title: Survey of knowledge, attitude, and practice regarding reproductive health among urban men in China: a descriptive study.
abstract: There has been little focus on men's reproductive health (RH) in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of knowledge, attitudes and practices (KAPs) regarding prevention of sexually transmitted diseases (STDs). A total of 3933 men, aged 18-59 years (mean, 40.3 years), were recruited by cluster random sampling. They completed a questionnaire in the presence of an interviewer, with items related to subject characteristics, RH knowledge, and subjective symptoms of the reproductive system. Physical examination and reproductive system disease diagnosis were performed. Participants' occupations were predominantly skilled labor (80.5%). Nearly four-fifths (78.5%) respondents had at least one reproductive disease. Over half of respondents were aware of and declared a positive attitude about sexual physiology and safe sex, and 70% of them selected to visit a doctor when they had a reproductive disorder. However, only 41.9% believed human immunodeficiency virus/acquired immunodeficiency syndrome could be transmitted through breastfeeding, and 64.6% incorrectly thought they could avoid contracting STDs by cleaning their genitals after intercourse. In addition, 45% discriminated against and were unwilling to be friends with infected persons. Nearly 45% of those with a reproductive system disorder refused to discuss it with friends or family members. These results indicate that this cohort of Chinese men had a certain degree of KAP about RH, whereas some aspects require further public health education in the general population. It is necessary to disseminate accurate knowledge of STD risk in China based on sociodemographic characteristics.
authors.forename: Ling
authors.initials: L
authors.lastname: Zhang
authors.forename: Rui-Long
authors.initials: RL
authors.lastname: Gong
authors.forename: Qing-Rong
authors.initials: QR
authors.lastname: Han
authors.forename: Yu-Qin
authors.initials: YQ
authors.lastname: Shi
authors.forename: Quan-An
authors.initials: QA
authors.lastname: Jia
authors.forename: Shan-Dan
authors.initials: SD
authors.lastname: Xu
authors.forename: Le-Qun
authors.initials: LQ
authors.lastname: Wang
authors.affiliation: Department of Preventive Medicine, School of Public Health, Wuhan University of Science and Technology, Wuhan, China.
authors.forename: Chang-Cai
authors.initials: CC
authors.lastname: Zhu
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D011634:Public Health; D060728:Reproductive Health / Q000208:ethnology*; D012307:Risk Factors; D057566:Self Report; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000208:ethnology* / Q000517:prevention & control*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult