ArticleBMJ open2026
Knowledge, attitudes and practices towards urinary calculi among patients: a cross-sectional study in Jiangsu Province, China.
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
objectivesThis study aimed to investigate the knowledge, attitudes and practices (KAP) of patients with urinary calculi in China, where prior KAP research on this condition is lacking.
designA cross-sectional study was conducted.
settingThe study was carried out in Jiangsu Province between August and September 2024.
participantsPatients diagnosed with urinary calculi were included, with 440 valid questionnaires analysed (65.9% male). PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes were KAP scores (knowledge: 0-30, attitude: 6-30, practice: 7-35). Secondary outcomes included structural equation modelling (SEM) analysing relationships between KAP domains.
resultsMean scores were 10.63±3.73 (knowledge), 22.37±4.16 (attitude) and 22.40±5.36 (practice). SEM revealed direct effects of knowledge on attitude (β=0.652, p<0.001) and practice (β=0.375, p<0.001), and attitude on practice (β=0.432, p<0.001). Knowledge also indirectly influenced practice via attitude (β=0.281, p<0.001).
conclusionsPatients with urinary calculi tended to demonstrate limited knowledge but moderate attitudes and practices towards their condition. These findings suggest potential gaps in patient understanding and indicate that educational approaches may play a role in supporting urinary calculi management.
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