Socioeconomic and Demographic Predictors of Parental Awareness in a Clinical Cohort of Congenital Heart Disease in India

Patel, Herin; Katewa, Ashish; Champanari, Bhavik; Shah, Pratik; Patel, Dhara; Patel, Kartik; Patel, Archit; Mathur, Shobhit; Dhanak, Ridhhi

doi:https://doi.org/10.61186/hsm.5.1.24

Volume 5, Issue 1 (February 2026) Health Science Monitor 2026, 5(1): 24-31 | Back to browse issues page

‎ https://doi.org/10.61186/hsm.5.1.24

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Patel H, Katewa A, Champanari B, Shah P, Patel D, Patel K, et al . Socioeconomic and Demographic Predictors of Parental Awareness in a Clinical Cohort of Congenital Heart Disease in India. Health Science Monitor 2026; 5 (1) :24-31
URL: http://hsm.umsu.ac.ir/article-1-284-en.html

Socioeconomic and Demographic Predictors of Parental Awareness in a Clinical Cohort of Congenital Heart Disease in India

Herin Patel ^*

Department of CVTS, U. N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India

Abstract: (26 Views)

Background Congenital heart disease is the most prevalent congenital disorder all over the world and leads to the death of infants in India. Socioeconomic and demographic factors contribute to the inequality of congenital heart disease outcomes despite the improvements in the accuracy of the diagnostic procedures and surgical interventions. The objective of the research was to determine the influence of parental education level, household income, residence, and awareness on early diagnosis, surgical treatment, and the postoperative process of pediatric patients with congenital heart disease.
Methods A retrospective study design was used to study the data of 996 children with structural congenital heart disease who were treated at a tertiary care center. The delay in diagnosis and low knowledge of congenital heart disease were identified as predictors with the help of multivariate logistic regression.
Results Low maternal education (OR: 3.67, p < 0.001), low household income (OR: 2.53, p = 0.014), and rural residence (OR: 1.69, p = 0.006) were significant predictors of lack of awareness regarding antenatal detection of congenital heart disease at 18-20 weeks. Even though 61.6% of patients received single-stage surgery, 81.7% had the option to follow up after surgery. The level of awareness of prenatal detectability of congenital heart disease amounted to 11.05% of the parents.
Conclusions Socioeconomic and geographic disparities are some of the factors in the delay of congenital heart disease diagnosis and surgical treatment. The incorporation of congenital heart disease screening awareness into antepartum programs, increased coverage under insurance plans, and multilingual communication methods are key to improving pediatric cardiac outcomes in India.

Keywords: Cardiac surgical procedures, Congenital heart disease, India, Prenatal care, Socioeconomic factors

Full-Text [PDF 441 kb] (38 Downloads)

Type of Study: Research Article | Subject: Advanced Sciences and Technologies in Public Health
Received: 2025/12/3 | Accepted: 2026/02/3 | Published: 2026/02/11

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