ABSTRACT
Background: Despite the tremendous efforts made to reduce the burden of HIV/AIDS in many countries, there are still gaps in the control of spread of HIV-infection in Nigeria, especially in the coastal areas due to inappropriate life style and preference for traditional care of people living with the disease. Aim: The purpose of this study was to assess the sexual attitudes and HIV/AIDS-healthcare seeking behaviours of people living in the fishing community of Okposo, Akwa Ibom State, Nigeria. Methods: This was a cross-sectional descriptive study of 600 people living in the fishing community, who were assessed for perceived sexual attitudes and HIV/AID-health care seeking behaviours, using Attitude and Sexual Behaviour Questionnaire. Results: Of the 600 participants, 339 (56.5%) were males and 261 (43.5%) females. Inspite of the increasing awareness of the existence of HIV/AIDS, sexual attitudes were variable and inimical to the fight against the disease; sexual urge was high; 27.7% males and 15.3% females had at least two or more sexual partners; 13.8% males and 10.8% females hardly used condom during sexual intercourse, while 15.5% males and 18.8% females would not undergo HIV testing. Perception on the cause and mode of transmission of HIV/AIDS were poor. Perceived efficacy, confidentiality, affordability and accessibility were reasons for choice of traditional care; about 61.0% of the participants would not attend to infected individuals because of fear of being infected with the virus. Conclusion: This study has shown that a lot still need to be done in Nigeria, especially in areas with difficult terrain to reverse the trend of HIV/AIDS. Massive enlightenment campaigns are necessary to serve as continuous efforts to increase and maintain high levels of motivation for lifestyle modification.