Evaluation of the Knowledge, Attitude and Practice of Asthma among the University Students in Bangladesh: A Cross-Sectional Study
Keywords:
Knowledge, Attitude and Practice Analysis of Asthma, Asthma in Bangladesh, Asthma Management, Survey on AsthmaAbstract
Background: Asthma is a common long-term lung disease, and university students are a key group for messages about how to prevent and manage it on their own.
Methods: From April 2024 to August 2025, an online survey was conducted among 1,325 undergraduate and graduate students (538 male and 787 female) from 19 universities with a structured questionnaire consisting of 48 questions (15 about knowledge, 8 about attitude, and 10 about practice). Knowledge is rated from 0 to 15, with 0 being bad and 15 being good. 5-point Likert scales with set cut-offs are used to analyse attitude (8–40) and practice (10–50) scores. Welch's t-test/ANOVA or Mann–Whitney U are used to compare groups. Pearson correlation is used to examine relationships between KAP dimensions, and SEM is used to examine predictors (two-sided p<0.05).
Results: The mean (±SD) scores are 12.02±3.41 for knowledge, 31.12±8.22 for attitude, and 43.12±8.95 for practice. Overall, 89.7% have good knowledge, 69.9% have a good attitude, and 88.0% have proactive practice towards asthma. There is a positive relationship between the KAP domains, with the strongest link between knowledge and practice (r=0.428, p<0.001). In analyses with more than one variable, being older is linked to having less knowledge, while being in a higher academic year and being interested in a free inhaler-technique workshop are linked to having more knowledge. Knowledge is also linked to both attitude and practice.
Conclusion: Most Bangladeshi university students have a good understanding of asthma and how to deal with it. Skills-based campus programs, especially those that teach people how to use inhalers, may help fill in the gaps and improve asthma self-management.
J MEDICINE 2026; 27(2): 102-113
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