Public perception on childhood cancers from a population-based study in South India: Lessons to learn to avoid stigma

Abstract

Background: The probability of survival for childhood cancer in several low- and middle-income countries (LMIC) is less than 30%. Myths and misconceptions among the general public concerning childhood cancers have detrimental effects on early detection and treatment. Materials and methods: This study aimed to assess public perceptions of childhood cancer among the public. We conducted a cross-sectional survey with 310 respondents by using an interview schedule. Results: Most (n = 244, 79.7%) participants were aware of the occurrence of childhood cancer in the community and the curability of cancer in children. The respondents’ knowledge was mainly derived from online media (television, cinema, or social media). Most (n = 189, 61.8%) respondents knew that blood cancer was the most common malignancy among children. Among the causative factors, the infectious nature, environmental factors, and curse of god were perceived as reasons by 19.6%, 29%, and 33% of the subjects, respectively. Half of the cohort felt that the child would never return to normal life after treatment completion. The reasons for hesitancy to treat even after knowing the curability of the disease were fear of treatment expenses, wrong beliefs, wrong/lack of information, fear of adverse effects, and lack of family support. Conclusion: Despite the advances in the diagnosis and treatment of childhood cancers, cancer remains a stigma in our community, interfering with the reintegration process of children into society, which is a significant barrier to improving survival.

Keywords

• Childhood cancer
• Paediatric cancer
• Public perception
• Cancer awareness
• Cancer stigma