The Knowledge and Determinants of Sexual Health and Sexual Transmitted Infections Among Women in Saudi Arabia: A Nationwide Survey.

Background: Sexual health is a necessary part of any society because it significantly influences the quality of life. Women's knowledge regarding STIs and safe sex practices in Saudi Arabia has not been thoroughly investigated; therefore, this study aims to investigate and measure the knowledge and the determinants of sexual health and STIs among women in Saudi Arabia. Methods: This study is a nationwide cross-sectional survey conducted through phone interviews in Saudi Arabia in 2021. This study included 1334 female participants aged 18 years or older. Results: The study's results collectively show that women in Saudi Arabia have limited knowledge of sexual health and STIs. The primary causes are the lack of knowledge of different STIs-communicability, symptoms, and an overall lack of technical proficiency in the subject. The study analyzed factors associated with participants' knowledge of sexual health and sexually transmitted infections. Significant associations were found between knowledge and age, region, educational level, and family income. In the multivariable analysis, participants aged 20-29 had higher knowledge compared to those aged >60. Participants in the Eastern region had higher knowledge than those in the Southern region. Participants with less than a bachelor's degree had lower knowledge than those with a bachelor's degree or higher. Participants earning an average of 16,000 SAR to 19,999 SAR had higher knowledge than those with unstable monthly income. Conclusion: The study found that women's understanding of sexual health and STIs in Saudi Arabia is low due to a lack of knowledge and awareness. Knowledge levels were correlated with educational levels; therefore, targeted health promotion initiatives are needed to increase understanding, particularly regarding condom use for HIV and STI prevention.

Predicting Multimorbidity Using Saudi Health Indicators (Sharik) Nationwide Data: Statistical and Machine Learning Approach.

The Saudi population is at high risk of multimorbidity. The risk of these morbidities can be reduced by identifying common modifiable behavioural risk factors. This study uses statistical and machine learning methods to predict factors for multimorbidity in the Saudi population. Data from 23,098 Saudi residents were extracted from the "Sharik" Health Indicators Surveillance System 2021. Participants were asked about their demographics and health indicators. Binary logistic models were used to determine predictors of multimorbidity. A backpropagation neural network model was further run using the predictors from the logistic regression model. Accuracy measures were checked using training, validation, and testing data. Females and smokers had the highest likelihood of experiencing multimorbidity. Age and fruit consumption also played a significant role in predicting multimorbidity. Regarding model accuracy, both logistic regression and backpropagation algorithms yielded comparable outcomes. The backpropagation method (accuracy 80.7%) was more accurate than the logistic regression model (77%). Machine learning algorithms can be used to predict multimorbidity among adults, particularly in the Middle East region. Different testing methods later validated the common predicting factors identified in this study. These factors are helpful and can be translated by policymakers to consider improvements in the public health domain.

Exploring the Sociodemographic and Behavioral Status of People Living with Hypercholesterolemia in Saudi Arabia: A Nation-Wide Cross-Sectional Study.

Introduction: Hypercholesterolemia (HC) is a well-known risk factor for cardiovascular diseases, which are the leading cause of death worldwide. Many factors can contribute to HC, including advanced age, chronic diseases (such as diabetes and nephrotic syndrome), and the use of certain medications. Aim: Our goal was to compare the sociodemographic, behavioral, and other comorbid conditions of adult participants living with HC in Saudi Arabia to the general population. Methods: This is a secondary data analysis from the Sharik Health Indicators Surveillance System (SHISS). SHISS consists of cross-sectional phone interviews conducted in all administrative regions of Saudi Arabia on a quarterly basis. Participant recruitment was limited to Arabic-speaking Saudi residents who were ≥18 years old. Results: Out of 20,492 potential participants contacted in 2021, 14,007 completed the interview. Of the total participants, 50.1% were male. The mean age of participants was 36.7 years, with 1673 (11.94%) having HC. A regression model showed that participants with HC had a higher likelihood of being older, living in Tabouk, Riyadh, or Asir regions, being overweight or obese, having diabetes, hypertension, genetic or heart diseases, or having a higher risk of depression. Gender, all types of smoking, physical activity, and education level were eliminated from the model. Discussion: In this study, participants with HC were identified with some co-existing conditions that may affect the progression of the disease and the participants' quality of life. This information could assist care providers in identifying patients who are at higher risk, improve screening efficiency, and improve disease progression and quality of life.

Using mobile health applications to enhance physical activity in Saudi Arabia: a cross-sectional study on users' perceptions.

BACKGROUND: This research aims to assess the users' perceptions of usability and quality of mobile health applications used for promoting physical activity in Saudi Arabia. METHODS: This was a quantitative cross-sectional study. A survey was developed based on the Technology Acceptance Model (TAM) and the Mobile Application Rating Scale (MARS) and distributed among the Saudi population through social media to assess the users' perceptions of using mobile applications to enhance physical activity. The survey questionnaire consisted of 27 questions in six sections, including demographics (nine items), perceived usefulness (three items), perceived ease of use (three items), attitudes (three items), user experience (six items) and subjective quality (three items). All the participants were in Saudi Arabia and >15 y of age. RESULTS: A total of 195 m-Health users participated in the survey. Of the total participants, 25.1% were overweight and 21.0% were obese. The workout frequency of most users was rarely (32.3%) and three to four times a week (29.2%). In addition, 55.9% of the users agreed that the application they use served all fitness levels and >80% either agreed or strongly agreed that it was easy for them to learn how to use the application. More than 70% of users agreed or strongly agreed that the application enhanced their knowledge of workouts and physical activity and >90% would recommend the application to others. There were no differences identified between the male and female participants and younger (<40 y) and older (>40 y) participants with respect to perceived usefulness and ease of use, attitudes, experiences and subjective quality. However, significant differences were observed between participants <40 y and >40 y of age in terms of perceived ease of use of mHealth applications. CONCLUSION: mHealth users across Saudi Arabia believe that the mHealth applications have good usability and quality factors. As a result, they can motivate people and help them achieve their goals in relation to physical activities.

Teleworking during COVID-19: experiences from Saudi Arabia.

Teleworking has been adopted as a response to COVID-19 to reduce the spread of the infection, while continuing business operations. Saudi Arabia was among the countries that adopted stringent teleworking policies accompanying the first documented COVID-19 case. A descriptive, cross-sectional study was conducted to explore experiences of employees towards teleworking as a mandated work setting during COVID-19 in Saudi Arabia. We collected data using a questionnaire that was disseminated via different social media platforms during the partial curfew in the Country. The study sample included 471 participants. Most participants (78%) were satisfied with teleworking and reported higher job efficiency (44%) and work concentration (48%), and better work-life balance (56%) and stress management (55%). The positive experience was dependent on factors, such as gender, age, marital status, educational level, working sector and teleworking mode. Men, bachelor's degree holders, nonmarried, and employees working in health and education sectors as well as working flexible hours had less positive experience than their respective counterparts. The research contributes to literature about teleworking as a legitimate alternative work arrangement, while approaching teleworking as a means to reduce risks. As the first study conducted within Saudi Arabia, the study's findings have implications for policy, practice and research.

Teleworking Survey in Saudi Arabia: Reliability and Validity of Arabic Version of the Questionnaire.

OBJECTIVES: This study aimed to adapt the survey questionnaire designed by Moens et al. (2021) and determine the validity and reliability of the Arabic version of the survey in a sample of the Saudi population experiencing teleworking. METHODS: The questionnaire includes 2 sections. The first consists of 13 items measuring the impact of extended telework during the coronavirus disease 2019 (COVID-19) crisis. The second section includes 6 items measuring the impact of the COVID-19 crisis on self-view of telework and digital meetings. The survey instrument was translated based on the guidelines for the cultural adaptation of self-administrated measures. RESULTS: The reliability of the questionnaire responses was measured by Cronbach's alpha. The construct validity was checked through exploratory factor analysis followed by confirmatory factor analysis (CFA) to further assess the factor structure. CFA revealed that the model had excellent fit (root mean square error of approximation, 0.00; comparative fit index, 1.0; Tucker-Lewis index, 1; standardized root mean squared residual, 0.0). CONCLUSIONS: The Arabic version of the teleworking questionnaire had high reliability and good validity in assessing experiences and perceptions toward teleworking. While the validated survey examined perceptions and experiences during COVID-19, its use can be extended to capture experiences and perceptions during different crises.

Socioeconomic and Behavioral Disparities Among Diabetics in Saudi Arabia: A Nation-Wide Descriptive Study.

Purpose: This study aims to explore sociodemographic, behavioral and clinical factors in adult participants with Diabetes in Saudi Arabia. Methods: A population-based cross-sectional study of 20492 potential participants conducted in quarters 1 and 2 in 2021 from all 13 administrative regions of Saudi Arabia. A backward maximum likelihood logistic regression model, including all variables, was used to identify variables associated with participants living with Diabetes. Results: A total of 14007 participants, aged ≥18 years, completed the interview, with a response rate of 68.3% and successful quota sampling. Fifty percent were male, the mean age was 36.7 (SD 13.7; range: 18-90). Of the total sample, 1633, 11.7% had Diabetes. Seven percent only of diabetic patients (124 participants) had an acceptable level of fruit and vegetable intake. In addition, only (274, 16.8%) had an acceptable level of physical activity, compared to (2389, 19.3%) in the non-diabetic group. Daily smokers were slightly higher in the diabetic group compared to the non-diabetic group (13.2% vs 11.7%). Hypertension was reported mostly by the diabetic group (45.1% vs 8%). Overweight and Obesity were more prevalent in patients with Diabetes (72.50% vs 51.62%). The results of the logistic regression have shown that several sociodemographic, behavioral and intermediate risk factors were significantly associated with Diabetes. Conclusion: The study found that the prevalence of Diabetes in Saudi Arabia is around 12%, which is lower than the previously reported prevalence of Diabetes in Saudi Arabia. Moreover, Diabetes was found to be associated with lower educational level, smoking, obesity and overweight, hypercholesterolemia and hypertension. These factors are essential to be identified and screened in the community at regular interval; furthermore, controlling these factors may improve their disease management and quality of life. Additionally, knowing these factors will assist policymakers to shape an effective practical approach to combat diabetes widespread.

Occupational Safety Climate and Hazards in the Industrial Sector: Gender Differences Perspective, Saudi Arabia.

Background: Occupational Health and Safety (OHS) has become a growing public health concern worldwide. A considerable body of literature has been generated around the theme of safety climate perceptions and occupational hazards, as many researchers have examined perceptions of the occupational safety climate in relation to organizational hierarchy. But there is an urgent need to address safety problems associated with gender differences, especially in Saudi Arabia, where women have only recently begun to work in the industrial field. Therefore, this study aims to assess workers' perceptions of the safety climate and OHS hazards and identify gender differences among workers. Methods: A cross-sectional study was carried out, using the Nordic Occupational Safety Climate Questionnaire (NOSACQ-50) to assess seven dimensions of safety climate perception and a standardized structured questionnaire adapted from the National Institute of Occupational Health to assess occupational hazards. Results: The results indicated that respondents perceived only one dimension of their relevant occupational safety climates positively. "Peer safety communication, learning, and trust in co-workers". Workers experienced a range of different occupational hazards in factories, with noise being the most common. There were significant differences (<0.05) between females and males in the areas of safety priority and risk non-acceptance. Women were more likely to experience ergonomic problems than their male counterparts. Conclusion: The present study concludes that industries need to comply with national and international OHS standards and rules, especially related to gender perspectives and hazards, as well as provide proper occupational health services in their factories.

Prediction of generalized anxiety levels during the Covid-19 pandemic: A machine learning-based modeling approach.

The rapid spread of the Covid-19 outbreak led many countries to enforce precautionary measures such as complete lockdowns. These lifestyle-altering measures caused a significant increase in anxiety levels globally. For that reason, decision-makers are in dire need of methods to prevent potential public mental crises. Machine learning has shown its effectiveness in the early prediction of several diseases. Therefore, this study aims to classify two-class and three-class anxiety problems early by utilizing a dataset collected during the Covid-19 pandemic in Saudi Arabia. The data was collected from 3017 participants from all regions of the Kingdom via an online survey containing questions to identify factors influencing anxiety levels, followed by questions from the GAD-7, a screening tool for Generalized Anxiety Disorders. The prediction models were built using the Support Vector Machine classifier for its robust outcomes in medical-related data and the J48 Decision Tree for its interpretability and comprehensibility. Experimental results demonstrated promising results for the early classification of two-class and three-class anxiety problems. As for comparing Support Vector Machine and J48, the Support Vector Machine classifier outperformed the J48 Decision Tree by attaining a classification accuracy of 100%, precision of 1.0, recall of 1.0, and f-measure of 1.0 using 10 features.

Knowledge and attitude of Saudi Arabian citizens towards telemedicine during the COVID-19 pandemic.

BACKGROUND: The objective of this study was to investigate the knowledge and attitudes of Saudi Arabian citizens towards telemedicine during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: A cross-sectional survey was designed to carry out this study. The electronic survey, prepared using Google Forms, was distributed to 1500 randomly selected citizens of Saudi Arabia. A total of 330 participants completed and returned the questionnaire. Basic statistics were used to describe the data. RESULTS: The majority of the respondents (73.9%) were female. More than half of them (54.8%) were >35 y of age and had graduate or postgraduate degrees (65.5%). A total of 96.7% of the respondents were Saudis. Most of the participants (70.0%) were familiar with the term 'telemedicine' and thought that telemedicine (92.1%) could reduce transportation costs. Of the respondents, 58.8% had not seen a telemedicine system before and 67.0% indicated that they had not previously used telemedicine services. A total of 87.3% of the participants agreed or strongly agreed that telemedicine was a useful tool during the COVID-19 pandemic. Also, more than half of the participants agreed or strongly agreed that telemedicine facilitates the diagnosis of people (58.8%), increases communication (58.2%), reduces clinic visits (85.9%) and performs tasks quickly (70.3%). Also, 51.5% of the respondents disagreed or strongly disagreed that telemedicine affects patient privacy. CONCLUSIONS: The outcomes indicated that most of the participants had a positive attitude towards the use of telemedicine as a response to the COVID-19 pandemic in Saudi Arabia. They believed that telemedicine saves time, labour and costs and is an effective tool to treat coronavirus patients at a safe distance. However, the government should develop programs to raise awareness in the population about the use of telemedicine for the treatment of various diseases that afflict the Saudi Arabian people. Likewise, a legal framework must be implemented to protect the privacy of patients and healthcare providers.

The Impact of WhatsApp on the Blood Donation Process in Saudi Arabia.

BACKGROUND: WhatsApp was the most popular messenger app used in Saudi Arabia with 71% of the total population using it in 2020. WhatsApp is increasingly being used as a tool for mobile health (m-health) interventions; however, concerning blood donation, there is a lack of research studies on the topic. OBJECTIVE: This study aims to measure the general awareness levels of the blood donation process and assess blood donation history, the motivators and inhibitors to donating blood, and to assess the impact of WhatsApp on the blood donation process in Saudi Arabia. METHODS: In this research study, a descriptive quantitative cross-sectional analysis was adopted. A questionnaire survey was designed using Google Forms and distributed online through social media applications to collect data. All citizens aged above 18 years of age were eligible to participate in the survey. There were a total of 150 participants in the study. RESULTS: More than 90% of participants were aware of their blood group, blood donation requirements, and causes to be deferred from the donation. Furthermore, 27% of participants donated blood because their relatives or friends needed blood, 26% donated due to human solidarity, 18% did not donate blood because of their health condition and 14% did not because of the fear of needles. About 33% of participants relied on WhatsApp to search for blood donors, and all the requests were fulfilled with blood donors. In addition, 94% of participants strongly believed that the WhatsApp application had a significant role in bridging the gap for blood banks' need for blood donors. CONCLUSION: Social media applications such as WhatsApp can bridge the gap between blood banks, blood donors and the patients in need of blood in Saudi Arabia, where there is a shortage of blood donors.

Anxiety Levels Amid the COVID-19 Lockdown in Saudi Arabia.

OBJECTIVE: To assess the prevalence of anxiety and factors associated with it during the peak of the outbreak in Saudi Arabia. MATERIALS AND METHODS: This cross-sectional research screened the general public using the Generalized Anxiety Disorder Scale-7 to detect anxiety levels. The questionnaire was distributed online during May 2020, while lockdowns were enforced. A total of 3017 respondents from all five main regions of Saudi Arabia completed the survey. The prevalence of anxiety was measured. Chi-square and logistic regression analyses were executed to determine associated factors with anxiety during peak lockdown. RESULTS: About 19.6% of the respondents possessed a moderate to severe level of anxiety during the pandemic. Western, Northern, and Eastern regions of Saudi Arabia were found to be the most anxious. Female participants had 5.3% higher levels of anxiety compared to male counterparts. The youngest age group (18 to 19 years), most of them were students, reported the highest frequency of anxiety (28.7%). Divorced and single participants had a higher level of anxiety compared to married ones. After adjusted with other variables, living with a family member with risk of the COVID-19 was the best predictor assessing anxiety amid peak lockdown (OR: 1.8, 95% CI: 1.4-2.2). CONCLUSION: Notable anxiety prevailed during the initial phase of the COVID-19 outbreak in Saudi Arabia. The presence of vulnerable subjects in the family augments this psychological disorder considerably. Our findings promulgate a need to inculcate nation-wide strategies to enforce public health emergency preparedness plans to mitigate the adverse psychological effects of outbreaks.