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Pediatric Hypertension: Parental Perception and Knowledge
Azmeri Sultana1, Sharmin Afroze2, Sheikh Farjana Sonia3
1Department of Pediatric Nephrology, Dr. MR Khan Shishu Hospital and Institute of Child Health, Dhaka, Bangladesh.
Insights
Parental awareness of childhood hypertension (HTN) is low in Bangladesh, with most parents unaware that children can develop this condition. This highlights a critical gap in knowledge for early detection and management of pediatric hypertension.
Area of Science:
- Pediatrics
- Public Health
- Cardiology
Background:
- Childhood hypertension (HTN) is an emerging health concern with increasing prevalence.
- Underrecognition of pediatric HTN is common due to infrequent blood pressure screening and misconceptions about its occurrence in children.
- Limited data exists on parental perceptions of childhood HTN in Bangladesh.
Purpose of the Study:
- To assess parental knowledge and perceptions regarding childhood hypertension in Bangladesh.
- To establish a baseline understanding of awareness levels for future interventional strategies.
- To identify potential barriers to early detection and management of pediatric HTN.
Main Methods:
- A cross-sectional survey was conducted at Dr. MR Khan Shishu Hospital and ICH over six months (April-September 2021).
- Parents of children aged 3-17 years visiting the hospital (outpatient and inpatient) were interviewed using a structured questionnaire.
- Data on parental education, knowledge of hypertension, and perception of its occurrence in children were collected and analyzed using frequencies and percentages.
Main Results:
- A total of 352 parents were interviewed, with a mean age of 28 ± 11 years.
- While 89% recognized high blood pressure as hypertension and 83.5% knew it's detected by measuring blood pressure, a significant majority (83%) believed children do not develop HTN.
- Only 17% of parents acknowledged that children can develop hypertension.
Conclusions:
- The study reveals a substantial lack of parental awareness regarding the possibility of hypertension in children.
- Addressing this knowledge gap through targeted health education is crucial for improving early detection and management of pediatric hypertension.
- Enhanced parental understanding of childhood HTN is vital for timely diagnosis and effective treatment, ultimately improving long-term health outcomes.
Abstract:
The prevalence of hypertension (HTN) among youngsters has increased recently. Often, it is underrecognized owing to a lack of routine blood pressure measurement in many health centers, partly due to the unavailability of instruments and possibly because of this perception that it is not the foremost problem in children. There is less information about the parental perception of childhood HTN from Bangladesh. We aimed to conduct this survey among parents to see the perception and knowledge about this childhood HTN, which can be served as a baseline for future reference. This cross-sectional study was carried out in Dr. MR Khan Shishu Hospital and ICH from April 2021 to September 2021 over 6 months. Parents who visited our hospital, both in outpatient and inpatient, for their children aged (3 years-17 years) were included in this study. Parents who did not give permission were excluded. Purposive sampling was done during the study period. Parents were interviewed with a structured questionnaire. Parents' educational status and the idea about HTN in children were recorded. The data were analyzed and expressed as frequency and percentage. A total of 352 respondents were interviewed with a mean age of 28 ± 11 years. Among these respondents, 187 (53.2%) were male, and 165 (46.8%) were female. In this study, most of the participant parents are literate; only a negligible proportion, 5.6%, are illiterate. Eighty-nine percent of participants know high blood pressure is HTN and 83.5% know HTN can be detected by measuring BP. Among the participants, 83% think children do not develop HTN, and only 17% responded that children could develop HTN. This study offers insight into parents' lack of awareness of childhood HTN. Hence, proper knowledge and understanding of pediatric HTN play a crucial role in early detection and management.
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