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The aim of the study was to examine the association of salt related knowledge, attitudes and practices with salt consumption and determinants of high salt intake among people of Lekhnath municipality of Western Nepal.The secondary analysis of Community-Based Intervention for blood pressure reduction in Nepal (COBIN trial) was conducted based on the WHO STEPS Instrument. Multivariate hierarchical logistic regression was performed to assess the association of salt related knowledge, attitudes and practices with salt consumption and determinants of high salt consumption in Nepal.Mean salt intake was 8.02 g/day and 81% population had an intake higher than the WHO recommendation of < 5 g of salt/day. Multivariate regression showed that Dalit caste, < 4 family size, those who were not advised to lower their salt intake, who did not check salt/sodium label in food, who added extra salt in food and who self-reported themselves as consuming too much salt had significantly higher odds of consuming high salt. Salt related knowledge and attitude (importance of lowering salt) were not associated with high salt consumptionWith the result of high salt intake, this study necessitates future robust research, initiation of salt surveillance system and community-based integrated salt reduction program involving multisector to overcome the growing burden of hypertension and cardiovascular diseases in Nepal.