Abstract
Background and Aims: Asthma is a chronic respiratory disease affecting millions of children, causing significant morbidity and mortality worldwide. Despite its prevalence, asthma remains poorly understood, with misconceptions and stigma leading to delayed diagnosis, inadequate treatment, and poor adherence to medication. This study aims to investigate the general population’s knowledge, attitudes, and practices toward pediatric asthma, with a focus on identifying areas for education and awareness to improve asthma management and outcomes. Methods: This descriptive cross-sectional study was conducted in Medina, Saudi Arabia, between June 2023 and October 2023. The study targeted the general population residing in Medina, encompassing individuals of all sexes and nationalities, as well as caregivers of children under 18 years with asthma. A self-administered questionnaire was used for data collection, and the data were analyzed using SPSS (version 23). Results: A total of 619 participants were included. A majority of participants (92.4%) demonstrated a good understanding of asthma as a chronic condition with acute exacerbations triggered by allergens. Participants with a family history of bronchial asthma and those who suffered from bronchial asthma themselves had significantly higher knowledge scores (p≤0.001, p≤0.003, respectively). Additionally, participants living at home with a child who suffers from asthma had a statistically higher knowledge score (p ≤ 0.005). The study also found that older participants and those with a university education had higher knowledge scores (p < 0.001, p < 0.001, respectively). Conclusion: Our study reveals that a significant proportion of participants possess a moderate level of knowledge about pediatric asthma, with a strong correlation between age, educational level, and knowledge level.
Keywords: Asthma · Pediatrics · Knowledge · Attitude · Perception · Madina · Medina · Saudi Arabia
References
- 1.Holgate ST, Thomas M. Chapter 7 Asthma. In: O’Hehir RE, Holgate ST, Sheikh A, editors. Middleton’s allergy essentials. Philadelphia: Elsevier; 2017. p. 151-204.
- 2.Boulet LP, Reddel HK, Bateman E, Pedersen S, FitzGerald JM, O’Byrne PM. The Global Initiative for Asthma (GINA): 25 years later. Eur Respir J 2019;54:1900598.
- 3.Alsayed B, Alatawi A, Alatawi OM, Alatawi RH, Alfuhaymani AM, Aljohani JK. Association of Asthma Control With Caregivers’ Knowledge and Knowledge and attitude regarding Pediatric Asthma among the general population in Medina, Saudi Arabia 123 Majmaah Journal of Health Sciences ,Vol. 13, Issue 4, October - 2025, Rabi - Althani - 1447 Practices for Children With Asthma in the Tabuk Region of Saudi Arabia: A Cross-Sectional Study. Cureus 2023;15:e35162.
- 4.Al-Harbi S,Al-Harbi AS,Al-Khorayyef A, Al-Qwaiee M, Al-Shamarani A, Al-Aslani W, et al. Awareness regarding childhood asthma in Saudi Arabia. Ann Thorac Med 2016;11:60-5.
- 5.Serebrisky D, Wiznia A. Pediatric Asthma: A Global Epidemic. Ann Glob Health 2019;85:6.
- 6.Alharbi SA, Kobeisy SAN, AlKhater SA, Alharbi AS, Alqwaiee MM, Alotaibi FN, et al. Childhood Asthma Awareness in Saudi Arabia: Five-Year Follow-Up Study. J Asthma Allergy 2020;13:399-407.
- 7.Diaconu ID, Gheorman V, Grigorie GA, Gheonea C, Tenea-Cojan TS, Mahler B, et al. A Comprehensive Look at the Development of Asthma in Children. Children (Basel) 2024;11:581.
- 8.Dashash NA, Mukhtar SH. Prescribing for asthmatic children in primary care. Are we following guidelines? Saudi Med J 2003;24:507-11.
- 9.Jumbe Marsden E, Wa Somwe S, Chabala C, Soriano JB, Vallès CP, Anchochea J. Knowledge and perceptions of asthma in Zambia: a cross-sectional survey. BMC Pulm Med 2016;16:33.
- 10.Gajanan G, Padbidri V, Chaudhury A. Assessment of knowledge and attitude of parents towards the allergy and 124 bronchial asthma in their children. Int J Med Public Health 2016;6:121-5.
- 11.Magwenzi P, Rusakaniko S, Sibanda EN, Gumbo FZ. Challenges in the diagnosis of asthma in children, what are the solutions? A scoping review of 3 countries in sub Saharan Africa. Respir Res 2022;23:254.
- 12.Noureddin AA, Shaaban KM, Mohamed SOO, Abdalla AA, Mahmoud AAA, Salman MST. The knowledge attitude and practice (KAP) of mothers of asthmatic children toward asthma in Khartoum asthma clinics. Sci Rep 2019;9:12120.
- 13.Tzeng LC, Chin CC, Chen JY. [Exploring the knowledge of asthma, attitude and self-management behaviors of school age children with asthma in the Ping-Tung area]. Hu Li Za Zhi 2004;51:37-44. Chinese.
- 14.Zhao J, He Q, Zhang G, Chen Q, Bai J, Huang Y, et al. Status of asthma control in children and the effect of parents’ knowledge, attitude, and practice (KAP) in China: a multicenter study. Ann Allergy Asthma Immunol 2012;109:190-4.
- 15.Mancuso CA, Rincon M. Impact of health literacy on longitudinal asthma outcomes. J Gen Intern Med 2006;21:813-7.
- 16.Daniel J, Inbaraj LR, Jenkins S, Ramamurthy PH, Isaac R. A community-based cross-sectional study on Knowledge and attitude regarding Pediatric Asthma among the general population in Medina, Saudi Arabia Majmaah Journal of Health Sciences ,Vol. 13, Issue 4, October - 2025, Rabi - Althani - 1447 knowledge, attitude, and perceptions about asthma among healthy adults in rural South India. J Family Med Prim Care 2021;10:1956-1962.
- 17.General Authority for Statistics. (2023). Saudi Census 2022. Retrieved April 1, 2024, from https://portal.saudicensus.sa/portal/public/1/15/101464?type=TABLE
- 18.Gibson PG, Henry RL, Vimpani GV, Halliday J. Asthma knowledge, attitudes, and quality of life in adolescents. Arch Dis Child 1995;73:321-6.
- 19.Alkhatri S, Shamssain M. Knowledge and awareness of childhood asthma in a population in the United Arab Emirates. Athens J Health Med Sci 2023;10:59-82.
- 20.Simba J, Marete I, Waihenya R, Kombe Y, Mwangi A, Mburugu P, Ogaro F. Knowledge and perceptions on childhood asthma among care-takers of children with asthma at a National Referral Hospital in Western Kenya: a descriptive study. Afr Health Sci 2018;18:965971.
- 21.Abu-Shaheen AK, Nofal A, Heena H. Parental Perceptions and Practices toward Childhood Asthma. Biomed Res Int 2016;2016:6364194.
- 22.Shivbalan S, Balasubramanian S, Anandnathan K. What do parents of asthmatic children know about asthma? An Indian perspective. Indian J Chest Dis Allied Sci 2005;47:81-7.
- 23.Van Sickle D, Wright AL. Navajo perceptions of asthma and asthma medications: clinical implications. Pediatrics 2001;108:E11.
- 24.Yıldız F, Bingöl Karakoç G, Ersu Hamutçu R, Yardım N, Ekıncı B, Yorgancıoğlu A. [The evaluation of asthma and COPD awareness in Turkey (GARD Turkey Project-National Control Program of Chronic Airway Diseases)]. Tuberk Toraks 2013;61:17582. Turkish.
- 25.BinSaeed AA. Caregiver knowledge and its relationship to asthma control among children in Saudi Arabia. J Asthma 2014;51:870-5.
- 26.Albarraq AA. Assessment of caregivers’ knowledge and behavior in the management of pediatric asthma in Jazan, Saudi Arabia. Saudi J Health Sci 2019;8(2).
- 27.Razi CH, Bakırtaş A, Demirsoy S. Knowledge and attitudes of adolescents towards asthma: questionnaire results before and after a school-based education program. Int Arch Allergy Immunol 2011;156:81-9.
- 28.Mohammed MM, Abbas AN, Rashid AA. Estimating the knowledge and attitude of parents about their children’s asthma and evaluating the impact of their education status in Baghdad/Iraq. Syst Rev Pharm 2020;11:265-9. Knowledge and attitude regarding Pediatric Asthma among the general population in Medina, Saudi Arabia 125
Peer review
Peer reviewed by 2 reviewers, who chose to remain anonymous.