{"id":274,"title":"Knowledge, Attitudes, and Practices Related to Polyendocrine Metabolic Ovarian Syndrome Among Women with PMOS in Jiangsu Province, China: A Cross-sectional Study","title_zh":"中国江苏省多内分泌代谢性卵巢综合征患者的认知、态度与实践：一项横断面研究","url":"https://pubmed.ncbi.nlm.nih.gov/42991171","doi":"10.2147/ijwh.s652430","pmid":"42991171","journal":"Int J Womens Health","kind":"paper","lang":"en","published_at":"2026-11-01T00:00:00+00:00","fetched_at":"2026-11-08T03:44:04+00:00","authors":["Shi X","Ma J","Wang X","Zhu R","Jin J"],"primary_topic":"oocyte","topics":[{"slug":"oocyte","score":5.0,"hits":["ovarian","ovary"]},{"slug":"repro-endo","score":2.0,"hits":["pcos","polycystic ovary"]},{"slug":"repro-tox","score":2.0,"hits":["body mass index","lifestyle"]}],"topic_score":5.0,"preference_score":0.0,"preference_labels":[],"llm_score":63.0,"final_score":63.0,"score_dims":{"novelty":45,"rigor":65,"impact":45,"relevance":55,"translation":60},"recommend_reason":"研究聚焦PMOS患者的健康行为与可干预因素，对生殖内分泌门诊生活方式管理有一定参考价值；但属单中心横断面KAP研究，机制与因果证据有限，与ART/胚胎实验室核心关联较弱。","keywords":["多内分泌代谢性卵巢综合征","多囊卵巢综合征","健康知识态度实践","生活方式指导","横断面研究"],"selected":1,"story_id":235,"llm_provider":"deepseek","llm_model":"deepseek-flash","llm_effort":"low","source_key":"pubmed-endo-genetics","source_name":"PubMed · 生殖内分泌/遗传/保存","source_tier":1,"mention_count":1,"has_interpretation":false,"journal_key":null,"journal_tier":"unknown","journal_if":null,"is_mock":false,"summary_zh":"该横断面研究纳入中国江苏某三甲医院422例PMOS（原PCOS）患者，评估其疾病知识、态度与实践并分析相关因素。知识、态度、实践中位得分分别为12/20、142/190、20/40；38.63%知识不足，64.22%态度积极，54.98%实践不佳。较高态度得分及同时接受饮食和运动指导与良好实践正相关，BMI和腰臀比则呈负相关；路径分析显示知识可通过态度间接影响实践。结论提示患者态度较积极但知识与实践不足，健康信念、自我效能和生活方式指导可作为未来干预靶点。","summary":"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.","interpretation_basis":null,"fulltext_status":null,"interpretation":null,"fulltext":{"available":false,"status":null,"reason":"尚未抓取全文（未入选、分数未达阈值，或还没跑 fulltext 步骤）","pmcid":null,"license":null,"chars":0,"source":null,"fetched_at":null}}