Knowledge, Attitude, and Practice Toward Hallux Valgus Among Women: A Web-Based Cross-Sectional Study

Abstract

Purpose: Hallux valgus is a common foot deformity affecting primarily adults and the elderly, especially females, resulting in significant changes in foot architecture and function. This study aimed to investigate the knowledge, attitudes, and practices (KAP) regarding hallux valgus among women. Patients and Methods: Between July and August 2023, a self-administered questionnaire was utilized to collect demographic data along with KAP scores from 526 women, 291 (55.32%) of whom were over 30 years of age. Results: The mean scores were 7.04 ± 2.25 for knowledge (range: 0–10), 36.24 ± 2.98 for attitude (range: 11–55), and 25.02 ± 4.90 for practice (range: 7–35). Multivariate logistic regression identified knowledge (OR = 1.335, 95% CI: 1.213–1.469, P < 0.001), age over 30 years (OR = 1.517, 95% CI: 1.026–2.244, P = 0.037), monthly income above 10,000 Yuan (OR = 1.638, 95% CI: 1.111–2.415, P = 0.013), and mild hallux valgus (OR = 1.974, 95% CI: 1.246–3.127, P = 0.004) as independently linked to proactive practices. Additionally, the structural equation model indicated a direct effect of knowledge on practice (β = 0.765, P < 0.001). Conclusion: Women showed adequate knowledge but suboptimal attitudes and proactive practices concerning hallux valgus. Enhancing patient education is vital for improving understanding and addressing misconceptions regarding this condition.