ArticleFrontiers in public health2026
Association between Ebola prevention training and prevention-related cognitive and behavioral factors among Chinese expatriates in the Democratic Republic of the Congo: a cross-sectional study informed by the RANAS framework.
Article in Frontiers in public health, 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
Objective: This study aimed to explore the associations between Ebola prevention training experience and multiple prevention-related outcomes (infectious disease knowledge, risk perception, protective attitudes, and psychological self-regulation) among Chinese expatriate workers in the Democratic Republic of the Congo (DRC), and to further assess potential ceiling effects and whether educational attainment modified these associations. Methods: Based on the Risk-Attitude-Norms-Ability-Self-regulation (RANAS) framework, a cross-sectional questionnaire survey was conducted among 951 Chinese expatriates in the DRC. Mann-Whitney U test and χ Results: Adjusted GLM results showed that participants with training experience exhibited significantly higher adjusted marginal means in basic knowledge, prevention-and-response knowledge, and psychological self-regulation ( Conclusion: Ebola prevention training experience was independently associated with higher epidemic-prevention knowledge scores and better psychological self-regulation, while associations with risk perception and protective attitudes were substantially constrained by ceiling effects. The associations between training and health outcomes are heterogeneous across educational strata. Targeted and stratified health education strategies, rather than uniform training schemes, should be adopted for overseas populations to better tailor infectious-disease prevention training programs to heterogeneous overseas populations.
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