Correlates of illness behaviour related to orofacial infections of odontogenic origin among adults in a semi urban community in Nigeria

Background: Infections of facial spaces in the maxillofacial region occur in most cases as a complication of odontogenic infections. It often results in substantial morbidity, with serious and potentially life threatening outcomes if allowed to progress without prompt medical attention.Objective: To identify factors that determine illness behaviour related to maxillofacial space infections.Method: This was a descriptive cross-sectional study of adult residents of pakoto community, Ifo local government area, Ogun state. The study was conducted using an interviewer administered questionnaire which included key information about respondents’ awareness of predisposing factors of maxillofacial space infections; common actions takenwith regards to treatment, and the factors that influenced their utilization of the available oral health care service.Results: A total of 187 individuals were sampled, mean age was 30.5(SD 11.7) years with majority being females (59.4%) The proportion of the total respondents who reported a history suggestive of orofacial space infection was 20.3% (n=38). Visiting a patent medicine dealer (26.3%) along with visiting a dentist (31.6%) were the illness behaviours most frequently engaged in by respondents who have had an orofacial swelling following a toothache, with majority (73.7%) indicating the action they took was based on what was most convenient.Conclusion: This study has revealed that engagement in unorthodox practises by individuals in a semi-urban community studied is prevalent, and influenced by factors such as age, gender, level of education and occupation.Keywords: Odontogenic infection, semi-urban community, illness behaviourFunding: Non

A survey of breastfeeding attitudes and health locus of control in the Nigerian population

YesBreastfeeding is important to infant health and survival in sub-Saharan Africa. To promote breastfeeding effectively, understanding of psychological factors associated with infant feeding choices is required. This study investigated breastfeeding attitudes and health locus of control (HLoC) in a Nigerian community sample. Men and women (N=400) (71% female; mean age 34.2 years/ range 18–86 years) were recruited through community groups in Nigeria. Self-report survey by questionnaire measured breastfeeding attitudes using the Iowa Infant Feeding Attitude Scale (IIFAS) and health locus of control using the Multidimensional Health Locus of Control Scale (MHLoCs). IIFAS scores (mean=57.7; sd=7.8) became less favourable with increasing age (p=0.02). Men had higher IIFAS scores (mean=58.6; sd=7.6) than women (mean=56.6; sd=8.0) indicating more favourable attitudes toward breastfeeding (p=0.02). Women scored higher than men on external chance HLoC (ECHLoC) (p=0.003) and external powerful others HLoC (EPHLoC) (p=0.02). Increasing age was associated with higher scores on ECHLoC (p<0.01) and EPHLoC (p<0.01). Multiple linear regression analysis was significant (p<0.001) and explained 7.8% of variance in breastfeeding attitude. Lower IIFAS scores, reflecting more negative attitudes to breastfeeding, were associated with higher ECHLoC (p<0.01) and EPOHLoC (p<0.05). Higher IIFAS scores, reflecting more positive attitudes to breastfeeding, were associated with greater IHLoC (p<0.01). Neither age nor gender were associated with IIFAS scores in the final model. This implies a need to explore health locus of control when promoting positive attitudes to breastfeeding and supporting families in breastfeeding advocacy

Variations in Facial Anthropometric Measurements among Major Ethnic Groups in Nigeria:A 3-Dimentional Stereophotogrammetry Analysis

Objectives: The aim of the study is to highlight variations in facial anthropometric measurements among the major ethnic groups in Nigeria using 3D photogrammetry. Materials and Methods: This study was conducted in Lagos, Nigeria. Acquisition of 3D facial photographs was done using a Vectra H1 portable 3D photogrammetry imaging system. Descriptive analysis of collected data was done and a test of associations performed using independent samples t-test. The level of significance was set at &lt;.05. Results: The total number of participants in this study was 503. The study population was made up of 302 (60%) males and 201 (40%) females. Mean upper facial height among Yoruba, Igbo, Hausa, and other ethnic groups were 68.93 ± 5.85, 70.18 ± 5.99, 63.79 ± 4.80, and 69.29 ± 5.95 mm respectively, while mean interpupillary distances were 66.99 ± 3.70, 67.34 ± 3.56, 66.73 ± 3.80, and 67.09 ± 3.72 mm respectively. A Tukey posthoc test revealed significant pairwise differences for upper facial height between the Yoruba and Hausa population with a mean difference of 5.15 mm (P &lt;.001, 95% CI 2.94-7.35) (P &lt;.001, 95% CI 2.94-7.35), and Hausa and Igbo population with a mean difference of 6.39 mm (P &lt;.001, 95% CI 3.75-9.03). Multivariate regression analysis confirmed the presence of significant inter-ethnic differences between Hausa ethnic group and the Yoruba ethnic group for midfacial height (P &lt;.001), upper lip height (P =.004), lower lip height (P =.003), total face height (P =.010), and orbital fissure width (P &lt;.001). Conclusion: The result of this study shows that distinct difference does exist in the facial anthropological measurements between the ethnicities included in this study especially in vertical facial measurements.</p