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Background <p>The global demand for aesthetic procedures continues to rise, but this trend is shaped by cultural, religious, and socioeconomic factors. Yemen, with its distinct socio-religious structure and ongoing healthcare challenges, provides a setting where the acceptance and practice of aesthetic surgery remain insufficiently understood. This study aimed to assess knowledge, attitudes, acceptance, and perceived limitations related to aesthetic surgery among adults in Sana’a, Yemen.</p> Methods <p>A cross-sectional survey was conducted among 400 adults in Sana’a. Data were collected using a structured questionnaire that included demographic variables, the Acceptance of Cosmetic Surgery Scale(ACSS), and items evaluating knowledge, attitudes, motivations, and perceived limitations. Statistical analysis was performed using SPSS.</p> Results <p>Awareness of aesthetic procedures was high(96.5%), and most information was obtained from social media(73%). However, detailed knowledge was limited. The ACSS showed high internal reliability(Cronbach’s α = 0.949). Personal motivations were stronger than social pressures. The main limitations were non-material: satisfaction with one’s appearance(90%), concern about complications(83%), and religious considerations(80%). Financial barriers were also significant(75%). A notable distrust in local medical professionals specializing in aesthetic surgery was reported by 66% of participants. Overall, respondents showed a preference for non-surgical procedures, particularly hair removal and non-surgical fat reduction(60% each).</p> Conclusions <p>The limitations to aesthetic surgery in Yemen are primarily non-financial. They arise from conservative socio-religious norms, low trust in the healthcare system, and concerns about safety. Addressing these barriers requires culturally sensitive health communication, strengthened medical credibility, and constructive engagement with religious perspectives, rather than focusing solely on economic access.</p> <p>Level of evidence: not gradable</p>

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Knowledge, attitudes, and perceived limitations of aesthetic surgery in Yemen: a cross-sectional study

  • 期刊论文

  • 发表日期：

    2026年5月7日

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  • Jamila Alsanabani,
  • Mohammed Alsaeedi,
  • Aisha Giyash,
  • Ahmed A. S. Al-magedi

摘要

Background

The global demand for aesthetic procedures continues to rise, but this trend is shaped by cultural, religious, and socioeconomic factors. Yemen, with its distinct socio-religious structure and ongoing healthcare challenges, provides a setting where the acceptance and practice of aesthetic surgery remain insufficiently understood. This study aimed to assess knowledge, attitudes, acceptance, and perceived limitations related to aesthetic surgery among adults in Sana’a, Yemen.

Methods

A cross-sectional survey was conducted among 400 adults in Sana’a. Data were collected using a structured questionnaire that included demographic variables, the Acceptance of Cosmetic Surgery Scale(ACSS), and items evaluating knowledge, attitudes, motivations, and perceived limitations. Statistical analysis was performed using SPSS.

Results

Awareness of aesthetic procedures was high(96.5%), and most information was obtained from social media(73%). However, detailed knowledge was limited. The ACSS showed high internal reliability(Cronbach’s α = 0.949). Personal motivations were stronger than social pressures. The main limitations were non-material: satisfaction with one’s appearance(90%), concern about complications(83%), and religious considerations(80%). Financial barriers were also significant(75%). A notable distrust in local medical professionals specializing in aesthetic surgery was reported by 66% of participants. Overall, respondents showed a preference for non-surgical procedures, particularly hair removal and non-surgical fat reduction(60% each).

Conclusions

The limitations to aesthetic surgery in Yemen are primarily non-financial. They arise from conservative socio-religious norms, low trust in the healthcare system, and concerns about safety. Addressing these barriers requires culturally sensitive health communication, strengthened medical credibility, and constructive engagement with religious perspectives, rather than focusing solely on economic access.

Level of evidence: not gradable