Beyond COVID-19: knowledge, awareness, perception, and attitudes toward olfactory dysfunction and its causes among the general adult population in Jazan, Saudi Arabia
Radeif Essa Shamakhi, Elyas Yahya Al-Ibrahim, Ahmed Y Alkadi, Faisal Mohammed Jathmi, Raum Y. Musawi, Nura Gassim Halawi, Abdulrahman Oudah Shaker, Amal Anwar Badri, Abrar Ali Hakami, Wed Hamoud Abu tawil, Layan Ahmed Humadi, Layan Abdulwahab Algaedy, Khalid Mohammed Alajam, Jana yahya mokeli, Ahmed Yasif Almindil<p><strong>Background:</strong> The sense of smell is often undervalued, yet its loss carries real safety, nutritional, and emotional costs. In Saudi Arabia, public-awareness research has framed smell loss almost only as a COVID-19 symptom, leaving broader understanding unexplored.</p> <p><strong>Subjects and Methods:</strong> A descriptive, analytical cross-sectional survey was conducted among 543 adults in Jazan. A structured, self-administered Arabic questionnaire assessed Knowledge, Awareness, Perception, and Attitude (KAP) domains. Data were analysed in SPSS v29 using chi-square tests, Spearman correlation, and multivariable logistic regression.</p> <p><strong>Results:</strong> Mean age was 36.80 ± 13.38 years; 425 (78.3%) participants were male. The overall KAP score was 75.77 ± 17.06%. Knowledge was poor in 283 (52.1%) and good in only 161 (29.7%) participants; the COVID-19-specific item was answered correctly by just 187 (34.4%). Awareness was good in 359 (66.1%) participants. Perception and Attitude were good in 341 (62.8%) and 339 (62.4%) participants, respectively. Health-related occupational background independently predicted good knowledge (adjusted odds ratio [aOR] 1.87, 95% confidence interval [CI] 1.20–2.92). Bachelor-level education predicted favourable attitude (aOR 1.76), while student status lowered it (aOR 0.47). Knowledge correlated positively with awareness (rho = 0.500) and, more weakly, with attitude (rho = 0.271).</p> <p><strong>Conclusion:</strong> Public knowledge of olfactory dysfunction beyond COVID-19 remains limited, even though perception and attitude are largely favourable. Targeted health education, aimed at less-educated groups and students, could help close this gap.</p> <p> </p>