Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study

Osama Samarkandi,1 Fahad Abdulrahman Alamri,2 Jumanah Alhazmi,2 Ghadah Sulaiman Alsaleh,2 Kwather Atteyah Alsehdwei,3 Lames Alabdullatif,2 Waleed Alazmy,1 Anas Khan4 1Department of Basic Science, Prince Sultan College for Medical Emergencies, King Saud University, Riyadh, Saudi Arabia; 2Global Cente...

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Main Authors: Samarkandi O, Alamri FA, Alhazmi J, Alsaleh GS, Alsehdwei KA, Alabdullatif L, Alazmy W, Khan A
Format: Article
Language:English
Published: Dove Medical Press 2025-07-01
Series:Risk Management and Healthcare Policy
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Online Access:https://www.dovepress.com/health-risk-behaviors-and-associated-factors-among-hajj-2024-pilgrims--peer-reviewed-fulltext-article-RMHP
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author Samarkandi O
Alamri FA
Alhazmi J
Alsaleh GS
Alsehdwei KA
Alabdullatif L
Alazmy W
Khan A
author_facet Samarkandi O
Alamri FA
Alhazmi J
Alsaleh GS
Alsehdwei KA
Alabdullatif L
Alazmy W
Khan A
author_sort Samarkandi O
collection DOAJ
description Osama Samarkandi,1 Fahad Abdulrahman Alamri,2 Jumanah Alhazmi,2 Ghadah Sulaiman Alsaleh,2 Kwather Atteyah Alsehdwei,3 Lames Alabdullatif,2 Waleed Alazmy,1 Anas Khan4 1Department of Basic Science, Prince Sultan College for Medical Emergencies, King Saud University, Riyadh, Saudi Arabia; 2Global Center for Mass Gathering Medicine (GCMGM), Ministry of Health, Riyadh, Saudi Arabia; 3Ministry of Health, Department of Medicine, Riyadh, Saudi Arabia; 4Department of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Osama Samarkandi, Department of Basic Science, Prince Sultan College for Medical Emergencies, King Saud University, Riyadh, Saudi Arabia, Email osamarkandi@KSU.EDU.SABackground and Objective: The Hajj, a massive annual pilgrimage to Mecca, attracts over 2 million participants. The physically demanding rituals, extreme heat, and crowding increase the risk of injuries worsen chronic conditions, and facilitate infectious disease transmission. Therefore, this study aims to assess the risk behavior and associated factors among pilgrims during the Hajj season of 2024.Methods: A cross-sectional study was conducted among pilgrims during the Hajj season from June 25 to July 30, 2024. The data were randomly collected from departures at Jeddah’s King Abdulaziz International Airport and analyzed using the Statistical Package for the Social Sciences (SPSS).Results: Out of the 1183 pilgrims, 47.5% were male (n=562). The mean age was 54.98± 13.96. Risky behaviors were common among pilgrims: 26.9% (n = 318) did not use umbrellas in direct sunlight, and 49.6% preferred walking over using transportation. Additionally, 51.7% did not take prescribed medication, and 59.9% did not seek urgent care for severe symptoms. The mean risk-taking behavior score was 3.24± 1.05, with 36.6% of pilgrims exhibiting high-risk behavior and 63.4% exhibiting low-risk behavior. Significant associations were found between risk behavior and education (χ² = 96.502, p < 0.001), nationality (χ² = 69.681, p < 0.001), and certain health conditions (asthma, hearing and vision impairment, and heart disease). Multiple linear regression identified gender (B=0.218, SE=0.059, CI=0.102 to 0.334, p< 0.001), education (B=− 0.044, SE=0.019, CI=− 0.082 to − 0.006, p=0.023), nationality (B=− 0.168, SE=0.024, CI=− 0.215 to − 0.122, p< 0.001), presence of vision impairment (B=− 3.177, SE=1.429, CI=− 5.981 to − 0.372, p=0.026), and heart disease (B=2.118, SE=1.013, CI=0.130 to 4.106, p=0.037) as predictors of risky behavior (p< 0.001).Conclusion: Minor risk behaviors among pilgrims can lead to increased morbidity, mortality, and logistical challenges. Guidance promoting healthy practices before and during the pilgrimage is essential to mitigate these risks and reduce adverse outcomes.Keywords: risk behaviours, physical activity, chronic diseases, direct sunlight
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spelling doaj-art-7d70ba95eabb43399ef8fad9c09a3f952025-08-20T02:43:55ZengDove Medical PressRisk Management and Healthcare Policy1179-15942025-07-01Volume 18Issue 122332245104435Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional StudySamarkandi O0Alamri FA1Alhazmi J2Alsaleh GS3Alsehdwei KA4Alabdullatif L5Alazmy W6Khan A7Department of Basic ScienceGlobal Center for Mass Gathering Medicine (GCMGM)Global Center for Mass Gathering Medicine (GCMGM)Global Center for Mass Gathering Medicine (GCMGM)Ministry of HealthGlobal Center for Mass Gathering Medicine (GCMGM)Department of Basic ScienceDepartment of Emergency MedicineOsama Samarkandi,1 Fahad Abdulrahman Alamri,2 Jumanah Alhazmi,2 Ghadah Sulaiman Alsaleh,2 Kwather Atteyah Alsehdwei,3 Lames Alabdullatif,2 Waleed Alazmy,1 Anas Khan4 1Department of Basic Science, Prince Sultan College for Medical Emergencies, King Saud University, Riyadh, Saudi Arabia; 2Global Center for Mass Gathering Medicine (GCMGM), Ministry of Health, Riyadh, Saudi Arabia; 3Ministry of Health, Department of Medicine, Riyadh, Saudi Arabia; 4Department of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Osama Samarkandi, Department of Basic Science, Prince Sultan College for Medical Emergencies, King Saud University, Riyadh, Saudi Arabia, Email osamarkandi@KSU.EDU.SABackground and Objective: The Hajj, a massive annual pilgrimage to Mecca, attracts over 2 million participants. The physically demanding rituals, extreme heat, and crowding increase the risk of injuries worsen chronic conditions, and facilitate infectious disease transmission. Therefore, this study aims to assess the risk behavior and associated factors among pilgrims during the Hajj season of 2024.Methods: A cross-sectional study was conducted among pilgrims during the Hajj season from June 25 to July 30, 2024. The data were randomly collected from departures at Jeddah’s King Abdulaziz International Airport and analyzed using the Statistical Package for the Social Sciences (SPSS).Results: Out of the 1183 pilgrims, 47.5% were male (n=562). The mean age was 54.98± 13.96. Risky behaviors were common among pilgrims: 26.9% (n = 318) did not use umbrellas in direct sunlight, and 49.6% preferred walking over using transportation. Additionally, 51.7% did not take prescribed medication, and 59.9% did not seek urgent care for severe symptoms. The mean risk-taking behavior score was 3.24± 1.05, with 36.6% of pilgrims exhibiting high-risk behavior and 63.4% exhibiting low-risk behavior. Significant associations were found between risk behavior and education (χ² = 96.502, p < 0.001), nationality (χ² = 69.681, p < 0.001), and certain health conditions (asthma, hearing and vision impairment, and heart disease). Multiple linear regression identified gender (B=0.218, SE=0.059, CI=0.102 to 0.334, p< 0.001), education (B=− 0.044, SE=0.019, CI=− 0.082 to − 0.006, p=0.023), nationality (B=− 0.168, SE=0.024, CI=− 0.215 to − 0.122, p< 0.001), presence of vision impairment (B=− 3.177, SE=1.429, CI=− 5.981 to − 0.372, p=0.026), and heart disease (B=2.118, SE=1.013, CI=0.130 to 4.106, p=0.037) as predictors of risky behavior (p< 0.001).Conclusion: Minor risk behaviors among pilgrims can lead to increased morbidity, mortality, and logistical challenges. Guidance promoting healthy practices before and during the pilgrimage is essential to mitigate these risks and reduce adverse outcomes.Keywords: risk behaviours, physical activity, chronic diseases, direct sunlighthttps://www.dovepress.com/health-risk-behaviors-and-associated-factors-among-hajj-2024-pilgrims--peer-reviewed-fulltext-article-RMHPRisk behavioursPhysical activityChronic diseasesDirect sunlight
spellingShingle Samarkandi O
Alamri FA
Alhazmi J
Alsaleh GS
Alsehdwei KA
Alabdullatif L
Alazmy W
Khan A
Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study
Risk Management and Healthcare Policy
Risk behaviours
Physical activity
Chronic diseases
Direct sunlight
title Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study
title_full Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study
title_fullStr Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study
title_full_unstemmed Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study
title_short Health Risk Behaviors and Associated Factors Among Hajj 2024 Pilgrims: A Multinational Cross-Sectional Study
title_sort health risk behaviors and associated factors among hajj 2024 pilgrims a multinational cross sectional study
topic Risk behaviours
Physical activity
Chronic diseases
Direct sunlight
url https://www.dovepress.com/health-risk-behaviors-and-associated-factors-among-hajj-2024-pilgrims--peer-reviewed-fulltext-article-RMHP
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