Skip to main content
Log in

Perceptions of Health: a Developmental Trend in Indian School Children

  • Published:
Child Indicators Research Aims and scope Submit manuscript

Abstract

The potential for children to be used as agents of change in health research and practice is being increasingly valued. To reach this objective, it is foremost to gauge children’s perceptions about health, based on which future pathways to health promotion programs may be built which are easily comprehensible to children. Therefore, this study was conceptualised to understand the way school children perceive health and track the changes in their comprehension of health. Basing on a cross-sectional design, a sample of 667 children belonging to Class 6 to 10 from three different Indian schools were selected. These children having similar socioeconomic status and education curricula were asked to respond to an open-ended question—What do you understand by ‘being healthy’? The obtained qualitative data were analysed by means of content analysis to explore categories or themes of responses. Divergence of conceptualisation was measured through calculation of entropy. The three emerged major themes—Meaning of health, Ways to be healthy, and Indices of health— represented children’s health perceptions. The entropy values revealed a steep rise in the divergence in perceptions of health of Class 10 children compared to plateau in perceptions of children of lower classes. Implication and limitations of this study were also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Almqvist, L., Hellnäs, P., Stefansson, M., & Granlund, M. (2006). “I can play!” young children’s perceptions of health. Developmental Neurorehabilitation, 9, 275–284. https://doi.org/10.1080/13638490500521303.

    Article  Google Scholar 

  • Baillargeon, R. (1993). The object concept revisited: New directions in the investigation of infants’ physical knowledge. Visual perception and cognition in infancy, 23, 265–315.

    Google Scholar 

  • Bibace, R., & Walsh, M. E. (1980). Development of children's concepts of illness. Pediatrics, 66(6), 912–917.

    Google Scholar 

  • Bircher, J. (2005). Towards a dynamic definition of health and disease. Medicine, Health Care and Philosophy, 8(3), 335–341.

    Article  Google Scholar 

  • Borzekowski, D. L., & Cohen, J. E. (2013). International reach of tobacco marketing among young children. Pediatrics, 132(4), e825–e831.

    Article  Google Scholar 

  • Buchanan-Barrow, E., Barrett, M., & Bati, M. (2003). Children’s understanding of illness: The generalization of illness according to exemplar. Journal of Health Psychology, 8(6), 659–670. https://doi.org/10.1177/13591053030086001.

    Article  Google Scholar 

  • Campbell, J. D. (1975). Illness is a point of view: The development of children's concepts of illness. Child Development, 46, 92–100.

    Article  Google Scholar 

  • Carey, S. (1985). Conceptual change in childhood. Cambridge: MIT Press.

    Google Scholar 

  • Cordingley, L., Vracas, T., Baildam, E., Chieng, A., Davidson, J., Foster, H. E., & Hyrich, K. L. (2012). Juvenile-onset inflammatory arthritis: A study of adolescents’ beliefs about underlying cause. Rheumatology, 51(12), 2239–2245. https://doi.org/10.1093/rheumatology/kes216.

    Article  Google Scholar 

  • Fernandes, S., Liamputtong, P., & Wollersheim, D. (2014). What makes people sick? Burmese refugee children's perceptions of health and illness. Health Promotion International, 30(1), 151–161.

    Article  Google Scholar 

  • Global Youth Tobacco Survey Collaborating Group. (2003). Differences in worldwide tobacco use by gender: Findings from the global youth tobacco survey. The Journal of School Health, 73(6), 207–215.

    Article  Google Scholar 

  • Goldman, L. S., Whitney-Saltiel, D., Granger, J., & Rodin, J. (1991). Children's representations of “everyday” aspects of health and illness. Journal of Pediatric Psychology, 16(6), 747–766. https://doi.org/10.1093/jpepsy/16.6.747.

    Article  Google Scholar 

  • Hergenrather, J. R., & Rabinowitz, M. (1991). Age-related differences in the organization of children's knowledge of illness. Developmental Psychology, 27(6), 952–959.

    Article  Google Scholar 

  • Kalnins, I., & Love, R. (1982). Children's concepts of health and illness—And implications for health education: An overview. Health Education Quarterly, 9(2–3), 8–12.

    Article  Google Scholar 

  • Leonardi-Bee, J., Jere, M. L., & Britton, J. (2011). Exposure to parental and sibling smoking and the risk of smoking uptake in childhood and adolescence: A systematic review and meta-analysis. Thorax, thx-2010.

  • Marin, A. M. (2010). Concepts of illness among children of different ethnicities, socioeconomic backgrounds, and genders. Sciences: Doctoral dissertation.

    Google Scholar 

  • Motakpalli, K., Indu, A. S., Sirwar, S. B., Jayaalakshmi, K. N., Bendigeri, N., & Jamadar, D. C. (2013). A study on health hygiene among school children in rural field practice area of Ajims Mangalore in Karnataka: India. International Journal of Bioassays, 2(10), 1407–1410.

    Google Scholar 

  • Mouratidi, P. S., Bonoti, F., & Leondari, A. (2016). Children’s perceptions of illness and health: An analysis of drawings. Health Education Journal, 75(4), 434–447.

    Article  Google Scholar 

  • Myant, K. A., & Williams, J. M. (2005). Children’s concepts of health and illness: Understanding of contagious illnesses, non-contagious illnesses and injuries. Journal of Health Psychology, 10(6), 805–819.

    Article  Google Scholar 

  • Nagpal, A. N., Rajendran, A., Hariharan, M., Seema, N. D. S. N., & Rao, C. R. (2017). Conceptualizing Hiv/Aids: Developmental trend in school children. Journal of Nursing and Health Science, 6, 2320–1940. https://doi.org/10.9790/1959-0606067481.

    Article  Google Scholar 

  • Natapoff, J. N. (1982). A developmental analysis of children's ideas of health. Health Education Quarterly, 9(2–3), 34–45.

    Article  Google Scholar 

  • Nordenfelt, L. (2007). The concepts of health and illness revisited. Medicine, Health Care and Philosophy, 10(5), 5–10. https://doi.org/10.1007/s11019-006-9017-3.

    Article  Google Scholar 

  • Onyango-Ouma, W., Aagaard-Hansen, J., & Jensen, B. B. (2005). The potential of schoolchildren as health change agents in rural western Kenya. Social Science & Medicine, 61(8), 1711–1722.

    Article  Google Scholar 

  • Padhy, M., Lalnuntluangi, R., Chelli, K., Hariharan, M., & Rao, C. R. (2018). Conceptual complexity in children's understanding of diabetes. Indian Journal of Health & Wellbeing, 9(3), 392–396.

    Google Scholar 

  • Piaget, J. (1951). The child’s conception of physical causality. London: Rontledge and Kegan Paul.

    Google Scholar 

  • Piko, B. F., & Bak, J. (2006). Children's perceptions of health and illness: Images and lay concepts in preadolescence. Health Education Research, 21(5), 643–653.

    Article  Google Scholar 

  • Protudjer, J. L. P., Marchessault, G., Kozyrskyj, A. L., & Becker, A. B. (2010). Children's perceptions of healthful eating and physical activity. Canadian Journal of Dietetic Practice and Research, 71(1), 19–23.

    Article  Google Scholar 

  • Reeve, S., & Bell, P. (2009). Children’s self-documentation and understanding of the concepts ‘healthy’ and ‘unhealthy’. International Journal of Science Education, 31(14), 1953–1974. https://doi.org/10.1080/09500690802311146.

    Article  Google Scholar 

  • Schramme, T. (2007). The significance of the concept of disease for justice in health care. Theoretical Medicine and Bioethics, 28(2), 121–135. https://doi.org/10.1007/s11017-007-9031-3.

    Article  Google Scholar 

  • Skelton, J., & Croyle, R. T. (1991). Mental representation, health, and illness: An introduction. In Mental representation in health and illness (pp. 1–9). Springer, New York, NY.

  • Susman, E. J., Dorn, L. D., Feagans, L. V., & Ray, W. J. (1992). Historical and theoretical perspectives on behavioral health in children and adolescents: An introduction. In E. J. Susman, L. V. Feagans, & W. J. Ray (Eds.), Emotion, cognition, health, and development in children and adolescents (pp. 1–8). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Tinsley, B. J. (1992). Multiple influences on the acquisition and socialization of children's health attitudes and behavior: An integrative review. Child Development, 63(5), 1043–1069.

    Article  Google Scholar 

  • Wahl, O., Susin, J., Lax, A., Kaplan, L., & Zatina, D. (2012). Knowledge and attitudes about mental illness: A survey of middle school students. Psychiatric Services, 63(7), 649–654.

    Article  Google Scholar 

  • Williams, J. M., & Binnie, L. M. (2002). Children's concepts of illness: An intervention to improve knowledge. British Journal of Health Psychology, 7(2), 129–147.

    Article  Google Scholar 

  • World health organisation (1948). Retrieved from: http://www.who.int/about/mission/en/

  • Youssef, M. M., Salah, E. M., Salem, S. M., & Megahed, H. S. (2010). Concepts of health and illness in Egyptian children. The Medical Journal of Cairo University, 78(2).

  • Zaloudikova, I. (2010). Children’s conceptions about health, illness, death and the anatomy of human body. School and Health, 21, 123–140.

    Google Scholar 

Download references

Acknowledgements

We are thankful to the principals and teachers of the schools for permitting us to work with their students. We are thankful to all the children for their active participation. We also acknowledge the support of Dr. Suvashisa Rana.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Meena Hariharan.

Ethics declarations

Conflict of Interest

Nil

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hariharan, M., Monteiro, S.R., Asha, D. et al. Perceptions of Health: a Developmental Trend in Indian School Children. Child Ind Res 12, 1351–1368 (2019). https://doi.org/10.1007/s12187-018-9593-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12187-018-9593-9

Keywords

Navigation