The Knowledge, Attitude, and Practice Regarding Deep Vein Thrombosis Among Pregnant and Postpartum Women: The Mediating Effect of Attitude

AIM: To assess the knowledge, attitude, and practice (KAP) regarding deep vein thrombosis (DVT) among pregnant and postpartum women in Xiamen, China. DESIGN: A cross-sectional study using self-designed questionnaires was conducted. METHODS: From October 18 to October 28, 2023, questionnaires were distributed to pregnant and postpartum women. Logistic regression and structural equation modelling (SEM) were used to analyse factors associated with KAP scores. RESULTS: A total of 609 participants completed the study. The average scores were: knowledge 4.19/11, attitude 36.38/50, and practice 26.68/35. Higher knowledge, higher education, and higher income were independently associated with higher practice scores. The SEM showed that knowledge directly positively affected attitude and practice, and influenced practice indirectly through attitude. CONCLUSIONS: Pregnant and postpartum women in Xiamen have poor knowledge but neutral attitudes and acceptable practices regarding DVT. Knowledge is linked to attitude and practice, with attitude mediating the effect of knowledge on practice. Awareness campaigns to improve attitudes are essential for promoting preventive practices. REPORTING METHOD: We have adhered to relevant EQUATOR guidelines and STROBE reporting methods. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.