Prevalence and characteristics of cigarette smokers among undergraduates of the University of Ilorin, Nigeria

Background: Smoking control is urgently needed to prevent the epidemic of tobacco-related diseases and deaths in developing countries. This requires data on smoking, especially among vulnerable groups like students. We have surveyed cigarette smoking among undergraduates of the University of Ilorin, in the North Central region of Nigeria.Materials and Methods: This was a questionnaire-based survey among undergraduates of the University of Ilorin. A total of 1800 students were selected by multistage random sampling.Results: A total of 1754 students (234 medical and 1520 non-medical students) completed the questionnaires. They were 1148 (65.5%) males and 606 (34.5%) females with a mean age of 21.6 ± 3.1 years. The prevalence rate of current smoking was 5.7% (males 7.7%, females 2.0%) and of ever smoking was 17.1% (males 22.9%, females 6.2%). Smoking was more common in non-medical students. Eighty-three (83.8%) of the smokers had already started smoking by their eighteenth birthday. Fifty-one (51.5%) of them smoked ≤ 5 sticks of cigarettes daily. Most of them were influenced into smoking by peer pressure and commercial advertisements. Sixty-seven (67.6%) of them believed that smoking could never have a negative impact on their health status and quality of life and just 39 (39.4%) smokers were willing to quit.Conclusions: Despite the low prevalence rate of smoking in the studied population, a majority of them were not willing to quit because of a low perception of the negative effects of smoking on their health and quality of life. Comprehensive antismoking campaigns were urgently needed to control cigarette smoking among University undergraduates in Nigeria

General practitioner reported follow–up visits among asthma patients in North Central Nigeria

Background: Despite the benefits of regular follow–up in the long–term care of asthma, no previous study has reported on it among asthma patients in Nigeria. Objective: This survey was designed to evaluate GP–reported follow–up visits among asthma patients in North Central Nigeria. Methods: It was a cross–sectional survey conducted among GPs in three North Central states of Nigeria. Results: Overall, 48.3% of the GPs reported that their patients usually come for follow-up visits. About 63.6%, 40.0%, and 55.3% of the GPs in Kwara, Kogi, and Niger states, respectively, reported that their patients came for follow–up visits in the month prior to this study. Less than two–third of GPs in both private (55.1%) and public (56.8%) hospitals reportedly attended to patients on follow–up visits. About 46.5%, 37.5%, and 52.0% of the GPs who attended to patients 2 weeks prior to the study reported that their patients came for follow–up visits. There was signifi cant difference (P = 0.04) in the reported follow–up visits by GPs who attended to ≥ 10 asthma patients compared to others. None of the nine GPs who reportedly treated ≥ 10 patients in the preceding month of the study attended to any patient on follow–up visits. Conclusion: The GP–reported rates of follow–up visits in patients that are accessing asthma care from GPs practicing in the North Central part of Nigeria are low. Further studies to identify barriers to follow–up visits and how to correct them are therefore recommended.Keywords: Asthma care, follow—up visits general practitioners, NigeriaArrière-plan: Malgré les avantages de suivi régulier–jusqu’à long - term care de l’asthme, aucune étude antérieure n’a signalé sur elle chez les patients asthmatiques au Nigeria. Objectif: Ce sondage a été conçu pour évaluer les GP–signalés suivi–visites chez les patients asthmatiques au Centre Nord du Nigéria. Méthodes: C’est une croix–sectionnelle enquête menée parmi les GPs dans trois États centrale du Nord du Nigéria. Résultats: Dans l’ensemble, 48,3% des GPs a signalé que les patients sont en général pour des visites de suivi. 63,6% Environ, 40,0% 55,3% des GPs dans les États Kwara, Kogi et au Niger, respectivement, rapporte et que leurs patients sont venus pour suivi–visites dans le mois précédant cette étude. Moins de deux - tiers des GPs dans les hôpitaux publics (56,8%) et le privé (55,1%) auraient été assisté aux patients sur suivi–visites. Environ 46,5%, 37,5% et 52,0% le GPS qui ont participé aux patients 2 semaines avant l’étude rapporte que leurs patients sont venus pour suivi–visites. Il y avait une différence signifi cative (P = 0,04) dans le suivi déclaré–up visites par GPs qui ont participé à ≥ 10 patients asthmatiques par rapport aux autres. Aucun des neuf GPs qui auraient été traités ≥ 10 patients dans le mois précédent de l’étude ont assisté à tout patient sur suivi–visites. Conclusion: Le GP–taux signalés de suivi–visites chez les patients qui sont à accéder aux soins de l’asthme de GPs pratiquant dans la partie centrale du Nord du Nigéria sont faibles. D’autres études pour identifi er les obstacles à suivre–visites et comment à correct eux sont donc recommandés.Mots clés: L’asthme care, suivre — up généralistes, des visites, Nigeri

Unmet needs in asthma treatment in a resource-limited setting: Findings from the survey of adult asthma patients and their physicians in Nigeria

Introduction: The prevalence of asthma in our society is rising and there is need for better understanding of the asthma patients’ perception andtreatment practice of physicians. The study was aimed at determining asthma attitudes and treatment practices among adult physicians andpatients in Nigeria, with the goal of identifying barriers to optimal management.Methods: To assess asthma attitudes, treatment practices and limitations among adult physicians and patients in Nigeria, a questionnaire survey was conducted among 150 patients and 70 physicians.Results: Majority (66.7%) of the patients reported their asthma as  moderate to severe, 42.7% had emergency room visit and 32% had admission due to asthma in the previous 12 months. Physicians and patients perceptions significantly differed in the time devoted to  educational issues (31.4% vs.18.7%) and its contents: individual  management plan (64.3% vs.33.3%), correct inhaler technique (84.0% vs.71.0%), medication side effects (80.0% vs.60.0 %) and compliance 100% of time (5.7% vs. 18.7%). Patients reported that non-compliance with medication causes increased symptoms (67.0%), exacerbations (60.0%), bronchodilator use (56.0%), urgent physician visit (52.0%) and hospitalizations /ER visits (38.7%). Asthma medication in patients caused short term (10.7%) and long term side effects (20.0%). Due to side  effects, 28.0% skipped and stopped their medications. Most physicians (85.7%) and patients (56.0%) agreed on the need for new medication options. The need for new medication in patients was strongly related to asthma severity, limitation of activities, side effects, cost and lack of satisfaction with current medication. With the exception of pulmonologists, physicians did not readily prescribe ICS and their prescriptions were not in line with treatment guidelines.Conclusion: This study has highlighted the gaps and barriers to asthma treatment which need to be addressed to improve the quality of care in Nigeria

Reference values of haematological parameters of healthy adults in the north central zone of Nigeria

Background: Haematological parameters differ from one population to another due to several factors. To determine the clinical implication of the blood parameters of an individual in the state of health or disease, we need to have the knowledge of the normal reference range for that locality.Objectives: To determine the reference values of haematological parameters of apparently healthy adults in Ilorin.Design: A descriptive cross sectional study.Setting: Ilorin, North Central zone of NigeriaSubjects: Nine hundred and ten (443 males and 467 females) randomly selected normal, HIV negative individuals aged 18-65 yearsResults: The red blood cell count, Haemoglobin concentration, PCV and MCHC were significantly higher among males than females while the platelet count, total WBC count and absolute neutrophil count were significantly higher in females than in males. There was however no significant gender difference in the values of MCV, MCH and absolute lymphocyte count. The normal reference values obtained in this study were notably different from those that are used currently in the hospital.Conclusion: The normal reference value obtained in this study was notable different from those that are currently used in the hospital. These findings will have clinical implications regarding the adjustment of our current reference values and definitely add value to the management of patients in this part of the country

A retrospective fiver year review of snakebite in Bida, Nigeria

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An audit of spirometry at the University of Ilorin Teaching Hospital, Ilorin, Nigeria (2002–2009)

Background: Spirometry is a noninvasive and cost-effective physiologic test that greatly complements other investigative procedures in evaluation of respiratory conditions. This study was aimed at auditing the spirometryperformed at the University of Ilorin Teaching Hospital (UITH) Ilorin, Nigeria, and highlighting some of the challenges associated with the procedure.Methods: We reviewed and analyzed the record of spirometry performed at the cardiopulmonary unit of the hospital from June 2002 to December 2009.Results: A total of 119 patients had spirometry tests from 2002 to 2009 and their age ranged from 15 to 85 years with a mean of 47.6 ± 14.8 years. There were 69 (58%) males and the male:female ratio was 1.4:1. More than half (65%) of the tests were in patient

Secondhand smoke exposure among non smoking adults in two Nigerian cities

Background: Tobacco control policy can only succeed if the burdens of smoking are known. The objective of this study was to determine the prevalence and correlates of secondhand smoke (SHS) exposure among nonsmoking adults in two Nigerian cities. Materials and Methods: We carried out a cross-sectional study from October 2009 to April 2010 among adult population of two Nigerian cities: Enugu and Ilorin. A semi-structured questionnaire was administered by interviewers to obtain socio-demographic information; and information regarding pattern of SHS exposure, awareness of tobacco control policy and the harmful effects of SHS. SHS exposure was defined as regular exposure to tobacco smoke in the previous 30 days in a nonsmoking adult. Results: Of the 585 nonsmoking adults that completed the study, 38.8% had regular exposure to SHS; mostly, in public places (24.4%). More men were exposed at public places when compared with women (27.0% vs. 19.5%). The strongest factor associated with exposure to SHS in women was having a smoking spouse [prevalence rate (PR) ratio-7.76; 95% confidence interval (CI), 3.08-9.42]; and in men, it was lack of home smoking restriction (PR ratio-6.35; 95% CI, 4.51-8.93). Among men, SHS exposure at any location was associated with lack of secondary school education, residing in slum apartment (house with many households), living with a smoking family member (non-spouse), lack of home smoking restriction, and alcohol intake. Among women, SHS exposure at any location was associated with having a smoking spouse, residing in slum apartment and lack of home smoking restriction. Seventy-two percent of respondents were aware of the harmful effects of SHS on their health. Lack of awareness of the harmful effects was significantly associated with increasing age (r= +0.45; P

Female Sexual Dysfunction in Women Attending the Lentiviral Clinic at the University of Ilorin Teaching Hospital, Ilorin, Nigeria

Introduction: Sexual dysfunction in HIV positive women is common and it is often associated with psychosocial distress. Not much scientific attention has been focused on this important aspect of the life of the HIV-positive woman especially in Nigeria and in the West African sub-region at large, where issues pertaining to sexuality are hardly ever discussed due to cultural restrictions and taboos.Objectives: To determine the prevalence, psychological status, and socio demographic/clinical factors associated with sexual dysfunction in HIV-positive women at the lentiviral clinic of the University of Ilorin Teaching Hospital, Ilorin, Kwara State.Methods: This was a hospital based cross-sectional study conducted over a six month period. Data were collected from 370 respondents using a structured questionnaire. The General Health Questionnaire (GHQ12) was used to assess their psychological status while the modified Female Sexual Function Index Questionnaire (FSFI) was used to assess female sexual dysfunction. Questionnaire was interviewer administered and the data was analyzed using Epi-info 2011 package.Results: It showed that the prevalence of Sexual Dysfunction in HIV positive women was sixty one percent (61%). Thirty five percent (35%) of the respondents had significant psychological distress. The presence of psychological distress was significantly associated with Female Sexual Dysfunction (FSD). There was no association between FSD and religion, ethnicity, duration of marriage or presence of other chronic diseases. Increasing age, multiple sex partners, non-disclosure of HIV status, stigma, on-going stressful event, being underweight or obese were significantly associated with FSD. High level of education, being married, monogamy, WHO clinical stage I disease and higher CD4 count were associated with better sexual functioning.Conclusion: This study brings to the fore the need for physicians and healthcare workers who render comprehensive care as frontline doctors to acquire skills needed to attend to and alleviate the sexual problems of women in an African setting. Keywords: Sexual dysfunction; HIV-positive; Wome