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Open Access Highly Accessed Research article

Knowledge, attitudes and practices of AIDS associated malignancies among people living with HIV in Nigeria

Elima Jedy-Agba1* and Clement Adebamowo12

Author Affiliations

1 Office of Strategic Information, Training and Research, Institute of Human Virology, Nigeria, 252 Herbert Macaulay Way, Central Business District, Abuja, Federal Capital Territory, Nigeria

2 Department of Epidemiology and Public Health, and Institute of Human Virology, University of Maryland, 725 W. Lombard St, Baltimore, MD, 21201, USA

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Infectious Agents and Cancer 2012, 7:28  doi:10.1186/1750-9378-7-28

Published: 25 October 2012

Abstract

Introduction

The epidemic of HIV in sub-Saharan Africa varies significantly across countries in the region with high prevalence in Southern Africa and Nigeria. Cancer is increasingly identified as a complication of HIV infection with higher incidence and mortality in this group than in the general population. Without cancer prevention strategies, improved cancer treatment alone would be an insufficient response to this increasing burden among people living with HIV (PLHIV). Although previous studies have noted low levels of awareness of cancers in sub-Saharan Africa none has examined the knowledge and perceptions of cancer among people living with HIV/AIDS.

Methods

Focus group discussions (FGD) and Key Informant Interviews (KII) were carried out in 4 high volume tertiary care institutions that offer HIV care and treatment in Nigeria. FGD and KII assessed participants’ knowledge of cancer, attitudes towards cancer risk and cancer screening practices.

Results

The mean age (SD) of the FGD participants was 38 (2.8) years. Most participants had heard about cancer and considered it a fatal disease but displayed poor knowledge of the causes of cancer in general and of AIDs associated cancers in particular. PLHIV in Nigeria expressed fear, denial and disbelief about their perceived cancer risk. Some of the participants had heard about cancer screening but very few participants had ever been screened.

Conclusion

Our findings of poor knowledge of cancer among PLHIV in Nigeria indicate the need for health care providers and the government to intervene by developing primary cancer prevention strategies for this population.

Keywords:
Knowledge; Attitudes; Practices (KAP); People living with HIV (PLHIV); HIV-associated cancers; Cancer screening