Knowledge, Attitudes, and Practices Regarding Testicular Torsion Among Adolescents Aged 12-18 in Rural Areas of Northern Guizhou: A Multi-Center Cross-Sectional Study

Abstract

Background:The rate of orchiectomy in rural areas is higher than in urban areas, and patients often miss the golden 6-8 hours when seeking treatment. The lack of awareness and vigilance about testicular torsion is the main reason for the delay in pre-hospital treatment. This study aims to explore the current status and influencing factors of knowledge, attitudes, and practices (KAP) regarding testicular torsion among adolescents aged 12-18 in the rural areas of northern Guizhou to provide a basis for formulating targeted health interventions. Method: From February to April 2023, a multi-stage cluster random sampling method was used to randomly select one primary school and two middle schools from the northern Guizhou area. 1031 male students aged 12-18 were surveyed using a self-compiled general information questionnaire and a KAP questionnaire regarding testicular torsion. Results: The scores for knowledge (1.87±0.83), attitude (35.42±6.11), and practice (19.98±6.67) dimensions of testicular torsion were obtained. Age was negatively correlated with knowledge and attitude dimensions (p<0.05), while knowledge was positively correlated with attitude and practice dimensions (p<0.001). Multivariate regression analysis showed that the main factors affecting KAP scores (all p<0.05) included whether family members were in the medical profession, whether the student lived in a dormitory, parents' educational level, and source of medical expenses (self-paid, others). Conclusion: The KAP of testicular torsion among adolescents aged 12-18 is at a low level and needs to be improved. The attitude is at a moderate level and is relatively positive. Healthcare professionals should conduct multi-dimensional health education combined with adolescents' personal characteristics to improve their KAP levels on testicular torsion.