PMC:7796344 / 11616-15479 JSONTXT

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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7796344","sourcedb":"PMC","sourceid":"7796344","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7796344","text":"3. Results\n1012 questionnaires were completed by the participants with 41 nationalities represented.\n\n3.1. Sociodemographic Characteristics\nAs shown in Table 1, the majority of participants were male (n = 656, 64.8%), with 34.6% female (n = 356), and married (n = 773, 76.3%). Pilgrims were from Iraq (n = 177, 17.5%) followed by Egypt (n = 161, 15.9 %), Sudan (n = 113, 11.1%), Indonesia (n = 111, 11%) and Pakistan (n = 92, 9.1%), respectively, as per Table 2.\n\n3.2. Level of Education\nWhile the majority had attended high school or above (n = 622, 61.4%), there was a proportion with only a basic level of reading and writing ability (n = 94, 9.3%), with some describing themselves as illiterate (n = 58, 5.7%).\n\n3.3. Medical Condition\nChronic disease including multimorbidity was reported among pilgrims. Cardiovascular diseases were the most prevalent (n = 164, 42.4%), followed by diabetes mellitus (n = 139, 37%), as per Table 1.\n\n3.4. Immunization History\nDespite the Umrah visa requirements, some pilgrims (n = 223; 22%) had not received any vaccination prior to travel; however, others had received influenza vaccine (n = 514; 50.8%), meningitis vaccination (n = 418; 41.3%), Hepatitis B vaccine (HBV) (n = 310; 30.6%), and poliomyelitis vaccination (n = 285; 28.1%) (Table 3).\nIn the case of poliomyelitis vaccination for pilgrims attending from countries listed at the time of the 2019 Umrah as polio active, some of the pilgrims had not taken a polio vaccine before travelling from at risk countries including Pakistan (n = 34/92; 31.2%) and Afghanistan (n = 16/80; 12.8%) [21].\n\n3.5. Duration of Stay in Makkah and Madinah\nThe majority of participants stayed in Makkah for less than two weeks (n = 660, 65.2%) and in Madinah for less than a week (n = 614, 60.6%) (Table 3).\n\n3.6. Health Education\nThe majority of pilgrims had received some form of health education (n = 799, 78.9%) described as self-education (n = 185, 23.2%); however, a proportion (n = 123, 12.1%) indicated that they had not received any (Table 4). The majority received health education in their homeland (n = 450, 44.4%) or on arrival in Saudi Arabia (n= 201, 19.8%). Many believed that the health education they had received was helpful (n = 661, 65.3%) or helpful “to some extent” (n = 216; 21.3%); however, some pilgrims (n = 135; 13.3%) did not find the health education helpful. The most cited source of health education was lectures (n = 262; 25.8%), followed by travel clinics (n = 134; 13.2%), followed by family and friends (n = 127, 12.5%), followed by health care providers (n = 122, 12%), as per Table 4.\n\n3.7. Practice of Preventative Measures\nNearly a third of pilgrims (n = 305; 30.1%) never wore a face mask in crowded areas during Umrah in 2019. In contrast, similar numbers said they always wore a face mask (n = 351, 34.6%) in crowded areas. The majority of pilgrims (n = 840, 82.9%) did wash their hands with soap and water or sanitizers after coughing and sneezing. Most pilgrims reported that they never used an umbrella or hat to protect them from the sun (n = 509, 50.2%), while some always used an umbrella or hat (n = 144, 14.2%) (Table 5).\nTable 6 shows the responses to items on aspects of availability and the sources of Personal Protective Equipment. Many pilgrims reported face masks were not available (n = 642, 63.4%).\nTable 7 reports the association between receiving some form of health education and practicing of preventative measures by pilgrims. Receiving health education was significantly associated with the wearing of face masks in crowded areas (p = 0.04) and healthy practice score (i.e., washing hands with water, soap, or sanitizers, use of personal tools, disposing of used tissues in waste bin) (p = 0.02).\nTable 8 indicates that the majority of pilgrims were very satisfied with the Saudi Arabian MOH Services (n = 734, 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