Objectives The objective of the study is to explore the correlation between handedness and footedness and various demographic factors, including sex, age, faith, ethnicity, and perceived social pressures on limb use, among Muslims and non-Muslims. Methods This is an analytical cross-sectional study conducted in Saudi Arabia from September 2020 to February 2021. This research involved healthy community members aged 18 and above. An electronic survey was administered to collect demographic information on age, sex, faith, ethnicity, and the perceived degree of social pressure favoring the use of the right hand. The Waterloo handedness questionnaire (WHQ-Ar) and Waterloo footedness questionnaire (WFQ-Ar) were utilized for the assessments. Results A total of 728 respondents completed the survey. The mean (SD) age was 34.54 (11.53). Among them, 454 (62.4%) were ethnically Arab, and 507 (69.64%) identified as Muslims. The mean (SD) WHQ-Ar and WFQ-Ar scores were 42 (31.6) and 10.51 (8.1), respectively, with higher scores indicating "right" preference. Older age was associated with higher scores (p = 0.01) and men with lower handedness scores (p = 0.003). Participants who did not perceive social pressure had significantly lower scores (p < 0.001). Footedness was associated with slightly lower scores in Muslims (p = 0.001). Conclusion The degree of pressure perceived to use a particular hand has a major influence on handedness scores in Muslims and non-Muslims alike; this was true even when comparing populations with different levels of permissiveness to specific hand use due to varying religious or cultural backgrounds. Social pressure, regardless of routine religious practices, is more likely to influence handedness scores. Age and sex influence the scores similar to international reports, and footedness appears less likely to fall under the influence of cultural pressures.
Keywords: arab; cultural pressure; footedness; handedness; muslim; saudi arabia; waterloo scale.
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