The name has been used by kings of Scotland, Poland and Yugoslavia, emperors of Russia, and eight popes. Other notable bearers include English poet Alexander Pope (1688-1744), American statesman Alexander Hamilton (1755-1804), Scottish-Canadian explorer Alexander MacKenzie (1764-1820), Russian poet Alexander Pushkin (1799-1837), and Alexander Graham Bell (1847-1922), the Scottish-Canadian-American inventor of the telephone.
According to the USA Social Security Administration, 12 boys were recorded with the name Alexio in 2016. This name is also popular in Zimbabwe.
In the English-speaking world this name is more commonly given to girls. This is due to the American actress Alexis Smith (1921-1993), who began appearing in movies in the early 1940s. It got a boost in popularity in the 1980s from a character on the soap opera Dynasty.
Because Elijah was a popular figure in medieval tales, and because his name was borne by a few early saints (who are usually known by the Latin form Elias), the name came into general use during the Middle Ages. In medieval England it was usually spelled Elis. It died out there by the 16th century, but it was revived by the Puritans in the form Elijah after the Protestant Reformation. The name became popular during the 1990s and 2000s, especially in America where it broke into the top ten in 2016.
This name can also be given in reference to the city in Italy, as in the case of Florence Nightingale (1820-1910), who was born there to British parents. She was a nurse in military hospitals during the Crimean War and is usually considered the founder of modern nursing.