Mao Xiaopei TITLE=Knowledge, attitudes, and practices among patients with anemia towards disease management JOURNAL=Frontiers in Public Health VOLUME=Volume 12 - 2024 YEAR=2024 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1380710 DOI=10.3389/fpubh.2024.1380710 ISSN=2296-2565 ABSTRACT=Objective: This study aimed to assess the knowledge, attitudes and practices among anemia patients toward disease management. Methods: This web-based cross-sectional study was conducted between September and December 2023 at The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine). A self-designed questionnaire was developed to collect demographic information of anemia patients, and assess their knowledge, attitudes and practices (KAP) toward disease management. Results: A total of 396 valid questionnaires were collected. The mean age of the participants was 57.44 ± 16.80 years, and 52.02% were female. The mean knowledge, attitudes, and practices scores were 11.47 ± 1.73 (possible range: 0-14), 27.32 ± 2.96 (possible range: 7-35), and 40.49 ± 6.06 (possible range: 10-50), respectively. Multivariate analysis showed that bachelor's degree or above was independently associated with sufficient knowledge (OR=2.372, 95%CI: 1.160-4.853, P=0.018). Knowledge (OR=1.350, 95%CI: 1.166-1.563, P<0.001) and hemoglobin within 60-90g/L (OR=1.782, 95%CI: 1.090-2.912, P=0.021) were independently associated with positive attitudes. Moreover, attitudes (OR=1.618, 95%CI: 1.454-1.799, P<0.001) and diagnosis ≥1 year (OR=1.949, 95%CI: 1.171-3.243, P=0.010) were independently associated with proactive practices. The path analysis demonstrated that knowledge was directly and positively correlated with attitudes (β=0.484, 95% CI: 0.363-0.647, P=0.008), and attitudes was directly and positively correlated with practices (β=1.195, 95% CI: 1.062-1.332, P=0.007). Moreover, knowledge was indirectly and positively correlated with practice (β=0.579, 95% CI: 0.434-0.805, P=0.004). Conclusion: Anemia patients have sufficient knowledge, negative attitudes, but proactive practices toward the toward disease management Comprehensive training programs are needed to improve anemia patients practices in this area.