Awareness and Knowledge of Celiac Disease Among the General Population in Saudi Arabia

Khalid I. AlHussaini, Bassam Abdulaziz Alhusaini, Saad Abdullah Alzmamy, Omar Abdulaziz Alfozan, Abdulaziz Mohammed Alnayil, Turki Sulaiman Algannas, Turki Yazeed Alassaf, Osamah A. Hakami

Abstract


Celiac disease (CD) is an immune-mediated systemic disorder affecting nutrient absorption triggered by both environmental (gluten) and genetic factors. This study aimed to determine the level of awareness and knowledge of CD among the general population of Saudi Arabia. A community-based online cross-sectional study was conducted between August and October 2022 to examine the awareness regarding signs, symptoms, complications, and treatment of celiac disease. Data were collected and analyzed from 1,675 participants distributed across the five regions in Saudi Arabia. Analysis shows that 65.1% of the participants were familiar with the symptoms of celiac disease, and 49.6% confirmed that symptoms, blood tests, and endoscopy are the best way to diagnose celiac disease. The mean awareness score for the study participants was 71.8 (SD 13.9), with 5.2% of the participants needed a better level of awareness. Having a family history of celiac disease was an important predictor of having a higher level of awareness of celiac disease (p<0.001). The general public in Saudi Arabia demonstrates a moderate to high level of awareness of CD, emphasizing the need for extensive efforts to maintain high awareness of CD among the general public.

Keywords


Awareness; Celiac disease, general population, gluten sensitivity, Saudi Arabia

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References


  1. Fasano A, Catassi C. Clinical practice. Celiac disease. N Engl J Med. 2012;367(25):2419–26. doi:10.1056/NEJMcp1113994
  2. Gujral N, Freeman HJ, Thomson AB. Celiac disease: prevalence, diagnosis, pathogenesis and treatment. World J Gastroenterol. 2012;18(42):6036–59. doi:10.3748/wjg.v18.i42.6036
  3. Gweon TG, Lim CH, Byeon SW. [A case of celiac disease]. Korean J Gastroenterol. 2013;61(6):338–42. doi:10.4166/kjg.2013.61.6.338
  4. Aljebreen AM, Almadi MA, Alhammad A, Al Faleh FZ. Seroprevalence of celiac disease among healthy adolescents in Saudi Arabia. World J Gastroenterol. 2013;19(15):2374–8. doi:10.3748/wjg.v19.i15.2374
  5. El-Metwally A, Toivola P, AlAhmary K. The epidemiology of celiac disease in the general population and high-risk groups in Arab Countries: a systematic review. Biomed Res Int. 2020;2020:6865917. doi:10.1155/2020/6865917
  6. Khafagy AA, Qari WK, Filimban SS, Bahalaq AM, Bulkhi AA. A Cross-sectional study of celiac disease awareness in the food industry in the Western Region of Saudi Arabia. Cureus. 2022;14(6):e25613. doi:10.7759/cureus.25613
  7. Alasmari Y, AlgethamI R, Ali N. Prevalence of celiac disease and its associated risk factors among children in the Kingdom of Saudi Arabia: A systematic review. Indo Am J P Sci. 2018;5(11):11593–600.
  8. Alhussain M. Awareness of Celiac Disease among the General Public in Saudi Arabia. Int. J. Celiac Dis. 2021;9:71–6. doi:10.12691/ijcd-9-2-4
  9. Taşkın B, Savlak N. Public awareness, knowledge and sensitivity towards celiac disease and gluten-free diet is insufficient: a survey from Turkey. Food Sci. Technol. 2020;41. doi:10.1590/fst.07420
  10. Madden J. Celiac disease: more common yet “atypical” than previously thought. J Pediatr Neonatal Care. 2016;4:1-6. doi:10.15406/jpnc.2016.04.00123
  11. Hadjivassiliou M, Sanders DS, Grünewald RA, Woodroofe N, Boscolo S, Aeschlimann D. Gluten sensitivity: from gut to brain. Lancet Neurol. 2010;9(3):318–30. doi:10.1016/S1474-4422(09)70290-X
  12. Qasem WA, Roumi AA, Al Mojil K, Sakijha H, AlMughamis N. Awareness of celiac disease among the public in Kuwait: a cross-sectional survey. BMC Res. Notes. 2023;16(1):133. doi:10.1186/s13104-023-06415-x
  13. Aktas G. Establishment the Diagnosis of Celiac Disease. J Coll Physicians Surg Pak. 2019;29(12):1234–5. doi:10.29271/jcpsp.2019.12.1234
  14. Hybenová E, Štofirová J, Mikulajová A. Celiac disease and gluten-free diet. Potravinarstvo. 2013;7doi:10.5219/276
  15. Muggiano F, Quaranta A, Giannantoni I. Major dental clinical pathological manifestation of celiac disease. WebmedCentral Oral Medicine 2013;4(11):WMC004448
  16. Cosnes J, Nion-Larmurier I. [Complications of celiac disease]. Pathologie-biologie. 2013;61(2):e21–6. Les complications de la maladie cœliaque. doi:10.1016/j.patbio.2011.03.004
  17. Fiorilo C. Editorial Note on Celiac Disease. J. Clin. Gastroenterol. 2021;6(1):1.
  18. Jabeen R. Complications of celiac disease [Internet]. Celiac Disease-From the Bench to the Clinic. IntechOpen; 2019. Available from: http://dx.doi.org/10.5772/intechopen.80465.
  19. Zevallos V, Herencia I. The gluten-free diet. Encyclopedia of Food Grains. 2016;2;91–7. doi:10.1016/B978-0-12-394437-5.00086-3
  20. Marciniak M, Szymczak-Tomczak A, Mahadea D, Eder P, Dobrowolska A, Krela-Kaźmierczak I. Multidimensional disadvantages of a gluten-free diet in celiac disease: a narrative review. Nutrients. 2021;13(2):643. doi:10.3390/nu13020643
  21. Raymond N, Heap J, Case S. The gluten-free diet: an update for health professionals. Practical Gastroenterology. 2006;30:1-11.
  22. Zingone F, Capone P, Ciacci C. Celiac disease: Alternatives to a gluten free diet. World J Gastrointest Pharmacol Ther. 2010;1(1):36–9. doi:10.4292/wjgpt.v1.i1.36
  23. Lee A, Iskander J, Gupta N. What’s hot in the red journal this month. Am J Gastroenterol. 2011;106:1407–9. doi:10.1038/ajg.2011.243
  24. Bagri DD, Gupta D, Mathur P. Assessment of parents’ and child’s attitude as barrier to dietary compliance in celiac disease. IJCP. 2016;15:53–8. doi:10.9790/0853-1508065358
  25. Lerner A, Matthias T. Increased knowledge and awareness of celiac disease will benefit the elderly. Int. J. Celiac Dis. 2015;3:112–4. doi:10.12691/ijcd-3-3-6




DOI: https://doi.org/10.15395/mkb.v56.3674

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