Prev Med Rep. 2026 Sep 10;71:103615. doi: 10.1016/j.pmedr.2026.103615. eCollection 2026 Nov.
ABSTRACT
OBJECTIVE: To investigate knowledge-attitude-practice (KAP) regarding cardiovascular and cerebrovascular diseases (CCVD) among adolescents and young adults, and to identify associated factors to provide evidence for targeted prevention.
METHODS: A cross-sectional survey was conducted through digital platforms from August to October 2025, recruiting 636 participants from North, East and Southwest China through convenience sampling. Data were collected via a self-designed CCVD KAP questionnaire, S-CVI was 0.93, and Cronbach's α was 0.92. The data were analyzed using SPSS 27.0.
RESULTS: The overall KAP score was (74.90 ± 20.83), with a scoring rate 63.47%. Among the three dimensions, the attitude subscale scored the highest, followed by knowledge and practice. Multiple linear regression analysis showed that the total score positively correlated with female gender, better self-rated health, and overweight; negatively with East and Southwest China residence, higher-maternal education, and unknown family history. For knowledge and attitude, exercise and sleep were positively correlated, smoking and drinking negatively. Higher education positively correlated with knowledge and attitude but negatively with practice.
CONCLUSION: Awareness of CCVD was moderate, with positive attitude but suboptimal behavioral adherence. These findings support targeted interventions to address the knowledge-practice gap, particularly among those with low education, unhealthy lifestyles, or uncertain family history.
PMID:42764933 | PMC:PMC13590049 | DOI:10.1016/j.pmedr.2026.103615