West African journal of medicine最新文献

{"title":"EXPLORING THE PREVALENCE OF METABOLIC SYNDROME AND KEY RISK FACTORS IN A RURAL COMMUNITY IN ABEOKUTA, OGUN STATE.","authors":"A E Adegoke, G J Alabi, S O Abati","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (Syndrome X) is a multifactorial disease with multiple risk factors. It comprises a combination of risk factors for cardiovascular disease, as well as for diabetes, fatty liver and several cancers. It is gradually becoming more in our environment but few epidemiological studies on the subject have been conducted in rural areas in Nigeria. Hence, the essence of this study.</p><p><strong>Objectives: </strong>Metabolic syndrome is considered an emerging epidermic in developing countries. However, there seems to be paucity of data on the prevalence. This study aimed to assess the prevalence of metabolic syndrome and associated risk factors in Ilugun Community of Abeouta, Ogun State.</p><p><strong>Methodology: </strong>A total of 51 participants who participated in the free medical outreach during the 2024 World Hypertension Day in Ilugun Community, a rural area in Abeokuta, Ogun State. Anthropometric variables, FBG, triglycerides, total cholesterol, HDL-C and blood pressure were assessed. The ATP III criteria were used to diagnose metabolic syndrome. Sociodemographic data, including age, gender, history of hypertension, tobacco use, alcohol consumption, exercise frequency, and body mass index (BMI) were also collected to assess the risk factors. The data was cleaned, entered, and analysed using Statistical Package for Social Sciences (IBM SPSS 26.0 version). Univariate analysis: Categorical variables were summarized using frequency and percentages. Bivariate analysis: Chi-Square test was used. Level of significance was set at p-value < 0.05.</p><p><strong>Results: </strong>The mean age of participants was 48.9. The prevalence of metabolic syndrome in the community was found to be 19.4%. The percentage of individuals with abnormal measurements were as follows: abdominal circumference (18%), blood pressure (43.2%), fasting blood glucose (7%) and triglycerides (17%). 14% of the participants were overweight to obese, abnormal BMI was identified as a important risk factor that showed a statistically significant association with metabolic syndrome (P<0.05).</p><p><strong>Conclusion: </strong>This study highlights the prevalence of metabolic syndrome and associated risk factors. The manifestation and impact of metabolic syndrome can vary across different ethnicities, age groups, and genders.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S6"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ASSESSMENT OF LEAD IN DUST SAMPLES AND HOUSEKEEPING PRACTICES IN STONE QUARRY WORKPLACES IN GUSAU, ZAMFARA STATE.","authors":"A Shehu, M O Raji, A U Ka'oje, M M Bello, H Akogwu, M Z Daninna","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Workplace hazards are produced in the process of quarrying stones and include heavy metals like Lead, Cadmium, Nickel, etc. These hazards are harmful to the workers whenever they accumulate above the maximum permissible level in the quarries.</p><p><strong>Objectives: </strong>This study assessed the Lead level in dust samples and housekeeping practices in stone quarries in Gusau.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 307 quarry workers in Gusau between July and August 2022. The respondents were selected by a two-stage sampling technique. Data was collected using an interviewer-administered questionnaire (ODK). Heavy metal analysis was conducted in the National Research Institute for Chemical Technology Zaria. Data was presented in tables and graphs. Ethical clearance was obtained from the Health Research Ethics Committee of the Ministry of Health Zamfara State.</p><p><strong>Results: </strong>The Lead levels in dust samples in Lalan, Damba, and Samaru quarry work and administrative areas were 0.30, 0.31; 0.09, <0.01; 0.01, 0.04 (mg/kg) respectively [t=0.10, (p=0.92)] and all were below the maximum permissible level (100mg/kg). Only two-thirds, 209 (68.1%) of the respondents take a bath always, about one-third 92 (30.0%) bath sometimes, while six (1.9%) respondents never take a bath before and after work. Almost all the respondents 302 (98.4%) had never used a uniform in the quarry. Only one-sixth, 47 (15.3%) of the respondents avoid food or drink at work areas.</p><p><strong>Conclusions: </strong>This study revealed tolerable levels of lead but poor housekeeping practices in the quarries in Gusau. The quarry employers should ensure periodic training and education of the workers on good housekeeping practices in the quarries.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S3"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CENTRAL BLOOD PRESSURE IN CONJUNCTION WITH CONVENTIONAL BLOOD PRESSURE MAY EXPLAIN TARGET ORGAN CHANGES BETTER THAN CONVENTIONAL PRESSURE ALONE IN HYPERTENSIVE PATIENTS.","authors":"A J Bamaiyi, F B Mojiminiyi, B Shuaibu, R A Abubakar, K N Mmopi, E A Morolohun","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Although, it is well-recognized that conventional BP alone may not be enough to determine target organ changes associated with hypertension and in cardiovascular events risk assessment, there is scarcity of data on this topic.</p><p><strong>Objectives: </strong>To determine how central BP compares with conventional BP in their association with left ventricular mass index (LVMI), among hypertensive patients.</p><p><strong>Methods: </strong>Ninety-five participants were evaluated. Conventional office BP were measured following standard procedures. And central BP was assessed using a well-validated, noninvasive pulsepen tonometric device employing generalized transfer function (GTF) interfaced with a computer. The BP parameters of both procedures were evaluated and the beta-coefficient and the corresponding coefficient of determination (R2) against the LVMI which was determined by echocardiography method and the results compared.</p><p><strong>Results: </strong>The respective β-coefficient and R2 were as follows; for the systolic BPs, central vs office BP (0.2278, .0299 vs 0.0541, .0018). Diastolic BPs, central vs office BP (0.2030, .0651 vs 0.2050, .0075). For pulse pressure (PP), central vs office PP (0.2673,.0133 vs 0.182, .0100). For Mean arterial pressure (MAP) central vs office BPs (0.2253, .0161 vs 0.2048, .0107). Also evaluated were the central forward pressure (Pf) (β-coefficient =0.2073, and R2 = .0086), backward/reflected pressure wave (Pb) (β-coefficient =0.7034, and R2 = .0133,), the reflection magnitude (RM =Pb/Pf) (β-coefficient =0.8073, and R2 = .0986) and the pulse wave velocity (PWV) (β-coefficient =0.7408, and R2 = .0047).</p><p><strong>Conclusions: </strong>Central BP indices may have association with LVM-indexed to the height2.7, beyond that shown by conventional BP parameters taken at the arm.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S5-S6"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DISCLOSURE AND COPING WITH INTIMATE PARTNER VIOLENCE IN PREGNANCY: A QUANDARY.","authors":"Gibson Ifechukwude Chiejine, Nkiru Ezeama, Clifford Okundaye Ebima, Enobakhare Egbe, Obiageli Emelemadu, Chioma Ajator, Irene Uju Okeke","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) in pregnancy is a very serious and ubiquitous problem, with severe consequences for both the mother and the unborn child. Understanding the dynamics of disclosure and coping strategies employed by pregnant women facing IPV is crucial for developing effective interventions and facilitating positive maternal and foetal outcomes.</p><p><strong>Aim: </strong>The study investigated the disclosure pattern and coping strategies of Antenatal attendees who experienced intimate partner violence.</p><p><strong>Methods: </strong>The study was descriptive cross-sectional with indepth interviews (IDIs) conducted among 400 respondents at the Ante-Natal clinics of Nnamdi Azikiwe University Teaching Hospital.</p><p><strong>Results: </strong>The overall prevalence of IPV in pregnancy was 27.3%. Among the respondents who experienced IPV, 53.4% (86) did not report it to anybody. Among those that reported, 29.3% reported to health workers, 20.0% reported to their parents/siblings 19.0% committed their spouse to God by praying; 74.3% said they are coping fine; 13.3% said they are managing to cope and 5.7% find it stressful coping with IPV. In the IDIs, 5 of the participants reported to their parents, siblings, and pastors. Three of the participants reported to in-laws. Twelve of the participants did not tell anybody but prayed to God.</p><p><strong>Conclusion: </strong>Awareness creation, screening of pregnant women, the political will, and appropriate interventions will help in reducing the menace of IPV in pregnancy. This cannot be achieved if reporting and disclosure of IPV by victims to the appropriate venue is not instituted.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S16-S17"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HOUSEHOLD SMOKING AND INTIMATE PARTNER ABUSE IN JOS SOUTH LGA, PLATEAU STATE.","authors":"O C Uchendu, K N Daloek","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Cigarette smoking remains a public health concern and can be influenced within households by relatives or friends who smoke. The mental and physical repercussions of smoking can contribute to intimate partner abuse (IPA).</p><p><strong>Objectives: </strong>This study assessed smoking in households and its relationship with IPA.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted in Plateau State, Nigeria. Multi-staged cluster sampling was used to select 661 household heads or adult members residing in two districts for at least six months prior to the study. Internally displaced persons (IDPs) were excluded from the study. IPA was assessed with the 30-item Abusive Behaviour Inventory. Data were analyzed with SPSS version 25, which included Chi-square tests and binary logistic regression, with a significance level set at 5%.</p><p><strong>Results: </strong>Most household heads were aged 40-49 years (mean; 44.5 ± 12.7) with 62.5% having post-secondary education. Household heads who currently smoke and households with members who smoke were 12.0% and 18.3% respectively, and the prevalence of household IPA was 58.1%. IPA was significantly higher in households with members who smoke (75.2% vs. 54.3%) and among household heads who were current smokers (79.7% vs. 55.2%). No predictive association was found between smoking by household heads or members and intimate partner abuse (IPA).</p><p><strong>Conclusion: </strong>Household IPA is prevalent and significantly associated with smoking in household. While smoking alone may not predict IPA prevalence, integrating routine screenings for smoking and other addictive behaviors during IPA assessments at facilities or community levels is recommended.</p><p><strong>Key message: </strong>Household intimate partner abuse (IPA) in northern Nigeria is influenced by factors such as smoking, which significantly correlates with higher IPV risk as revealed in the current study. There is a need to understand these dynamics while exploring other factors for effective screening and intervention strategies.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S49"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142627503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREVALENCE OF KIDNEY DYSFUNCTION AND ITS RELATIONSHIP WITH COMPONENTS OF METABOLIC SYNDROME AMONG ADULT OUTPATIENTS IN A NIGERIAN TERTIARY HOSPITAL.","authors":"I O Eboreime-Oikeh, H U Ibezim, U Harmony, O S Oikeh","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) is defined by a set of components including hyperglycemia, dyslipidemia, hypertension, and central obesity. Despite the well-established association between MetS and chronic kidney disease (CKD), a significant gap remains in our understanding of the relationship of kidney dysfunction with individual components of MetS, particularly in Nigeria.</p><p><strong>Objectives: </strong>To determine the prevalence of kidney dysfunction among adults with MetS and to examine the relationship of key components of MetS with kidney dysfunction in Nigeria.</p><p><strong>Methods: </strong>This cross-sectional study involved randomly selected adult outpatients with MetS attending a tertiary hospital in Nigeria. Kidney function was assessed using estimated glomerular filtration rate (eGFR). Descriptive and inferential statistical analyses were performed and statistical significance was set at p < .05.</p><p><strong>Results: </strong>A total of 75 adults with MetS (mean age 53.33 ± 13.94 years, 65.3% female) were included. The prevalence of kidney dysfunction (eGFR < 60 mL/min/1.73 m²) was 36.0%, with no significant difference between genders. Blood pressure, serum high-density lipoprotein, and triglyceride were the components of MetS that significantly correlated with eGFR and were identified as independent predictors of kidney function.</p><p><strong>Conclusion: </strong>The study highlights the considerable burden of kidney dysfunction among individuals with metabolic syndrome in Nigeria. Hypertension and dyslipidemia were the components of metabolic syndrome significantly associated with kidney dysfunction. Early detection and targeted interventions including lifestyle modification and appropriate drug management are important to mitigate the impact of metabolic syndrome on kidney health, resulting in improved health outcomes and reduced burden of chronic kidney disease.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S26-S27"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A COMPARATIVE EVALUATION OF CLIENT SATISFACTION WITH HEALTHCARE SERVICE DELIVERY IN TWO LOCAL GOVERNMENT AREAS IN THE NIGER DELTA.","authors":"A O Fajola, A A Alali, R Ogbimi, F Oduneye, O Maduka","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The Olobiri Health Programme (OHP), is a flagship project of the Shell Petroleum Development Company in Ogbia LGAs in Bayelsa States (Ogbia and Sagbama). Phase one of the program provided universal health coverage, a remodeled and fully equipped General Hospital in Kolo; fully equipped laboratories in the College of Health Technology, Otuogidi; and solar-powered water treatment facilities for the communities. Phase 2 includes the Oloibiri Health Campus, the Drug Distribution Centre at Emeyal II, a 400-metre Oloibiri access road to the health campus, and the Ogbia Safe Maternal and Infant Care Programme.\" This study compares client satisfaction at the Intervention LGA (Ogbia) with Sagbama LGA where the intervention was not provided.</p><p><strong>Objectives: </strong>To compare the quality of care and patient satisfaction with healthcare service delivery among OHP supported health facilities in Ogbia with facilities in Sagbama local government areas (LGA) of Bayelsa State.</p><p><strong>Methods: </strong>An analytical cross-sectional survey involving 156 facility exit interviews was conducted in three secondary healthcare facilities in the two LGAs. A validated patient satisfaction questionnaire (PSQ-18) comprising 18 questions in six satisfaction domains was administered. Data was collected via Open Data Kit, downloaded as an MS Excel 365 document, and exported to SPSS v25 for data analysis with t-test and ANOVA comparisons (with a p-value set at 0.05).</p><p><strong>Results: </strong>Overall satisfaction was significantly higher among healthcare facilities supported by the OHP in Ogbia LGA compared to Sagbama LGA (t=3.21; p=0.002). Also higher were technical quality of care (t=3.44; p=0.001), interpersonal manner of the health workers (t=3.07; p=0.003), financial aspects (t=2.58; p=0.005), time spent with the doctor (t=2.01; p=0.046) and accessibility to care (t=2.16; p=0.033). In Ogbia LGA, the highest mean satisfaction was identified among patients at the Otuasega Cottage Hospital. Satisfaction with technical quality was highest in Kolo General Hospital (F=3.97; P=0.03), and satisfaction with communication was highest in Otuasega Cottage Hospital (F=3.62, P=0.04).</p><p><strong>Conclusion: </strong>Clients accessing care in Ogbia LGA showed significantly higher satisfaction scores than Sagbama LGA. This highlights the role of health system strengthening activities in improving the quality of healthcare service delivery.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S7-S8"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DEPRESSION AS A PREDICTOR OF OPIOID USE DISORDER IN SICKLE CELL DISEASE PATIENTS.","authors":"M U Umar, A I Yakubu, A T Bakare, S B Abubakar, A Abubakar, A Bello, Uzairu U Abdullahi, Z Abdurrahman, A D Mohammad, A Y Sanusi, A Ladan, H B Abubakar, B B Umar, S Junaidu, A H Ibrahim","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Sickle cell disease (SCD) is highly prevalent in Africa, especially in Nigeria, the most populous country, and is associated with a high mortality rate. Depression, common among individuals with SCD, correlates with increased pain intensity and opioid misuse, leading to poorer outcomes and diminished quality of life in these patients.</p><p><strong>Aim: </strong>To determine whether major depressive disorder is a predictor of opioid use disorder among patients with sickle cell disease.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted at UDUTH Sokoto and employed psychometric instruments to evaluate patients with SCD. A systematic sampling technique was utilized, and data analyzed using SPSS version 25. Chi-square tests and regression analysis were employed to assess associations and identify predictors, respectively.</p><p><strong>Results: </strong>The study found statistically significant associations between opioid use disorder (OUD) and the lack of insurance services (p-value = 0.008), major depressive disorder (p-value < 0.001), and elevated pain scores (p-value = 0.003), but not with hemoglobin type (p-value = 0.229). OUD was also more prevalent among respondents with moderate to severe depression (p-value = 0.017). However, only major depressive disorder was identified as a predictor of OUD (AOR: 0.174, 95% CI: 0.067-0.452, p-value < 0.001).</p><p><strong>Conclusion: </strong>The study identified major depressive disorder as a predictor of among patients with SCD, this underscores the necessity for routine depression screening and timely intervention in this population.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S54-S55"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CHILDHOOD UNINTENTIONAL HOME INJURIES: CAREGIVER'S PERCEPTION AND PRACTICE IN URBAN AND RURAL AREAS OF PLATEAU STATE, NIGERIA.","authors":"T Adeniji, P A Adeoye, W U Otaro, O O Chirdan","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Unintentional home injuries (UHI) pose an enormous danger to a child's well-being; therefore, understanding the variations in caregiver approaches across different settings is invaluable for targeted prevention strategies. The study aimed to assess the knowledge, perception, and practice of caregivers on UHI in children under five years of age.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The comparative cross-sectional study design with a multistage random sampling technique was utilized to select 494 caregiver/child pairs, proportionate to size, from selected communities in both rural and urban areas of Plateau State. Quantitative data collected via ODK underwent cleaning and entry into SPSS version 26. The study objectives were assessed using SPSS for frequency and proportions. Statistical analyses included descriptive statistics, chi-square test and logistic regression, with a significance level set at p ≤0.05.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The youth age group represented 68.8% of urban caregivers compared to 57.1% of rural caregivers. In rural settings, 19.0% of respondents had low knowledge (&lt;50th percentile), while in urban areas, only 2.8% fell into this category. Adequate knowledge (&gt;50th percentile) was observed in 81.0% of rural respondents and 97.2% of urban respondents. The likelihood of UHI occurrence was approximately 8 times higher [8.057 (3.563 - 18.219) (p&lt;0.001)] in rural areas with poor knowledge compared to urban areas with adequate knowledge. However, there was a statistically significant difference in UHI prevalence based on caregivers' knowledge was found between rural and urban respondents (p&lt;0.001). When examining UHI cases, in rural areas, 98.5% of those with adequate knowledge experienced UHI, contrasting with 1.5% with poor knowledge. In urban areas, 71.2% of UHI cases occurred among those with adequate knowledge, while 28.8% had poor knowledge. Rural respondents demonstrated a higher proportion (53.4%) of poor fate belief compared to urban areas (40.9%), while good fate belief was lower among rural respondents (46.6%) compared to urban respondents (59.1%). In urban areas, the prevalence of UHI did not significantly differ based on caregivers' practices (p=0.827). In rural UHI cases, 22.0% had poor practices, and 78.0% had good practices, with no significant difference based on caregivers' practices (p=0.119). There was a significant difference in UHI based on parental/caregivers' practices (p=0.006), with 25.9% of rural and 15.8% of urban respondents having poor practices, and 74.1% of rural and 84.2% of urban respondents having good practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The study concludes that there are significant knowledge gaps among caregivers regarding unintentional home injuries (UHI) between rural and urban areas. Despite lower knowledge levels in rural settings, UHI rates are higher, underscoring the importance of knowledge in injury prevention. Variations in fate belief, paren","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S47"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DISCLOSURE AND COPING WITH INTIMATE PARTNER VIOLENCE IN PREGNANCY: A CULTURAL DILEMMA.","authors":"Gibson Ifechukwude Chiejine, Nkiru Ezeama, Clifford Okundaye Ebima, Enobakhare Egbe, Obiageli Emelemadu, Chioma Ajator, Irene Uju Okeke","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence in pregnancy (IPVP) is a serious and ubiquitous problem with cultural roots that have severe consequences on both the mother and the unborn child, and affects the general population's well-being. Understanding the dynamics of disclosure and coping strategies employed by pregnant women facing IPV is crucial for developing effective interventions and facilitating positive maternal and foetal outcomes.</p><p><strong>Objective: </strong>The study investigated the disclosure pattern and coping strategies of Antenatal attendees who experienced IPVP.</p><p><strong>Methods: </strong>The study was descriptive cross-sectional with mixed method data collection conducted among 400 antenatal attendees at the Ante-Natal clinics of the Nnamdi Azikiwe University Teaching Hospital. In-depth interviews were conducted among 20 antenatal attendees that experienced IPVP.</p><p><strong>Results: </strong>The overall prevalence of IPV in pregnancy was 27.3%. Among the respondents who experienced IPV, 53.4% did not report it to anybody. Among those that reported, 29.3% reported to health workers, 20.0% reported to their parents/siblings 19.0% committed their spouse to God by praying; 74.3% said they are coping fine; 13.3% said they are managing to cope and 5.7% find it stressful coping with IPVP. Among the 20 respondents in the in-depth interviews, 25% of respondents reported to their parents, sibling, and pastors; 3% reported to in-laws and 60% did not disclose to anybody but prayed to God.</p><p><strong>Conclusion: </strong>Awareness creation, screening of pregnant women for IPVP, the political will and effective interventions will ameliorate IPVP. This cannot be achieved without proper reporting or disclosure for intervention.</p><p><strong>Competing interests: </strong>The authors declare that they have no competing interests.</p>","PeriodicalId":23680,"journal":{"name":"West African journal of medicine","volume":"41 11 Suppl 1","pages":"S17-S18"},"PeriodicalIF":0.0,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}