Knowledge and practices towards vitamin D sources and insufficiency among healthcare workers in Erbil, Iraq, 2025

Shaymaa Qais Saeed
Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Kurdistan Region, Iraq.
Sherzad Abdulahad Shabu
Department of Community Medicine, College of Medicine, Hawler Medical University, Erbil, Kurdistan Region, Iraq.
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Abstract

Background and objective: Vitamin D is an essential fat-soluble vitamin that is produced in the skin depending on sunlight and found in different foods. Its deficiency is a widespread health issue, affecting approximately one billion people and leading to significant health consequences. This study aimed to assess knowledge and practices regarding vitamin D sources and insufficiency amongst healthcare workers (HCWs) in Erbil hospitals.

Methods: A cross-sectional study was carried out at five public hospitals in Erbil city in 2025. A total of 400 HCWs were recruited from the selected hospitals. A structured questionnaire was developed, which included three sections: sociodemographic characteristics, knowledge questions, and practice questions related to sources and insufficiency of vitamin D.

Results: This study revealed that 33 HCWs (8.3%) had poor knowledge, 319 (79.7%) had fair knowledge, and 48 (12%) had good knowledge about vitamin D. Good knowledge levels were significantly higher in older HCWs (55.2%), highly educated HCWs (23.3%), technicians (20%), and HCWs who had 1–13 years of experience (13.3%). Only 28 (7%) exhibited good practice, and the poor practice level was significantly higher among females (56.3%) and technicians (60%).

Conclusion: Most HCWs had fair knowledge and less than half had poor practices regarding vitamin D. Better knowledge was associated with older age, higher education, longer service, and being a technician, while poor practices were more common among females and technicians. Targeted interventions are recommended to improve HCWs’ knowledge and practices for better public health outcomes.

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References

  1. Zareef TA, Jackson RT. Knowledge and attitudes about vitamin D and sunlight exposure in premenopausal women living in Jeddah, and their relationship with serum vitamin D levels. J Health Popul Nutr. 2021;40(1):38. doi:10.1186/s41043-021-00263-w.
  2. Wang H, Chen W, Li D, Yin X, Zhang X, Olsen N, et al. Vitamin D and chronic diseases. Aging Dis. 2017;8(3):346–53. doi:10.14336/AD.2016.1021.
  3. Sikandar MZ, Haider SMB, Maqbool I, Naeem S, Naeem A, Sulehri FU. Knowledge, attitude, and practices regarding vitamin D in the middle-aged Pakistani population and the impact of sun exposure on their serum vitamin D levels. Cureus. 2023;15(9):e46034. doi:10.7759/cureus 46034.
  4. AlGhraibawi SJ, AlGhabban SI, AlZubaidy RD. Knowledge and practices regarding vitamin D deficiency among women attending Imam Hussein Medical City in Karbala, 2018. Int J Curr Pharm Res. 2018;11(6):39–43. doi:10.22159/ijcpr.2019v11i6.36339.
  5. Salmanpour VA, Ibrahim HS, Salameh AG, Yahya AM, Debal BK. Vitamin D deficiency: knowledge and practices among the adult population in Sharjah, United Arab Emirates. Arch Osteoporos. 2016; 11:15. doi:10.1007/s11657-016-0269-0.
  6. AlBlooshi S, Al Anouti F, Hijazi R. Knowledge about vitamin D among women in the United Arab Emirates. Int J Environ Res Public Health. 2023;20(2):1252. doi:10.3390/ijerph20021252.
  7. Hussein DA, Ahmed GS, Ahmed SF, Salih RQ, Kakamad FH, Salih AM, et al. Pattern of vitamin D deficiency in a Middle Eastern population: a cross-sectional study. Int J Funct Nutr. 2022;3(5):7. doi:10.3892/ijfn.2022.30.
  8. AlSattam ZMJ, Abdullah RK, Shareef AK. Impact of vitamin D status on pregnant women and their neonates: a cross-sectional study. Egypt J Hosp Med. 2022;89(2):703–742. doi:10.21608/ejhm.2022.272506.
  9. Ameen SO, Rasool BQ, Mohammad AN, Tahr SM, Abdulla GN, Omar DA, et al. Prevalence and determinants of vitamin D deficiency amongst patients in Erbil, Kurdistan region of Iraq. J Clin Med Kazakh. 2023;20(3):19–25. doi:10.23950/jcmk/13310.
  10. Dominguez LJ, Farruggia M, Veronese N, Barbagallo M. Vitamin D sources, metabolism, and deficiency: available compounds and guidelines for its treatment. Metabolites. 2021;11(4):255. doi:10.3390/metabo11040255.
  11. Ghazi HF, Taher TMJ, Hasan TN. Knowledge about vitamin D among the general population in Baghdad city. Rwanda J Med Health Sci. 2024;7(1):89–100. doi:10.4314/rjmhs.v7i1.7.
  12. Mekonnen W, Feleke Y, Desalegn Y, Tarekegne G, Lambisso B, Haidar J, et al. Knowledge, attitude, and practice of health care workers on measuring adult vitamin D level, diagnosis of deficiency, and management of consequent health conditions in three ecologies of Ethiopia: a cross-sectional study. BMC Nutr. 2020; 6:114. doi:10.1186/s40795-020-00358-2.
  13. Alfadly S, Anaam M, Alsahali S, Alshammari M, Almunef M, Almogbel Y, et al. Knowledge, attitude, and practice towards vitamin D deficiency among the adult population in Qassim, Saudi Arabia. Open Public Health J. 2024;17. doi:10.2174/0118749445302986240306072242.
  14. Hamad BA, Media SK. Relationship between vitamin D3 level and rheumatoid arthritis patients attending Rizgary Teaching Hospital in Erbil city. Zanco J Med Sci. 2017;21(2):1736–1742. doi:10.15218/zjms.2017.028.
  15. Hussein OM, Mirza RR. Relationship between vitamin D level and disease activity in rheumatoid arthritis. Adv Med J. 2025;10(3):134–141. doi:10.56056/amj.2025.378.
How to Cite
Saeed, S. Q., & Shabu, S. A. . (2026). Knowledge and practices towards vitamin D sources and insufficiency among healthcare workers in Erbil, Iraq, 2025 . Zanco Journal of Medical Sciences (ZJMS), 30(2), 333–344. https://doi.org/10.15218/zjms.2026.023

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