Prevalence, knowledge, attitude, and practices associated with influenza vaccination among healthcare workers in primary care centers in Jazan, Saudi Arabia: A crosssectional study

Purpose: To assess the prevalence, knowledge, attitude and practices of health care workers (HCWs) in Jazan Province regarding the annual influenza vaccination program.Methods: A cross-sectional, self-administered questionnaire-based study was conducted among HCWs (n = 368) at the primary 18 health care centers in Jazan, Saudi Arabia during the period January – April, 2016.Results: The overall vaccination coverage was 87.0 % in the previous year and 79.9 % in the last 5 years. In all, 97 % of males and 59.5 % of females considered influenza as a serious disease (p = 0.005). Regarding prevention of influenza infection, 91.2 % of respondents believed that HCWs were at risk of influenza infection, while 62.5 % considered vaccination as the best preventive measure (p = 0.003). The most common reasons for receiving vaccine were “to protect oneself or one’s family” (99.4 %), while the most common reason for not taking the vaccine was “fear of side effects” (49 %).Conclusion: HCWs exhibit positive attitudes toward influenza vaccine, and notwithstanding the high vaccine coverage in Jazan Province. However, influenza vaccine campaigns should include information to enhance the awareness of HCWs about the risk of exposure to influenza, and information about the adverse reactions to influenza vaccine.Keywords: Healthcare workers, Influenza vaccine, Risk of exposure, Adverse reactions

Prevalence and awareness of anabolic androgenic steroid use among male body builders in Jazan, Saudi Arabia

Purpose: To examine the prevalence and awareness of anabolic-androgenic steroid (AAS) use among male bodybuilders visiting gyms in Jazan region, Saudi Arabia.Methods: A cross-sectional survey was conducted among 500 male bodybuilders visiting gyms in the Jazan region of Saudi Arabia. Information on demographics, as well as the use of AAS, was included in a self-administered questionnaire.Results: The prevalence of AAS in Jazan was 31.0 % (95 % CI, 26.9 - 49.6), and it was higher among those in the 30 - 34 years 45.3 % (95 % CI, 36.9 - 54.0). Its prevalence was also significantly higher among athletes who received higher education 37.4% (95 % CI, 31.8 - 43.4). The most common types of AAS used are Deca-Durabolin (57.6 %) and testosterone (52 %). Thirty percent of the participants who used AAS suffered from depression and aggressive behavior while 18 % of them were hypertensive. The participants were not well aware of the adverse effects of anabolic steroids use.Conclusion: The prevalence of the anabolic steroids is high among bodybuilding males visiting gyms in Jazan region, Saudi Arabia. Health educational programs are required to increase the awareness about the side effects of anabolic steroids among bodybuilders.Keywords: Anabolic steroids, Bodybuilders, Deca-durabolin, Testosteron

Patient Satisfaction and Its Predictors in the General Hospitals of Southwest Saudi Arabia: A Cross-sectional Survey

Background: Patient satisfaction occupies a central position in measuring the quality of care as it provides information on the provider's success, meeting the patient’s values and expectations. Hence, it is an essential tool for assessing health services outcomes. This study aimed to assess patients' satisfaction level and factors influencing healthcare quality of general hospitals in the Jazan region, Saudi Arabia (SA). Methods: This observational cross-sectional study was conducted on a sample of 423 patients selected through stratified random sampling from general hospitals of the Jazan region. Results: The overall satisfaction rate among the study participants was 80.9%. Satisfaction with food services was the highest (91.15%) followed by doctor services (81.0%), reception and entry procedures (80%), and nursing services (78.15%). The various aspects of satisfaction with doctors and nurses included the treatment prescribed by physicians, clarity in communication with patients, compassion and providing clear explanation of what they were doing. However, about 27.3% of the patients were dissatisfied with the length of waiting period before seeing a doctor. Binary logistic regression analysis suggested that uneducated patients and patients with secondary school education were more likely to have higher satisfaction level than university-educated patients (OR = 3.40, 95% C.I. [1.56–7.45], p = 0.002), (OR = 2.66, 95% C.I. [1.28–5.55], p = 0.009), and (OR = 2.29, 95% C.I. [1.40–3.73], p = 0.001), respectively. Conclusion: The health services satisfaction level was high in the Jazan population. However, some aspects of dissatisfaction were reported, such as the long waiting period before seeing a doctor. These aspects are recommended to be improved to ensure that the services provided by general hospitals are of high quality

Nutritional status of children less than five years and associated factors in Jazan Region, Saudi Arabia

BackgroundThe nutritional status of children below five years is considered as one of the most important indicators for child survival and it is a reflection of their overall health.AimsThe main objective of this research is to investigate the nutritional status of children below five years of age and to assess the different associating factors that could likely influence the nutritional status of the children.Methods A cross-sectional survey targeted 440 children aged below five years who were randomly selected from four clusters in the Jazan region. A questionnaire was designed to collect a set of information related to the nutritional status of the children.Results The prevalence of underweight among the children was 15.9 per cent. Moderately underweight accounted for 14.1 per cent [95 per cent CI:11.8−19.0], while less than 1 percent [0.8 per cent; 95 per cent CI:0.28−2.25] were severely underweight. Up to 89.5 per cent [95 per cent CI:85.9−92.3] of the children had normal weight for their height. Prevalence of wasting was only 10.5 per cent; about 9.9 per cent moderately, while 0.6 per cent were severely wasted. No significant difference was found between these indicators for males and females. Significant positive correlation was found between underweight, stunting and wasting among the children of 0−59 months (r=0.578, p < 0.0001) and (r=0.413, p < 0.0001), respectively.ConclusionIn conclusion, the nutritional status of children under five years produced acceptable intermediate results, but it is still below levels for other parts of the Kingdom of Saudi Arabia (KSA). Future interventions are needed to address some of the shortfall in the nutritional status among the Jazan population

Self-medication practice among undergraduate medical students of a Saudi tertiary institution

Purpose: To assess the knowledge, attitude and magnitude of self-medication among medical students of Jazan University, Jazan, Saudi Arabia.Methods: A cross-sectional, self-administered questionnaire-based study was conducted among undergraduate medical students of Jazan University, Jazan, Saudi Arabia. A total of 300 students were selected by random sampling.Results: Self-medication practice was highly prevalent among the medical students, with 87 % reporting that they indulge in it. Self-medication was more prevalent among female students than male. Sedatives were the most common drugs used by students for self-medication (58 %). The most common reason adduced for self-medication practice was their belief that they have sufficient information, previous experience, and the experience of others, such as family members and colleagues, with regard to the drugs. A huge proportion (84.5 %) of the respondents agreed that selfmedication could be harmful and is associated with adverse effects, while 52.6 % stated that they would not advise other persons to indulge in self-medication.Conclusion: Self-medication is prevalent among third-year medical students of Jazan University in Saudi Arabia. Although the students exhibited sufficient awareness of self-medication, the findings highlight the need for intervention programmes regarding the practice of self-medication.Keywords: Self-medication, Prevalence, Awareness, Sedatives, Medical student

Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Background. The gestational diabetes (GDM) is considered as a global public health problem that affects pregnant women. GDM can become chronic type II and usually it is associated with many risk factors that may lead to many serious complications for the mother and the fetus. The main objective of this study was to estimate the prevalence of GDM among pregnant women in Jazan region and to determine the possible associated factors of the GDM. Material and methods. The study involved pregnant women attending department of Obstetrics and Gynecology at government hospitals of Jazan region. A sample of 440 pregnant women were randomly selected. Interviews were conducted using a questionnaire prepared to measure the GDM prevalence, risk factors, awareness and adherence to the advice of the doctor and medications. Results. The prevalence of gestational diabetes among pregnant women in Jazan is estimated at 8.2%. The GDM prevalence was significantly higher among obese women (20.2%; 95% CI 13.2–29.2) compared with women with normal weight (7.1%; 95% CI 1.7–7.6). The analysis showed that GDM was significantly associated with child weight more than 3.5 kg (OR 4.315; p = 0.004), mother’s BMI more than 30 kg/m2 (OR 4.703; p = 0.001), and family history of GDM (OR 2.606; p = 0.046). Conclusion. In conclusion, the GDM prevalence obtained in this study is more than global prevalence and less than other studies in KSA. The BMI of mothers and having neonates that weight more than 3.5 kg are the main risk factors for GDM. Suitable interventions programs are highly required for control and risk factor modifications

Physical Activity, Mental Health, and Quality of Life among School Students in the Jazan Region of Saudi Arabia: A Cross-Sectional Survey When Returning to School after the COVID-19 Pandemic

Increasing evidence suggests that Physical Activity (PA) can reduce depression and anxiety in adolescents. At the same time, Quality of life (QoL) is sensitive to both Mental Health and PA, but little is known about the mechanism between these three variables among adolescents. This study aimed to assess physical activity, mental health, and quality of life of school students when they returned to school after two years of distance learning in the Jazan region. This current investi-gation represents an observational cross-sectional survey conducted in January 2022 among a random sample of 601 students from intermediate and high schools in the Jazan region, Saudi Arabia. Three standardized questionnaires were used for data collection; the Arabic version of the Pediatric Quality of Life Inventory (PedsQL), Depression Anxiety Stress Scales (DASS21) and the Fels PAQ for children. The analysis revealed a moderate level of physical activity, decreased HRQoL, and symptoms of mental health problems (anxiety, depression and stress) among the schools’ students when they returned to school following COVID-19 Lockdown. The overall pe-diatric Quality of Life mean score was (81.4 ± 16.4), which differs significantly according to gender, age groups, and grade levels (p < 0.05 for all). There was a negative correlation between overall quality of life and mental health domains. Sport is negatively correlated with mental illness symptoms and positively correlated (p < 0.05) with pediatric Quality of Life. The regression models revealed that stress is a significant predictor for the quality of life of male and female adolescents [β = −0.30, (95% CI (−0.59) to (−0.02), p < 0.05) and [β = −0.40, (95% CI (−0.70) to (−0.01), p < 0.05), respectively. The analysis revealed a moderate level of physical activity among the schools’ stu-dents when they returned to school following COVID-19 Lockdown. Children’s involvement in physical activity was associated with improved Quality of Life and mental health. The results call for the need to develop appropriate intervention programs to increase school students’ physical activity levels

Burnout and quality of life among healthcare professionals during the COVID-19 pandemic in Saudi Arabia

Background and Objectives. Healthcare professionals (HCPs) have had to deal with large numbers of confirmed or suspected cases of COVID-19 and were at a high risk of burnout and dissatisfaction regarding their work-life integration. This article aims to assess burnout, the work-life balance (WLB), and quality of life (QoL) among healthcare workers and the relationship between these aspects in Saudi Arabia. Methods. An analytical cross-sectional study was conducted among 491 HCPs from five secondary hospitals in Jazan, Saudi Arabia. Three standardized questionnaires were used to gather data, including WLB, burnout, and the WHO Quality of Life-BREF. Results. Healthcare professionals struggled to balance their work and personal lives during COVID-19 and reported many burnout symptoms and a low level of QoL. Two-thirds (68.8%) of HCPs arrived home late from work and (56.6%) skipped a meal. HCPs who worked through a shift without any breaks were found in 57.8%. It was reported that 39.3% of HCPs felt frustrated by technology while being exhausted from their work (60.5%). The correlation coefficients between the WLB and health-related QoL (HRQoL) showed a significant negative correlation for all items, which ranged from (-.099 to -.403, P<0.05). The WLB and burnout scores were successful predictors of low levels of HRQoL (P<0.001 for both explanatory variables). Conclusions. Work-life imbalances, high levels of burnout, and low QoL levels are common among healthcare professionals in Saudi Arabia during COVID-19. Hospital administration should address the WLB and reduce burnout symptoms among HCPs to increase satisfaction and improve the quality of care

Częstość występowania cukrzycy ciążowej i jej czynników ryzyka u ciężarnych kobiet w prowincji Dżazan w Arabii Saudyjskiej

Wstęp. Cukrzycę ciążową (GDM) uważa się za globalny problem zdrowotny dotyczący ciężarnych kobiet. Może ona przejść w cukrzycę typu 2 i zwykle wiąże się z wieloma czynnikami ryzyka, które mogą prowadzić do poważnych powikłań u matki i płodu. Głównym celem badania było oszacowanie częstości GDM u kobiet w ciąży mieszkających w prowincji Dżazan oraz określenie czynników, które mogą wiązać się z GDM. Materiał i metody. Badanie obejmowało kobiety w ciąży będące pod opieką oddziałów położniczo-ginekologicznych szpitali państwowych w prowincji Dżazan. Wybrano losowo próbę liczącą 440 ciężarnych kobiet. Przeprowadzając wywiady z uczestniczkami badania, korzystano z kwestionariusza opracowanego w celu oceny częstości występowania GDM, czynników ryzyka, wiedzy kobiet na temat GDM i przestrzegania zaleceń lekarskich oraz przyjmowania leków. Wyniki. Częstość GDM wśród ciężarnych kobiet w prowincji Dżazan wynosiła 8,2%. Była ona istotnie wyższa u kobiet otyłych [20,2%; 95-procentowy przedział ufności (CI) 13,2–29,2) niż u osób z prawidłową masą ciała (7,1%; 95% CI 1,7–7,6). Analiza wykazała, że GDM wiązała się istotnie z urodzeniem dziecka o masie ciała wynoszącej ponad 3,5 kg [iloraz szans (OR) 4,315; p = 0,004), wskaźnikiem masy ciała (BMI) matki wynoszącym ponad 30 kg/m2 (OR 4,703; p = 0,001) oraz dodatnim wywiadem rodzinnym dotyczącym GDM (OR 2,606; p = 0,046). Wnioski. Podsumowując, częstość GDM stwierdzona w badaniu była większa niż globalna częstość występowania GDM, lecz mniejsza niż obserwowana w innych badaniach w populacji saudyjskiej. Wskaźnik BMI matki i urodzenie dziecka o masie ciała powyżej 3,5 kg to główne czynniki ryzyka GDM. Potrzebne są odpowiednie programy interwencyjne w celu kontroli i modyfikacji czynników ryzyka

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised