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Awareness and perception of invasive fungal diseases among the Nigerian population
Olufunmilola Makanjuola1, Ubong A Udoh2, Damilola Akinlawon3
1Department of Medical Microbiology and Parasitology, University of Ibadan, Ibadan, Nigeria.
Background:
Invasive fungal diseases (IFDs) are a public health issue causing morbidity and mortality in millions annually, yet they remain under-recognised.
Aim:
To determine the awareness and perception of IFDs among Nigerians.
Setting:
Three states in Nigeria: Lagos, Oyo and Cross River.
Methods:
This was a cross-sectional study utilising multistage sampling to recruit participants who responded to an interviewer-administered questionnaire. Logistic regression was used to determine factors associated with awareness and perception of IFDs, and a p-value of < 0.05 was taken for statistical significance.
Results:
One thousand two hundred and forty one participants were recruited with a mean age of 37.1 ± 16.1 years. The highest percentage had tertiary education as the highest educational attainment 538 (43.4%) and monthly household income within the lowest range of less than 30 000.00 naira ($40.00) 320 (25.8%). Awareness of IFDs was low 240 (19.3%) among the participants. Most participants 820 (66.1%) also had poor perception of fungal diseases. Tertiary education level showed higher IFD awareness (p < 0.001) than lower educational levels. Higher educational level was also associated with better perception, with secondary (p = 0.049), tertiary (p < 0.001) and postgraduate (p < 0.001) participants showing significantly better perception compared to those without formal education.
Conclusion:
Awareness and perception of invasive fungal infections among the Nigerian populace were low. There is a need for public health awareness and education on IFDs in Nigeria.
Contribution:
This study provides baseline data and crucially highlights a need for increased public health campaigns to improve awareness of IFDs in Nigeria.
Insights
Awareness and perception of invasive fungal diseases (IFDs) are low in Nigeria. Public health campaigns are crucial to improve understanding and combat these significant health threats.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Invasive fungal diseases (IFDs) represent a significant global health challenge, causing substantial morbidity and mortality.
- Despite their impact, IFDs remain under-recognized in many populations.
- This study addresses the knowledge gap regarding IFDs in Nigeria.
Purpose of the Study:
- To assess the level of awareness and perception of invasive fungal diseases (IFDs) among the Nigerian population.
- To identify factors influencing awareness and perception of IFDs.
Main Methods:
- A cross-sectional study was conducted across three Nigerian states: Lagos, Oyo, and Cross River.
- Multistage sampling recruited 1,241 participants for an interviewer-administered questionnaire.
- Logistic regression analysis was employed to determine factors associated with IFD awareness and perception.
Main Results:
- Only 19.3% of participants demonstrated awareness of IFDs, with a majority (66.1%) exhibiting poor perception of fungal diseases.
- Higher educational attainment, particularly tertiary education, was significantly associated with increased IFD awareness and better perception.
- Participants with lower household income were more prevalent in the study cohort.
Conclusions:
- The study reveals a critical deficit in public awareness and perception of invasive fungal diseases in Nigeria.
- There is an urgent need for targeted public health interventions and educational initiatives to improve understanding of IFDs.
- This research provides essential baseline data for developing effective public health strategies in Nigeria.
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