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<p>The global risk of avian influenza outbreaks has increased significantly in recent years, posing substantial threats to both the poultry industry and public health due to frequent human infection cases. Occupational groups within the poultry industry face particularly high infection risks because of prolonged close contact with poultry. This study aimed to identify differences in knowledge, attitudes, and practices (KAP) regarding avian influenza among various occupational categories, pinpoint weaknesses in prevention and control, and provide scientific evidence to support targeted intervention strategies. We conducted a cross-sectional survey using stratified random sampling among 1,362 individuals engaged in poultry-related occupations in Anhui, Sichuan, and Guangxi provinces, China, from May to July 2025. Data on avian influenza-related knowledge, attitudes, and practices (KAP) were collected through electronic questionnaires. Statistical analyses were performed using SPSS&#xa0;27.0, employing descriptive statistics, chi-square tests for group comparisons, and multivariate logistic regression to identify factors associated with KAP levels. A total of 1,194 valid questionnaires were collected. The overall KAP qualification rate among survey participants was 48.16%, with knowledge awareness being the lowest (33.84%), the positive attitude rate was 83.42%, and the positive practice rate was 41.46%. Multivariate analysis identified distinct factors influencing knowledge, attitude, and practice. Regarding knowledge, commercial farm workers (aOR = 1.87,95%CI:1.24–2.81) and backyard farmers(aOR = 2.40,95%CI:1.37–4.21) had higher levels than live poultry market workers, with urban residents(aOR = 1.49,95%CI:1.06–2.09), higher education, and absence of chronic disease (aOR = 1.94,95%CI:1.30–2.91) also predicting better knowledge. For attitude, commercial farm workers (aOR = 3.02,95%CI:1.67–5.46) and urban residents (aOR = 2.84,95%CI:1.79–4.51) were more positive. For practice, workers in Guangxi outperformed those in Anhui (aOR = 1.72,95%CI:1.06–2.79); commercial farm workers (aOR = 7.01,95%CI:4.55–10.80) and slaughterhouse workers (aOR = 6.33,95%CI:3.63–11.05) outperformed live poultry market workers, while backyard farmers showed poorer practices (aOR = 0.40,95%CI:0.22–0.74); females exhibited better practices than males (aOR = 1.33,95% CI:1.01–1.77). Furthermore, mobile internet (59.55%) and television/radio (50.42%) were the primary sources of information across all occupational groups. The findings reveal a pattern of superficial knowledge, and positive attitudes that do not translate into effective protective practices. Live poultry market workers, backyard farmers, individuals with lower education levels, and those residing in rural areas demonstrated poorer knowledge of avian influenza, while males exhibited lower adoption rates of protective practices. These populations should be prioritized as key targets for intervention. It is recommended to implement targeted health communication through new media platforms to enhance the coverage and effectiveness of intervention measures.</p>

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Knowledge, attitudes, and practices regarding avian influenza among poultry-related occupational groups in three provinces of China

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月3日

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  • Huimin Li,
  • Sai Hou,
  • Lijun Zhou,
  • Weitao He,
  • Wei Gao,
  • Wenqing Bai,
  • Ruiqi Ren,
  • Dan Li,
  • Chao Li,
  • Lei Zhou

摘要

The global risk of avian influenza outbreaks has increased significantly in recent years, posing substantial threats to both the poultry industry and public health due to frequent human infection cases. Occupational groups within the poultry industry face particularly high infection risks because of prolonged close contact with poultry. This study aimed to identify differences in knowledge, attitudes, and practices (KAP) regarding avian influenza among various occupational categories, pinpoint weaknesses in prevention and control, and provide scientific evidence to support targeted intervention strategies. We conducted a cross-sectional survey using stratified random sampling among 1,362 individuals engaged in poultry-related occupations in Anhui, Sichuan, and Guangxi provinces, China, from May to July 2025. Data on avian influenza-related knowledge, attitudes, and practices (KAP) were collected through electronic questionnaires. Statistical analyses were performed using SPSS 27.0, employing descriptive statistics, chi-square tests for group comparisons, and multivariate logistic regression to identify factors associated with KAP levels. A total of 1,194 valid questionnaires were collected. The overall KAP qualification rate among survey participants was 48.16%, with knowledge awareness being the lowest (33.84%), the positive attitude rate was 83.42%, and the positive practice rate was 41.46%. Multivariate analysis identified distinct factors influencing knowledge, attitude, and practice. Regarding knowledge, commercial farm workers (aOR = 1.87,95%CI:1.24–2.81) and backyard farmers(aOR = 2.40,95%CI:1.37–4.21) had higher levels than live poultry market workers, with urban residents(aOR = 1.49,95%CI:1.06–2.09), higher education, and absence of chronic disease (aOR = 1.94,95%CI:1.30–2.91) also predicting better knowledge. For attitude, commercial farm workers (aOR = 3.02,95%CI:1.67–5.46) and urban residents (aOR = 2.84,95%CI:1.79–4.51) were more positive. For practice, workers in Guangxi outperformed those in Anhui (aOR = 1.72,95%CI:1.06–2.79); commercial farm workers (aOR = 7.01,95%CI:4.55–10.80) and slaughterhouse workers (aOR = 6.33,95%CI:3.63–11.05) outperformed live poultry market workers, while backyard farmers showed poorer practices (aOR = 0.40,95%CI:0.22–0.74); females exhibited better practices than males (aOR = 1.33,95% CI:1.01–1.77). Furthermore, mobile internet (59.55%) and television/radio (50.42%) were the primary sources of information across all occupational groups. The findings reveal a pattern of superficial knowledge, and positive attitudes that do not translate into effective protective practices. Live poultry market workers, backyard farmers, individuals with lower education levels, and those residing in rural areas demonstrated poorer knowledge of avian influenza, while males exhibited lower adoption rates of protective practices. These populations should be prioritized as key targets for intervention. It is recommended to implement targeted health communication through new media platforms to enhance the coverage and effectiveness of intervention measures.