Knowledge-level, attitudinal-trend and preventive-practices on urinary tract infections among reproductive-aged female university students

Urinary tract infections (UTIs) are common among women, especially in low-resource settings like Bangladesh. This study describes the prevention related knowledge, attitudes, and practices (KAP) against UTI among female students of Jashore University of Science and Technology (JUST). A cross-sectional study was conducted among 415 randomly selected female students (ages 18–28) to assess socio-demographic characteristics, anthropometric measurements, clinical history, and hygiene practices. Urine samples were analyzed for physical, chemical, and microscopic examination to diagnose UTIs. Statistical analyses, including chi-square tests were used to identify associations and risk factors for UTIs. Ethical approval was obtained from the Institutional Review Board of Jashore University of Science and Technology, and informed consent was provided by all participants. The overall prevalence of UTIs was 28.9%. Poor personal hygiene practices, including improper wiping (χ² = 8.912; OR = 2.213; 95% CI = 1.374, 3.565; P = 0.003) and inadequate fluid intake (χ² = 10.184; OR = 2.485; 95% CI = 1.548, 3.992; P = 0.001), were significantly linked to an increased risk of UTIs, along with incomplete bladder emptying and improper menstrual hygiene. Conversely, regular body cleaning was associated with a significant reduction in UTI prevalence (χ² = 3.411; OR = 2.015; 95% CI = 1.12, 3.72; P = 0.043). The high UTI prevalence among students underscores the need for targeted awareness and hygiene education. Preventive strategies should be prioritized in public health initiatives to improve UTI related outcomes in young women.