Abstract: Objective　To investigate the knowledge, attitudes and practices （KAP） towards scrub typhus control and analyze the influencing factors among residents in Longling County, Yunnan Province in 2023, so as to provide insights into management of scrub typhus in the county.  Methods　Two townships were randomly sampled from Longling County, Baoshan City, Yunnan Province in July 2023, and 2 to 3 administrative villages were randomly selected from each township. Then, 20 to 40 households were randomly selected from each village, and 1 to 2 villagers were surveyed in each household. Residents' KAP towards scrub typhus control was investigated, and factor affecting residents' KAP towards scrub typhus control were identified with independent samples t test or analysis of variance （ANOVA） and multiple linear regression analysis.  Results　A total of 417 questionnaires were allocated, and 410 valid questionnaires were recovered, with an effective recovery rate of 98.32%. Of all respondents, 65.85% （270/410） heard of scrub typhus but were not familiar with it, and 12.68% （52/410） and 1.95% （8/410） were familiar and very familiar with it, respectively. Residents mainly acquired scrub typhus control knowledge via their relatives and friends. The knowledge, attitude, and behavior scores of the respondents with regard to scrub typhus were （34.14 ± 13.07）,  （55.04 ± 6.69）, and  （21.40 ± 5.61）, respectively, and the total score for knowledge, belief, and behavior in relation to scrub typhus prevention and control was （110.57 ± 18.80）. Univariate analysis revealed that age （F = 3.12, P < 0.05）, education （F = 10.77, P < 0.05）, occupation （F = 4.89, P < 0.05）, frequency of outdoor activities （F = 3.61, P < 0.05）, and type of place of residence （t = 1.33, P < 0.05） were the factors that influenced the participants' scores for knowledge of the prevention and control of scrub typhus. Multiple linear regression analysis revealed that literacy level （β = 10.20 to 16.71, P < 0.05） and category of residence （β = -7.23, P < 0.05） were the factors that influenced residents' current knowledge and trust behavior in relation to scrub typhus. Conclusions　Place of residence and educational level are critical factors affecting scrub typhus control among residents in Longling County, Yunnan Province. Intensified health education pertaining to scrub typhus control and appropriate behavioral interventions are required among residents living in urban areas, with a low educational level and frequent outdoor activities. 

Key words: Scrub typhus, Knowledge, attitude and practice, Influencing factor, Yunnan Province

摘要： 目的　对云南省龙陵县居民恙虫病防治的知识知晓情况、防治态度和行为现状进行调查，并分析其影响因素，为该县恙虫病防治及健康教育的开展提供科学依据。方法　2023年7月，采用多阶段抽样法，从云南省保山市龙陵县所辖乡（镇）中随机抽取2个镇，每个镇随机抽取2 ~ 3个行政村，每个村随机抽取20 ~ 40户家庭，每户家庭选择1 ~ 2名村民开展调查。采用入户面对面访谈方式对调查对象开展问卷调查，了解其恙虫病防治相关知识、态度、行为（知信行）现状，采用独立样本 t 检验或方差分析、多重线性回归对知信行相关影响因素进行单因素和多因素分析。结果　共纳入417名调查对象，发放问卷417份，回收有效问卷410份，问卷回收率为98.32%。65.85%（270/410）的调查对象听过恙虫病，但对此不甚熟悉；仅12.68%（52/410）和1.95%（8/410）的调查对象对恙虫病比较熟悉或非常熟悉，63.42%（148/410）的调查对象通过亲戚朋友了解恙虫病相关知识。调查对象恙虫病知识、态度、行为得分分别为（34.14 ± 13.07）、（55.04 ± 6.69）、（21.40 ± 5.61）分，恙虫病防治知信行总得分为（110.57 ± 18.80）分。单因素分析表明，年龄（F = 3.12，P < 0.05）、文化程度（F = 10.77，P < 0.05）、职业（F = 4.89，P < 0.05）、户外活动频次（F = 3.61，P < 0.05）、居住地类别（t = 1.33，P < 0.05）是调查对象恙虫病防治知信行得分的影响因素。多重线性回归分析表明，文化程度（β =  10.20 ～16.71，P < 0.05）、居住地类别（β =  -7.23，P < 0.05）是恙虫病防治知信行现状的影响因素。结论　云南省龙陵县居民恙虫病防治知识知晓程度较低，防治态度、行为有待改善。居住地区类别、受教育程度是影响龙陵县居民恙虫病防治知信行的因素。

关键词: 恙虫病, 知信行, 影响因素, 云南省