title: A Cross-Sectional Study of Heat Wave-Related Knowledge, Attitude, and Practice among the Public in the Licheng District of Jinan City, China.
abstract: Knowledge, attitude, and practice (KAP) are three key components for reducing the adverse health impacts of heat waves. However, research in eastern China regarding this is scarce. The present study aimed to evaluate the heat wave-related KAP of a population in Licheng in northeast China. This cross-sectional study included 2241 participants. Data regarding demographic characteristics, KAP, and heat illnesses were collected using a structured questionnaire. Univariate analysis and unconditional logistic regression models were used to analyze the data. Most residents had high KAP scores, with a mean score of 12.23 (standard deviation = 2.23) on a 17-point scale. Urban women and participants aged 35-44 years had relatively high total scores, and those with high education levels had the highest total score. There was an increased risk of heat-related illness among those with knowledge scores of 3-5 on an 8-point scale with mean score of 5.40 (standard deviation = 1.45). Having a positive attitude toward sunstroke prevention and engaging in more preventive practices to avoid heat exposure had a protective interaction effect on reducing the prevalence of heat-related illnesses. Although the KAP scores were relatively high, knowledge and practice were lacking to some extent. Therefore, governments should further develop risk-awareness strategies that increase awareness and knowledge regarding the adverse health impact of heat and help in planning response strategies to improve the ability of individuals to cope with heat waves.
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China. lijingsddx@126.com.|State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China. lijingsddx@126.com.|Shandong University Climate Change and Health Center, Jinan 250012, Shandong, China. lijingsddx@126.com.
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Dentistry, Affiliated Hospital, Weifang Medical University, Weifang 261000, Shandong, China. sl_1@163.com.
authors.forename: Xin
authors.initials: X
authors.lastname: Xu
authors.affiliation: School of Public Health, Taishan Medical College, Taian 271000, Shandong, China. dgy-153@163.com.
authors.forename: Guoyong
authors.initials: G
authors.lastname: Ding
authors.affiliation: Licheng District Center for Disease Control and Prevention, Jinan 250012, Shandong, China. zhaoyunepi@163.com.
authors.forename: Yun
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: Licheng District Center for Disease Control and Prevention, Jinan 250012, Shandong, China. zh.rx@163.com.
authors.forename: Ruixia
authors.initials: R
authors.lastname: Zhao
authors.affiliation: Department of Biostatistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China. xuefzh@sdu.edu.cn.
authors.forename: Fuzhong
authors.initials: F
authors.lastname: Xue
authors.affiliation: State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China. lijing986169323@sina.cn.
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.affiliation: State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China. gaojinghong2007@126.com.
authors.forename: Jinghong
authors.initials: J
authors.lastname: Gao
authors.affiliation: State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China. smart_yjun@163.com.
authors.forename: Jun
authors.initials: J
authors.lastname: Yang
authors.affiliation: Department of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, Shandong, China. bjiang@sdu.edu.cn.|Shandong University Climate Change and Health Center, Jinan 250012, Shandong, China. bjiang@sdu.edu.cn.
authors.forename: Baofa
authors.initials: B
authors.lastname: Jiang
authors.affiliation: State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China. liuqiyong@icdc.cn.|Shandong University Climate Change and Health Center, Jinan 250012, Shandong, China. liuqiyong@icdc.cn.
authors.forename: Qiyong
authors.initials: Q
authors.lastname: Liu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006358:Hot Temperature; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D055815:Young Adult
keywords: China; attitude; cross-sectional study; heat waves; knowledge; practice