Introduction: Crimean–Congo hemorrhagic fever (CCHF) remains a persistent public health threats in Iran due to its zoonotic nature and frequent human-livestock interactions. As an educated and influential demographic, university students are pivotal in promoting preventive biosafety practices. However, potential knowledge gaps within this group may perpetuate high-risk behaviors and disease transmission. This study adapted to a biosafety-oriented approach to assess the knowledge and attitudes of university students in Kermanshah Province regarding Crimean–Congo hemorrhagic fever, aiming to provide evidence-based insights for targeted educational interventions and policy development. S
Methods: A cross-sectional analytical study enrolled 384 students representing diverse academic disciplines and levels, who completed a revalidated Likert-scale questionnaire. The instrument exhibited acceptable reliability, yielding Cronbach’s alpha coefficients of 0.87 for knowledge and0.82 for attitudes. Analyses included appropriate nonparametric tests, multivariable regression, and Pearson correlation with statistical significance set at P<0.05. Additionally, the study fully adhered to all required ethical standards.
Results: Higher knowledge was associated with male gender (β=0.24, 95% CI: 0.10–0.38, P=0.001P=0.001P=0.001) and with higher academic level (β=0.29, 95% CI: 0.16–0.42, P<0.001P<0.001P<0.001). Students in life sciences reported greater knowledge than those in other fields (β=0.31, 95% CI: 0.18–0.44, P<0.001P<0.001P<0.001). The odds of being in the upper quartile of attitudes were higher among males (OR=1.72, 95% CI: 1.18–2.52, P=0.005P=0.005P=0.005) and increased with academic level (OR=1.95, 95% CI: 1.33–2.86, P=0.001P=0.001P=0.001). The internet and social media were the predominant information sources.
Conclusion: The significant heterogeneity in knowledge and attitudes among different student subgroups highlights the need for targeted and stratified educational programs based on characteristics such as gender, academic discipline, and educational level. Integrating biosafety educational packages based on social media platforms, interactive learning approaches, and modern communication strategies into university policies may enhance risk literacy, improve preventive behaviors, and strengthen student engagement. Ultimately, these approaches not only bolster public health preparedness against Crimean–Congo hemorrhagic fever but should also be considered as essential components of sustainable long-term efforts to prevent and manage emerging and re-emerging infectious diseases.
Type of Study:
Original article |
Subject:
Health education Received: 2025/12/13 | Accepted: 2026/05/18 | Published: 2026/08/6