Epilepsy Knowledge, Attitudes, and First-Aid Practices Among Syrian University Students: A Cross-Sectional Study.

Background and Aims: Epilepsy affects about 50 million people worldwide, with stigma and misconceptions that contribute to social exclusion and psychological distress, sometimes more disabling than the physical symptoms. In Syria, epilepsy awareness among university students remains under-studied, despite their role as future healthcare providers and community leaders. This study assessed epilepsy-related knowledge, attitudes, and first-aid practices among Syrian university students and identified associated factors. Methods: A cross-sectional study was conducted including 1005 students from 24 Syrian universities using a structured questionnaire that covered demographics, epilepsy knowledge, first aid, and attitudes. Reliability was assessed using Cronbach's alpha. Data were analyzed using descriptive statistics, t-tests, ANOVA, and logistic regression, with statistical significance set at Results: High epilepsy knowledge was found in 59% of students, but misconceptions persisted. Although 63% showed good first-aid knowledge, harmful practices were common. Attitudes were mixed, with 56% expressing positive views but significant reluctance toward close personal and professional relationships, potentially leading to social isolation, discrimination in employment and education, and reduced opportunities for marriage and community integration. Conclusions: Syrian students show moderate knowledge but persistent stigma and unsafe practices. Targeted education and first-aid training are needed to reduce misconceptions and improve support for people with epilepsy.