More or less integration? Examining support for different EU future scenarios in Austria

Greece, Portugal, and Spain transitioned to democracy in the 1970s and joined the EEC in the 1980s, fostering positive EU attitudes through economic growth. However, the Southern European financial crisis and subsequent austerity measures deeply strained EU support, especially in Greece. This study examines how party conflict and EU politicisation influence public attitudes, finding a negative link between EU polarisation and membership support. In Portugal and Greece, polarisation impacts opinions most when EU issues are salient. The study highlights country-specific patterns and the interplay of crises, political strategies, and public opinion on the EU in the Southern European third-wave democracies.

Coronavirus disease-2019 (COVID-19) is still causing morbidity and mortality all over the world. Preventive measures such as wearing a facemask, social distancing and hand hygiene continue to be the only options available in countries such as Ethiopia where vaccines are not yet widely available. Hand hygiene is one of the easiest and cheapest preventive measures, and one that is especially important for barbers and beauty salon workers who are widely exposed to the virus due to their contact with many customers. Therefore, measuring the proportion of good hand hygiene practices and associated factors among barbers and beauty salon workers may provide essential guidance in the development of effective interventions to improve COVID-19 prevention measures. A facility-based cross-sectional study was conducted among 410 barbers and beauty salon workers in Dessie City and Kombolcha Town from January 5 to February 10, 2021. The study participants were selected using a simple random sampling technique. A structured questionnaire and an observational checklist were used to collect the data. The collected data were entered into EpiData version 4.6 and analysed using Statistical Package for Social Sciences (SPSS) version 25.0. Logistic regression analysis using bivariate and multivariable logistic regression models was employed. From the bivariate analysis, variables with p <0.25 were retained into multivariable logistic regression analysis. Finally, from the multivariable analysis, variables that had a p-value < 0.05 were declared as factors significantly associated with good hand hygiene practices. Of the total 410 barbers and beauty salon workers, 52.9% [95% CI: 48.3–57.6] had good hand hygiene practices whereas 47.1% [95% CI: 42.4–51.7] had poor hand hygiene practices. From the total respondents, more than half 250 (61%) were male and 160 (39%) were female, with a mean age of 27.42 ±7.37 years. Out of 410 barbers and beauty salon workers, 73.7% had good knowledge about COVID-19 and 59.5% had a positive attitude towards taking precautions against COVID-19. Female sex (AOR = 2.17, 95% CI:1.29–3.65), educational level of college or above (AOR = 5.53, 95% CI:2.85–10.71), positive attitude towards taking precautions against COVID-19 (AOR = 2.4, 95% CI:1.46–4.17), belief in the effectiveness of hand hygiene practices (AOR = 3.78, 95% CI:2.18–6.55) and presence of a hand-washing facility with soap and water (AOR = 5.55, 95% CI:3.28–9.40) were factors significantly associated with good hand hygiene practices among barbers and beauty salon workers. The proportion of good hand hygiene practice was not sufficient to combat the virus. Good hand hygiene practice was higher among those with higher educational level, positive attitude towards taking precautions against COVID-19, belief in the effectiveness of hand hygiene practices, presence of a hand-washing facility with soap and water and those of female sex. Thus, improving hand hygiene practices through continued training, especially for those with a lower educational level and for male workers, is recommended. Moreover, government and non-government organizations should work together to provide alcohol-based hand sanitizer at a low cost to those barbershops and beauty salons if there is no access to water and soap.

The human papillomavirus vaccine is one of the main preventative measures for cervical cancer. However, global vaccine uptake is low; the problem is particularly acute in low and middle-income countries. The purpose of this study is to assess female preparatory school students' knowledge, attitude, and uptake of the human papillomavirus vaccine and associated factors in Bahir Dar City, Ethiopia. Institutional-based cross-sectional study was conducted among 633 female preparatory school students in Bahir Dar city from March 1-30, 2021. Participants were selected using the multistage sampling technique. Data were collected using a structured self-administered questionnaire and entered into Epi-data and exported to SPSS for analysis. Binary and multivariable logistic regression analyses were done using an odds ratio with a 95% confidence interval. Finally-value < 0.05 was considered significant in multivariable analysis. The proportion of Human Papillomavirus (HPV) vaccine uptake, knowledge of the vaccine, and respondents' attitudes toward the vaccine were 45.3% (95% CI = 41.6-49.4%), 58.1% (95% CI = 54.4-61.9%), and 16% (95% CI = 13.2-19.5%), respectively. Having a history of sexual contact AOR = 2.80 (95% CI = 1.64-4.76), hearing about HPV infection AOR = 1.59 (95% CI = 1.13-2.24), and having a positive attitude toward HPV vaccine AOR = 1.46 (95% CI = 1.03-2.08) were significantly associated with knowledge about the HPV vaccine. Discussion of reproductive health issues with family AOR = 2.558 (95%CI = 1.800-3.636), and having good knowledge about HPV vaccine AOR = 3.571(95%CI = 2.494-5.113) were associated with a positive attitude toward the HPV vaccine. Good knowledge AOR = 2.36(95%CI = 1.48-3.76) and a positive attitude toward HPV vaccine AOR = 2.87(95%CI = 1.70-4.85) were strongly associated with HPV vaccine utilization. In this study, there was a very low uptake of HPV vaccination among female students, and only a small proportion of them had good knowledge of the HPV vaccine and a favorable attitude toward the HPV vaccine.

Introduction. In modern conditions, in connection with the active process of integration of states and the internationalization of education, the issues of patriotic education of youth are becoming increasingly important. Patriotism is the main aspect of the sociocultural sphere. It becomes a priority to deeply understand how patriotism is perceived by young people, and how these views can influence the formation of young people’s civic, national identity, their willingness to participate in world initiatives and overcome global challenges. The purpose of the study is to study aspects of the positive value attitude of university students to patriotism and to determine the main levels and criteria for the formation of patriotic values. Materials and methods. The study involved university students in Petrozavodsk (Russia) in the areas of training “Pedagogical education (with two profiles of training) Life Safety and Physical Culture” and “Musicology and Musical Applied Arts” (n=99). Research methods: literature analysis, questionnaires, analysis of student works (essays), methods of descriptive statistics using MS Excel. Results. Within the framework of this study, key aspects are identified that influence students’ positive value attitude towards patriotism, such as: education, family upbringing, socio-cultural environment of the university and regional characteristics. The prevalence of a high level of positive-value attitude towards patriotism with a pronounced socially significant component among students-musicians and a focus on personal significance in the realization of life goals among student teachers is shown. Analysis of the data, according to the general indicator, showed that 61.8% of respondents have a high level of positive value attitude towards patriotism; average – 27.7%; emotional passivity and a low level of attitude towards patriotism are characteristic of 10.5% of respondents. Discussion of results and conclusion. The positive value attitude of university students to patriotism is of great importance in the formation of civic activity, national consciousness and identity. The results of the study confirmed that this is manifested through a positive attitude towards one’s country and its values, promotes active participation in public life, political processes, volunteer events, as well as an understanding of one’s cultural and historical affiliation for the preservation and promotion of cultural heritage and traditions. The scientific novelty of the study lies in the development of diagnostic tools for assessing, forming and adjusting the positive value attitude of students to patriotism in the educational space of the university

Long-term shortages in the blood supply perpetuate increased morbidity and mortality from treatable diseases. However, how much people are motivated to donate blood was less studied, especially among university students. This study aimed to determine the effectiveness of online intervention for knowledge, attitude, and self-efficacy towards blood donation among undergraduate university students. A pre-and post-test study was conducted among undergraduate students. Four hundred students were invited to the study. Knowledge, positive and negative attitudes, and self-efficacy towards blood donation were measured using a structured questionnaire. Two digital infographics for blood donation and one 10-minute video were used as intervention materials. Following the intervention, statistical and practical significance was reported. Multivariate analysis was done to determine the differences in invention effect across age, gender, and study discipline. Following the intervention, 29.1% and 5.1% increased knowledge and self-efficacy from the base, respectively. The positive attitude towards blood donation increased by 2.8%, while the negative attitude decreased by 2.1%. Multivariate analysis of variance showed that online health education on blood donation is effective irrespective of age, gender, and discipline of study. Due to the Covid-19 pandemic, the intervention was integrated into a remote health intervention model based on the internet or mobile communication network. This study has provided a scientific conclusion on whether the intervention could motivate people to donate blood.

Simple SummaryThe modern lifestyle, including indoor-centric living, urbanization and limited exposure to nature, contributes to the estrangement of humans from nature and a rapid decline in people’s natural history knowledge. Meanwhile, several wild species are adapting and thriving in urban environments alongside humans. How should we see the rising human disconnect with nature, even while urban wildlife increases and environmental education programmes are deployed? How does this lack of connection affect perception and attitude towards wildlife? What is the role of the sociodemographic context? To address these questions, we used a keystone species as a study model—the European hedgehog. We collected data via online questionnaires that comprised four main sections: (i) socio-demographic features; (ii) feelings, attitude and perception; (iii) natural history knowledge about species; and (iv) self-evaluation about the extent of knowledge and past experience. The data indicate generally positive feelings and attitudes towards hedgehogs. We found that academic qualifications and past experience with the species shaped people’s attitudes and natural history knowledge; however, the extent of knowledge, overall, was low and the study population was self-aware of this. We discuss the relevance of citizen profiling and possible avenues to enhance nature experience, improve knowledge, and increase public support for conservation measures.The modern lifestyle of humans is leading to a limited exposure to nature. While several wild species are adapting and thriving in anthropic environments, natural history knowledge is declining, and positive attitudes and behaviours towards nature are facing challenges. Because anticipating attitudes and engendering broad-based support for nature-related measures requires a good grasp of social contexts, we set out to evaluate the sociodemographic factors driving the perception, attitudes towards, and natural history knowledge of a keystone species—the European hedgehog. In 2022, we conducted a questionnaire answered by 324 Portuguese adults. We found generally positive feelings and attitudes towards this species. A higher degree of academic qualifications and previous personal experience with the species seem to play a role in (i) people’s perception about human impacts on hedgehogs and (ii) positive attitudes, especially during encounters where the animals were in difficulty. Despite this, the extent of natural history knowledge was low overall, and the study population was self-aware of this. Our insights underline the need to tailor educational programmes if we are to encourage people to re-establish meaningful connections with nature, to foster social support for biodiversity stewardship, and to implement the One Health approach in a way that resonates with distinct social groups.

Taking forward the research agenda: assessing the needs of pharmacists employed by Hamad Medical Corporation in Qatar Background and Objective: Traditionally, pharmacists in Qatar have very limited formal training related to research. The aim was to determine the needs of Hamad Medical Corporation (the principal public healthcare provider) pharmacists in relation to research education, training and practice. Setting and Method: A cross-sectional survey of all pharmacists (n=401). Questionnaire items were in domains of: knowledge, skills and attitudes; education and training; facilitators and barriers; professional change; and demographics. Responses were analysed using descriptive and inferential statistics, and principal component analysis of attitudinal items. Main outcome measures: Views and attitudes towards research, research management, training needs. Results: The response rate was 53.1% (213/401). High levels of interest were expressed for all aspects of research other than 'writing a research proposal'. Respondents were generally less experienced and less confident in research. Principal component analysis identified four components of: general attitudes towards aspects of research; confidence, motivation and access to departmental support; research culture; and support from others. Respondents generally held positive attitudes, with a median overall score of 13 (IQR 8-18), range possible 6-30, with 6 representing best positive attitude. Scores for other components were: confidence, motivation and access, median overall score was 30 (IQR 24-35); research culture, median overall score was 20 (IQR 15-23); support from others, median overall score was 12 (IQR 9-15). Half of all respondents (50.7%, n=108) had either never thought about being involved in research or had taken no action. In multivariate binary logistic regression analysis, those more ready to undertake research had a more positive general attitude (odds ratio 2.4 (95% CI 1.27-4.55) p<0.001). Just under half (44.9%, n=96) had never thought about research training or had taken no action. Almost all (90%, n=172) expressed interest in research training. Conclusions: Results indicate high levels of interest to participate in some form of research training. Notably, individual attitudes, motivation, confidence, access to departmental support, research culture and support from others could be both facilitators and barriers. There is a need for a strategic approach to research training to realise the full potential of HMC pharmacists in contributing to the Qatar National Research Strategy. The approach taken in this study could be adopted in other institutions and countries.

Despite the current sustainable development goal period (i.e. SDG 3), the prevention of maternal and neonatal mortality is not satisfactory in Ethiopia. Keeping women knowledgeable about antenatal care and maintaining a positive attitude towards its uptake, particularly in the marginalized rural community is crucial. However, evidence regarding the knowledge and attitude of women towards antenatal care uptake is scarce. Therefore, this study aimed to assess factors affecting comprehensive knowledge of antenatal care and attitude towards its uptake among women delivered at home in rural Sehala Seyemit district, northern Ethiopia. A community-based cross-sectional study was conducted from September 1st to October 15th, 2020. A multi-stage sampling technique was used to select 653 women. The data were collected using a semi-structured interview guide. Data were entered into EPI INFO 7.1.2 and analyzed by SPSS version 25. Both bivariable and multivariable logistic regression analyses were undertaken to identify factors associated with women's knowledge of antenatal care and attitude towards its uptake. The level of significant association in the multivariable analysis was determined based on a p-value of < 0.05. Women's knowledge of antenatal care and positive attitude towards its uptake was 56.5% and 75.2%, respectively. Older age (AOR = 7.2; 95% CI: 3.43, 15.1), media exposure (AOR = 3.69; 95% CI: 2.41, 5.65), history of abortion (AOR = 11.6; 95% CI: 3.3, 14.6), time to reach health facility (AOR = 4.58; 95% CI: 3.05, 6.88), and history of obstetric danger signs (AOR = 7.3; 95% CI: 3.92, 13.64) were factors significantly associated with knowledge of antenatal care. Furthermore, higher decision-making power (AOR = 8.3; 95% CI: 4.8, 13.83), adequate knowledge of antenatal care (AOR = 2.2; 95% CI: 1.26, 3.71), delivery attended by health extension workers (AOR = 2.3; 95% CI: 1.1, 5.1), and media exposure (AOR = 2.27; 95% CI: 1.30, 3.97) were predictors of a favorable attitude towards antenatal care utilization. Although the majority of women in the present study had a favorable attitude towards antenatal care uptake, their knowledge level was inadequate. Strengthening access to transportation, mass media, involvement in household decision-making, and encouraging women to deliver at a health facility by a skilled provider may increase women's knowledge and attitude towards antenatal care uptake, thereby improving maternal healthcare service uptake.

This study aims to investigate the Knowledge, Attitude, and Practice (KAP) pertaining to constipation during pregnancy among pregnant women in Shanghai. Demographic data and KAP scores were collected using a questionnaire. Differences across groups were analyzed using either Wilcoxon-Mann-Whitney tests or Kruskal-Wallis analysis of variance. Spearman's correlation analysis was utilized to evaluate the relationships between KAP scores. Multivariable logistic regression analyses were conducted to identify factors that influence KAP scores. Encompassing 241 individuals (46.6%) aged between 30 and 34 years, with 349 participants (67.5%) being nulliparous. The median scores for knowledge (possible range: 0-26), attitude (possible range: 7-35), and practice (possible range: 14-70) were 22 (18, 24), 26 (23, 29), and 51 (46, 56), respectively. Multivariate analysis indicated that being a medical professional (OR = 2.222, p = 0.043) and receiving education on constipation during pregnancy (OR = 0.432, p < 0.001) were significantly associated with higher knowledge scores. Factors significantly associated with practice included being aged 30-34 years (OR = 2.745, p < 0.001), aged 35 years and above (OR = 2.514, p < 0.001), working in education (OR = 2.310, p = 0.012), and not experiencing constipation before pregnancy (OR = 1.894, p = 0.001). Pregnant women demonstrated satisfactory knowledge, positive attitudes, and proactive practices concerning constipation during pregnancy. To further augment clinical practice, healthcare providers should tailor educational interventions and guidance specifically for pregnant women who are not medical professionals and those who have not received education and guidance related to constipation during pregnancy.

Health Information Systems (HIS) are vital for the collection, storage, analysis, and dissemination of health data to support effective decision-making and resource management at all levels of healthcare. However, despite their importance, many healthcare professionals do not effectively use routine health information, leading to missed opportunities for data-driven decisions and weakened health system performance. This study aimed to assess the utilization of routine health information and its determinants among healthcare professionals in public health facilities in the Banadir Region, Somalia. A facility-based cross-sectional study was conducted from March to June 2024 across 32 public health facilities in the Banadir Region, Somalia. A total of 405 healthcare professionals were selected using a two-stage cluster sampling technique. Data were collected using self-administered questionnaires and observational checklists developed based on the PRISM framework. The questionnaire included items assessing factors influencing RHIS use, such as the availability of training, standardization of indicators, level of supervision, and attitudes toward data utilization. Data were entered and cleaned in Excel and analyzed using SPSS version 27. Bivariable and multivariable binary logistic regression analyses were performed, with variables showing p < 0.05 in the multivariate analysis considered statistically significant. In this study, 68.1% of healthcare professionals demonstrated good RHIS utilization (95% CI: 63.5%–72.6%). Multivariable analysis showed that professionals working in hospitals were less likely to utilize health information than those in health centers (AOR = 0.273, 95% CI: 0.144–0.519). Lack of HIS training (AOR = 0.061, 95% CI: 0.030–0.125), non-standardized indicators (AOR = 0.188, 95% CI: 0.047–0.745), and lack of supervision (AOR = 0.195, 95% CI: 0.098–0.386) were associated with lower utilization. Additionally, untrained professionals in data analysis were less likely to use health information effectively (AOR = 0.165, 95% CI: 0.029–0.926). Health professionals with a positive attitude toward data utilization were 2.8 times more likely to use health data (AOR = 2.861, 95% CI: 1.155–7.090). The study found that 68.1% of healthcare professionals demonstrated good RHIS utilization. Key barriers included inadequate training, insufficient supervision, non-standardized indicators, and limited data analysis skills. Strengthening in-service training, improving supervision and feedback mechanisms, enhancing access to digital tools, and standardizing indicators are recommended to improve RHIS utilization and foster evidence-based decision-making in the Banadir Region.

Limited research exists on the health issues faced by lesbian, gay, bisexual, and transgender (LGBT) patients, as viewed in the context of osteopathic medical education. A full understanding of current medical students' acceptance of, attitudes toward, and knowledge of these issues could lead to the development and incorporation of curricula focusing on the care of LGBT patients into colleges of osteopathic medicine (COMs). To determine among osteopathic medical students the levels of acceptance of LGBT patients, attitudes toward treating this population, and medically relevant knowledge about their distinct health-related issues. In August 2012, students at 6 COMs were sent an e-mail invitation that contained basic information about the study and a link providing access to an anonymous Web-based survey. Standard scales used in previous studies were compiled and individualized into 130 items for the purposes of the present study. Of the 4112 osteopathic medical students contacted, 1698 (41.3%) entered the survey and 1335 (32.5%) completed it. Two hundred respondents (15%) self-identified as having a sexual orientation on the lesbian, gay, or bisexual (LGB) spectrum. Although respondents generally had favorable levels of acceptance of LGBT patients and positive attitudes toward treatment of this population, self-identified LGB students had even greater acceptance of LGBT patients (P<.001) and more positive attitudes toward their treatment (P<.001). When medically relevant knowledge of issues related to the health of LGBT patients was assessed, 125 respondents (12.9%) obtained a passing score of 7 or higher, with LGB students scoring significantly higher than students whose self-identified sexual orientation was heterosexual only (P=.01). Differences in the levels of acceptance of (P=.008), treatment attitudes toward (P=.001), and relevant medical knowledge (P=.05) pertaining to LGBT patients were noted between respondents from the 6 COMs. The results suggest that even though osteopathic medical students had mostly positive personal attitudes and treatment attitudes toward LGBT patients, some disparities were still present. Also, students lacked adequate knowledge of the unique medical issues faced by the LGBT population. In the future, students should be given more training to effectively treat LGBT patients and their health-related issues.

Rabies is still a public health problem in Senegal. This study aimed to assess the knowledge, attitudes and practices on rabies among human and animal health professionals. It was a cross-sectional, descriptive and analytical study conducted in the Kaffrine district. Data were collected from 28 June to 01 July 2021. An exhaustive recruitment was done, and the final sample size was 95 health professionals. R software was used for descriptive, bivariate and multivariate analyses. Health professionals with sufficient knowledge, positive attitudes and good practices in relation to rabies represented 35.8%, 26.3% and 45.3% of the study respectively. The results of the multivariate analysis showed that professionals who worked in urban areas (AOR = 11.10; 95% CI = [3.50–41.69]) and who worked in animal health (AOR = 7.45; 95% CI = [1.16–70.40]) were more likely to have sufficient knowledge about rabies. Professionals with tertiary education (AOR = 12.40; CI95% = [1.80–268.00]) and with sufficient knowledge (AOR = 3.41; CI95% = [1.01–12.70]) were more likely to have a positive attitude about rabies. Professionals with a positive attitude about rabies (AOR = 3.23; 95% CI = [1.08–10.70]) were more likely to have a good practice when presented with an animal bite case. These results suggest that improving health professionals’ knowledge about rabies is essential in order to influence their attitudes and practices against rabies.

Surveys suggest that most research participants desire access to secondary (incidental) genomic findings. However, few studies clarify whether preferences vary by the nature of the finding. We surveyed members of the JHS (Jackson Heart Study, n=960), the FHS (Framingham Heart Study; n=955), and African American members of the FHS Omni cohort (n=160) who had consented to genomic studies. Each factorial survey included 3 vignettes, randomly selected from a set of 64, that described a secondary genomic result. Vignettes varied systematically by 5 factors identified by expert panels as salient: phenotype severity, actionability (preventability), reproductive significance, and relative and absolute risk of the phenotype. Respondents indicated whether they would want to receive the result. Data were analyzed separately by cohort using generalized linear mixed models. Response rates ranged from 67% to 73%. Across vignettes, 88% to 92% of respondents would definitely or probably want to learn the result. In multivariate analyses among JHS respondents, desire for results was associated with positive attitudes towards genetic testing, lower education, higher subjective numeracy, and younger age, but not with any of the 5 factors. Among FHS respondents, desire for results was associated with higher absolute risk, preventability, reproductive risk, and positive attitudes towards genetic testing. Among FHS Omni respondents, desire for results was associated with positive attitudes towards genetic testing and younger age. Most genetic research participants desire return of secondary genetic results. Several factors identified by expert panels as salient are associated with preferences among FHS, but not JHS or FHS Omni, participants.

Background: Disease prevention measures such as creating public awareness are needed to protect the vulnerable populace from acquiring diseases. Knowledgeable health care workers are pivotal to this, and it therefore becomes imperative to assess health workers in this regard. The objective of this study was to ascertain the level of knowledge, the kind of attitude towards and practices of disease prevention among health-talk giving primary health care workers in Osogbo, south western Nigeria.&#x0D; Methods: A descriptive cross-sectional study done among 204 respondents from 13 primary health care centres in Osogbo selected using multi-stage sampling technique. The research instrument used was a self-administered questionnaire analysed with SPSS 23.0. Univariate, bivariate, and multivariate analyses were done as appropriate and a p-value of &lt;0.05 was taken as statistically significant.&#x0D; Results: The results of this study revealed that at least nine out of ten respondents had good knowledge (90.2%) and positive attitude (94.1%) towards disease prevention. A greater proportion of doctors (100%) had good knowledge of disease prevention compared to other health workers while nurses took the lead in having a positive attitude (97.4%). Respondents had varying responses in their practices towards disease prevention, but generally speaking, most respondents who had good knowledge and positive attitudes also exhibited good practices. The only identifiable predictor of respondent's knowledge was level of education, (p=0.024 OR=0.157).&#x0D; Conclusion: The fact that about a tenth of respondents had poor knowledge and about 5% had negative attitude towards disease prevention is a major cause for concern. Since health talk-giving health workers interact directly with the populace, the potentially huge negative effects that this minority can have cannot be underestimated. Therefore, there is a need for close-monitoring and regular review of the kind of information given to clients as well as training and re-training of health workers.

While malaria morbidity has sharply declined in several areas in Senegal, it remains an important problem in the southern part of the country, particularly among adolescents. Understanding adolescents' knowledge, attitudes, prevention and care-seeking practices is important to inform more targeted interventions aimed at optimizing adolescents' uptake of malaria prevention and control measures. This study assessed malaria-related knowledge, attitudes, and practices (KAP) among adolescents living in a highly persistent transmission area in Senegal. A community-based cross-sectional survey was conducted among 391 adolescents living in the Saraya health district. A multistage random sampling technique was used to select households. An electronic questionnaire developed on Open Data Kit (ODK), was used to collect data on socio-demographic characteristics, household assets, adolescents' knowledge of malaria, as well as their attitudes with regards to malaria prevention, and care-seeking behaviors. Bivariate and multivariate analyses were performed to assess factors associated with adolescents' KAP towards malaria. Nearly, one-third of the participants had good knowledge of malaria (34.4%) and good practice in regards to malaria preventive measures (32.8%) while 59.0% had a positive attitude and 73.8% had good care-seeking behavior regarding malaria. Multivariate analysis revealed that a primary (aOR = 5.43, p = 0.002) or secondary level of education (aOR = 10.41, p = 0.000) was associated with good knowledge of malaria transmission, signs, and prevention measures. Male individuals had lower knowledge compared to female ones (aOR = 0.40, p = 0.001). Individuals belonging to households from the highest wealth quintile were more likely to have a positive attitude towards malaria compared to those from households in the lowest wealth quintile (aOR = 3.49, p = 0.004). The odds of positive attitude towards malaria decreased among participants with koranic and primary education level, respectively (aOR = 0.14, p = 0.005) and (aOR = 0.24, p = 0.019). A positive attitude was 1.89 more likely to be (aOR = 1.89, p = 0.026) associated with good practice of prevention measures compared to adolescents who demonstrated negative attitudes. Individuals from households in the fourth (aOR = 0.42, p = 0.024), middle (aOR = 0.34, P = 0.005), and second (aOR = 0.42, p = 0.027) wealth quintiles were less likely to use malaria prevention measures compared to those from households in the highest wealth quintile. The study revealed that adolescents, generally have poor levels of malaria knowledge and low uptake of malaria prevention and control interventions. Targeted interventions for high-risk adolescents are needed, that focus on improving their knowledge of the disease and effective preventive measures, and on increasing their access to health care services and LLINs.