Utilization Pattern and Related Knowledge of Nasal Decongestants Among the General Population in Al-Qunfudah Governorate, Saudi Arabia: A Community-Based Cross-Sectional Study.

BACKGROUND: Nasal decongestants, like phenylephrine and pseudoephedrine, are commonly used to relieve nasal obstruction in conditions such as allergic rhinitis. They induce nasal passage dilation through vasoconstriction but can lead to serious side effects like hypertension and rebound congestion. Despite being easily accessible over the counter, their usage patterns and awareness of side effects are not well studied. OBJECTIVES: The study aimed to assess the utilization pattern and public knowledge of nasal decongestants in Al-Qunfudah governorate, Saudi Arabia, in 2023. METHODS: This observational cross-sectional study assessed the utilization pattern of nasal decongestants among those who were 10 years of age and older and resided in Al-Qunfudah governorate and its villages. Data were collected in three months, from June to August 2023, using a self-administered survey that was disseminated among the general population at Al-Qunfudah governorate on different electronic platforms like Twitter (X Corp., San Francisco, CA, United States) and Snapchat (Snap Inc., Santa Monica, CA, United States). RStudio (version 4.3.0) was used for the statistical analysis. The knowledge score showed a non-normal distribution (Shapiro-Wilk test p value < 0.001). For normally distributed qualitative variables, the factors related to nasal decongestant use were assessed using Pearson's Chi-squared test. Fisher's exact test was applied when more than 20% of cells had frequencies less than 5. A generalized linear regression model was used to assess the independent predictors of higher knowledge scores. A p-value < 0.05 indicated statistical significance. RESULTS: Based on 410 responses, nearly 77% (n = 314) of the participants have ever used nasal decongestants. A total of 118 out of 314 (37.6%) used these medications twice daily for less than five days (81.2%, n = 255). A total of 192 (61.1%) participants used nasal decongestants based on physicians' prescriptions. Few respondents (12.9%, n = 53) and (33.2%, n = 136) correctly identified nasal mucosal ulceration and nasal dryness as adverse effects of prolonged nasal decongestants' use. However, 84.6% (n = 347) ignored their contraindications, and 55.1% (n = 226) had no idea about rebound congestion. Overall, participants displayed a moderate level of knowledge regarding nasal decongestants, with a median knowledge score of 5.0. Being a student (beta = 1.12, 95%CI, 0.19 to 2.05, p = 0.019) and being a female were independently associated with better knowledge scores (beta = 0.97, 95%CI, 0.40 to 1.54, p < 0.001). Those who ever used nasal decongestants (beta = 0.71, 95% CI: 0.07 to 1.34, p = 0.030) and those who used them three times a day (beta = 1.05, 95% CI: 0.11 to 1.99, p = 0.029) had higher knowledge scores. CONCLUSION: More than two-thirds (76.6%) of the Al-Qunfudah general population in Saudi Arabia utilized nasal decongestants. The utilization pattern of nasal decongestants highlighted short-term usage for nasal obstruction. Despite the moderate level of knowledge of the general population about nasal decongestants, many gaps were noted regarding their systemic contraindications, side effects, and the risks of rebound congestion. A focus group discussion is advised to get a full and deep perception of the public regarding this common type of medication. Health education programs are recommended regarding this category of medications, warning them about ineffective self-medication.

Public Awareness and Knowledge of Sleeve Gastrectomy in the Southwest Region of Saudi Arabia.

Background Obesity is a major global health concern, causing significant health dilemmas. Large groups of Saudi individuals are considered obese, with significant implications for medical practice. Bariatric surgery, including sleeve gastrectomy, is a crucial intervention for severe obesity, although it is associated with potential complications. This study aims to investigate the public knowledge about the indications and consequences of sleeve gastrectomy in the Southwest region of Saudi Arabia and assess their general awareness of sleeve gastrectomy. Methodology This descriptive, cross-sectional, online-based study included 347 individuals from the Southwest region of Saudi Arabia. Data were collected via an online questionnaire and analyzed using SPSS version 27 (IBM Corp., Armonk, NY, USA). Results This study included 347 participants, with a majority being females (88.5%, n = 307) and Saudis (98.6%, n = 342). The most common age group was 21-25 years (34%, n = 118), followed by those over 40 years of age (26.5%, n = 92). Most participants resided in Al-Qunfudhah (66.3%, n = 230) and held a bachelor's degree (75.8%, n = 263). Nearly half were students (48.7%, n = 169), and 56.2% (n = 195) earned less than 5,000 per month. The prevalent weight range was 40-60 kg (46.1%, n = 160), and most participants' height was 150-160 cm (58.5%, n = 203). Overall, 61% (x̄ = 211.6) of the respondents had good knowledge about sleeve gastrectomy, with 70.3% (x̄ = 244) understanding its general aspects, 56.1% (x̄ = 194.5) knowing the indications, and 60.1% (x̄ = 208.7) aware of the complications. Conclusions The majority of residents of the Southwest region of Saudi Arabia have moderate levels of knowledge regarding sleeve gastrectomy. However, the study demonstrated substantial gaps in knowledge and awareness regarding sleeve gastrectomy, mainly about its indications and potential.

Prevalence and Assessment of Habits Related to Gastroesophageal Reflux Disease Among the Residents of Southwest Region in Saudi Arabia.

Introduction Digestive disorders, affecting 70 million people globally, have gained attention. Gastroesophageal reflux disease (GERD) causes heartburn and acid regurgitation. Factors like obesity, poor diet, and lifestyle influence its prevalence. GERD rates are higher in Saudi Arabia than in Western and East Asian countries, highlighting the need for local awareness, our study aims To assess the prevalence of local habits and risk factors of patients with GERD in the Southwest region of Saudi Arabia. Method This prospective descriptive cross-sectional online-based study included 372 individuals from the Southwest Region, Saudi Arabia. The study was conducted using a self-administrated online questionnaire to collect the data for the targeted participants. After obtaining consent to carry out the study, the data were collected and computerized using Microsoft Excel, to form a database using all the items from the data collecting sheets. Data was then encoded and analyzed using Statistical Package for Social Sciences (SPSS) software, version 27 (IBM Corp., Armonk, NY). Data was displayed and presented in the form of tables and charts Results This study included 372 individuals, predominantly Saudi 98.7%, n=367. The most common age group was 21-25 years (32.5%, n=121), followed by those over 40 (18.5%, n=69). Participants were mainly from Al-Qunfudhah and Haly 27.2%, n=101. Most were single (49.5%, n=184) or married (48.4%, n=180), with a bachelor's degree 66.7%, n=248. Employees comprised (36.3%, n=135), and students 30.9%, n=115. Only 2.7%, n=10 were pregnant. Nearly half (48.4%, n=180) had a monthly income below 5,000 SAR. Most participants weighed 40-60 kg (41.4%, n=154) and were 150-160 cm tall (47%, n=175). The prevalence of GERD was 16.1%, n=60. Significant associations were found between GERD diagnosis and meal type, smoking, family history, and high pickle and salt intake (P-values: 0.002073, 0.000607, <0.00001, and 0.008557, respectively). Conclusion This study can conclude that the prevalence of GERD is not high in the Southwest region of Saudi Arabia. Significant risk factors regarding patients' habits should be taken into consideration and diminishing them in order to decrease the incidence of the disease and improve the quality of life of already diagnosed patients.