{
  "abstract": "Objectives To investigate the knowledge, attitudes and practices (KAP) regarding mammary gland hyperplasia (MGH) in adult women from Shandong province, China.Design A cross-sectional study.Setting This study was conducted in Shandong province, China, from July to September 2023. Data were collected using a self-administered KAP questionnaire.Participants Adult women.Primary and secondary outcome measures The primary outcome was the KAP scores of adult women regarding MGH. The secondary outcomes were the factors associated with the KAP scores.Results A total of 742 valid questionnaires were included in the final analysis (effective response rate 94 %). Adult women had insufficient knowledge (median 19, IQR 14–23) but positive attitudes (median 37, IQR 34–39) and proactive practices (median 30, IQR 27–33). Correlation analysis showed weak positive associations between knowledge and practice (r=0.137, p<0.001), and attitude and practice (r=0.152, p<0.001). Multivariable logistic regression indicated that not having undergone breast medical examination was associated with a lower likelihood of good practice (OR=0.664, 95% CI 0.466 to 0.947, p=0.024).Conclusions This study indicated relatively low knowledge levels regarding MGH among adult women in Shandong province, despite generally positive attitudes and proactive practices, suggesting a notable knowledge–practice gap. These findings support the need for targeted and context-specific educational interventions, rather than general awareness campaigns alone, to improve breast health management.",
  "authors": [
    {
      "affiliations": [
        "The First Hospital of Lanzhou University, Lanzhou, Gansu, China"
      ],
      "name": "Yulong Chen"
    },
    {
      "affiliations": [
        "Department of Thyroid and Breast Surgery, Central Hospital Affiliated to Shandong First Medical University, Jinan, China"
      ],
      "name": "Yongqin Geng"
    }
  ],
  "title": "Knowledge, attitudes and practices regarding mammary gland hyperplasia among adult women: a cross-sectional study in Shandong province, China",
  "uid": "83d38bb5-1a71-5fce-a8f8-55ece6f84b3e"
}