Background characteristics of study participants.

There are extant studies on the knowledge, attitudes and practices of air pollution in sub-Saharan Africa and Ghana, however, studies among commercial drivers and traders in transport stations in Ghana are sparse. This study examined the mediation effect of attitude on the association between knowledge and practice toward air pollution among two high-risk workers in the Greater Accra Metropolitan Area, Ghana. A population-based cross-sectional study was conducted among commercial drivers and traders between November 2023 and June 2024. A consecutive sampling technique was used to select 1011 participants (drivers [n = 619, 61.2%] and traders [n = 392, 38.8%]). A structured questionnaire was used, including questions on knowledge (9 items), attitude (7 items) and practices (5 items) toward air pollution. Statistical analysis (descriptive, hierarchical linear regression and partial least squares structural equation modelling) was performed using Stata 17/MP. The primary sources of air pollution information for drivers and traders were social media and radio. The PLS-SEM revealed a significant direct effect of knowledge for both drivers/traders (β = 0.23/0.26, p