Knowledge, Attitudes, and Practices Related to Polyendocrine Metabolic Ovarian Syndrome Among Women with PMOS in Jiangsu Province, China: A Cross-sectional Study
- 1Department of Gynecology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, People’s Republic of China
Abstract
Objective: To assess knowledge, attitudes, and practices (KAP) related to polyendocrine metabolic ovarian syndrome (PMOS; formerly polycystic ovary syndrome [PCOS]) among patients in Jiangsu Province, China, and explore factors associated with health-related practices.
Methods: This cross-sectional study included 422 patients with PMOS recruited from a tertiary hospital in Jiangsu, China, between July 2023 and December 2024. Sociodemographic, clinical, biochemical, and KAP data were collected. Correlation analysis, univariable and multivariable logistic regression, and observed-score path analysis were performed.
Results: The median knowledge, attitude, and practice scores were 12/20 (IQR 9–14), 142/190 (IQR 126–159), and 20/40 (IQR 14–25), respectively. Overall, 38.63% of participants had poor knowledge, 64.22% had positive attitudes, and 54.98% had poor practices. In multivariable analysis, higher attitude scores (aOR per 10 points=2.241, 95% CI 1.762–2.852) and receipt of both dietary and exercise guidance vs no guidance (aOR=3.681, 95% CI 1.678–8.075) were associated with higher odds of good practice, whereas higher body mass index and waist-to-hip ratio were inversely associated with good practice. Path analysis showed positive knowledge-to-attitude and attitude-to-practice associations, with a significant positive indirect association between knowledge and practice through attitude.
Conclusions: Patients with PMOS demonstrated generally positive attitudes but insufficient knowledge and health-related practices. These findings identify health-related beliefs, self-efficacy, and practical lifestyle guidance as potential targets for future intervention studies.
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BibTeX
@article{shi2026knowledge,
title = {{Knowledge, Attitudes, and Practices Related to Polyendocrine Metabolic Ovarian Syndrome Among Women with PMOS in Jiangsu Province, China: A Cross-sectional Study}},
author = {Xiuwen Shi and Jingyun Ma and Xinzhe Wang and Rui Zhu and Jing Jin},
journal = {International Journal of Women's Health},
year = {2026},
month = nov,
doi = {10.2147/ijwh.s652430},
url = {https://doi.org/10.2147/ijwh.s652430},
note = {CC BY-NC 4.0},
}
RIS
TY - JOUR
TI - Knowledge, Attitudes, and Practices Related to Polyendocrine Metabolic Ovarian Syndrome Among Women with PMOS in Jiangsu Province, China: A Cross-sectional Study
AU - Xiuwen Shi
AU - Jingyun Ma
AU - Xinzhe Wang
AU - Rui Zhu
AU - Jing Jin
PY - 2026
DA - 2026/11/01
JO - International Journal of Women's Health
DO - 10.2147/ijwh.s652430
UR - https://doi.org/10.2147/ijwh.s652430
AB - Objective: To assess knowledge, attitudes, and practices (KAP) related to polyendocrine metabolic ovarian syndrome (PMOS; formerly polycystic ovary syndrome [PCOS]) among patients in Jiangsu Province, China, and explore factors associated with health-related practices. Methods: This cross-sectional study included 422 patients with PMOS recruited from a tertiary hospital in Jiangsu, China, between July 2023 and December 2024. Sociodemographic, clinical, biochemical, and KAP data were collected. Correlation analysis, univariable and multivariable logistic regression, and observed-score path analysis were performed. Results: The median knowledge, attitude, and practice scores were 12/20 (IQR 9–14), 142/190 (IQR 126–159), and 20/40 (IQR 14–25), respectively. Overall, 38.63% of participants had poor knowledge, 64.22% had positive attitudes, and 54.98% had poor practices. In multivariable analysis, higher attitude scores (aOR per 10 points=2.241, 95% CI 1.762–2.852) and receipt of both dietary and exercise guidance vs no guidance (aOR=3.681, 95% CI 1.678–8.075) were associated with higher odds of good practice, whereas higher body mass index and waist-to-hip ratio were inversely associated with good practice. Path analysis showed positive knowledge-to-attitude and attitude-to-practice associations, with a significant positive indirect association between knowledge and practice through attitude. Conclusions: Patients with PMOS demonstrated generally positive attitudes but insufficient knowledge and health-related practices. These findings identify health-related beliefs, self-efficacy, and practical lifestyle guidance as potential targets for future intervention studies.
SN - 1179-1411
ER -