{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:49:39Z","timestamp":1782913779306,"version":"3.54.5"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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>Background<\/jats:title>\n                    <jats:p>Chikungunya (CHIK) is an emerging mosquito-borne disease with increasing importation risk in China. In non-endemic settings, delayed detection may facilitate local transmission, making healthcare workers\u2019 knowledge and attitudes critical for rapid response.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess CHIK-related knowledge and attitudes among medical personnel in Chengdu, Sichuan Province, and identify factors associated with positive prevention attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional, self-administered online survey was executed from July 30 to August 6, 2025, targeting medical workers across 20 healthcare institutions in Chengdu using the Wenjuanxing platform. The questionnaire gathered demographic information, CHIK-related training exposure (yes\/no), and assessments of knowledge and attitudes. Knowledge was assessed using 15 items (range 0\u201315; 1 point awarded for each right response). Attitudes were evaluated using Likert-type items; a cumulative attitude score of \u226520 signified a favorable attitude. Group disparities were analyzed with Chi-square tests alongside suitable parametric and nonparametric assessments. Hierarchical logistic regression (Block 1: demographics\/occupational characteristics; Block 2: training; Block 3: knowledge score) was employed to ascertain factors correlated with positive attitudes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      1,092 questionnaires were included, yielding an effective response rate of 90.10%; 83.70% indicated they had received training relevant. The average knowledge score was 11.66\u202f\u00b1\u202f2.15. Despite high performance in primary prevention and clinical management, significant deficiencies were noted in early detection and surveillance-related operational knowledge: merely 42.58% accurately interpreted the RT-PCR Ct criterion, 54.85% recognized suspected cases, 56.14% comprehended diagnostic criteria, and 59.80% were aware of the 24\u202fh online reporting requirement. Knowledge scores were elevated among individuals with advanced education, physicians, tertiary hospital personnel, and those who had training (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Attitude scores varied according to age, job type, hospital type, practice category, years of experience, and professional title (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). In hierarchical logistic regression, training (OR\u202f=\u202f3.971,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) and elevated knowledge scores (OR per point\u202f=\u202f1.130,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) were independently linked to a favorable prevention-and-control attitude.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Chengdu medical personnel demonstrated general CHIK knowledge and positive attitudes, yet significant operational gaps persist in early detection and reporting protocols. Training and knowledge are key determinants of favorable attitudes, highlighting the need for standardized, process-oriented training emphasizing diagnostic and reporting procedures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1751203","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T13:25:52Z","timestamp":1782912352000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of current status of knowledge, attitudes, and influencing factors regarding chikungunya fever among medical staff in Chengdu, Sichuan province, China: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Qin","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Public Health, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Du","sequence":"additional","affiliation":[{"name":"Emergency Department, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Cha","sequence":"additional","affiliation":[{"name":"Department of Public Health, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hairong","family":"Wang","sequence":"additional","affiliation":[{"name":"Jianyang Center for Disease Control and Prevention","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erdan","family":"Luo","sequence":"additional","affiliation":[{"name":"GCP Institution, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenke","family":"Zhou","sequence":"additional","affiliation":[{"name":"Emergency Department, Chengdu Seventh People\u2019s Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Xiang","sequence":"additional","affiliation":[{"name":"Emergency Department, Chengdu Sixth People\u2019s Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Luo","sequence":"additional","affiliation":[{"name":"Emergency Department, The Public Health Clinical Center of Chengdu","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodan","family":"Gu","sequence":"additional","affiliation":[{"name":"Emergency Department, No. 1 Orthopedic Hospital of Chengdu","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Chengdu Second People\u2019s Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Li","sequence":"additional","affiliation":[{"name":"Emergency Department, Chengdu Longquanyi District Maternal and Child Health Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deyong","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hanyuan County People\u2019s Hospital","place":["Ya\u2019an, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Shuangliu District Traditional Chinese Medicine Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Third People\u2019s Hospital of Chengdu","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Xie","sequence":"additional","affiliation":[{"name":"Emergency Department, Sichuan Provincial Maternity and Child Health Care Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiyan","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Chengdu Integrated TCM & Western Medicine Hospital (Chengdu First People\u2019s Hospital)","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Emergency Department, Chongzhou People\u2019s Hospital","place":["Chongzhou, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingrong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Xindu District People\u2019s Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghua","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Public Health, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoli","family":"Jiang","sequence":"additional","affiliation":[{"name":"Laboratory Department, Pengzhou Maternal and Child Health Care Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonghong","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Chengdu Women\u2019s and Children\u2019s Central Hospital, School of Medicine, University of Electronic Science and Technology of China","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2401985","DOI":"10.1080\/21505594.2024.2401985","article-title":"Host-adaptive mutations in chikungunya virus genome","volume":"15","author":"Ning","year":"2024","journal-title":"Virulence"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"129949","DOI":"10.1016\/j.ijbiomac.2024.129949","article-title":"Drugs targeting structural and nonstructural proteins of the 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