Knowledge-attitude-practice of pneumoconiosis prevention and control among Chinese university students: a...

Pneumoconiosis remains a significant public health issue. Given its substantial harm to patients and society, effective prevention is crucial. The study aimed to investigate the current status systematically and the influencing factors of knowledge, attitudes, and practices regarding the prevention and control of pneumoconiosis among Chinese college students, thereby providing evidence-based recommendations for targeted intervention strategies.

A cross-sectional online study was conducted based on the Knowledge-Attitude-Practice (KAP) model between September and October 2025. We conducted a nationwide, anonymous survey using stratified random sampling by educational level and geographic region, involving 1,795 students from 84 universities across 33 Chinese provinces. The questionnaire assessed demographic characteristics, as well as knowledge, attitudes, and practices related to the prevention and control of pneumoconiosis. Multiple linear regression analyses were performed to evaluate the impact of demographic factors on the KAP model.

Students demonstrated a moderate overall KAP level across the assessed domains (overall KAP score: 66.93 ± 10.76) with limited knowledge (61.79 ± 16.75) and practical engagement (67.65 ± 13.53), but relatively positive attitudes (72.45 ± 9.92). Non-Han status (β = -0.072), Non-Medical disciplines (β = -0.062), residence in the Northern (β = -0.066), Northwestern (β = -0.073), Southwestern (β = -0.066), or Northeastern (β = -0.062), Good health status (β = 0.094), and higher self-rated knowledge levels (all p < 0.001) were significant predictors.

These findings reveal significant gaps in knowledge and practice among university students. They provide a critical evidence base for developing targeted curricular interventions and health promotion strategies within higher education to improve occupational health literacy.