Publication:

Knowledge, attitude and preventive practices regarding sexually transmitted infections among reproductive-age adults in rural Malappuram district, Kerala: a cross-sectional study

Background STIs remain a major global public health problem due to high incidence, complications and impact on reproductive health. In India, STIs contribute significantly to reproductive morbidity, while awareness regarding STIs other than HIV and their prevention remains limited. Assessing KAP regarding STIs among reproductive-age adults is essential to improve prevention strategies and reduce disease burden.

Methods A hospital-based descriptive cross-sectional study was conducted among individuals aged 15-49 years attending OBG OPDs in Malappuram district, Kerala. A total of 300 participants were selected using stratified random sampling with systematic selection and data were collected through face-to-face interviews using a semi-structured questionnaire assessing socio-demographic variables and STI KAP. Data were analyzed using SPSS v26 with chi-square test for bivariate analysis (p≤0.05).

Results Among 300 participants, good STI knowledge was observed in 37% while 63% had poor knowledge. Good attitude was present in 42% while 58% had poor attitude. Only 24% demonstrated good preventive practices while 76% had poor practices regarding STIs.

Conclusions KAP regarding STIs among reproductive-age adults was inadequate, indicating important gaps in awareness and adoption of preventive behaviours. Strengthening targeted health education and improving access to reliable sexual health information are essential to improve KAP and enhance STI prevention and control.