Unseen and Undiagnosed: Public Perception and Awareness of Thyroid Disorders in Shimla District
Background: Thyroid disorders, including hypothyroidism, hyperthyroidism, and iodine deficiency-related diseases, are significant yet frequently overlooked public health concerns. Despite the thyroid gland’s vital role in regulating metabolism and physiological balance, subtle and nonspecific symptoms often delay diagnosis and treatment. India, with over 42 million affected individuals, faces a substantial thyroid disease burden, particularly in rural and semi-urban regions where awareness remains limited. Materials and Methods: A descriptive, cross-sectional, community-based survey was conducted online from January to March 2025 among 400 adult residents of Shimla district. Using purposive and snowball sampling techniques, participants were recruited through social media and email networks. A structured, bilingual questionnaire assessed socio-demographic data, knowledge of thyroid disorders, risk factors including iodine intake, symptom recognition, management practices, and misconceptions. Data were analyzed using SPSS version 26.0, and knowledge scores were categorized into "Very Good," "Good," "Fair," and "Poor" levels based on correct responses. Results: Among the 400 participants, 53.3% were female and 64.8% resided in rural areas. Although 79.0% correctly identified thyroid dysfunction and 75.8% associated weight gain with hypothyroidism, only 60.3% recognized iodine as essential for thyroid health. Awareness about routine thyroid screening (81.0%) and the role of healthcare professionals in diagnosis (83.3%) was encouraging; however, gaps persisted regarding disease curability and the lifelong nature of thyroid medication. Overall, 30.5% demonstrated "Very Good" knowledge, 43.0% "Good," 19.5% "Fair," and 7.0% "Poor" understanding, highlighting that approximately one-fourth of participants lacked adequate thyroid health literacy. Conclusion: While a strong foundational awareness about thyroid disorders exists among residents of Shimla district, critical misconceptions regarding iodine intake, symptom diversity, disease chronicity, and medication adherence persist. Targeted, culturally sensitive educational interventions, community-driven campaigns, and integration of thyroid health services into primary care are urgently needed to bridge knowledge gaps, improve early detection, and enhance management outcomes, particularly in rural and underserved populations.