Search Results (136)

Background and Objectives: Hemoglobinopathies are genetic disorders of hemoglobin and are among the most common inherited diseases. The prevalence rates of sickle cell disease and thalassemia in Saudi Arabia are higher than those in other countries in the Middle East. Saudi Arabia has launched many prevention programs such as a premarital screening program, genetic counseling programs, and neonatal screening in order to reduce the incidence of genetic diseases. The former program includes the most common genetic diseases: sickle cell disease and thalassemia. Many studies conducted since the premarital program started have reported a decrease in the prevalence of sickle cell disease and thalassemia. However, all studies focus on large cities, including their subdivisions, but there is a lack of studies on subdivisions specifically. Materials and Methods: The aim of this study was to assess the prevalence, 5-year time trend, and distribution of β-thalassemia and sickle cell traits in Al-Kharj province using the data of the PMSGC program during the period from January 2017 to February 2021. Results: A total of 21,150 individuals were screened, and 508 were diagnosed with sickle cell disease and thalassemia. Also, we showed that thalassemia was more prevalent than sickle cell disease (66% and 34%, respectively), and there was an increase in β-thalassemia and α-thalassemia. Conclusions: Riyadh city’s prevalence rate of β-thalassemia was reported as 7 per 1000, while the current study found a prevalence rate of 5.6 per 1000 in Al-Kharj, which suggests a possible increase as a result of population growth in Al-Kharj province as part of Riyadh city. This study recommends further improvement in preventive measures in high-risk regions, as well as enhanced community awareness, to provide the highest rate of reduction for disorders. Full article

Background: Concerns over women’s mental health have intensified globally, especially among mothers managing dual careers and family responsibilities. Positive Psychology Interventions (PPIs), such as gratitude journaling and well-being workshops, have demonstrated promise in enhancing mental health; however, their applicability in Arab contexts remains underexplored. This study aims to investigate the effectiveness of PPIs on mothers’ well-being, gratitude, depression, anxiety, and stress in Saudi Arabia. Methods: This quasi-experimental, one-group pretest–posttest study assessed the effects of a four-week PPI on 37 Saudi working mothers (aged 21–50 years) employed at a private school in Riyadh. The intervention included guided gratitude journaling thrice weekly and two workshops on positive psychology and gratitude. Pre- and post-intervention assessments used validated Arabic versions of the Depression Anxiety Stress Scale (DASS-21), WHO-5 Well-being Index, and Gratitude Questionnaire (GQ-6). Results: Significant improvements were found post-intervention: depression, anxiety, and stress scores decreased (p < 0.001), while well-being and gratitude increased (p = 0.001). However, participants with lower household income (<50,000 SAR) showed less improvement, indicating a potential moderating effect of socioeconomic status. Conclusions: The intervention demonstrated promising short-term improvements in mental health and well-being among Saudi mothers. The findings underscore the importance of culturally appropriate PPIs and highlight the need for further research using controlled, long-term designs. Limitations include the small, non-random sample, absence of a control group, and restriction to a single geographic region. Full article

In arid and semi-arid climates, where water scarcity is a persistent challenge, accurately estimating reference evapotranspiration (ET) becomes essential for sustainable water management and agricultural planning. The objectives of this study are to compare hourly ET among P–M ASCE, P–M FAO, and P–M KSA mathematical models. In addition to the accuracy assessment of daily ET derived from hourly timestep calculations for the P–M ASCE, P–M FAO, and P–M KSA. To achieve these goals, a total of 525,600-min data points from the Riyadh region, KSA, were used to compute the reference ET at multiple temporal resolutions: hourly, daily, hourly averaged over 24 h, and daily as the sum of 24 h values, across all selected Penman–Monteith (P–M) models. For hourly investigation, the comparison between reference ET computed as average hourly values and as daily/24 h values revealed statistically and practically significant differences. The Wilcoxon test confirmed a statistically significant difference (p < 0.0001) with R² of 94.75% for ASCE, 94.87% for KSA at h_plt = 50 cm, 92.41% for FAO, and 92.44% for KSA at h_plt = 12 cm. For daily investigation, comparing the sum of 24 h ET computations to daily ET measurements revealed an underestimation of daily ET values. The Wilcoxon test confirmed a statistically significant difference (p < 0.0001), with R² exceeding 90% for all studied reference ET models. This comprehensive approach enabled a rigorous evaluation of reference ET dynamics under hyper-arid climatic conditions, which are characteristic of central Saudi Arabia. The findings contribute to the growing body of literature emphasizing the importance of high-frequency meteorological data for improving ET estimation accuracy in arid and semi-arid regions. Full article

Background/Objectives: This quantitative cross-sectional study examined the relationships between self-efficacy, compassion fatigue, and the quality of nursing work life (QNWL) in primary care nurses from the Dammam and Riyadh regions of Saudi Arabia. This study examined how these factors varied according to gender, education, income, and years of experience. Methods: A total of 158 primary care nurses completed validated survey instruments, including the General Self-Efficacy Scale, Professional Quality of Life Scale—Version 5, and Work-Related Quality of Life Scale-2. Descriptive statistics were used for data analysis. Results: The results indicated that participants experienced elevated self-efficacy (M = 29.53, SD = 0.52), moderate compassion fatigue (M = 54.62, SD = 10.16), and moderate overall quality of work life (QWL) (M = 3.26, SD = 0.52). Positive correlations were identified between self-efficacy and QWL (r = 0.250, p < 0.05) and compassion satisfaction (r = 0.533, p < 0.05). By contrast, compassion fatigue was negatively correlated with QWL (r = −0.259, p < 0.05). Notable disparities in QWL were identified according to education level and years of experience, with nurses possessing advanced degrees and those with less experience having elevated QNWL scores. Conclusions: This study highlights the significance of promoting self-efficacy and mitigating compassion fatigue to improve the quality of nursing. Administrators and nurse leaders should consider strategies such as continuous professional development, psychological support, and effective workload management to enhance the well-being and retention of primary care nurses. Full article

Background/Objectives: Schoolteachers play a central role in shaping their students’ beliefs and attitudes towards oral health. Our aim was to investigate the oral and periodontal health knowledge of schoolteachers in Riyadh and factors affecting this knowledge. Methods: Government schoolteachers from representative areas of Riyadh (n = 895) responded to a structured questionnaire. Descriptive statistics, t-tests, one-way analysis of variance, and multiple linear regression (p ≤ 0.05). Results: Teachers demonstrated good basic oral/periodontal health knowledge (mean score = 60.21 ± 10.68). Most knew that toothbrushing is necessary to preserve dental (78.66%) and periodontal (57.88%) health; that gingival bleeding (74.41%), swelling (64.25%), and abscess formation (52.96%) are signs of periodontal disease; about 63% identified dental biofilm as an etiologic factor, and 58% knew that periodontitis may cause gingival recession and influence systemic health (74.07%). However, only 38% knew that dental flossing is necessary to preserve periodontal health, and 66.03% believed that gingival health can be restored with a special toothpaste. Teachers who were female, older in age, worked in north Riyadh, and taught the intermediate stage demonstrated statistically significantly better knowledge than the other categories. Conclusions: The studied sample of schoolteachers possesses acceptable basic oral health knowledge but has inadequate knowledge of periodontal health. Factors influencing teachers’ knowledge were age, gender, region of work, and teaching stage. Full article

Rapid urbanization and climate change pose significant challenges to air quality in arid metropolitan areas, with critical implications for public health and sustainable development. This study projects the evolution of air pollution in Riyadh, Saudi Arabia, through 2070 using an integrated modeling approach that combines CMIP6 climate projections with localized air quality data. We analyzed daily concentrations of major pollutants (SO₂, NO₂) across 15 strategically selected monitoring stations representing diverse urban environments, including traffic corridors, residential areas, healthcare facilities, and semi-natural zones. Climate data from two Earth System Models (CNRM-ESM2-1 and MPI-ESM1.2) were bias-corrected and integrated with historical pollution measurements (2000–2015) using hierarchical Bayesian statistical modeling under SSP2-4.5 and SSP5-8.5 emission scenarios. Our results revealed substantial deterioration in air quality, with projected increases of 80–130% for SO₂ and 45–55% for NO₂ concentrations by 2070 under high-emission scenarios. Spatial analysis demonstrated pronounced pollution gradients, with traffic corridors (Eastern Ring Road, Northern Ring Road, Southern Ring Road) and densely urbanized areas (King Fahad Road, Makkah Road) experiencing the most severe increases, exceeding WHO guidelines by factors of 2–3. Even semi-natural areas showed significant increases in pollution due to regional transport effects. The hierarchical Bayesian framework effectively quantified uncertainties while revealing consistent degradation trends across both climate models, with the MPI-ESM1.2 model showing a greater sensitivity to anthropogenic forcing. Future concentrations are projected to reach up to 70 μg m⁻³ for SO₂ and exceed 100 μg m⁻³ for NO₂ in heavily trafficked areas by 2070, representing 2–3 times the Traffic corridors showed concentration increases of 21–24% compared to historical baselines, with some stations (R5, R13, and R14) recording projected levels above 4.0 ppb for SO₂ under the SSP5-8.5 scenario. These findings highlight the urgent need for comprehensive emission reduction strategies, accelerated renewable energy transition, and reformed urban planning approaches in rapidly developing arid cities. Full article

Background/Objectives: Artificial intelligence (AI) offers opportunities to enhance healthcare accessibility for people with disabilities (PwDs). However, their application in Saudi Arabia remains limited. This study explores PwDs’ experiences with AI technologies within the Kingdom’s Vision 2030 digital health framework to inform inclusive healthcare innovation strategies. Methods: Semi-structured interviews were conducted with nine PwDs across Riyadh, Al-Jouf, and the Northern Border region between January and February 2025. Participants used various AI-enabled technologies, including smart home assistants, mobile health applications, communication aids, and automated scheduling systems. Thematic analysis following Braun and Clarke’s six-phase framework was employed to identify key themes and patterns. Results: Four major themes emerged: (1) accessibility and usability challenges, including voice recognition difficulties and interface barriers; (2) personalization and autonomy through AI-assisted daily living tasks and medication management; (3) technological barriers such as connectivity issues and maintenance gaps; and (4) psychological acceptance influenced by family support and cultural integration. Participants noted infrastructure gaps in rural areas, financial constraints, limited disability-specific design, and digital literacy barriers while expressing optimism regarding AI’s potential to enhance independence and health outcomes. Conclusions: Realizing the benefits of AI for disability healthcare in Saudi Arabia requires culturally adapted designs, improved infrastructure investment in rural regions, inclusive policymaking, and targeted digital literacy programs. These findings support inclusive healthcare innovation aligned with Saudi Vision 2030 goals and provide evidence-based recommendations for implementing AI healthcare technologies for PwDs in similar cultural contexts. Full article

Urban sustainability is closely linked to walkability, as it impacts social interaction, public health, and economic development. In megacities like Riyadh, where automobiles dominate mobility, the development of pedestrian infrastructure remains inadequate. An online survey was conducted through public sampling to evaluate walking conditions in central Riyadh’s commercial districts. The 302 participants evaluated 49 critical walkability indicators to determine their significance and satisfaction with the current conditions. Gap analysis and a displeasure measurement framework identified pedestrian challenges. Participants acknowledged the importance of walkability aspects but expressed strong dissatisfaction with existing conditions. Key barriers to pedestrian comfort included inadequate facilities, environmental discomfort, weak safety measures, and cultural driving preferences. The study highlighted crucial walkability issues requiring improvement, such as public toilets, shaded pathways, air quality, and pedestrian-friendly infrastructure. The findings emphasize the need for targeted policy interventions in Riyadh’s commercial districts to enhance pedestrian accessibility and comfort, to promote urban sustainability through improved walkability. This study offers a methodological advancement by combining Relative Importance Index, gap analysis, and a novel disgruntlement measurement framework to assess walkability. The use of 49 Delphi-derived indicators contextualized within a GCC megacity adds a unique perspective to urban sustainability research. The findings inform both local policy and global urban studies by demonstrating how culturally and climatically adaptive walkability metrics can guide equitable, data-driven interventions. Full article

Background: The present study seeks to examine how social disparities relate to the prevalence of poor glycemic control (HbA1c ≥ 7%), comorbidities such as hypertension and dyslipidemia, and diabetes-related complications (microvascular or macrovascular) among Saudi patients diagnosed with type 2 diabetes. Methods: A cross-sectional study was conducted among 574 patients with type 2 diabetes mellitus (T2DM) attending family medicine clinics at King Saud University Medical City in Riyadh. Participants were selected using a simple random sampling technique and interviewed via phone using a validated questionnaire. Data collected included demographic and clinical variables. Descriptive statistics and multivariate logistic regression analyses were performed to assess the association between socioeconomic status (SES) and cardiovascular complications, including stroke, dyslipidemia, hypertension, and acute coronary syndrome. Result: The analysis revealed that certain socioeconomic factors significantly increased the odds of cardiovascular complications among patients with T2DM. Being female was associated with higher odds of hypertension (OR = 2.29, p = 0.014), dyslipidemia (OR = 2.59, p = 0.012), acute coronary syndrome (ACS) (OR = 2.35, p = 0.001), and stroke (OR = 2.17, p = 0.003). Divorced or widowed participants had significantly increased odds of ACS (OR = 2.91, p = 0.001) and stroke (OR = 2.83, p = 0.002). A lower educational level (secondary school or less) was significantly associated with increased odds of hypertension (OR = 2.64, p = 0.031), dyslipidemia (OR = 2.22, p = 0.005), and stroke (OR = 2.88, p = 0.042). Monthly income between 3001 and 6000 SAR was significantly associated with higher odds of ACS (OR = 2.61, p = 0.003) and stroke (OR = 2.64, p = 0.012). Participants with diabetes duration >15 years had higher odds of dyslipidemia (OR = 2.86, p = 0.004) and stroke (OR = 2.89, p = 0.005). Being retired or not working increased the odds of all four cardiovascular outcomes, with stroke showing the highest risk (OR = 3.18, p < 0.001). Living outside the Riyadh region was also associated with elevated risk across outcomes, notably stroke (OR = 1.52, p = 0.046). Conclusions: The study concluded that notable social disparities exist among diabetic individuals affected by cardiovascular conditions, such as stroke and acute coronary syndrome (ACS), as well as risk factors for cardiovascular disease like dyslipidemia (DLD). These findings can inform targeted cardiovascular risk reduction strategies and address health inequities among diabetic populations in Saudi Arabia. Full article

Designing physical environments that are safe, functional, and equitable for all users is crucial to understanding the needs and requirements of the local community from a gender perspective, to achieve gender equality and women’s safety in the public realm. In the Saudi context, international assessments of women’s rights still acknowledge the country as one of the most prominent examples of structural gender inequality, both in the world and relative to regional peers within the Middle East and North Africa. This research aims to illuminate women’s mobility behavior as a tool for women’s inclusion in the built environment, supporting policymakers to design projects that build more inclusive cities for women. This research examines the dynamic relationship between women’s mobility and the built environment in Riyadh, Saudi Arabia, within the context of Vision 2030. By employing a mixed-method approach, including literature reviews and a comprehensive survey, the research highlights critical indicators such as safety, cultural norms, and infrastructure. The research concludes that safety, cultural and social norms, and the availability of public facilities significantly impact women’s ease of mobility. The paper reaches an actionable recommendation for policymakers to create more inclusive urban environments that support women’s aspirations and needs, ultimately contributing to a more equitable society that supports the expectations and needs of all women in Riyadh. Full article

Rising temperatures are intensifying residential cooling demands in hot–arid regions, with national building codes playing a pivotal role in mitigating these effects. This study evaluates the energy performance of two high-density residential buildings, Noor City in Cairo and Banan City in Riyadh, using DesignBuilder version 7.0.2.006 simulations for 2023, 2050, and 2080 under RCP 4.5 projections, followed by comparative and code-swapping analysis that assessed the role of envelope design parameters. All parameters were constant, except for those dictated by each country’s code. Results show that under future climate conditions, cooling loads in the uninsulated Noor City rise by 69% by 2080, compared to a 32% increase in Banan City. A code-swapping analysis confirmed the regulatory impact; applying the Saudi envelope to Noor City reduced annual energy use by over 40%, while using the Egyptian code in Banan City increased it by more than 50%. Solar exposure analysis further revealed that Noor City’s unshaded façades contribute to elevated thermal loads. Additionally, a 20.48 kWp rooftop photovoltaic system offsets 32:35% of annual energy consumption in both cases. While operational benefits are evident, no full life cycle cost (LCC) analysis was conducted; future studies should address economic feasibility to guide code adaptation in lower-income contexts. Full article

The conflicts among the landscape water demand and other urban water requirements are motivating improvements in water sustainability in arid urban areas. The accurate estimation of urban landscape plants’ evapotranspiration (ET_PLT) is crucial for effective irrigation management practices. This study examined two factor-based approaches—the Water Use Classification of Landscape Species (WUCOLS) and the Landscape Irrigation Management Program (LIMP)—in conjunction with the formula developed by Penman–Monteith to calculate the landscape irrigation water demand in Saudi Arabia. The reference evapotranspiration (ET_r) was calculated utilizing 40 years of recorded meteorological data from various locations in Saudi Arabia. Notable variations in ET_r were observed both geographically between different regions and seasonally within regions. The highest, lowest, and moderate ET_r values were recorded in Riyadh, Mecca, and Asir, measuring 9.5, 6.7, and 5.3 mm, respectively. Regarding the decoupling approaches, the moderate species factor (K_s) of WUCOLS was compared to the three levels of managed stress (K_sm) in LIMP, categorized as “low, moderate, and high”. The statistical analysis revealed a significant advantage of K_s moderate over K_sm low, with a 37.5% reduction in the average ET_PLT. Although no significant differences were observed between moderate K_s and K_sm, the ET_PLT derived from WUCOLS was 16.7% lower than that from LIMP. Conversely, the advantage shifted towards K_sm high, which demonstrated a 20% decrease in the ET_PLT estimates. These results support the Saudi Green Initiative by furnishing essential data for sustainable water management in arid regions, promoting a science-driven approach to enhance water use efficiency and alleviate water scarcity. Full article

As Saudi Arabia accelerates its Vision 2030 agenda, sustainable urban development has emerged as a critical pillar for economic diversification and climate resilience. This study investigates the role of green municipal bonds (GMBs) as a catalytic financing tool to address funding gaps in low-carbon infrastructure and renewable energy projects within the Kingdom’s arid, fossil-fuel-dependent context. Employing a mixed-methods approach—combining qualitative case studies of global best practices (e.g., Gothenburg, Cape Town) and quantitative analysis of Saudi municipal financial data—we evaluate the feasibility of GMBs in bridging fiscal shortfalls while aligning with environmental, social, and governance (ESG) criteria. The research introduces a novel conceptual framework that integrates regulatory harmonization, stakeholder coordination, and Shariah-compliant financial mechanisms, tailored to Saudi Arabia’s socio-economic and climatic realities. Key findings reveal that GMBs could cover 40% of municipal revenue gaps, attract global ESG investors, and reduce carbon emissions by 30% through projects such as NEOM’s renewable grids and Riyadh’s urban greening initiatives. By addressing underexplored intersections of fossil-fuel transitions, arid-climate governance, and Islamic finance, this study advances sustainable urban scholarship and offers actionable policy recommendations, including a phased roadmap for GMB adoption and the establishment of a Saudi Green Bond Taskforce. The results position Saudi Arabia as a regional leader in climate-resilient finance, providing replicable insights for resource-dependent economies pursuing carbon neutrality. Full article

Saudi Arabia faces rising urban water demand, yet significant regional disparities in daily per capita consumption persist despite uniform national pricing and policies. This study aims to identify the drivers of these disparities across the kingdom’s 13 administrative regions. We analyzed data on water consumption, climate, socio-demographics, property characteristics, environmental awareness, and institutional factors using descriptive statistics and correlations. Results indicate notable consumption variations, with Riyadh and the Eastern Region exhibiting the highest levels, while Asir, Jazan, and Najran exhibit the lowest. Appliance ownership—particularly washing machines (r = 0.75) and Western-style toilets (r = 0.77)—along with access to public water services (r = 0.73), and higher incomes (r = 0.58), positively correlated with increased usage, whereas, younger populations (r = −0.76), reliance on water tanks (r = −0.71), and attitude towards water scarcity (r = −0.69) were associated with lower consumption. Conservation practices showed mixed effects on water use. Overall, regional disparities are primarily driven by property characteristics, environmental awareness, and socioeconomic factors rather than climatic influences. This suggests a need for regionally tailored water policies that complement national standards. Addressing these variations will enable policymakers to design targeted water management strategies that balance consumption needs with water availability. Full article

Background: Chronic obstructive pulmonary disease (COPD) is a significant burden in Saudi Arabia. Improving the attitudes, awareness, and knowledge of healthcare providers toward advance directives and/or advanced care planning (ACP) can increase the use of advance directives. This study aims to investigate healthcare providers’ knowledge, attitudes, and practices concerning advance directives for COPD patients in Riyadh, Saudi Arabia. Methods: This cross-sectional study was employed to assess the knowledge, attitudes, and practices of healthcare providers towards ACP for COPD patients in Riyadh between June and December 2024. The questionnaire was adapted from previous research. Multiple logistic regression was performed to assess the factors associated with good knowledge and positive attitude. Results: A total of 268 participants were included in the analysis. The total mean of knowledge score was 6.96 ± 2.22 out of 12. A total of 161 participants (60.1%) had a poor knowledge score, and 107 participants (39.9%) had a good knowledge score. The total mean of attitude score was 16.23 ± 23.21 out of 26. A total of 148 participants (55.2%) had a poor attitude score and 120 participants (44.8%) had positive attitude. Participants with over 15 years of experience exhibited significantly higher odds of good knowledge (OR = 6.76, 95% CI = 1.03−44.21, p = 0.04). Participants who lived in the Western region had significantly lower odds of good knowledge (OR = 0.32, 95% CI = 0.14–0.71, p = 0.005). Nurses and respiratory therapists had significantly lower odds of having positive attitude (OR = 0.19, 95% CI = 0.09−0.42, p = 0.0001 and OR = 0.34, 95% CI = 0.16–0.75, p = 0.007, respectively). Participants who lived in the Western region had significantly lower odds of having positive attitude (OR = 0.42, 95% CI = 0.19–0.95, p = 0.005). Conclusions: Healthcare providers in Saudi Arabia demonstrated a moderate level of knowledge of ACP for COPD patients. This was accompanied by a moderately positive attitude towards this practice. Future studies should examine effective educational and professional interventions to enhance ACP practices. Full article