ArticleFrontiers in public health2025
Current status of KAB in health education for Chinese college students and SEM validation exploration.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Development of health behavior change for early adulthood based on situational expectancy-value theory: study protocol for the Haian Flower Drums Project.Frontiers in public health · 2026Article
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4 authors.
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Abstract
Introduction: In the field of health education, the KAB theory is an authoritative theoretical model worldwide; however, there is not much empirical evidence supporting its application in university health education. Therefore, the purpose of this paper is to use data from Chinese universities to test the pathways and universality of the KAB model, as well as to provide certain suggestions for future health education in universities through a situational analysis. Methods: We used a random sampling method to conduct a questionnaire survey of 4,508 college students from 76 universities in Jiangsu Province (752 from sports majors and 3,756 from non-sports majors). We employed a self-developed four-point scale questionnaire (20 questions on health knowledge, 14 on attitudes, and 10 on behaviors), which demonstrated good reliability and validity (Cronbach's Results: Current status: The awareness of sexual and reproductive health was highest (89.7%-98%), while knowledge of disease prevention was the weakest (awareness of antibiotic hazards was only 57.5%); sports majors scored significantly higher in health knowledge than non-sports majors (e.g., 15.7% higher in disease prevention knowledge). In terms of behavior, the rate of developing exercise habits among non-sports majors (87.6%) was significantly lower than that of sports majors (97.9%), and only 69.6% actively consulted health issues, showing that students are hesitant to talk to their teachers. Model validation: The SEM fit indices were good (GFI = 0.972, RMSEA = 0.065), confirming three key pathways: knowledge → attitude ( Discussion: The KAB model is applicable to the college student population, where health knowledge not only directly influences behavior (
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