{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:29:12Z","timestamp":1787027352205,"version":"build-2736575974"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"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>Common infectious diseases continue to impose a considerable burden in community settings, and prevention depends largely on public knowledge, attitudes, and practices. Urban\u2013rural and socioeconomic disparities may lead to unequal levels of preparedness. This study assessed the current status and determinants of knowledge regarding the prevention of common infectious diseases among community-dwelling adults in a municipal area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted using a multistage stratified cluster sampling approach. Community-dwelling adults aged \u226518 years from urban and rural districts were surveyed. A structured questionnaire was developed to assess sociodemographic factors, knowledge on disease transmission, prevention, and attitudes. Knowledge scores (0\u201317) were categorized as adequate (\u226513) or inadequate (&amp;lt; 13). Descriptive statistics and logistic regression were used to analyze the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 872 residents approached, 859 valid questionnaires were analyzed. The mean knowledge score was 12.0 \u00b1 3.1, with 31.9% of participants achieving adequate knowledge. Urban residents showed higher scores than rural residents. The most significant factors associated with adequate knowledge were urban residence [adjusted odds ratio (aOR) 1.65,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002], higher education, higher income, and younger age. Preventive practices, including vaccination, hand hygiene, and mask use, were suboptimal, with rural residents reporting lower adherence to preventive behaviors (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Community knowledge of common infectious disease prevention appeared to be moderate, with observable gaps in practical preventive behaviors and sociodemographic differences. These findings suggest that targeted, equity-focused health education strategies could help strengthen behavior-oriented prevention, particularly among older, rural, and lower-income populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1771435","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T05:29:31Z","timestamp":1778477371000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Current status of knowledge on the prevention of common infectious diseases among urban and rural populations: a cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Jia-Ning","family":"Fan","sequence":"first","affiliation":[{"name":"Department of Tuberculosis Clinic, Beijing Center for Disease Prevention and Control, Xinguokou Dongguang Hutong","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-Kai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Beijing Fengtai You\u2018anmen Hospital","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan-Zheng","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Science and Education, Tianjin Institutes of Health Science, Huijin City","place":["Tianjin, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Research, China Pharmaceutical Innovation and Research Development Association","place":["Beijing, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, The First Hospital of Jilin University, Changchun","place":["Jilin, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Na","family":"Ban","sequence":"additional","affiliation":[{"name":"Zhejiang Tongpu Medical Technology Co., Ltd., Tongxiang\/Jiaxing","place":["Zhejiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"916","DOI":"10.3390\/antibiotics14090916","article-title":"The impact of COVID-19 on the epidemiology of carbapenem resistance","volume":"14","author":"Sakagianni","year":"2025","journal-title":"Antibiotics."},{"key":"B2","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1038\/s41579-021-00639-z","article-title":"Infectious disease in an era of global change","volume":"20","author":"Baker","year":"2022","journal-title":"Nat Rev Microbiol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1450744","DOI":"10.3389\/fpubh.2024.1450744","article-title":"Rural residents' knowledge, attitude, and practice in relation to infection risk during the late stage of an epidemic: a cross-sectional study of COVID-19","volume":"12","author":"Zhuang","year":"2024","journal-title":"Front Public Health."},{"key":"B4","doi-asserted-by":"publisher","first-page":"e0307300","DOI":"10.1371\/journal.pone.0307300","article-title":"Socio-demographic determinants of infectious disease-related health literacy and knowledge in Armenia: results from a nationwide survey","volume":"19","author":"Sargsyan","year":"2024","journal-title":"PLoS ONE."},{"key":"B5","doi-asserted-by":"publisher","first-page":"e46841","DOI":"10.2196\/46841","article-title":"The effectiveness of improving infectious disease-specific health literacy among residents: wechat-based health education intervention program","volume":"7","author":"Zhao","year":"2023","journal-title":"JMIR Form Res."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e42084","DOI":"10.1097\/MD.0000000000042084","article-title":"Infectious disease-specific health literacy and its influencing factors: Research results based on a cross-sectional design study carried out in Shandong Province's rural areas","volume":"104","author":"Wang","year":"2025","journal-title":"Medicine."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1613375","DOI":"10.3389\/fpubh.2025.1613375","article-title":"Associations of infectious disease-specific, electronic, and general health literacy among high school students with prevalent health challenges: a cross-sectional study. 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