ArticleBMJ open2026
Disease-related and self-management-related knowledge, attitude and practice among patients with polycystic ovary syndrome and acne in Hebei, China: a cross-sectional study.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveSelf-management emerges as paramount for effective outcomes in patients with polycystic ovary syndrome (PCOS) and acne. This study aimed to investigate the disease and self-management-related knowledge, attitude and practice (KAP) in PCOS patients with acne.
designA cross-sectional study.
settingDemographic information and KAP scores were collected through a self-administered questionnaire.
participantsThis study enrolled PCOS patients with acne at Hebei Academy of Chinese Medicine Sciences between April and October 2023. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes were the total scores for disease-related and self-management-related KAP and the proportions of participants with adequate levels in each KAP dimension. Secondary outcomes were the associations between KAP levels and sociodemographic and clinical characteristics, including employment status and duration since PCOS diagnosis.
resultsA total of 489 valid questionnaires were enrolled, including 458 (93.66%) patients unmarried, with a mean age of 23.03±2.46 years. The mean scores of KAP were 11.98±4.82 (possible range: 0-20), 40.48±3.16 (possible range: 11-55), 38.04±3.92 (possible range: 9-45), respectively. Multivariate logistic regression analysis showed that people who were unemployed or without a fixed job had lower knowledge levels (OR=0.370, 95% CI 0.182 to 0.753, p=0.006), those who had suffered from PCOS for 1-3 years (OR=18.067, 95% CI 9.259 to 35.254, p<0.001), those with PCOS for greater than or equal to 3 years (OR=19.195, 95% CI 7.508 to 49.074, p<0.001) were associated with sufficient knowledge. Multiple linear regression analysis indicated that longer PCOS duration was significantly associated with higher total KAP scores, with 1-3 years (β=5.678, 95% CI 3.858 to 7.498, p<0.001) and ≥3 years (β=5.817, 95% CI 3.170 to 8.465, p<0.001) showing substantial positive associations compared with those diagnosed less than 6 months ago.
conclusionsPCOS patients with acne had inadequate knowledge, active attitude and proactive practice towards disease and self-management. To enhance clinical practice, targeted educational interventions are recommended, specifically addressing the knowledge gaps observed in unemployed individuals and those in the early stages of PCOS.
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