Knowledge and Perceived Emotions Regarding an Anal Cancer Preventive Program in People Diagnosed With HIV

Abstract

BackgroundTo the best of our knowledge, no studies have yet examined the emotional repercussions of the care processes among people infected with the human immunodeficiency virus who participate in preventive anal cancer screening programs.ObjectiveThis study aimed to explore the knowledge, emotions, sexuality, barriers, and facilitators perceived by this patient group during the process of anal cancer screening and diagnosis.MethodsDetailed, semistructured, qualitative interviews were completed with 17 men and 3 women to explore their knowledge, experiences, and emotions regarding the screening process. Purposive sampling was conducted on the basis of age, gender, and type of lesion diagnosed in the anal biopsy.ResultsFour major themes were identified: 1) knowledge of the disease and its treatment, 2) emotions perceived by the patients, 3) the influence of screening on sexual practices, and 4) facilitators and obstacles during the care provision process. Patients reported appropriate knowledge of anal cancer and human papillomavirus. Predominant emotions were worry and fear with avoidance as one of the coping strategies.ConclusionThese results suggest that communication of information and clinical results can be improved.Implication for PracticeUnderstanding the facilitators and barriers to the program will allow the integration of interventions designed to improve healthcare provision into direct care.

Yonder: Care coordination, anal cancer prevention, lay online communication, and positive body image

“…A recent Spanish study sought to explore the knowledge, emotions, sexuality, barriers, and facilitators perceived by this patient group during the process of anal cancer screening and diagnosis. 2 They found evidence that patients had an adequate level of knowledge but experienced emotions of concern and fear during the process. Furthermore, patients highlighted that the individual care provided by medical personnel was a key point that increased confi dence and wellbeing during screening.…”