Prevalence and trends in breast cancer in Lagos state, Nigeria

The study examined the trends in the prevalence of breast cancer in Lagos State, Nigeria. A sample of 1000 subjects was taken from a population consisting of women between the ages of 15 and 60 years spread across the 20 Local Government Areas (LGAs) of the State. Fifty questionnaires were distributed in each LGA. Employing statistical tools such as ANOVA, Chi-Square and that Duncan Multiple Range test, it was found that prevalence of breast cancer differs across age groups with the age range 26 to 45 having the highest prevalence. It was also observed that there is significant difference in prevalence across the years with 2007 recording the highest prevalence. Moreover, the study shows that women’s occupation or profession is important to whether they are diagnosed with breast cancer or not. The study shows steady growth in prevalence of breast cancer over years.Key Words: Psycho-Social, Breast, Cancer, Lagos, Awarenes

Removed Associating gender with neighbourhood deprivation in Lagos state, Nigeria.

AJOL has removed this paper from the website after it was found to be published in another academic publication. AJOL has requestd that both journal editorial boards investigate this matter further with the author

The Prevalence of Cardiovascular Disease in the Lagos State, Nigeria

The analysis, which examines the prevalence of cardiovascular diseases (ICD 9: 390-459) in Lagos State of Nigeria, was based on records obtained from the register of deaths in four Local Government Areas of the State. The result shows that there is general increase in death rates due to cardiovascular diseases over the five year period (2000- 2004). It was also discovered that the Proportional Mortality Ratio (PMR) for cardiovascular disease was elevated in men (PMR =103; 95% CI= 96 – 110) while there was deficit in female deaths (PMR=98; 95% CI = 91 – 104). The highest cardiovascular death rate was recorded among those in the 60 – 70 years age bracket. The PMR in that group is also the highest (PMR=139; 95% CI=123 – 155) among the various age groups. Data on seven occupational categories show elevated mortality with workers in private sector (PMR=135; 95% CI = 61 – 238) and Civil Servants (PMR=132; 95% CI=109 – 157) recording the highest in that order while highly significant deficit was recorded among students (PMR=76; 95% CI = 60 -95)KEY WORDS: Cardiovascular disease, Gender Differentials, Mortality Rates, Occupational Variability, Life Expectancy Rati

Harvard HIV and aging workshop: Perspectives and Priorities from Claude D. Pepper Centers and Centers for AIDS Research

People aging with HIV (PAWH) infection experience greater impairments in physical and cognitive function, in addition to higher rates of peripheral comorbid conditions (e.g., renal failure, diabetes, bone fracture, hypertension, cardiovascular disease, polypharmacy, and multimorbidity). While multifactorial drivers, including HIV infection itself, antiretroviral therapy-related toxicities, disparities in care, and biobehavioral factors, likely contribute, there remains an overarching question as to what are the relevant age-related mechanisms and models that could inform interventions that promote health span and life span in PAWH This workshop was convened to hear from experts on the biology of aging and HIV researchers studying PAWH to focus on advancing investigations at the interface of HIV and Aging. In this study, we summarize the discussions from the Harvard Center for AIDS Research and Boston Claude D. Pepper cosponsored workshop on HIV and Aging, which took place in October 2018.http://deepblue.lib.umich.edu/bitstream/2027.42/193070/2/aid.2019.0130.pdfPublished versio

Vaccination coverage and factors associated with adherence to the vaccination schedule in young children of a rural area in Burkina Faso

Background: Vaccination is an important tool for reducing infectious disease morbidity and mortality. In the past, less than 80% of children 12–23 months of age were fully immunized in Burkina Faso. Objectives: To describe coverage and assess factors associated with adherence to the vaccination schedule in rural area Burkina Faso. Methods: The study population was extracted from the Nouna Health and Demographic surveillance system cohort. Data from four rounds of interviews conducted between November 2012 and June 2014 were considered. This study included 4016 children aged 12–23 months. We assessed the effects of several background factors, including sex, factors reflecting access to health care (residence, place of birth), and maternal factors (age, education, marital status), on being fully immunized defined as having received Bacillus Calmette–Guérin (BCG), three doses of diphtheria–tetanus–pertussis and oral polio vaccine, and measles vaccine by 12 months of age. The associations were studied using binomial regression to derive prevalence ratios (PRs) in univariate and multivariate regression models. Results: The full vaccination coverage increased significantly over time (72% in 2012, 79% in 2013, and 81% in 2014, p = 0.003), and the coverage was significantly lower in urban than in rural areas (PR 0.84; 0.80–0.89). Vaccination coverage was neither influenced by sex nor influenced by place of birth or by maternal factors. Conclusion: The study documented a further improvement in full vaccination coverage in Burkina Faso in recent years and better vaccination coverage in rural than in urban areas. The organization of healthcare systems with systematic outreach activities in the rural areas may explain the difference between rural and urban areas