Perception and Healthcare seeking practices regarding dysmenorrhea among public secondary school students in Lagos, Nigeria

Objectives: Dysmenorrhea is an important health problem which may have a negative impact on female health, school activities and psychological status. This study assessed the prevalence, knowledge, perception and healthcare seeking practices of dysmenorrhea among secondary school students in Lagos State, Nigeria. The pattern of management of dysmenorrhea among respondents was also assessed. Methods: A cross-sectional descriptive survey was conducted among 420 adolescents in public secondary schools in Ikeja Local government area of Lagos State, Nigeria. Respondents were interviewed using a structured pretested questionnaire. Data was analyzed with SPSS Version 22.0. The level of statistical significance was set at p<0.05. Results: Mean ± SD age at menarche was 12.3±1.3 years. The prevalence of dysmenorrhea among respondents was 75.2%. About one-quarter 106(25.2%) had good knowledge and 209(49.8%) had good perception of dysmenorrhea. Only 10% had ever sought health care for dysmenorrhea. A statistically significant association was found between the knowledge of respondents and healthcare-seeking behavior towards dysmenorrhea (p = 0.004). Conclusion: The prevalence of dysmenorrhea was high and majority of respondents had poor knowledge. Improving adolescents’ knowledge of dysmenorrhea through health education could positively influence their health care-seeking behavior

Knowledge, Attitude and Willingness to Participate in Gamete Donation for Artificial Insemination among Undergraduate Students in Lagos

Background: Infertility affects one-fifth to one-sixth of couples of reproductive age. Gamete donation is one option for managing infertility, but it is relatively unknown in the developing world. Objectives: To assess Nigerian undergraduate students' knowledge, attitude and willingness to participate in gamete donation for artificial insemination. Methods: A descriptive cross-sectional study was conducted among 160 undergraduate students using a semi-structured self-administered questionnaire. The respondents were recruited using a multi-stage sampling technique. Results: The mean age of the respondents was 21.5±3.2 years, with a range of 18-32 years. The majority (89.4%) of the respondents were single and were in the first year of study (56.3%). Almost all the respondents (96.3%) had heard about the practice of gamete donation, but only (38.7%) had overall good knowledge about it. Almost half (46.9%) of respondents had an overall positive attitude towards gamete donation, while only 37.5% were willing to participate. The class level of the respondents (p = 0.03) was significantly associated with poor knowledge of gamete donation, while age (p = 0.01) and gender (p < 0.001) were associated with a negative attitude. Age (p<0.001) was also significantly associated with poor willingness to participate. Conclusion: The respondents' awareness of gamete donation was high, but their knowledge was poor, leading to a negative attitude and poor willingness to participate. Public enlightenment on gamete donation for artificial insemination should be intensified