Journal of Community Medicine and Primary Health Care最新文献

Determinants of unmet need for family planning among HIV-positive women of reproductive age in a treatment and care center Jos, Northcentral Nigeria 尼日利亚中北部乔斯治疗和护理中心艾滋病毒抗体阳性育龄妇女计划生育需求未得到满足的决定因素

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.8

Gu Adah, HA Agbo, RO Adah, DJ Meshak, O. Chirdan, A. Zoakah

{"title":"Determinants of unmet need for family planning among HIV-positive women of reproductive age in a treatment and care center Jos, Northcentral Nigeria","authors":"Gu Adah, HA Agbo, RO Adah, DJ Meshak, O. Chirdan, A. Zoakah","doi":"10.4314/jcmphc.v35i3.8","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.8","url":null,"abstract":"Introduction: About half of Nigeria’s population living with HIV are women. Therefore, the use of contraceptives is useful for HIV prevention. The aim of this study was to assess the unmet need for family planning and its associated factors among HIV-positive women of reproductive age in Jos, North-central. Nigeria.Method: This facility-based cross-sectional study was conducted among 335 HIV positive women of reproductive age attending the (APIN) Public Health Initiative Centre of the Jos University Teaching Hospital in Plateau State. A systematic sampling technique was used to select participants. Pre-tested intervieweradministered questionnaires were used for data collection and statistical analysis done using the SPSS version 23 software package. A logistic regression model was used to identify determinants of unmet needs for family planning. Ethical approval was obtained for the study.Results: The mean age of the respondents was 37.44 ± 6.40 years. Unmet need for family planning was 25.4% and the commonest reasons cited include partner opposition and fear of side effects. Marital status, duration of HIV diagnosis, duration on HAART, use of condom during the last sexual act, partner/husband support, and desire for more children were found to be associated with unmet need for family planning. Predictors of unmet need for family planning were marital status (AOR=0.15, P-value-0.030), duration of HIV diagnosis (AOR=5.09, P-value-0.005), duration on HAARTs (AOR=2.64, P-value-0.03) and desire for more children (AOR=0.42, P-value-0.001).Conclusion: HIV-positive women of reproductive age in Jos have high unmet needs for family planning and will benefit from early reproductive health education which includes couple counseling on contraceptive use.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004038","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}

引用次数: 0

Health literacy and adherence to care by people living with Human Immune Deficiency Virus (PLWHIV) in Nasarawa State 纳萨拉瓦州人类免疫缺陷病毒感染者（PLWHIV）的健康知识普及和坚持治疗情况

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.9

RT Kever, EO Chukwu, R. T. Kever

{"title":"Health literacy and adherence to care by people living with Human Immune Deficiency Virus (PLWHIV) in Nasarawa State","authors":"RT Kever, EO Chukwu, R. T. Kever","doi":"10.4314/jcmphc.v35i3.9","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.9","url":null,"abstract":"Background: Adherence to care among people living with the Human Immunodeficiency Virus (PLWHIV) has become a serious concern for healthcare practitioners. This study aimed to determine the health literacy (HL) and level of adherence to care among PLWHIV in Nasarawa State.Methodology: This was a cross-sectional study conducted on 396 HIV patients accessing antiretroviral therapy in Nasarawa State from June to July 2023. Two pretested interview-administered questionnaires were used to collect data on HL and adherence to care. Data entry and analysis were done using IBM Statistical Package for Social Science (SPSS) version 25.0. Descriptive statistics were used to describe respondent’s characteristics. Categorical variables were reported as frequencies and percentages. The association of HL domains with the level of adherence to care was determined using F-stat.Results: The dimensions of health literacy, including feeling understood and supported by healthcare providers, the ability to actively engage with healthcare providers, and navigating the healthcare system, were found to be significantly associated with the age of the respondents (p< 0.05). High health literacy and a good level of adherence to care were found in 65.7% of the population. Adherence to care was significantly associated with HL, age, level of education, and marital status (p< 0.05).Conclusion: The level of adherence to care by PLWHIV in Nasarawa State is significantly associated with HL. To enhance treatment adherence, healthcare professionals should boost the HL of PLWHIV in Nasarawa State by providing clearer and more accessible health information to patients during clinic visits.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"40 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006175","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}

引用次数: 0

Knowledge of Childhood Cancer Case Detection among Primary Health Care Workers in Osun State 奥苏恩州初级卫生保健工作者对儿童癌症病例检测的认识

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.2

O. Omobuwa, RO Akande, CA Akinleye, SO Olarewaju, IO Faramade, O. Opakunle, SC Adeyemo, E. Asekun-Olarinmoye, G. Omisore, OF Ariyo

{"title":"Knowledge of Childhood Cancer Case Detection among Primary Health Care Workers in Osun State","authors":"O. Omobuwa, RO Akande, CA Akinleye, SO Olarewaju, IO Faramade, O. Opakunle, SC Adeyemo, E. Asekun-Olarinmoye, G. Omisore, OF Ariyo","doi":"10.4314/jcmphc.v35i3.2","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.2","url":null,"abstract":"Background: Survival rates of childhood cancer in Nigeria is low because suspected cases of childhood cancer are usually diagnosed at an advanced stage. It is hoped that assessing the knowledge gaps in the identification of warning signs and symptoms of childhood cancer among healthcare workers in primaryhealthcare facilities would lead to an improvement in early diagnosis, detection, and referral, which will subsequently reduce mortality from childhood cancer.Objective: To assess the knowledge of childhood cancer case detection among primary health care workers in Osun state.Materials and Methods: A descriptive cross-sectional study was carried out among 210 primary health care workers recruited by multistage sampling technique. Data was collected using a pretested semi-structured questionnaire. Analysis was done using SPSS software version 23.0 and level of significance set at p<0.05.Results: About 55.7% and 44.3% of the respondents had good and poor knowledge of childhood cancer respectively. There was a statistically significant association between respondents’ knowledge, their marital status (p=0.00) and years of experience with case detection practices of childhood cancers (p=0.006). Married respondents were 6 times less likely to have poor knowledge (OR 0.398, 95% CI 0.213 - 0.745, p=0.004). Also, those with 6-10 years of experience were 7 times less likely to have poor knowledge (OR 0.349, 95% CI 0.13 - 0.939, p=0.037)Conclusion: Respondents had good level of knowledge on detection of childhood cancer however, there is a need for continuous training to further build their capacities on detection of signs and symptoms of childhood cancers","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"42 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138976803","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}

引用次数: 0

Patterns and practices of child labour among mothers in rural and urban areas in Lagos, Nigeria- A comparative study 尼日利亚拉各斯城乡地区母亲使用童工的模式和做法--一项比较研究

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.5

AO Ogunyemi, FN Chukwu, EO Oluwole, F. Olatona, E. Otokpa, U. Ofonakara

{"title":"Patterns and practices of child labour among mothers in rural and urban areas in Lagos, Nigeria- A comparative study","authors":"AO Ogunyemi, FN Chukwu, EO Oluwole, F. Olatona, E. Otokpa, U. Ofonakara","doi":"10.4314/jcmphc.v35i3.5","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.5","url":null,"abstract":" Background: Child labour is a social phenomenon of global concern with serious consequences for child development, education and well-being. This study compared the pattern, attitude and child labour practices in urban and rural areas of Lagos State.Methods: This was a descriptive comparative cross-sectional study among mothers of children ages 5 to 17 years. A multistage sampling technique was used to recruit 400 participants. The data was collected using a pre-tested, standardized questionnaire on child labour for household surveys. The data was analysed using Statistical Package for Social Sciences IBM (SPSS) version 20 software and the level of statistical significance was set at p<0.05.Results: Urban mothers were older (43.8± 1.8 years) compared to rural mothers (41.9± 12.7 years), and a higher percentage of urban mothers (52.5%) had secondary education in contrast to rural mothers (25.5%). Child labour was more prevalent among children aged 5 to 10 years in rural areas (55.5%) compared to urban areas (44.5%). Within the past year, 33.8% of urban children and 66.2% of rural children were involved in labour and hawking was the most prevalent work in 31.0% and 69.0% of urban and rural children. The majority of rural child labourers (68.4%) and 31.6% of urban child labourers worked 8 to 10 hours daily, with a statistically significant difference (p <0.001), primarily due to family support.Conclusion: There is a need for increased and continuous awareness campaigns aimed at educating communities, parents, and children about the detrimental effects of child labour on their overall well-being.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"136 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139003999","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}

引用次数: 0

Acceptability, hesitancy and willingness to pay for COVID-19 vaccine among Lagos residents 拉各斯居民对 COVID-19 疫苗的接受程度、犹豫程度和支付意愿

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.4

M. Akinyinka, OA Olofin, B. Fadeyi, OQ Bakare, BA Odugbemi, BI Adebayo, T. Durojaiye, A. Adeniran, O. Goodman, Y. Kuyinu, KO Wright, OO Odusanya

{"title":"Acceptability, hesitancy and willingness to pay for COVID-19 vaccine among Lagos residents","authors":"M. Akinyinka, OA Olofin, B. Fadeyi, OQ Bakare, BA Odugbemi, BI Adebayo, T. Durojaiye, A. Adeniran, O. Goodman, Y. Kuyinu, KO Wright, OO Odusanya","doi":"10.4314/jcmphc.v35i3.4","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.4","url":null,"abstract":"Background: Coronavirus disease (COVID-19) is an infectious disease that has plagued the world beginning from 2019 when it was first discovered, laudable efforts have been made by science to produce vaccines to mitigate the effects of this disease. This study sought to assess the knowledge of COVID-19 and vaccine acceptability, hesitancy, willingness to pay and associated factors among Lagos residents.Methods: The study design was cross-sectional and descriptive with a mixed methods approach. Respondents (2924) residing in Lagos were selected for the study using multi-stage sampling technique. Data collection was done using an intervieweradministeredquestionnaire for quantitative data and a focus group discussion guide for qualitative data. Quantitative data analysis was done using the Statistical Package for the Social Sciences Version 23, while qualitative data was analysed thematically.Results: The study revealed that most respondents (81%) were aware that COVID-19 vaccines are available in Nigeria. Two-thirds (67%) of the respondents were willing to receive the vaccine (acceptance) and 48.2% were vaccine hesitant. Willingness to pay for the vaccine was quite low (18%) and this was also reflected in the focus group discussions. Educational status, income, occupation and knowledge were significant predictors of COVID-19 vaccine acceptance.Conclusion: The findings show higher than average rates of vaccine hesitancy although most respondents had good knowledge of COVID-19. Efforts by government agencies to improve community access to education, better occupations and incomes are recommended to improve vaccine acceptance. ","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"80 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004448","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}

引用次数: 0

Review Article : Economic abuse as a form of intimate partner violence in sub-Saharan Africa: A review of the literature 评论文章：经济虐待是撒哈拉以南非洲亲密伴侣暴力的一种形式：文献综述

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.7

Chinelo C Nduka, Vivian Omuemu, Adedayo Tella, Darlington Obi

{"title":"Review Article : Economic abuse as a form of intimate partner violence in sub-Saharan Africa: A review of the literature","authors":"Chinelo C Nduka, Vivian Omuemu, Adedayo Tella, Darlington Obi","doi":"10.4314/jcmphc.v35i3.7","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.7","url":null,"abstract":"Background: Economic abuse (EA) is a form of intimate partner violence (IPV) whereby one partner controls the ability of the other to acquire, use and maintain economic resources. It is significant because economic concerns are a major reason survivors remain in abusive relationships, as they lack the means to cater for themselves and their children if they leave.Aim: This paper reviews the literature on measurement, prevalence, and response to EA within the context of IPV in sub-Saharan Africa.Method: A comprehensive desk-based review was conducted between November 2020 and February 2022. Google, Google Scholar, Pubmed, ResearchGate, Web of Science, and Science Direct were searched using relevant keywords such as IPV, EA, domestic violence and financial abuse. Full-text publications of quantitative and qualitative studies written in English were included.Findings: Various measurement scales for EA have been created, revised, and adapted over the years with some being more inclusive. The prevalence of EA in sub-Saharan Africa varied across countries, and no context- specific measurement scale is available for the region. Economic abuse was found to be the form of IPV with the least legislative response and often absent from plans of action on violence against women.Conclusion: This review buttresses the need to develop measurement scales for EA specific to sub-Saharan Africa to properly assess the regional prevalence. There is also a need to heighten awareness of EA to promote recognition and appropriate response. ","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139005452","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}

引用次数: 0

Pattern and predictors of antibiotic prescriptions by physicians to paediatric outpatients in a Nigerian Tertiary Care Hospital: A call for antibiotic stewardship 尼日利亚一家三级医院医生为儿科门诊病人开具抗生素处方的模式和预测因素：呼吁加强抗生素管理

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.6

CI Amuzie, UK Kalu, UU Onyeonoro, MO Izuka, CC Iwegbulam, UF Ossai, EO Chigbata, KE Achara, C. Amuzie

{"title":"Pattern and predictors of antibiotic prescriptions by physicians to paediatric outpatients in a Nigerian Tertiary Care Hospital: A call for antibiotic stewardship","authors":"CI Amuzie, UK Kalu, UU Onyeonoro, MO Izuka, CC Iwegbulam, UF Ossai, EO Chigbata, KE Achara, C. Amuzie","doi":"10.4314/jcmphc.v35i3.6","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.6","url":null,"abstract":"Background: Irrational antibiotic use for childhood illnesses is prevalent, especially in developing countries. There is a need to provide evidence-based data for the implementation of antimicrobial stewardship programmes (ASP) in healthcare facilities. This study was conducted to describe the pattern and predictors of antibiotic prescriptions to paediatric patients at the outpatient clinic of Federal Medical Centre Umuahia Abia State, Southeast Nigeria.Method: We conducted a retrospective review of patients’ encounters in one year at the outpatient paediatric clinics (2022). An electronic data extraction form was used to collect information from patient’s case notes. Descriptive, bivariate and multivariate analyses were done using SPSS version 26. The level of significance was set at 5%.Results: Records of 722 encounters were retrieved. A total of 694 antibiotics were prescribed. The antibiotic prescription rate was 74.4% (95% CI: 71.2–77.6). The most frequently prescribed antibiotic was amoxicillin/clavulanic acid (34.9%). Most prescribed antibiotics (53.6%) were in the ‘access’ group of antibiotics. The commonest indication for the use of antibiotics was the treatment of respiratory infections (28.1%). The predictors of antibiotic prescription included younger age (aOR = 2.48; 95% CI: 1.50–3.80), four or more drugs prescribed (aOR = 9.43; 95% CI: 3.90 - 22.10), and therapeutic treatment type (aOR = 3.24; 95% CI: 1.10–9.40).Conclusion: Irrational prescriptions of antibiotics by physicians were prevalent in the paediatric outpatient clinic of the facility. We recommend the implementation of the ASP in the hospital to address irrational antibiotic prescriptions in line with rational drug policy.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"61 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004311","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}

引用次数: 0

Knowledge and practice of cervical cancer prevention amongst undergraduates of the Delta State University, Abraka, Nigeria 尼日利亚阿布拉卡三角洲州立大学本科生对宫颈癌预防的认识和实践

Journal of Community Medicine and Primary Health Care Pub Date : 2023-12-13 DOI: 10.4314/jcmphc.v35i3.3

EB Diedjomaho, NS Awunor, P. Okonta, IM Enemuwe, H. Abedi, M. Ntaji

{"title":"Knowledge and practice of cervical cancer prevention amongst undergraduates of the Delta State University, Abraka, Nigeria","authors":"EB Diedjomaho, NS Awunor, P. Okonta, IM Enemuwe, H. Abedi, M. Ntaji","doi":"10.4314/jcmphc.v35i3.3","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i3.3","url":null,"abstract":"Background: In Nigeria, approximately 26 women die daily due to cervical cancer. About 90% of cervical cancer cases are caused by human papillomavirus infection (HPV), transmitted through sexual intercourse and can be prevented. This study assessed knowledge of cervical cancer and practice of its preventive measures, among undergraduates in a University in South-South Nigeria.Material and Methods: his study was a descriptive cross-sectional survey conducted among 479 students of the Delta State University (DELSU), Abraka, Nigeria. Respondents were selected across Faculties through a multistage sampling technique and data was collected using a pretested self-administered structured questionnaire. Data analysis was done using Statistical Package for Social Science version 23 with statistical significance set at p<0.05.Results: The mean age of the respondents was 20.4 (±2.4) years. The majority of the respondents (85.0%) had a poor level of knowledge of cervical cancer and its prevention methods. Age (p<0.001), study level (P<0.001), and faculty (<0.001) were significantly associated with knowledge of cervical cancer and its prevention. About 59.0% of respondents have an overall positive attitude towards cervical cancer and its prevention. The level of uptake of cervical cancer screening and HPV vaccination was 0.8% and 1.3% respectively, however, more than half of the respondents were willing to get screened (63.9%) and vaccinated (50.9%).Conclusion: The institution should organize and sponsor comprehensive health education programmes about cervical cancer and its prevention. Provision of screening and vaccination at subsidized rates or at no cost will provide widespread coverage of prevention both in local communities and among students. ","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"74 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138976937","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}

引用次数: 0

Prevalence and Pattern of Mobile Gaming among Senior Secondary School Students in a Semi-Urban Town in Nigeria 尼日利亚一个半城市城镇中学生手机游戏的流行程度和模式

Journal of Community Medicine and Primary Health Care Pub Date : 2023-04-06 DOI: 10.4314/jcmphc.v35i1.11

C. Aguocha, K. Uwakwe

{"title":"Prevalence and Pattern of Mobile Gaming among Senior Secondary School Students in a Semi-Urban Town in Nigeria","authors":"C. Aguocha, K. Uwakwe","doi":"10.4314/jcmphc.v35i1.11","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i1.11","url":null,"abstract":"Background: Excessive mobile gaming among young people has become a global public health issue. This paper aimed to determine the prevalence and pattern of mobile phone gaming among secondary school students. \u0000Methods: This was a descriptive cross-sectional study of 401 secondary school students in Orlu, selected using multistage sampling technique. A structured self-administered questionnaire was used to acquire information on the socio-demographic characteristics and pattern of gaming. The Internet Gaming Disorder Scale–Short-Form (IGDS9-SF) was used to assess problems related to gaming in the last 12 months. Data was entered and analyzed using Statistical Package for Social Sciences Version 21. Pearson's Chi-square test was used for categorical variables while Students ttest was used for continuous variables. p 0.05 was regarded as significant. \u0000Results: Two (0.6%) of the respondents met the criteria for Internet gaming disorder. Three hundred and fifty-seven (89%) respondents had played mobile games at least once in their lifetime while three hundred and thirteen (78.1%) had played mobile games at least once in the past 12 months. One hundred and ten respondents (35.1%) had played mobile games nearly every day in the past 12 months. Most respondents, 132 (42.2%) played games offline. Two hundred and twentynine respondents (73.2%) have betted with others on the outcome of games played. \u0000Conclusion: Mobile gaming was common among secondary school students in Orlu, but the rate of gaming disorder was low. Measures targeted at adolescents should be developed to educate them on the potential dangers of mobile gaming.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117075654","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}

引用次数: 0

Comparative Study of Patients' Adherence between Hospital-based and Communitybased Treatment for Multidrug Resistant Tuberculosis (MDR-TB) in Kaduna State, 卡杜纳州耐多药结核病(MDR-TB)医院治疗与社区治疗患者依从性比较研究

Journal of Community Medicine and Primary Health Care Pub Date : 2023-04-06 DOI: 10.4314/jcmphc.v35i1.10

K. Adagba, A. Aliyu, C. Ejembi, A. Olorukooba, I. Joshua

{"title":"Comparative Study of Patients' Adherence between Hospital-based and Communitybased Treatment for Multidrug Resistant Tuberculosis (MDR-TB) in Kaduna State,","authors":"K. Adagba, A. Aliyu, C. Ejembi, A. Olorukooba, I. Joshua","doi":"10.4314/jcmphc.v35i1.10","DOIUrl":"https://doi.org/10.4314/jcmphc.v35i1.10","url":null,"abstract":"Background: Multidrug-Resistant Tuberculosis (MDR-TB) epidemic is threatening the global control of TB. It is driven by the programme, health system and patient related factors. This study aimed at comparing the level of adherence to treatment among MDR-TB patients treated in hospital-based and community-based models of care. \u0000Methods: This was a comparative cross-sectional survey conducted in 2019 with mixed methods of data collection. The study population were 360 MDR- TB patients treated in hospital-based and community-based facilities in Kaduna between 2013 and 2018. Questionnaire, FGD and KII guides respectively were the quantitative and qualitative data collection tools used. Statistical Package for Social Sciences (SPSS) version 25.0 was used to analyze the quantitative data while thematic analysis was used for analysing qualitative data. The quantitative results were presented in descriptive statistics with level of significance set at p<0.05 and the qualitative results were presented as prose. \u0000Results: The majority were males in the community-based 135 (71.8%) and the hospital-based model 126 (73.3%), with median (IQR) ages of 33 (27-40) years and 34 (27-43) years respectively. Adherence to treatment was significantly higher among patients in hospital-based (64%) compared to community-based (36%), (p 0.001). Availability of family and community support encourages adherence while lack of food supplies, dissatisfaction with services and drug side effects were factors against adherence to treatment. Treatment success rate was similar in both models. \u0000Conclusion: Adherence was better among patients initiated on treatment in the hospital-based model. Adherence should be strengthened in the community-based model by regular counselling and health education.","PeriodicalId":337808,"journal":{"name":"Journal of Community Medicine and Primary Health Care","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126414736","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}

引用次数: 0