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Prof. Osama A Samarkandi

Professor

Faculty Member

Prince Sultan College for emergency medical services
Prince Sultan Bin Abdulaziz College for Emergency Medical Services
publication
Journal Article
2025

Prevalence of Insomnia and its Characteristics among Pilgrims in the 2024 Hajj: A Roadmap to Enhancing Health Services

Prevalence of Insomnia and its Characteristics among Pilgrims in the 2024 Hajj: A Roadmap to Enhancing Health Services

Factors health insomnia mass gathering Saudi Arabia staying awake

Abstract

Religious pilgrimages, such as the Hajj, are widely publicized gatherings that attract
millions of people worldwide. These events can strain the public health resources of the host nation, necessitating
a high level of readiness and response capacity. This study aims to evaluate the Prevalence of Insomnia and its
characteristics among pilgrims during the 2024 Hajj. Materials and Methods: A cross-sectional questionnaire
study was conducted over one month in 2024 at the Jeddah International Airport. The questionnaire contained
sociodemographic, insomnia, and characteristics, comprising 4 binary-scale items; and (3) awareness of emergency
contact numbers for health services and presence of companions in the holy city (2 items). Results: Among the
4,721 pilgrims who responded, 614 (13%) reported insomnia symptoms and met the inclusion criteria for final
analysis. The demographic breakdown of these pilgrims showed that 48.2% (n = 296) were male, with 29%
(n = 178) aged 31–40 years and 22.8% (n = 140) aged 41–50 years. The most common insomnia symptoms reported
were: trouble falling asleep (46.3%), frequent nighttime awakenings (24.4%), difficulty staying awake (10.4%),
and feeling unrefreshed after waking up (10.1%). Notably, pilgrims with higher education levels (graduate-level
or literate) reported more sleep-related issues, including difficulty staying awake, unrefreshing sleep, frequent
awakenings, and snoring. Conclusion: This study reveals that insomnia symptoms exist among pilgrims, with
the most frequently reported issues being difficulty initiating sleep, waking up multiple times during the night,
struggling to stay awake during the day, and waking up feeling unrested. We recommend educating individuals
on the importance of sleep and promoting awareness of sleep health during pre-hajj preparations. In addition, we
suggest offering counseling services and support groups for pilgrims who may be experiencing sleep disturbances.
These services would focus on stress reduction, relaxation techniques, and coping strategies.

Publication Work Type
Article
Publisher Name
Asian Journal of Pharmaceutics
Volume Number
19
Issue Number
3
Magazine \ Newspaper
Asian Journal of Pharmaceutics
Pages
1372
more of publication
publications
by Samarkandi, Osama. et. al.
2025
Published in:
Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
publications

Abstract

Religious pilgrimages, such as the Hajj, are widely publicized gatherings that attract
millions of people worldwide. These events can strain the public health resources of…

by Samarkandi, Osama. et. al.
2025
Published in:
Asian Journal of Pharmaceutics
publications

Abstract

BACKGROUND
Intermittent fasting (IF) has gained popularity as a weight loss strategy and is associated with managing metabolic diseases, such as diabetes…

by Samarkandi, Osama. et. al.
2025
Published in:
Medical Science Monitor: International Medical Journal of Experimental and Clinical Research