{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:53:28Z","timestamp":1791582808363,"version":"4.3.4"},"reference-count":47,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"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>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the knowledge, attitudes, and practices (KAP) of healthcare workers (HCWs) regarding Chikungunya fever and its influencing factors in non-endemic Sichuan Province, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional online survey was conducted among 312 HCWs in August 2025. Data were collected using a structured KAP questionnaire and analyzed with descriptive statistics, chi-square tests, binary logistic regression, and correlation analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The great scores rates for knowledge, attitudes, and practices were 60.90%, 65.38%, and 40.06%, respectively. Knowledge was positively correlated with attitudes (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.403,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001), and attitudes with practices (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.661,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Knowledge was significantly higher among physicians (OR = 1.607) and secondary hospital staff (OR\u202f=\u202f1.901). Senior professional title and 5\u201310 years of work experience were associated with more positive attitudes. Although most HCWs recognized the importance of prevention (94.88%) and had high learning willingness (90.06%), practical performance was low\u2014only 34.97% regularly conducted public health education.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Significant gaps exist in core knowledge and its translation into practice among HCWs in non-endemic areas. Targeted training, especially for nurses and primary care providers, is urgently needed to enhance outbreak preparedness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1729173","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T06:33:24Z","timestamp":1768286004000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Knowledge, attitudes, and practices regarding chikungunya fever among healthcare workers: a cross-sectional study in Sichuan Province, China"],"prefix":"10.3389","volume":"13","author":[{"given":"Jun","family":"Luo","sequence":"first","affiliation":[{"name":"Ministry of Basic Medical Education, Dazhou Vocational College of Chinese Medicine","place":["Dazhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueshuang","family":"Liu","sequence":"additional","affiliation":[{"name":"Ministry of Basic Medical Education, Dazhou Vocational College of Chinese Medicine","place":["Dazhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Second People\u2019s Hospital of Linshui","place":["Guangan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenshuang","family":"Wei","sequence":"additional","affiliation":[{"name":"Ministry of Basic Medical Education, Dazhou Vocational College of Chinese Medicine","place":["Dazhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s41182-022-00399-3","article-title":"Chikungunya outbreak in Bangladesh (2017): sociodemographic and clinical characteristics of patients from three hotspots","volume":"50","author":"Amin","year":"2022","journal-title":"Trop Med Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"106300","DOI":"10.1016\/j.actatropica.2021.106300","article-title":"Repurposing potential of rimantadine hydrochloride and development of a promising platinum(II)-rimantadine metallodrug for the treatment of chikungunya virus infection","volume":"227","author":"Santos","year":"2022","journal-title":"Acta Trop"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1038\/s41572-023-00429-2","article-title":"Chikungunya fever","volume":"9","author":"Bartholomeeusen","year":"2023","journal-title":"Nat Rev Dis Primers"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1017\/s0022172400044442","article-title":"The Newala epidemic. III. The virus: isolation, pathogenic properties and relationship to the epidemic","volume":"54","author":"Ross","year":"1956","journal-title":"J Hyg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e0012618","DOI":"10.1371\/journal.pntd.0012618","article-title":"Research progress toward arthropod salivary protein vaccine development for vector-borne infectious diseases","volume":"18","author":"Wang","year":"2024","journal-title":"PLoS Negl Trop Dis"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/1743-422x-7-8","article-title":"Genetic analysis of chikungunya viruses imported to mainland China in 2008","volume":"7","author":"Zheng","year":"2010","journal-title":"Virol J"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"493","DOI":"10.3201\/eid1803.110034","article-title":"Chikungunya outbreak in Guangdong Province, China, 2010","volume":"18","author":"Wu","year":"2012","journal-title":"Emerg Infect Dis"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1002\/jmv.27302","article-title":"Epidemiological and clinical characteristics of the chikungunya outbreak in Ruili City, Yunnan Province, China","volume":"94","author":"Liu","year":"2022","journal-title":"J Med Virol"},{"key":"ref9","year":""},{"key":"ref10","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1186\/s41256-025-00458-2","article-title":"The outbreak, response, and reflections on the chikungunya fever epidemic in Foshan City, China","volume":"10","author":"Nama","year":"2025","journal-title":"Glob Health Res Policy"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"102339","DOI":"10.1016\/j.healthplace.2020.102339","article-title":"Knowledge, attitudes, and practices regarding dengue, chikungunya, and Zika in Cali, Colombia","volume":"63","author":"Desjardins","year":"2020","journal-title":"Health Place"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1186\/s12879-018-2995-y","article-title":"Socio-economic, knowledge attitude practices (KAP), household related and demographic based appearance of non-dengue infected individuals in high dengue risk areas of Kandy District, Sri Lanka","volume":"18","author":"Udayanga","year":"2018","journal-title":"BMC Infect Dis"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"e0008281","DOI":"10.1371\/journal.pntd.0008281","article-title":"Chikungunya outbreak (2015) in the Colombian Caribbean: latent classes and gender differences in virus infection","volume":"14","author":"Vidal","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1129056","DOI":"10.3389\/fpubh.2023.1129056","article-title":"Knowledge, attitude, and practice of healthcare workers regarding dengue fever in Mazandaran Province, northern Iran","volume":"11","author":"Nikookar","year":"2023","journal-title":"Front Public Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"774864","DOI":"10.3389\/fpubh.2021.774864","article-title":"Knowledge attitude and practices of Mitanin's (community health workers) in Chhattisgarh: malaria elimination perspective","volume":"9","author":"Ranjha","year":"2021","journal-title":"Front Public Health"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1186\/s12909-024-05923-z","article-title":"Knowledge, attitudes, and practices of healthcare professionals regarding dengue fever in high-risk regions of southeastern Iran","volume":"24","author":"Nejati","year":"2024","journal-title":"BMC Med Educ"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.jfma.2012.11.004","article-title":"Knowledge, attitude, and practice of dengue disease among healthcare professionals in southern Taiwan","volume":"112","author":"Ho","year":"2013","journal-title":"J Formos Med Assoc"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"227","DOI":"10.3390\/tropicalmed9100227","article-title":"Unusual unsatisfactory treatment in two patients with imported cutaneous leishmaniasis","volume":"9","author":"Kuna","year":"2024","journal-title":"Trop Med Infect Dis"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1186\/1475-2875-12-402","article-title":"Malaria, a difficult diagnosis in a febrile patient with sub-microscopic parasitaemia and polyclonal lymphocyte activation outside the endemic region, in Brazil","volume":"12","author":"Brasil","year":"2013","journal-title":"Malar J"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"637-641+662","DOI":"10.16168\/j.cnki.issn.1002-9982.2023.07.012","article-title":"Investigation on knowledge, attitude, and practice related to dengue fever prevention and control among healthcare professionalsin Wuhan City","volume":"39","author":"Guo","year":"2023","journal-title":"Chinese J Health Education"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.12138\/j.issn.1671-9638.20257383","article-title":"Technical guidelines for the prevention and control of chikungunya fever (2025 edition)","volume":"24","year":"2025","journal-title":"Chinese J Infection Control"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1186\/s13104-019-4074-x","article-title":"Healthcare workers knowledge and diagnostic practices: a need for dengue and chikungunya training in Moshi municipality, Kilimanjaro Tanzania","volume":"12","author":"Saringe","year":"2019","journal-title":"BMC Res Notes"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1111\/tmi.12863","article-title":"Knowledge and practice regarding dengue and chikungunya: a cross-sectional study among healthcare workers and community in northern Tanzania","volume":"22","author":"Kajeguka","year":"2017","journal-title":"Trop Med Int Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1186\/s40249-025-01364-y","article-title":"Epidemiological characteristics and transmission dynamics of the early stage chikungunya fever outbreak in Foshan City, Guangdong Province, China in 2025","volume":"14","author":"Zhang","year":"2025","journal-title":"Infect Dis Poverty"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"3960","DOI":"10.3390\/ijerph17113960","article-title":"Knowledge, attitude and practices towards the tiger mosquito Aedes albopictus. A questionnaire based survey in Lazio region (Italy) before the 2017 chikungunya outbreak","volume":"17","author":"Caputo","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/j.cmi.2017.05.029","article-title":"Preparing clinicians for (re-)emerging arbovirus infectious diseases in Europe","volume":"24","author":"Sigfrid","year":"2018","journal-title":"Clin Microbiol Infect"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"e10","DOI":"10.1590\/s1678-9946201860010","article-title":"Risk perception and level of knowledge of diseases transmitted by Aedes aegypti","volume":"60","author":"Menchaca-Armenta","year":"2018","journal-title":"Rev Inst Med Trop Sao Paulo"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1186\/s12889-018-6172-4","article-title":"Socioeconomic and demographic predictors of resident knowledge, attitude, and practice regarding arthropod-borne viruses in Panama","volume":"18","author":"Whiteman","year":"2018","journal-title":"BMC Public Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"3441","DOI":"10.1186\/s12889-024-20987-8","article-title":"Knowledge, attitude, and practices of the community about chikungunya in selected districts of Afar region, Northeast Ethiopia; its implications for controlling the disease: a community-based quantitative and qualitative cross-sectional study","volume":"24","author":"Zerfu","year":"2024","journal-title":"BMC Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.ijid.2017.03.006","article-title":"Global expansion of chikungunya virus: mapping the 64-year history","volume":"58","author":"Wahid","year":"2017","journal-title":"Int J Infect Dis"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"e0011935","DOI":"10.1371\/journal.pntd.0011935","article-title":"Knowledge, attitude, and practice (KAP), and acceptance and willingness to pay (WTP) for mosquito-borne diseases control through sterile mosquito release in Bangkok, Thailand","volume":"19","author":"Kittayapong","year":"2025","journal-title":"PLoS Negl Trop Dis"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e080791","DOI":"10.1136\/bmjopen-2023-080791","article-title":"Assessing healthcare workers' confidence level in diagnosing and managing emerging infectious virus of human mpox in hospitals in Amhara region, Northwest Ethiopia: multicentre institution-based cross-sectional study","volume":"14","author":"Yeshiwas","year":"2024","journal-title":"BMJ Open"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s13690-025-01522-6","article-title":"Assessing the knowledge, attitudes, and practices (KAP) of dengue in Thailand: a systematic review and meta-analysis","volume":"83","author":"Crowley","year":"2025","journal-title":"Arch Public Health"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"e0261412","DOI":"10.1371\/journal.pone.0261412","article-title":"Different domains of dengue research in the Philippines: a systematic review and meta-analysis of questionnaire-based studies","volume":"16","author":"Guad","year":"2021","journal-title":"PLoS One"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"692","DOI":"10.4269\/ajtmh.2006.74.692","article-title":"Dengue knowledge and practices and their impact on Aedes aegypti populations in Kamphaeng Phet, Thailand","volume":"74","author":"Koenraadt","year":"2006","journal-title":"Am J Trop Med Hyg."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1177\/101053950301500107","article-title":"A knowledge, attitude and practices (KAP) study on dengue among selected rural communities in the Kuala Kangsar district","volume":"15","author":"Hairi","year":"2003","journal-title":"Asia Pac J Public Health"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1186\/s12879-022-07404-4","article-title":"The knowledge, attitude and practice of community people on dengue fever in Central Nepal: a cross-sectional study","volume":"22","author":"Phuyal","year":"2022","journal-title":"BMC Infect Dis"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"e0011778","DOI":"10.1371\/journal.pntd.0011778","article-title":"Public knowledge, belief, and preventive practices regarding dengue: findings from a community-based survey in rural Bangladesh","volume":"17","author":"Banik","year":"2023","journal-title":"PLoS Negl Trop Dis"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1016\/j.ajic.2018.11.022","article-title":"Knowledge, attitude, practice, and clinical recommendation toward infection control and prevention standards among nurses: a systematic review","volume":"47","author":"Nasiri","year":"2019","journal-title":"Am J Infect Control"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1111\/ppc.12555","article-title":"The relationship between COVID-19 knowledge levels and anxiety states of midwifery students during the outbreak: a cross-sectional web-based survey","volume":"57","author":"S\u00f6g\u00fct","year":"2021","journal-title":"Perspect Psychiatr Care"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1007\/s10900-020-00827-7","article-title":"Knowledge, perceptions, and attitude of Egyptians towards the novel coronavirus disease (COVID-19)","volume":"45","author":"Abdelhafiz","year":"2020","journal-title":"J Community Health"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"620","DOI":"10.7326\/0003-4819-158-8-201304160-00100","article-title":"Online medical professionalism: patient and public relationships: policy statement from the American College of Physicians and the Federation of State Medical Boards","volume":"158","author":"Farnan","year":"2013","journal-title":"Ann Intern Med"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"taaa020","DOI":"10.1093\/jtm\/taaa020","article-title":"Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak","volume":"27","author":"Wilder-Smith","year":"2020","journal-title":"J Travel Med"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"828","DOI":"10.4269\/ajtmh.20-0330","article-title":"Assessment of healthcare workers' levels of preparedness and awareness regarding COVID-19 infection in Low-resource settings","volume":"103","author":"Elhadi","year":"2020","journal-title":"Am J Trop Med Hyg"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1515\/reveh-2020-0099","article-title":"Knowledge, attitude, practice and clinical recommendations of health care workers towards COVID-19: a systematic review","volume":"36","author":"Hesaraki","year":"2021","journal-title":"Rev Environ Health"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"e0122890","DOI":"10.1371\/journal.pone.0122890","article-title":"Factors affecting dengue prevention practices: nationwide survey of the Malaysian public","volume":"10","author":"Wong","year":"2015","journal-title":"PLoS One"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"e090251","DOI":"10.1136\/bmjopen-2024-090251","article-title":"Knowledge, attitudes and practice questionnaires in dengue, Zika, chikungunya and yellow fever settings: a scoping review protocol","volume":"14","author":"Robayo Gonzalez","year":"2024","journal-title":"BMJ Open"}],"updated-by":[{"DOI":"10.3389\/fpubh.2026.1808525","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T00:00:00Z","timestamp":1771545600000}}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1729173\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T15:30:26Z","timestamp":1771601426000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1729173\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,13]]},"references-count":47,"alternative-id":["10.3389\/fpubh.2025.1729173"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1729173","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,13]]},"article-number":"1729173"}}