Mpox Awareness and Knowledge Among Residents of the Northern Border Region, Saudi Arabia: Implications for Community Preparedness.

In August 2024, the World Health Organization declared the ongoing mpox upsurge in Africa a Public Health Emergency of International Concern, underscoring mpox as an emerging global threat. In non‑endemic countries such as Saudi Arabia, understanding community awareness is critical for public health...

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Publicado en:Journal of Community Health Vol. 51; no. 4; pp. 549 - 563
Autores principales: Abu Alsel, Baraah, Alenezi, Elaf Ali A., Alanazi, Hajar Abdullah K., Alenezi, Fai Tulail N., Alenezi, Waten led Atiwi, Al Suogaih, Munirah Suliman, Alanazi, Rimas Khalid A., Al Suogaih, Norah Suliman, Esmaeel, Safya E., Mersal, Fathia Ahmed, Fahmy, Eslam K., Ismail, Mohammed M., Fawzy, Manal S.
Formato: Artículo
Publicado: Springer Nature Aug2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Mpox Awareness and Knowledge Among Residents of the Northern Border Region, Saudi Arabia: Implications for Community Preparedness.
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          Abu Alsel, Baraah
          Alenezi, Elaf Ali A.
          Alanazi, Hajar Abdullah K.
          Alenezi, Fai Tulail N.
          Alenezi, Waten led Atiwi
          Al Suogaih, Munirah Suliman
          Alanazi, Rimas Khalid A.
          Al Suogaih, Norah Suliman
          Esmaeel, Safya E.
          Mersal, Fathia Ahmed
          Fahmy, Eslam K.
          Ismail, Mohammed M.
          Fawzy, Manal S.
        affil:
          https://ror.org/01bazpc66 Medical Sciences and Preparatory Year Department, North Private College of Nursing, 73244, Arar, Saudi Arabia
          https://ror.org/03j9tzj20 Faculty of Medicine, Northern Border University, 91431, Arar, Saudi Arabia
          https://ror.org/03j9tzj20 Physiology Department, College of Medicine, Northern Border University, 91431, Arar, Saudi Arabia
          https://ror.org/03j9tzj20 Department of Public Health Nursing, Faculty of Nursing, Northern Border University, 73312, Arar, Saudi Arabia
          https://ror.org/03j9tzj20 Department of Anatomy, Faculty of Medicine, Northern Border University, 91431, Arar, Saudi Arabia
          https://ror.org/03j9tzj20 Center for Health Research, Northern Border University, 73213, Arar, Saudi Arabia
      su:
        Saudi Arabia
        Health literacy
        Cross-sectional method
        Health behavior
        Communication
        Sociodemographic factors
        Risk assessment
        Random forest algorithms
        Data analysis
        Receiver operating characteristic curves
        Kruskal-Wallis Test
        Logistic regression analysis
        Questionnaires
        Statistical sampling
        Research evaluation
        Mann Whitney U Test
        Descriptive statistics
        Multivariate analysis
        Surveys
        Odds ratio
        Monkeypox
        Research methodology
        Statistics
        Machine learning
        Confidence intervals
        Accuracy
        Data analysis software
      sug:
        subj:
          Health literacy
          Cross-sectional method
          Health behavior
          Communication
          Sociodemographic factors
          Saudi Arabia
          Marketing Research and Public Opinion Polling
          Risk assessment
          Random forest algorithms
          Data analysis
          Receiver operating characteristic curves
          Kruskal-Wallis Test
          Logistic regression analysis
          Questionnaires
          Statistical sampling
          Research evaluation
          Mann Whitney U Test
          Descriptive statistics
          Multivariate analysis
          Surveys
          Odds ratio
          Monkeypox
          Research methodology
          Statistics
          Machine learning
          Confidence intervals
          Accuracy
          Data analysis software
      keyword:
        Community health
        Cross‑sectional study
        Health education
        Medical and Health Sciences Public Health and Health Services
        Mpox
        Northern Border Region
        Public awareness
        Public health
        Community health
        Cross‑sectional study
        Health education
        Medical and Health Sciences Public Health and Health Services
        Mpox
        Northern Border Region
        Public awareness
        Public health
      ab: In August 2024, the World Health Organization declared the ongoing mpox upsurge in Africa a Public Health Emergency of International Concern, underscoring mpox as an emerging global threat. In non‑endemic countries such as Saudi Arabia, understanding community awareness is critical for public health preparedness and prevention. This study assessed mpox awareness and knowledge among residents of the Northern Border Region and identified factors associated with better knowledge, to inform targeted community‑based health communication strategies. A community‑based cross‑sectional survey was conducted between 1 March and 20 August 2025 among 1,362 adults. A structured, pre‑validated questionnaire assessed general knowledge, symptom recognition, and preventive measures. Knowledge scores (0–15) were summarized descriptively and categorized as poor, moderate, or good. Ordinal logistic regression and machine‑learning classifiers were used to identify predictors of higher knowledge and to explore the prediction of adequate knowledge from sociodemographic characteristics and prior mpox awareness, supporting risk stratification for community interventions. Among 1,362 participants (78.1% female; 56.8% aged 18–30 years), 48.4% had previously heard of mpox. Overall knowledge was suboptimal (mean 7.64/15; 50.9% correct); 48.3% had poor knowledge, 38.2% moderate, and 13.5% good. Suboptimal knowledge across sociodemographic groups suggests substantial vulnerability to future mpox introductions in this border region. Social media and other internet sources were the main information channels, underscoring their potential as primary platforms for risk communication. In multivariable ordinal regression, prior mpox awareness was the strongest predictor of higher knowledge (adjusted odds = 4.1), alongside higher education and health‑related occupations. Logistic‑regression–based machine‑learning models showed moderate discrimination and acceptable calibration (AUC‑ROC = 0.72; Brier = 0.19), with prior awareness consistently the most important feature. Mpox knowledge in the Northern Border Region is suboptimal and low across sociodemographic groups, particularly among less educated and non‑health‑sector participants. Prior exposure to mpox information is a central, modifiable determinant of adequate knowledge, underscoring the need for targeted, evidence‑based communication strategies, particularly via widely used digital platforms. Tailored community‑level interventions focusing on less educated and non‑health‑sector groups are essential to strengthen mpox preparedness and broader infectious‑disease readiness in this underserved border region.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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