Contraceptive Use, Unwanted Pregnancies and Abortions among Hairdressers in Ibadan, Southwest Nigeria

The study was conducted in Ibadan, Southwest Nigeria to determine prevalence and predictors of contraceptive use, unwanted pregnancies and induced abortions among hairdressers. 1687 female hairdressers were surveyed using a cross sectional design and cluster sampling technique. Mean age was 27.0±8.1 years, 851 (50.4%) were single and 1005 (59.6%) qualified hairdressers. 817 (56.8%) of sexually active were currently using contraception. Attainment of secondary school education was a predictor of contraceptive use; OR=1.4, 95% CI (1.1-1.8). 429 (29.8%) ever had an unwanted pregnancy; 26.5 % among singles, 32.3 % among married. Predictors of unwanted pregnancies were age >30years; OR=1.9, 95% CI (1.4-2.5) and being a qualified hairdresser; OR=1.6, 95% CI (1.2-2.2). 347 (24.1%) ever had an induced abortion; 21.5.0 % of singles, 26% of married. Being married; OR=5.2, 95% CI (2.2-11.9) was the only predictor of induced abortion. Prevalence of unwanted pregnancies and abortions were high especially among married hairdressersKeywords: contraception, female hairdressers, apprentices, induced abortio

Perception and intention to use reproductive life plan among female final year undergraduates of the University of Ibadan, Nigeria

A descriptive cross-sectional study was conducted to assess perception (of) and intention to use reproductive life plan among 500 female final year undergraduates of the University of Ibadan, Nigeria. Only 22% of the respondents were aware of RLP and 63% had good perception of RLP. Most (85.1%) had the intention to plan their pregnancy and 64.5% intended to use RLP as a tool for planning pregnancy. More respondents (85.8%) who were aware of family planning methods had intention to plan their pregnancy compared to those that were not (61.5%; p = .015). Similarly, 65.8% of respondents who were aware of family planning methods had intention to use RLP compared to 23.1% of those who were not (p = .002). Respondents’ awareness of the concept of RLP was poor and majority agreed to use RLP as a tool for planning pregnancy. Awareness of family planning methods was associated with intention to use RLP.Impact Statement What is already known on this subject? Reproductive life plan (RLP) is a tool for setting goals in terms of childbearing. It outlines personal goals about pregnancy which includes having the desired number of children, avoiding unintended pregnancies and avoiding ill health that may threaten reproduction. RLP is a useful tool in preconception and the tool can adequately prepare young unmarried girls for motherhood, thus reducing the high rate of unintended pregnancy which remains a public health and social challenge especially in low income settings including Nigeria. What do the results of this study add? This study has been able to bridge an existing gap in knowledge because no study has been conducted to assess the perception of RLP and intention to use it as a preconception tool in Nigeria. The results provided new information on the perception and intention to use reproductive life plan among female final year undergraduate students of University of Ibadan, Nigeria. What are the implications of these findings for clinical practice and/or further research? The use of RLP serves as health promotion strategy to improve the health of each woman prior to conception by planning their pregnancies, identifying risk factors, providing education and stabilising medical conditions so as to optimise maternal and foetal outcomes

Knowledge About HIV/AIDS and Sexual Practices Among Automobile Repair Workers in Ibadan, Southwest Nigeria

HIV/AIDS is a rapidly growing epidemic in sub-Saharan Africa. Very few studies have focussed on outdoor workers. A cross sectional survey was conducted among automobile repair workers in Ibadan, Southwest Nigeria. A structured questionnaire was administered by interviewers to collect information on knowledge of transmission and prevention of HIV/AIDS and sexual practices among automobile repair workers. Twenty five questions were designed to determine knowledge about HIV/AIDS, each with a minimum score of 0 and a maximum of 1. Eight hundred workers participated in the study. They were all male aged between 12 and 80 years, mean 29.8 years. About half of the population were single. Majority (96%) had heard of HIV/AIDS. Over 95% of respondents knew about transmission by sexual intercourse and blood transfusion. A mean knowledge score of 17.6 out of 25 was recorded. Several misconceptions such as transmission of HIV/AIDS by mosquitoes and through sharing of clothes were prevalent. Ninety-three percent had ever had sexual intercourse and 87% of singles were sexually active. Two hundred and thirty-nine, (30%) had casual sex partners. Of these, only 59% used condoms during the last sexual intercourse with casual partners. In spite of a high knowledge score among this male dominated low income workers, their sexual practices are such that will encourage transmission of HIV.Connaissance par rapport au VIH/SIDA et les pratiques sexuelle chez les mécaniciens à Ibadan, sud-ouest du Nigéria Le VIH/SIDA est une épidémie qui s'accroît rapidement en Afrique subsaharéenne. Il y a très peu de recherches qui ont été consacrées au travailleurs au grand air. Une enquête transversale a été menée auprès des mécaniciens à Ibadan, au sud-ouest du Nigéria. Les enquêteurs ont administré un questionnaire structuré dans le but de recueillir des renseignements sur la connaissance relative à la transmission et la prévention du VIH/SIDA et sur les pratiques sexuelles chez les mécaniciens. Vingt-cinq questions ont été préparées pour déterminer la connaissance sur le VIH/SIDA, chacun ayant une note minimum de 0 et un maximum de 1. Huit cents mécaniciens ont participé à l'étude. Ils étaient tous des mâles âgés d'entre 12 ans et 80 ans avec une moyenne de 29,8ans. A peu près une moitié de la population était célibataire. La majorité (90%) avaient jamais entendu du VIH/SIDA. Plus de 95% des enquêtés étaient au courant de le transmission à travers des rapports sexuels et la transfusion sanguine. Une note de connaissance moyenne de 17,6 sur 25 a été enrégistée. Beaucoup de mauvaises conceptions telles la transmission du VIH/SIDA par les moustiques et par le partage des vêtements étaient répandues. Quatre-vingt-trois pourcent avaient jamais eu des rapports sexuels et 87% des célibataires avaient des partenaires sexuels occasionnels. Malgré une note de connaissance parmi ces travailleurs à faible revenu dominé par les mâles, leur pratiques sexuelles sont de nature à encourager la transmission du VIH

Occupational exposure, attitude to HIV-positive patients and uptake of HIV counselling and testing among health care workers in a tertiary hospital in Nigeria

Health care workers (HCWs) are at risk of occupational exposure to HIV. Their attitude to HIV-positive patients influences patients’ willingness and ability to access quality care. HIV counselling and testing (HCT) services are available to inform HCWs and patients about their status. There is little information about HCT uptake and attitude to HIV-positive patients among HCWs in tertiary health facilities in Nigeria. The aim of this study was to determine occupational exposure and attitude to HIV-positive patients and level of uptake of HCT services among HCWs in a tertiary hospital in Nigeria. A cross-sectional design was utilized. A total of 977 HCWs were surveyed using semi-structured, self-administered questionnaires. Nurses and doctors comprised 78.2% of the respondents. Their mean age was 35 ± 8.4 years. Almost half, 47.0%, reported accidental exposure to blood and body fluids (BBFs) in the preceding year. The main predictor of accidental exposure to BBFs in the last year was working in a surgical department, OR = 1.7, 95% CI (1.1–2.6). HCWs aged 5 years, OR = 3.6, 95% CI (1.4–9.3) and who work in nursing department, OR = 6.8, 95% CI (1.7–27.1) were more likely to be exposed to BBFs. Almost half, 52.9%, had accessed HCT services. Predictors for HCT uptake were age 5 years OR = 1.5, 95% CI (1.03–2.2) and working in medical department OR = 1.7, 95% CI (1.1–2.8). Respondents in nursing departments were more likely to require routine HIV test for all patients, OR = 3.9, 95% CI (2.4–6.2). HCWs in the laboratory departments were more likely to believe that HIV patients should be on separate wards, OR = 3.6, 95% CI (1.9–7.0). HCWs should be protected and encouraged to access HCT services in order to be effective role models in the prevention of HIV/AIDS

Social, obstetric and environmental determinants of low Apgar score among infants born in four selected hospitals in Ibadan, Nigeria

Little information exists about socio-economic, environmental or occupational determinants of low Apgar scores among Nigerian neonates. Mothers in lying-in wards of four hospitals in Ibadan were interviewed on socio-demographic characteristics, obstetric history and work activities during index pregnancy. Apgar scores and clinical data were extracted from case notes. Of the 1349 respondents, 20% had Apgar score <7 at one minute, 4% at five minutes. Lower education, cooking with kerosene, physical exertion at work, nulliparity, hypertension in pregnancy, prolonged rupture of membranes, breech presentation and caesarean section were predictors for low Apgar scores at one minute; nulliparity, male infant and breech presentation at five minutes. Occupations with lower socio-economic status or those requiring physical exertion; tailoring, catering and hairdressing recorded higher rates of low Apgar scores at one minute (p = .08). Physical exertion at work and cooking with kerosene may be predictive of low Apgar scores and require further study

Psychiatric morbidity among pregnant and non pregnant women in Ibadan, Nigeria

A comparative cross-sectional study was conducted among 991 pregnant and 674 non-pregnant women of reproductive age attending healthcare facilities in Ibadan, Nigeria using the General Health Questionnaire-12 (GHQ), and WHO self-reporting questionnaire (SRQ). Logistic regression analysis was conducted to identify predictors of psychiatric morbidity at p < 0.05. A significantly higher proportion of pregnant women experienced psychological distress on the GHQ (51.8%) and psychiatric morbidity on SRQ (33.3%) compared with 28.6% and 18.2% of non-pregnant women, respectively. Predictors of psychiatric morbidity among pregnant women were the type of facility, poor satisfaction and communication with partners, the experience of violence in the home, previous abortions, and previous history of depression. Psychiatric morbidity among non-pregnant women was predicted by younger age, previous history of depression, poor satisfaction and communication with partners. There is a need for early identification of psychiatric morbidity among women of reproductive age, to ensure early interventions and prevent long-term disability.Impact statement What is already known on this subject? Psychiatric morbidity has immense effects on a woman’s quality of life, social functioning, obstetric outcome, and economic productivity. What do the results of this study add? Psychiatric morbidity among women of reproductive age is high. Pregnant women when compared to non-pregnant women had significantly higher rates of psychiatric morbidity. This high prevalence of psychiatric morbidity in both groups was predicted by poor satisfaction and communication with partners, and a previous history of depression. What are the implications of these findings for clinical practice and/or further research? Simple screening for women of reproductive age attending healthcare facilities may help with the early identification of psychiatric morbidity leading to prompt interventions, and preventing long-term disability