Exploring Atopic Dermatitis in Indian Children: A Comprehensive Survey

Atopic dermatitis (AD) is a prevalent pediatric sensitive skin condition, yet data on parental awareness and preventive practices in India remain limited. This study aimed to assess parents' knowledge, attitudes, and practices (KAP) regarding AD in children under five years of age. A cross-sectional, nationwide online survey was conducted among 1,003 Indian parents, selected from a pool of 3,012 respondents to ensure regional representation. Administered by Censuswide, the survey adhered to the British Polling Council, the Market Research Society (MRS), and the European Society for Opinion and Marketing Research (ESOMAR) ethical guidelines. The 20-item questionnaire primarily employed a Likert scale to assess parental knowledge, management strategies, and attitudes toward AD. Descriptive statistical analyses (frequencies, means, and percentages) were applied, with data stratification by demographics to enhance result interpretation. A survey conducted among 1,003 Indian parents of children under five years of age reported an AD prevalence of 17.85% (179 cases). Among the respondents, 687 (68.49%) were aware of strategies to delay AD onset in high-risk children, and 895 (89%) expressed interest in learning about preventive measures. Of the 179 children diagnosed with AD, 144 parents (80.45%) reported attempting preventive treatments prior to the diagnosis. The primary barrier to initiating preventive measures was a lack of awareness. Approximately 575 (57.3%) parents indicated a willingness to use moisturizers proactively before symptom onset in high-risk children. However, only 130 parents (12.96%) specifically identified moisturizers as their preferred preventive strategy for children at risk of developing AD. Parents prioritized safety, efficacy, and dermatologist recommendations when selecting topical treatments. The findings highlight substantial parental interest in AD prevention, although gaps in awareness remain a critical barrier. These insights emphasize the need for targeted educational initiatives and early intervention strategies to enhance AD management and prevention in India. Further research utilizing inferential statistical analyses could provide deeper insight into the factors influencing parental decision-making and intervention effectiveness.