Adoption Of Healthy Behaviors Research Articles

From Style to Wellness: How Fashion Influencers Are Affecting Healthy Behaviors in Saudi Arabia.

Background Social media influencers, particularly those in the fashion domain, have become prominent sources of health-related information, influencing the health behaviors of their followers, especially within the unique socio-cultural context of Saudi Arabia. This study aims to examine the relationship between following fashion influencers on social media and the adoption of healthy behaviors among Saudi residents. Methods A descriptive cross-sectional study with an analytic component was conducted from August 25, 2023, to December 15, 2023, among Saudi residents aged 18 years and older who actively follow fashion influencers. Data were collected via a structured, validated questionnaire distributed through various social media platforms. Data analysis was performed byemploying descriptive statistics, Pearson's chi-square test, and logistic regression analyses to identify predictors of negative health behavior outcomes. Results The study included 466 participants, revealing that despite insignificant differences in age and gender, postgraduate education was associated with negative outcomes (p = 0.016). Notably, 8.7% of individuals with negative outcomes held postgraduate degrees, compared to 2.9% in the non-negative group. Participants with negative outcomes more frequently followed influencers offering health tips (p = 0.01) and advocating a healthy lifestyle (p < 0.001). Logistic regression identified individuals who followed influencers with fewer than 10K followers had significantly higher odds of negative outcomes (OR = 3.6, 95% CI: 1.4-8.9, p = 0.006). Conclusion Following fashion influencers on social media can influence health behaviors among Saudis, with both positive and negative outcomes. Critical evaluation of influencer content is crucial to avoid potential adverse effects. Further research is also needed to explore the dynamics of influencer impact on health outcomes and to develop strategies for effective health communication in the digital age.

Supporting physical activity through co-production in people with severe mental ill health (SPACES): protocol for a randomised controlled feasibility trial

BackgroundSevere mental ill health (SMI) includes schizophrenia, bipolar disorder and schizoaffective disorder and is associated with premature deaths when compared to people without SMI. Over 70% of those deaths are attributed to preventable health conditions, which have the potential to be positively affected by the adoption of healthy behaviours, such as physical activity. People with SMI are generally less active than those without and face unique barriers to being physically active. Physical activity interventions for those with SMI demonstrate promise, however, there are important questions remaining about the potential feasibility and acceptability of a physical activity intervention embedded within existing NHS pathways.MethodThis is a two-arm multi-site randomised controlled feasibility trial, assessing the feasibility and acceptability of a co-produced physical activity intervention for a full-scale trial across geographically dispersed NHS mental health trusts in England. Participants will be randomly allocated via block, 1:1 randomisation, into either the intervention arm or the usual care arm. The usual care arm will continue to receive usual care throughout the trial, whilst the intervention arm will receive usual care plus the offer of a weekly, 18-week, physical activity intervention comprising walking and indoor activity sessions and community taster sessions. Another main component of the intervention includes one-to-one support. The primary outcome is to investigate the feasibility and acceptability of the intervention and to scale it up to a full-scale trial, using a short proforma provided to all intervention participants at follow-up, qualitative interviews with approximately 15 intervention participants and 5 interventions delivery staff, and data on intervention uptake, attendance, and attrition. Usual care data will also include recruitment and follow-up retention. Secondary outcome measures include physical activity and sedentary behaviours, body mass index, depression, anxiety, health-related quality of life, healthcare resource use, and adverse events. Outcome measures will be taken at baseline, three, and six-months post randomisation.DiscussionThis study will determine if the physical activity intervention is feasible and acceptable to both participants receiving the intervention and NHS staff who deliver it. Results will inform the design of a larger randomised controlled trial assessing the clinical and cost effectiveness of the intervention.Trial registrationISRCTN: ISRCTN83877229. Registered on 09.09.2022.

The effect of health literacy intervention on adherence to medication of uncontrolled hypertensive patients using the M-health

BackgroundGiven that patients’ medication adherence is regarded as the major part of disease control and improving health literacy can be effective in promoting adherence to healthy behaviors, the present study aimed to investigate the effect of health literacy intervention based on the medication adherence among uncontrolled hypertensive patients using mobile health (M-health).MethodsAn interventional study with a quasi-experimental design, was conducted on 118 uncontrolled hypertensive patients. Participants were randomly divided into the intervention (n = 59) and control (n = 59) groups using blocked randomization. In the intervention group, a mobile health (M-health) program was designed using programmed instruction to improve patients’ health literacy over a period of 3 months. Data was collected by administering health literacy and medication adherence questionnaires to participants before and after the intervention. The analysis involved using the independent sample t-test to compare the variables before and after the study.ResultsBefore the intervention, the total score of health literacy was 33.34 and 33.14 in the intervention and control groups, respectively. After the intervention, it increased to 40.36 and 34.20 in the intervention and control groups, respectively, which was statistically significant in the intervention group (p = 0.01). Moreover, the medication adherence score of the intervention group significantly increased after the intervention. Both systolic and diastolic blood pressure decreased in the intervention group. However, it should be noted that the decrease in systolic blood pressure by 148.98 was statistically significant, while the decrease observed in diastolic blood pressure in the intervention group was not statistically significant (p = 0.08).ConclusionThe application of programmed instruction through M-Health has shown a positive effect on the health literacy of uncontrolled hypertensive patients. In addition to detecting and treating patients, it is important to prioritize the improvement of health literacy in terms of medication adherence and the adoption of healthy behaviors.

Stress and hypertension self‐care pilot study for Black women caregivers of people living with Alzheimer’s disease and related dementias

AbstractBackgroundThis National Institutes on Aging study protocol (R21AG077069‐01 NIA) will test a behavioral intervention, Mindfulness in Motion plus the Dietary Approaches to Stop Hypertension (MIM DASH), to promote hypertension self‐care in African American women caregivers of people living with Alzheimer’s disease and related dementias.MethodTwenty‐eight participants will be randomized to MIM DASH or Alzheimer’s Association Caregiver Training groups, delivered 8 weekly, 1‐hour group sessions via telehealth (video and telephone access). Data are collected at baseline, 3 and 9 months that include a) psychosocial surveys and Healthy Eating Index—DASH score and b) blood pressure, hair cortisol, and an objective stress reactivity/stress resilience battery.ResultMIM DASH will be feasible and acceptable, and will decrease caregivers’ stress and improve quality of life; higher stress resilience will enhance the relationship between MIM DASH and intervention adoption while higher stress reactivity will diminish this relationship.ConclusionSubstantive contributions to the science of behavior change, design of self‐care interventions, and the adoption of healthy behaviors will be achieved. Results will inform infrastructure for a larger trial to reduce health disparities among African Americans.

Lung cancer mortality trends among women across Spain: the role of birth cohorts in diverging regional patterns

Smoking among Spanish women has increased during the last 50 years and is considered by some authors a modern epidemic. However, mortality risk by cohorts may differ at a regional level, given that health inequalities (and the determinants of smoking and its consequences) are regionally patterned. We applied an Age-Period-Cohort model to identify birth cohort effects on female lung cancer mortality in Spain. We found a strong linear increase in lung cancer mortality during the 1980–2019 period in all regions. Cohorts born between 1935 and 1955 presented a higher relative risk of death at a national and subnational level. However, we found diverging cohort patterns across regions afterward, with some regions presenting a slight mortality improvement (or stagnation) in their youngest cohorts, while in other regions mortality kept increasing. This suggests that inequalities in lung cancer mortality in Spain among women are not only generationally based, but that generational risks also vary across space. Some of the regions that presented improvements in mortality among its younger cohorts are Madrid, Navarra, and the Basque Country, which are some of the wealthiest in the Country. While speculative, this could imply that improvements at a regional level might be associated with factors related to structural conditions that result in the adoption of healthy behaviors.

Leveraging Digital Health to Improve the Cardiovascular Health of Women.

In this review, we present a comprehensive discussion on the population-level implications of digital health interventions (DHIs) to improve cardiovascular health (CVH) through sex- and gender-specific prevention strategies among women. Over the past 30 years, there have been significant advancements in the diagnosis and treatment of cardiovascular diseases, a leading cause of morbidity and mortality among men and women worldwide. However, women are often underdiagnosed, undertreated, and underrepresented in cardiovascular clinical trials, which all contribute to disparities within this population. One approach to address this is through DHIs, particularly among racial and ethnic minoritized groups. Implementation of telemedicine has shown promise in increasing adherence to healthcare visits, improving BP monitoring, weight control, physical activity, and the adoption of healthy behaviors. Furthermore, the use of mobile health applications facilitated by smart devices, wearables, and other eHealth (defined as electronically delivered health services) modalities has also promoted CVH among women in general, as well as during pregnancy and the postpartum period. Overall, utilizing a digital health approach for healthcare delivery, decentralized clinical trials, and incorporation into daily lifestyle activities has the potential to improve CVH among women by mitigating geographical, structural, and financial barriers to care. Leveraging digital technologies and strategies introduces novel methods to address sex- and gender-specific health and healthcare disparities and improve the quality of care provided to women. However, it is imperative to be mindful of the digital divide in specific populations, which may hinder accessibility to these novel technologies and inadvertently widen preexisting inequities.

Breaking the barriers: The impact of health information and cultural factors on immigrant health in the Nordic countries

Immigrants encounter cultural adaptation challenges impacting their health behaviors and outcomes, with health information and cultural factors influencing their actions. A survey of 340 participants from Finland, Norway, and Sweden was conducted, and the data were analyzed using structural equation modelling. Results show that health beliefs and access to health information, mainly via the Internet, significantly predict immigrants' intentions to engage in health-related actions, while perceived barriers negatively affect their adoption of healthy behavior. The findings underscore the importance of information professionals in providing culturally relevant health information and resources to immigrants and emphasize the need for policymakers to consider cultural factors and information sources in health promotion efforts targeting immigrant populations. This study adds value to the information science literature by highlighting the role of information access and cultural context in shaping health-related actions among immigrants in Nordic countries.

Beyond Individual Cognitions: Time for Intervention Science to Focus on Health Context and Audience.

Intervention science faces a hazardous paradox: on the one hand, vulnerable populations (eg,patients, people from low socioeconomic background, older adults) are those for whom adoption of healthy behaviors is most urgent; on the other hand, behavior change models are less predictive, and interventions less successful, in these populations. This commentary presents 4 reasons that may explain this issue: (1)research mostly focuses on what causes behavior and how to change it, at the expense of investigating among whom and under what conditions models are valid; (2)models put an undue emphasis on individual cognitions; (3)most studies are not conducted on vulnerable populations; and (4)most researchers are from high-income countries. Several avenues are proposed to address this issue: (1)providing a central place to the context and audience in health behavior change modelization, through collaborations with researchers from other disciplines and countries, and with members of the targeted audience; (2)better reporting samples' sociodemographic characteristics and increasing samples' diversity; and (3)using more rigorous and innovative designs (eg,powered randomized controlled trials, N-of-1 trials, intensive longitudinal studies). In conclusion, it becomes urgent to change the way we do research: the social utility and credibility of intervention science depend on it.

Healthy eating markers among adolescents from the municipal school system in Pelotas, Rio Grande do Sul, Brazil, 2019: a cross-sectional study.

Around 3% of the students regularly consumed the five healthy eating markers, with beans being the most frequently consumed; strong association was found between healthy eating markers and behavioral variables. Implications for services: The results obtained can contribute for interventions, programs and actions, particularly in the school environment, aimed at promoting an adequate and healthy diet. Better targeting of interventions, programs and actions developed in the school environment, seeking to increase consumption of fresh and minimally processed food, along with the adoption of healthy behaviors. to analyze the consumption of healthy eating markers among adolescent students in Pelotas, Rio Grande do Sul, Brazil, in 2019. this was a cross-sectional study carried out in schools taking part in the Health at School Program. Consumption of the five markers (beans, milk, fruit, cooked vegetables and raw salads) within five days prior to the study, obtained through a self-administered questionnaire, was defined as regular. Association between demographic, socioeconomic and behavioral variables and the outcomes was analyzed using Poisson regression. among the 797 respondents, 2.8% (95%CI 1.8;4.1) reported regular consumption. Beans were the most regularly consumed food (48.3%); fruit, cooked vegetables and raw salads were consumed regularly by less than 30% of the students. Doing physical activities, having breakfast and having meals with the family were associated with regular consumption of the foods assessed. regular consumption of healthy foods was low in this population, and was associated with behavioral factors.

Échelle du fatalisme en santé version française (EFS-VF) : une validation de l’échelle du fatalisme en santé

IntroductionFatalistic beliefs have a deleterious effect on the adoption of healthy behaviours and well-being of individuals. In health domain, there are tools in the literature to measure those beliefs in several cultures, but none are suitable for an African context, precisely in Cameroon. ObjectiveThis study aimed to validate the French-cultural version of the 20-item health fatalism scale of Shen et al. in a Cameroonian population. MethodIn a sample of 652 participants (331 women and 321 men) aged from 15 to 61 years, this scale was translated, adapted and its psychometric qualities assessed. ResultsExploratory and confirmatory factor analyses showed that in the Cameroonian context, a four-dimensional model with 18 items was more adjusted. The extracted factors were: luck, ineluctability of disease, pessimism and pre-determination. ConclusionThe health fatalism scale French version can be used effectively to evaluate fatalistic beliefs in the African context precisely in Cameroon, in order to adapt community health interventions aimed at eradicating risky behaviours.

Media exposure and adoption of COVID-19 preventive behaviors in Brazil

The purpose of this article is to study the effects of media communication regarding COVID-19 on the adoption of healthy behaviors. Specifically, we investigated the role of fear in the relationship between media exposure and adoption of healthy protective measures while also identifying individual effects for traditional media (TV and newspapers) versus social media. The study was based on a large sample of university students (n = 7554) during April 2020 in Brazil. Results showed that controlling for self-efficacy, age, and gender, total media exposure had greater indirect effect than direct effect on the adoption of healthy behaviors. The indirect effect was through the perception of fear of becoming ill (with COVID-19). We discuss the theoretical implications of the findings.

The Effect of Pythagorean Self-Awareness on Heart Rate Variability, Perceived Stress and Behavior of Preschool Children.

Stress is associated with unhealthy habits and non-communicable diseases. It is also linked to communicable diseases due to its impact on immune function. These can be prevented through intervention programs in schools. The aim of this study was to examine the effect of the simplified Pythagorean Self-Awareness Intervention on heart rate variability (HRV) parameters, perceived stress and behaviors of preschool children. The sample of the study consisted of 45 preschool students. A “one group (double) pretest—posttest design” was used, to allow for comparisons of the measurements before and after the intervention. Students were assessed via two questionnaires (“Perceived Stress Scale for Children” (PSS-C) and “Checklist for Screening Behavioral Problems in Preschool Children”) and a photoplethysmographic (PPG) device. The intervention lasted 9 weeks and included practicing of the Pythagorean Self-awareness techniques and the adoption of healthy behaviors. The results showed no statistically significant differences between the two pretests (p > 0.05 for all comparisons) and statistically significant differences between the second pretest and posttest (“Perceived Stress Scale for Children”, (PSS-C) p < 0.0001, “Checklist for Screening Behavioral Problems in Preschool Children” p < 0.0001 and two indices of PPG device: heart rate mean, p < 0.0001, low frequency/very low frequency, p = 0.034). In conclusion, the Pythagorean Self-Awareness Intervention had a beneficial effect on the sample of preschool students examined, as the results showed an improvement in the perceived stress and the HRV parameters tested, and in engaging healthier behaviors, findings that indicate a relaxed psychologic state and a healthier lifestyle.

Positive behavioral change during the COVID‐19 crisis: The role of optimism and collective resilience

While the issue of behavioral change is of increasing interest to academics and practitioners, an understanding of its drivers remains limited. Consistent with the possibility that destabilizing events can trigger the implementation of beneficial changes in one's life, this research studies the COVID‐19 pandemic and its influence on the adoption of positive habits. More specifically, it focuses on positive health and lifestyle‐related behavioral changes observed within the confined population, as well as the antecedents of such changes. Two surveys conducted 1 month apart in an urban setting severely affected by the pandemic confirm the role of optimism toward the crisis as an antecedent to four changes: slowdown in pace of life, decluttering of personal space, reflection on consumption habits and adoption of healthy behaviors. Collective resilience, social support and anxiety are identified as determinants of optimism. Results suggest an evolution of certain relations including the increase of collective resilience effect on optimism over time.

Association of family history of cardiometabolic diseases (CMDs) and individual health behaviours: Analysis of CARRS study from South Asia

ObjectivesFamily history is considered as an important predictor of cardiovascular diseases (CVDs) and diabetes. Available research findings suggest that family history of chronic diseases is associated with perceived risk of disease and adoption of healthy behaviours. We examined the association between family history of cardio-metabolic diseases (CMDs) and healthy behaviours among adults without self-reported CMDs. MethodsCross-sectional data of 12,484 adults, without self-reported CMDs, from the baseline survey of Centre for cArdiometabolic Risk Reduction in South-Asia (CARRS) cohort study were analysed. ResultsFamily history was positively associated with non-smoking and high fruits & vegetables consumption in the age group of 45–64 years and moderate to high physical activity in the age group ≥65 years after adjusting for sex, education, wealth index, city and body mass index. ConclusionsUnderstanding perceived risks and cultural or psychological factors related to family history through ethnographic studies may deepen understanding of these associations.

Retrospective evaluation of a pilot eHealth/mHealth telewellness program for people with disabilities: Mindfulness, Exercise, and Nutrition To Optimize Resilience (MENTOR).

People with disabilities have few options to participate in wellness programs that are tailored to their health, functional level, specific interests/needs, and available in the comfort of their home. To address this need, we evaluated a mobile health wellness program for people with physical disabilities. Retrospective pilot evaluation of MENTOR (Mindfulness, Exercise, and Nutrition To Optimize Resilience), an 8-week, 40-hour online telewellness program adapted from the peer reviewed literature on wellness. The three core wellness domains-mindfulness, exercise, and nutrition-were delivered via Zoom to groups of participants with a disability. Each group met weekly with an assigned health coach who responded to Q&A about the program and presented new material on several additional wellness domains that could impact their health (e.g., relationships, contribution to society/community, spending outdoor time in nature). Pre/post measures included the Godin Leisure-Time Exercise Questionnaire (GLTEQ) and the UAB/Lakeshore Wellness Assessment (LWA). Participants were also interviewed and provided feedback after the program, which was thematically analyzed. A total of 154 people from 15 states enrolled in the MENTOR program and 135 completed it (87.7% completers). Data were analyzed from a subset of participants (n=53) who were asked to complete a pre/post assessment and had complete data. Participants who were physically inactive at baseline improved their GLTEQ total activity (P=0.002; effect size =0.56) and moderate-to-vigorous activity scores (P=0.005; effect size =0.53). LWA results demonstrated that participants increased their exercise behavior (P=0.006; effect sizes =0.39) and contribution to society/community (P=0.013; effect size =0.37). Participants with low overall wellness (mental, physical & emotional health) at baseline had statistically significant improvements in exercise, nutrition, sleep, core values, self-care, hobbies, contribution to society/community, relationships, and overall wellness (all P<0.05 with effect sizes ranging from 0.43 to 1.07). Resultant qualitative themes were: (I) lifestyle transformation occurred through new positive experiences, physical and mental health benefits, and adoption of healthy behaviors; and (II) engagement through accessible online bonding through enjoyable and professional experiences. A pilot telewellness program for people with disabilities is feasible and potentially effective in improving several domains of wellness. There is a need for precision-based mobile health (mHealth) programs that are tailored for people with disabilities and that can be accessed from various portable devices including their phone and/or tablet.

The impact of physical exercise as a coadjuvant in the treatment of Type 2 Diabetes Mellitus: An Integrative Review

Introduction: Type 2 diabetes mellitus (DM2) is one of the most worrisome diseases worldwide due to its high prevalence, severe complications and individual damage to patients and the costs to health systems. With the increasing urbanization and world’s modernization, society's concerns about maintaining healthy habits have been replaced whith another that grant a sedentary habits. Objective: To verify the impact of physical exercise (PE) on national and international scientific production in the period between 2017 and 2021. Methods: The study is characterized as an Integrative Literature Review. The PubMed database was verified, with a total of 150 articles for analysis and final selection. 134 articles that were not relevant were excluded. The sample consisted of 16 articles. Results and Discussion: Lifestyle has a great impact on the inflammatory state to which the body is subjected. The adoption of healthy behaviors, as simple as they may seem, are capable of bringing laboratory changes in patients with DM2. PE, as an important component of a healthy lifestyle (HLS), has the potential to provide changes in important health parameters. Conclusion: PE promotes changes at molecular and systemic levels, allowing the regulation of the secretion of pro-inflammatory molecules and peptides, whose action is therefore weakened, bringing the sedentary patient to serum levels close to physiological.

HCV cure: an appropriate moment to reduce cannabis use in people living with HIV? (ANRS CO13 HEPAVIH data)

BackgroundThanks to direct-acting antivirals, hepatitis C virus (HCV) infection can be cured, with similar rates in HCV-infected and HIV–HCV co-infected patients. HCV cure is likely to foster behavioral changes in psychoactive substance use, which is highly prevalent in people living with HIV (PLWH). Cannabis is one substance that is very commonly used by PLWH, sometimes for therapeutic purposes. We aimed to identify correlates of cannabis use reduction following HCV cure in HIV–HCV co-infected cannabis users and to characterize persons who reduced their use.MethodsWe used data collected on HCV-cured cannabis users in a cross-sectional survey nested in the ANRS CO13 HEPAVIH cohort of HIV–HCV co-infected patients, to perform logistic regression, with post-HCV cure cannabis reduction as the outcome, and socio-behavioral characteristics as potential correlates. We also characterized the study sample by comparing post-cure substance use behaviors between those who reduced their cannabis use and those who did not.ResultsAmong 140 HIV-infected cannabis users, 50 and 5 had reduced and increased their use, respectively, while 85 had not changed their use since HCV cure. Cannabis use reduction was significantly associated with tobacco use reduction, a decrease in fatigue level, paying more attention to one’s dietary habits since HCV cure, and pre-HCV cure alcohol abstinence (p = 0.063 for alcohol use reduction).ConclusionsAmong PLWH using cannabis, post-HCV cure cannabis reduction was associated with tobacco use reduction, improved well-being, and adoption of healthy behaviors. The management of addictive behaviors should therefore be encouraged during HCV treatment.

“Bottom of the Pile”: Health Behaviors within the Context of In-work Poverty in North East England

ABSTRACT In-work poverty (IWP), a growing problem in the United Kingdom, describes being in employment but having financial resources close to thresholds associated with poverty. IWP is associated with poorer health behaviors. We examined why people experiencing IWP may exhibit poorer health behaviors. Experiences of six individuals with whole-household IWP in North East England, were elicited using inductive reflexive thematic analysis with semi-structured interviews. Three themes were generated, showing that IWP impacted on the adoption of healthy behaviors, resulting in an obesogenic environment, particularly for single parents. IWP is a socioeconomic health disparity requiring further exploration.

The design of persuasive prompts to induce behavioural change through an mHealth application for people with depression

ABSTRACT The alteration of an individual's lifestyle and the adoption of healthy behaviours have been shown to be effective in combating a majority of the major symptoms of depression. While there are several mHealth applications that use behaviour change to reduce depressive symptoms, they are often not grounded in behaviour change theory and display a lack of understanding regarding the specific factors that lead to behaviour change. Therefore, there is a need to test innovative strategies to tackle the issue. One such strategy is the use of behaviour change theories to design mHealth applications that use persuasive prompts to assist in ‘prompting’ the user to adopt healthier behaviours. In this paper, we present the design of persuasive prompts and an mHealth application to induce behavioural change, followed by the results of two studies: (i) an acceptability study that tested the acceptability of the persuasive prompts and (ii) a usability study of the mHealth application. The results show that there is a significant difference in which behaviour change theories users prefer based on their level of depression and that overall, users have a positive perception of the application.

PUBLIC SELF-PERCEPTION, KNOWLEDGE AND PRACTICE ABOUT COVID-19 IN SAUDI ARABIA

Background And Aim: COVID-19 is a devastating pandemic which seriously affected population health and world’s economy. With all advances to diagnose, treat and prevent COVID-19, public knowledge about COVID-10 and adoption of healthy behaviors to avoid infection remain the cornerstone of effective disease control. This study aims to explore public knowledge, adherence to protection practices and self-perception about COVID-19 during the pandemic in Saudi Arabia. Materials And Methods: This cross-sectional study was conducted in Saudi Arabia from June to September 2020. People aged 18 years or older were invited to participate in an online questionnaire modified from the survey tool of the World Health Organization. The survey consisted of a total of 37 items assessing the demographics, knowledge, attitude and practice towards COVID-19. Results: The average COVID-19 knowledge score was 58.8%. More than two-third of participants were adherent to guidelines avoiding the infection. There was a positive moderate correlation between total knowledge score and total adherence score of protection. Majority reported very poor or poor level of knowledge. Most of participants reported that they have good knowledge on how to protect themselves. knowledge level was significantly higher among highly educated, younger male individuals with suspected or confirmed diagnosis of COVID-19. Conclusion: Saudi people with high educational level, younger age, males and individuals suspected or diagnosed to have COVID-19 were more likely to have higher knowledge score. Good COVID-19 knowledge is related with positive attitudes and appropriate COVID-19 practices, implying that health education programs focused at increasing COVID-19 knowledge can help encourage a positive attitude and promote safe practices. As the worldwide threat of COVID-19 continues to emerge, efforts through educational campaigns aimed at the public, particularly the undereducated, older females are important.