Influence of neighborhood environment and social support on physical activity among patients with diabetes mellitus

This study was aimed to determine the relationship of physical activity (PA) with the neighborhood environment and social support for PA among patients with diabetes mellitus (DM). A total of 193 consenting individuals with DM attending endocrinology clinic in a Nigerian tertiary hospital participated in this cross-sectional study. The international physical activity questionnaire short form, physical activity neighborhood environment scale (PANES), and physical activity and social support scale (PASSS) were used to assess the PA level (low, moderate, and high), neighborhood environment and social support for PA, respectively. The results of bivariate analyses showed that all elements of built environment and social support were significantly associated with PA. Regression model analyses indicate that PANES score was associated with moderate (adjusted odds ratio [aOR]: 10.76; 95% confidence interval [CI]: 3.82-30.32) to high (aOR: 45.73; 95% CI: 12.14-172.27) PA. In addition, easy access to quality walking facilities (aOR: 46.53; 95% CI: 3.89-557.32; aOR: 46.13; 95% CI: 2.65-802.40) and easy access to recreation infrastructure (aOR: 46.89; 95% CI: 3.95-487.83; aOR: 17.99; 95% CI: 1.28-252.98) were associated with moderate to high PA, respectively, while safety from crime (aOR: 0.21; 95% CI: 0.07-0.64) and easy access to services and shops (aOR: 21.90; 95% CI: 1.83-262.59) were associated with moderate and high PA. Informational social support was associated with moderate PA (aOR: 1.44; 95% CI: 1.04-2.00). In conclusion, the neighborhood environmental and social support factors were associated with the PA activity level among Nigerian patients with DM

EVALUATING THE EFFICACY OF HEALTH CARE FINANCING IN NIGERIA: EVIDENCE FROM OGUN STATE

The ways a country funds its health care delivery system could be an indicator of how much importance is placed on the commodity and its consumers. The aim of this paper is to evaluate the efficacy or otherwise of healthcare financing in Nigeria. To achieve the objective of the study, different questionnaires were designed and administered to the patients and health practitioners of a public hospital in Ogun State. The total number of questionnaire administered was 50 copies (25 copies for the patients; 25 copies for the health practitioners) and all the questionnaires were returned. A multiple regression analysis was adopted to justify the effectiveness of healthcare financing options on health services in Nigeria. The findings revealed that tax –based healthcare financing is effective inthe purchase of health services in Nigeria. Also, the result indicated that out-of-pocket healthcare financing has significant effect on health services in Nigeria. It is therefore recommended that while out –of-pocket may be necessary as means of purchasing health services, the government should intensify the use of tax-based healthcare financing to facilitate the provision of sustainable healthcare service in Nigeria

Exploring the Interaction of Trade Openness, Income Inequality, and Poverty in Nigeria

The literature on the nexus between trade openness, income inequality and poverty appears conspicuously and of diverse outcomes. Perhaps, the mixed findings may be attributed to the methodology and economic structure of the country in view. The current study examines the trade openness on income inequality and poverty in Nigeria between 1981 and 2019 using Autoregressive Distributed Lags (ARDL) methodology. Our findings show that trade openness had different effects on inequality and poverty in Nigeria in the short and long run. While its relationship with inequality is a short-run phenomenon, it had a long-run relationship with poverty. Overall, trade openness had a declining effect on inequality and poverty. In the former, its impact was not statistically significant. However, the gains of trade openness on inequality and poverty were reversed when inequality influenced trade openness. In essence, with the influence of inequality, trade openness had an increasing effect on poverty. As a result, this study makes several recommendations to policymakers. To begin, a policy framework must be established to ensure that Nigerian trade is integrated with the rest of the world. Evidence from this study has suggested that policies such as restricting trade through border closures must not feature as a policy option as long as one of the goals of the economy is poverty reduction and reduction in inequality