{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T19:25:52Z","timestamp":1789500352546,"version":"build-2803163510"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Several obstacles can hinder breast cancer screening. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward ultrasound screening for breast cancer in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional study recruited women who visited the breast specialist clinic of Zhongshan City People\u2019s Hospital (a tertiary hospital) between August 2022 and April 2023 through convenience sampling. KAP scores \u226570% were considered adequate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study enrolled 501 participants. The mean knowledge, attitude, and practice levels were 8.56\u2009\u00b1\u20091.81\/12 (possible range 0\u201312, 71.33%), 29.80\u2009\u00b1\u20092.71 (possible range 8\u201340, 74.50%), and 32.04\u2009\u00b1\u20093.09 (possible range 8\u201340, 80.10%). Senior high school education (vs. junior high school and below, coefficient\u2009=\u20091.531, 95%CI: 1.013\u20132.312, <jats:italic>p<\/jats:italic>\u2009=\u20090.044), bachelor\u2019s education and above (vs. junior high school and below, coefficient\u2009=\u20095.315, 95%CI: 3.546\u20137.966, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), housewife or unemployed (vs. employed, coefficient\u2009=\u20090.671, 95%CI: 0.466\u20130.966, <jats:italic>p<\/jats:italic>\u2009=\u20090.032), and a history of breast ultrasound (vs. no, coefficient\u2009=\u20091.466, 95%CI: 1.121\u20131.917, <jats:italic>p<\/jats:italic>\u2009=\u20090.005) were independently and positively associated with knowledge. Knowledge (coefficient\u2009=\u20091.303, 95%CI: 1.100\u20131.544, <jats:italic>p<\/jats:italic>\u2009=\u20090.002) and monthly income &amp;gt;10,000 (vs. &amp;lt;5,000, coefficient\u2009=\u20094.364, 95%CI: 1.738\u201310.956, <jats:italic>p<\/jats:italic>\u2009=\u20090.002) were independently and positively associated with attitude. Only attitude (coefficient\u2009=\u20091.212, 95%CI: 1.096\u20131.340, <jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) was independently and positively associated with the practice. A structural equation modeling (SEM) analysis was used to estimate causality among KAP dimensions, showing that knowledge directly influenced attitude (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22121.090, <jats:italic>p<\/jats:italic>\u2009=\u20090.015), knowledge did not directly influence practice (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.117, <jats:italic>p<\/jats:italic>\u2009=\u20090.681) but had an indirect influence (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.826, <jats:italic>p<\/jats:italic>\u2009=\u20090.028), and attitude directly influenced practice (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.757, <jats:italic>p<\/jats:italic>\u2009=\u20090.016).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women in Zhongshan City had good knowledge, favorable attitudes, and active practice toward breast ultrasound screening for breast cancer. Women\u2019s characteristics associated with a poorer KAP were identified, allowing for more targeted interventions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1309797","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T14:07:25Z","timestamp":1716559645000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Knowledge, attitude, and practice toward ultrasound screening for breast cancer among women"],"prefix":"10.3389","volume":"12","author":[{"given":"Shaozhong","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shukai","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengzhen","family":"Qin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifeng","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaozhen","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1016\/S0140-6736(16)31891-8","article-title":"Breast cancer","volume":"389","author":"Harbeck","year":"2017","journal-title":"Lancet"},{"key":"ref2","volume-title":"Breast Cancer. 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