ArticleAtencion primaria2026
Perception of obesity among adults as health-related priority in Saudi Arabia. A cross-sectional survey among Riyadh primary healthcare centers attendees.
Article in Atencion primaria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo explore perception of obesity as a health priority among primary healthcare attendees in Riyadh.
designA cross-sectional study was conducted between March and July 2023. SITE: Forty-eight randomly selected primary health care (PHC) centers in Riyadh.
participantsA total of 14,239 adults were recruited through multistage cluster sampling and administered an electronic questionnaire. MAIN MEASUREMENTS: The primary outcome was the participants' perception of obesity as a health priority (Yes/No). Independent variables included sociodemographic characteristics (age, gender, education), behavioral factors (smoking, activity, diet), and clinical history (diabetes, hypertension, heart disease).
resultsObesity was perceived as a significant public health issue within their communities by 71.7% (n=10,207) of the respondents. Multivariable logistic regression showed that age ≥50 (adjusted odds ratio (AOR) 1.27; 95% CI: 1.15-1.39, P<.001), male gender (AOR 1.14; 95% CI: 1.06-1.23, P=.001), and no health insurance coverage (AOR 1.21; 95% CI: 1.12-1.32, P<.001) predicted greater prioritization of obesity. Clinically, diabetes (AOR 1.23, P=.006), hypercholesterolemia (AOR 1.31, P=.003), and heart disease (AOR 1.38, P=.02) were significant independent predictors.
conclusionAlthough there is significant community awareness about obesity, perception is strongly dependent on age, gender, and the presence or absence of symptomatic co-morbidities. Therefore, public health campaigns need to capitalize on this established awareness to promote behavior modification, especially among young and insured individuals who often overlook obesity as serious medical condition.
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