Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy
BackgroundTo investigate the knowledge, attitude, and practice (KAP) of patients with gastric cancer (GC) toward nutritional therapy.MethodsThis cross-sectional study was conducted from January to March 2024 at the Affiliated Hospital of Jiangnan University (Wuxi, China) and enrolled patients with G...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1433849/full |
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| author | Hui Yu Ling Li Jing Gu Jing Wang Hui Su Hui Lu Yuqing Zhou Jingfang Xia Yongping Xu Danhua Liang Yuling Yang Ying Chen |
| author_facet | Hui Yu Ling Li Jing Gu Jing Wang Hui Su Hui Lu Yuqing Zhou Jingfang Xia Yongping Xu Danhua Liang Yuling Yang Ying Chen |
| author_sort | Hui Yu |
| collection | DOAJ |
| description | BackgroundTo investigate the knowledge, attitude, and practice (KAP) of patients with gastric cancer (GC) toward nutritional therapy.MethodsThis cross-sectional study was conducted from January to March 2024 at the Affiliated Hospital of Jiangnan University (Wuxi, China) and enrolled patients with GC. Questionnaires (Cronbach’s α = 0.923) were used to collect data on demographics and KAP dimensions. Scores >75% were considered good. Multivariable analyses were performed to examine the factors associated with KAP. A structural equation modeling (SEM) analysis was performed to examine the relationships among KAP dimensions.ResultsThe analysis included 486 valid questionnaires. The median knowledge, attitude, and practice scores were 6.0 (0–16; 37.5%), 26.0 (7–35; 74.3%), and 28.7 (8–40; 71.7%) indicating poor KAP. Only agricultural, forestry, animal husbandry, fishery, and water conservancy production personnel (OR = 0.09, 95%CI: 0.02–0.49, p = 0.006) were independently associated with knowledge. Knowledge (OR = 1.11, 95%CI: 1.05–1.18, p < 0.001) and a monthly income of 10,000–20,000 (OR = 3.85, 95%CI: 1.23–12.06, p = 0.021) were independently associated with attitude. Knowledge (OR = 1.22, 95%CI: 1.15–1.30, p < 0.001), attitude (OR = 1.21, 95%CI: 1.11–1.32, p < 0.001), personnel other than leading cadres of state organs and enterprises (all OR < 1 and all p < 0.05), and a monthly income of 10,000–20,000 yuan (OR = 3.02, 95%CI: 1.15–7.96, p = 0.025) were independently associated with practice. Knowledge had a direct positive influence on attitude (β = 0.350, p < 0.001) and practice (β = 0.460, p < 0.001) and an indirect positive influence on practice (β = 0.146, p < 0.001). Attitude had a direct positive influence on practice (β = 0.417, p < 0.001).ConclusionPatients with GC in Wuxi partly had poor KAP toward nutritional support. |
| format | Article |
| id | doaj-art-9ed1337412e14ccab98ea55d28b108ce |
| institution | DOAJ |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-9ed1337412e14ccab98ea55d28b108ce2025-08-20T02:47:06ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-03-011210.3389/fmed.2025.14338491433849Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapyHui Yu0Ling Li1Jing Gu2Jing Wang3Hui Su4Hui Lu5Yuqing Zhou6Jingfang Xia7Yongping Xu8Danhua Liang9Yuling Yang10Ying Chen11Thoracic and Abdominal Radiotherapy Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaThoracic and Abdominal Radiotherapy Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaObstetrics Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaHead and Neck Radiotherapy Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaOncology Department 1, Affiliated Hospital of Jiangnan University, Wuxi, ChinaOncology Department 2, Affiliated Hospital of Jiangnan University, Wuxi, ChinaOncology Department 3, Affiliated Hospital of Jiangnan University, Wuxi, ChinaComprehensive Radiotherapy Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaChinese and Western Integrative Oncology Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaOncology Department 4, Affiliated Hospital of Jiangnan University, Wuxi, China0Oncology Department, Affiliated Hospital of Jiangnan University, Wuxi, China0Oncology Department, Affiliated Hospital of Jiangnan University, Wuxi, ChinaBackgroundTo investigate the knowledge, attitude, and practice (KAP) of patients with gastric cancer (GC) toward nutritional therapy.MethodsThis cross-sectional study was conducted from January to March 2024 at the Affiliated Hospital of Jiangnan University (Wuxi, China) and enrolled patients with GC. Questionnaires (Cronbach’s α = 0.923) were used to collect data on demographics and KAP dimensions. Scores >75% were considered good. Multivariable analyses were performed to examine the factors associated with KAP. A structural equation modeling (SEM) analysis was performed to examine the relationships among KAP dimensions.ResultsThe analysis included 486 valid questionnaires. The median knowledge, attitude, and practice scores were 6.0 (0–16; 37.5%), 26.0 (7–35; 74.3%), and 28.7 (8–40; 71.7%) indicating poor KAP. Only agricultural, forestry, animal husbandry, fishery, and water conservancy production personnel (OR = 0.09, 95%CI: 0.02–0.49, p = 0.006) were independently associated with knowledge. Knowledge (OR = 1.11, 95%CI: 1.05–1.18, p < 0.001) and a monthly income of 10,000–20,000 (OR = 3.85, 95%CI: 1.23–12.06, p = 0.021) were independently associated with attitude. Knowledge (OR = 1.22, 95%CI: 1.15–1.30, p < 0.001), attitude (OR = 1.21, 95%CI: 1.11–1.32, p < 0.001), personnel other than leading cadres of state organs and enterprises (all OR < 1 and all p < 0.05), and a monthly income of 10,000–20,000 yuan (OR = 3.02, 95%CI: 1.15–7.96, p = 0.025) were independently associated with practice. Knowledge had a direct positive influence on attitude (β = 0.350, p < 0.001) and practice (β = 0.460, p < 0.001) and an indirect positive influence on practice (β = 0.146, p < 0.001). Attitude had a direct positive influence on practice (β = 0.417, p < 0.001).ConclusionPatients with GC in Wuxi partly had poor KAP toward nutritional support.https://www.frontiersin.org/articles/10.3389/fmed.2025.1433849/fullknowledgeattitudepracticegastric cancerpatientsnutritional support |
| spellingShingle | Hui Yu Ling Li Jing Gu Jing Wang Hui Su Hui Lu Yuqing Zhou Jingfang Xia Yongping Xu Danhua Liang Yuling Yang Ying Chen Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy Frontiers in Medicine knowledge attitude practice gastric cancer patients nutritional support |
| title | Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy |
| title_full | Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy |
| title_fullStr | Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy |
| title_full_unstemmed | Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy |
| title_short | Knowledge, attitudes, and practices of gastric cancer patients toward nutritional therapy |
| title_sort | knowledge attitudes and practices of gastric cancer patients toward nutritional therapy |
| topic | knowledge attitude practice gastric cancer patients nutritional support |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1433849/full |
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