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DOI: 10.1055/s-0045-1806774
HIV-/AIDS-Related Knowledge and Attitudes among Saudi Health Professionals and Students: A Review Article
Funding None.

Abstract
Human immunodeficiency virus (HIV) is an infection that attacks the immune system of the body, while acquired immunodeficiency syndrome (AIDS) is the most advanced stage of the disease. It has been reported that 9 out of every 10 cases in Saudi Arabia remain undiagnosed. All health care staff are at risk of HIV infection with the increasing numbers of HIV-positive patients.
This study reviewed the literature on HIV- and AIDS-related knowledge and attitudes among Saudi health professionals and students. A literature search using combined keywords was performed in three scientific databases of peer-reviewed publications during the past 10 years (2014–2024), leaving a final selection of 19 studies included in the review.
A variety of health professionals/students have been studied. Most of the studies reported major misconceptions or unsatisfactory level of knowledge, negative attitudes, and behaviors. The most commonly used sampling approach was convenience sampling.
This review highlighted the importance of continuously evaluating health professionals'/students' knowledge and attitudes regarding HIV/AIDS. The recommendations by most of the studies that institutions tailor their educational approach to adopt the most efficient and effective ways of spreading HIV/AIDS awareness and increasing health workers' knowledge through in-service training might enhance their perceived confidence and thus their willingness and attitudes toward treating such patients.
Keywords
attitudes - behavior - health students - health workers - HIV/AIDS - knowledge - review - Saudi ArabiaPublication History
Article published online:
24 April 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 World Health Organization. HIV and AIDS Key Facts. World Health Organization. Accessed August 24, 2024 at: https://www.emro.who.int/asd/country-activities/saudi-arabia.html
- 2 Al-Mazrou YY, Al-Jeffri MH, Fidail AI, Al-Huzaim N, El-Gizouli SE. HIV/AIDS epidemic features and trends in Saudi Arabia. Ann Saudi Med 2005; 25 (02) 100-104
- 3 World Health Organization. Saudi Arabia HIV/AIDS Country Profile 2020. Geneva: World Health Organization; 2020
- 4 Al-Amoudi SM, Al-Harbi AA, Al-Sayegh NY. et al. Health rights knowledge among medical school students at King Abdulaziz University, Jeddah, Saudi Arabia. PLoS One 2017; 12 (05) e0176714
- 5 Alotaibi S, Hamwi S, Albahli H, Alharbi F, Aldahyan A, Shenoy M. A comparison between the knowledge and attitude of private and public universities dental student regarding HIV, Riyadh, Saudi Arabia. IJHS 2023; 6: 1-12
- 6 Bamashmous S, Almalki F, Alrefaei W. et al. Evaluation of knowledge and attitude of dental hygienists and dental assistants regarding people living with HIV/AIDS and HIV-associated oral and periodontal lesions in Jeddah, Saudi Arabia. Cureus 2024; 16 (02) e53719
- 7 Beltrami EM, Williams IT, Shapiro CN, Chamberland ME. Risk and management of blood-borne infections in health care workers. Clin Microbiol Rev 2000; 13 (03) 385-407
- 8 Senbato FR, Wolde D, Belina M. et al. Compliance with infection prevention and control standard precautions and factors associated with noncompliance among healthcare workers working in public hospitals in Addis Ababa, Ethiopia. Antimicrob Resist Infect Control 2024; 13 (01) 32
- 9 Edmond MB, Wenzel RP. Infection prevention in the health care setting. In: Bennett JE, Dolin R, Blaser MJ. eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Philadelphia, PA: Elsevier; 2015
- 10 Abiadh AAS, Jabali MA, Sahal RM, Alzahrani TA, Nassar AA, Marghalani AA. Knowledge and attitude of dental students toward HIV infection in Umm Al-Qura University, Saudi Arabia. J Family Med Prim Care 2022; 11 (10) 6438-6443
- 11 Ahmed MM. Dentists and dental hygienists' comprehension of HIV infection associated periodontal implications and management. Front Publ Health 2024; 12: 1370112
- 12 Malli IA, Hamdan D, Aljahdali A. et al. Medical interns' knowledge, attitude, and practice toward people living with HIV: multicenter experience from Saudi Arabia. HIV AIDS (Auckl) 2023; 15: 571-582
- 13 Aziz MM, Abdelrheem SS, Mohammed HM. Stigma and discrimination against people living with HIV by health care providers in Egypt. BMC Health Serv Res 2023; 23 (01) 663
- 14 Alharbi HHO, Al-Dubai SAR, Almutairi RMH, Alharbi MH. Stigmatization and discrimination against people living with HIV/AIDS: knowledge, attitudes, and practices of healthcare workers in the primary healthcare centers in Madinah, Saudi Arabia, 2022. J Family Community Med 2022; 29 (03) 230-237
- 15 Alenezi A. Stigmatization and discrimination towards human immunodeficiency virus seropositive patients in psychiatric and mental health facilities. Int J Ment Health Nurs 2022; 31 (05) 1198-1212
- 16 Alali FM, Tarakji B, Alqahtani AS. et al. Assessment of knowledge and attitude of dental students towards HIV and its oral manifestations in Saudi Arabia: a cross-sectional study. Healthcare (Basel) 2022; 10 (08) 1379
- 17 Mostafa A, Alrefaei N, Alraddadi A. et al. Knowledge and attitude concerning the dental treatment of patients with HIV/AIDS among dental students and dentists in Saudi Arabia. J Pharm Res Int 2021; 33 (48) 312-322
- 18 Ansari SH, Alkhayyal AA, Alhamoud A. et al. Knowledge and attitude of dental students towards the oral care of HIV/AIDS patients. Med Sci 2020; 24 (106) 4249-4257
- 19 AlQumayzi AS, Alsaab BA, Maskati MS. et al. Knowledge and attitudes toward HIV among medical and non-medical students in Riyadh, Saudi Arabia. IJMDC 2020; 4 (12) 2120-2120
- 20 Alzahrani HM, Awadalla NJ, Hadi RA. et al. Knowledge, attitude and practice of health care workers towards HIV patients at primary health care level in southwestern Saudi Arabia: twenty-five years after the initial report. WFM/MEJFM 2019; 17 (06) 4-8
- 21 Alshouibi E, Alaqil F. HIV-related discrimination among senior dental students in Jeddah. J Int Soc Prev Community Dent 2019; 9 (03) 219-224
- 22 Alawad M, Alturki A, Aldoghayyim A, Alrobaee A, Alsoghair M. Knowledge, attitudes, and beliefs about HIV/AIDS and people living with HIV among medical students at Qassim University in Saudi Arabia. Int J Health Sci (Qassim) 2019; 13 (05) 22-30
- 23 Al-Qahtani SM, Saquib S, Ibrahim WSA. et al. Evaluation of knowledge, attitude and risk perception about human immunodeficiency virus infection among dental students in Saudi Arabia. Ann Med Health Sci Res 2019; 9: 558-563
- 24 Kumar S, Tadakamadla J, Areeshi AYBH, Tobaigy HAWM. Knowledge and attitudes towards HIV/AIDS among dental students of Jazan University, Kingdom Saudi Arabia. Saudi Dent J 2018; 30 (01) 47-52
- 25 Alshouibi EN, AlAlyani WS. Human immunodeficiency virus related discrimination in general dentistry. Saudi Med J 2018; 39 (11) 1148-1153
- 26 Alhamoud RMH, Sharwani JA-a, Halawi SAA, Jarad RGA, Kariri KIA, Swead FAA. Survey of the knowledge, attitude and practice of surgery trainees to HIV-infected persons and AIDS patients in Riyadh, Saudi Arabia. IAJPS 2018; 5 (12) 17205-17211
- 27 Memish ZA, Filemban SM, Bamgboyel A, Al Hakeem RF, Elrashied SM, Al-Tawfiq JA. Knowledge and attitudes of doctors toward people living with HIV/AIDS in Saudi Arabia. J Acquir Immune Defic Syndr 2015; 69 (01) 61-67
- 28 Capili B. Cross-sectional studies. Am J Nurs 2021; 121 (10) 59-62
- 29 Al-Mazrou YY, Abouzeid MS, Al-Jeffri MH. Knowledge and attitudes of paramedical students in Saudi Arabia toward HIV/AIDS. Saudi Med J 2005; 26 (08) 1183-1189
- 30 Wang X. Use of proper sampling techniques to research studies. ACE 2024; 57: 141-145
- 31 Andrade C. Sample size and its importance in research. Indian J Psychol Med 2020; 42 (01) 102-103
- 32 Fincham JE. Response rates and responsiveness for surveys, standards, and the journal. Am J Pharm Educ 2008; 72 (02) 43
- 33 Ahmed I, Ishtiaq S. Reliability and validity: importance in medical research. J Pak Med Assoc 2021; 71 (10) 2401-2406
- 34 Pourhoseingholi MA, Baghestani AR, Vahedi M. How to control confounding effects by statistical analysis. Gastroenterol Hepatol Bed Bench 2012; 5 (02) 79-83
- 35 Al-Zahrani AO, Farahat F, Zolaly EN. Knowledge and practices of healthcare workers in relation to bloodborne pathogens in a tertiary care hospital, Western Saudi Arabia. J Community Health 2014; 39 (05) 959-964
- 36 Farouk M, Hetta HF, Abdelghani M. et al. Knowledge, attitude, and practice (KAP) study of Egyptian physicians towards HIV infection: a multicentre study. J Infect Dev Ctries 2024; 18 (07) 1100-1107
- 37 Khan TM, Baig MR. Hospital pharmacists' knowledge about and attitude toward HIV/AIDS and patients living with HIV/AIDS in Kedah, Malaysia. Arch Med Sci 2013; 9 (06) 1117-1124
- 38 De Leon WAMG, Caoili JC. Assessment of knowledge, attitudes, beliefs and practices among doctors, nurses and other allied health practitioners in Makati Medical Center with regards to the care of patients with human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS): a descriptive cross-sectional study. Philipp J Intern Med 2022; 60 (03) 154-161
- 39 Mosende AG, Lacambra CB, De los Santos JA. Knowledge, attitudes, and behaviors toward HIV/AIDS among health care workers' in urban cities in Leyte Philippines. MJN 2023; 14 (03) 185-193
- 40 Alsamghan AS. Knowledge and attitude of male dental students toward HIV/AIDS in King Khalid University, Saudi Arabia. Int J Public Health Epidemiol 2012; 1 (01) 1-8
- 41 Hakami EF, Alghamdi AM, Alwayel ZA. et al. Knowledge about HIV and stigmatizing attitudes of medical students in Saudi Arabia towards patients with HIV/AIDS: a cross-sectional nationwide study. Curr HIV Res 2024; 22 (04) 249-258
- 42 Shivanna MM, Naik S, Khanagar SB, Divakar DD, Patel II, Al Kheraif AA. Comparison of knowledge, attitude and concern about HIV/AIDS patients among dental students: a cross sectional survey. Afr J Reprod Health 2021; 25 (03) 113-120
- 43 Dhanya RS, Hegde V, Anila S, Sam G, Khajuria RR, Singh R. Knowledge, attitude, and practice towards HIV patients among dentists. J Int Soc Prev Community Dent 2017; 7 (02) 148-153
- 44 AlSadrah S. The role of stigma in preventing early HIV detection in the Middle East and North Africa. Biosci Res 2021; 18 (04) 2546-2552
- 45 Aldhaleei WA, Bhagavathula AS. HIV/AIDS-knowledge and attitudes in the Arabian Peninsula: a systematic review and meta-analysis. J Infect Public Health 2020; 13 (07) 939-948
- 46 Khan SA, Liew ML, Omar H. Role of ethical beliefs and attitudes of dental students in providing care for HIV/AIDS patients. Saudi Dent J 2017; 29 (01) 7-14
- 47 Arheiam A, El Tantawi M, Al-Ansari A. et al. Arab dentists' refusal to treat HIV positive patients: a survey of recently graduated dentists from three Arab dental schools. Acta Odontol Scand 2017; 75 (05) 355-360
- 48 Al-Mazrou YY, Abouzeid MS, Al-Jeffri MH. Impact of health education on knowledge and attitudes of Saudi paramedical students toward HIV/AIDS. Saudi Med J 2005; 26 (11) 1788-1795
- 49 Ali MHM, Osman OB, Ibrahim MAM, Ahmed WAM. The effect of AIDS peer health education on knowledge, attitudes, and practices of secondary school students in Khartoum, Sudan. AIMS Public Health 2015; 2 (04) 718-726
- 50 Ajisegiri WS, Abubakar AA, Gobir AA, Balogun MS, Sabitu K. Palliative care for people living with HIV/AIDS: factors influencing healthcare workers' knowledge, attitude and practice in public health facilities, Abuja, Nigeria. PLoS One 2019; 14 (12) e0207499