Pattern of media literacy skills and internet health information utilization among in-school adolescents in Osun State, south-west, Nigeria

Background: Adolescents due to their impressionability and gullibility are particularly vulnerable to media influence.Objectives: The study set out to determine media literacy skill levels and its relationship with socio-demographic profile and the purpose of Internet health information by in-school adolescents in Osun State, Nigeria.Methodology: A descriptive cross-sectional survey using multi-stage sampling method. A calculated sample size of 1,200 adolescents from 6 public and 6 privately owned high schools were selected for the study.Result: Findings revealed that majority, 798(67.3%), of respondents were in the mid adolescence stage with as much as 792(66.8%) belonging to the lower social class IV. A little over half (51.9%) reported good media literacy skill levels. There were statistically significant relationships (p< 0.50) between age, gender, socio-economic class and media literacy skills. Sexuality issues ( x̄ =3.09), other nutritional issues ( x̄ =3.08) and body size, shape, body image or physique (x̄ =2.91) were affirmed as ranking highest among the purpose for Internet health information use by the respondents.Keywords: media literacy, social class, adolescence, in-school adolescents, gende

Family physicians and research ethics in clinical practice

No Abstrac

Predictors of insomnia among adults presenting at the general outpatient department of a Nigerian Tertiary Hospital

Background: Sleeplessness has contributed negatively in no small measure to the quality of life of individuals who suffer from it. Itbecomes imperative to study if there are sociodemographic predictors of insomnia so as to educate and counsel those presenting withsimilar parameters. Aim: To determine the sociodemographic predictors of insomnia among adult patients. Method: The data for this descriptive, cross-sectional facility-based study was obtained through systematic random sampling  technique involving three hundred and seventeen adults selected using an interviewer administered questionnaire. Result: The total prevalence of insomnia in the study was 28.4%. Poor sleepers were significantly older (χ2= 42.532; p < 0.001), married (χ2 = 18.894; p < 0.001), had a family history of insomnia (χ2 = 31.643; p < 0.001) and in polygamous family setting (χ2= 10.514; p = 0.002). Multivariate logistic regression analysis revealed that younger age and monogamous family setting were less likely to suffer from insomnia. Conclusion: It is important for clinician to pay particular attention to family history of insomnia in their patient whatever their age.This will help to educate and counsel those with family history of insomnia to pay particular attention to their sleep hygiene while theyare still young. This will ultimately reduce man power loss and increase productivity. Key words: Insomnia, Adults, Sociodemographic, Predictor

Burden of intimate partner violence in a Local Government Area, South-West, Nigeria- a cross sectional study of pregnant women

Background: Intimate Partner Violence (IPV) has become one of the most important reproductive and public health issue attracting global attention. Women may  experience violence at any point in their lives, but IPV during pregnancy is a  focused attack that puts not just one, but two lives at risk, the pregnant woman and the unborn foetus. The objective of this study was to ascertain the burden of intimate partner violence amongst pregnant women in Oyo East Local Government of Oyo State, Nigeria.Methods: This was a descriptive cross-sectional study. Three hundred and fifty  pregnant women aged 18-49 years were consecutively recruited from the sole secondary health care facility and 3 primary health care facilities randomly selected by balloting. A pre-tested semi-structured questionnaire adapted from the WHO Multi-Country Study on Women's Health and Domestic Violence was used to collect data. Data were analysed with SPSS version 16. Descriptive statistics, Chi square test and logistic regression were used to analyse the data at 0.05 significance level.Results: Majority of the respondents (72.0%) reported intimate partner violence,  while prevalence of 24.2% was obtained in the index pregnancy. Psychological  forms of intimate partner violence were the commonest and physical forms, the  least. The main types of physical violence experienced were slaps (72.0%), being hit (40.0%) and being kicked (34.7%). The main partner characteristics significantly associated with IPV included age 25-34 years, history of previous violent behaviour with other people and report of extra-marital affairs. Predictors of experience of physical IPV included: being in a polygamous family (OR= 0.3, 95% CI 0.1-0.8), being a skilled worker (OR= 7.2, 95% CI 1.9-27.4) and having a partner who abuse alcohol (OR=5.1, 95% CI 1.2-20.8).Conclusion: Intimate partner violence is common among pregnant women and is a threat to women's health

Role of footcare education in diabetic foot status and glycaemic control among diabetics attending family medicine practice of Federal Teaching Hospital Ido Ekiti

Background: Prevalence of type 2 diabetes among the adult population is rising globally. As the case detection rates of diabetes increase in adult Nigerians, managing the attendant (foot) complications has become an important health challenge. Poor practice of foot care and poor glycaemic control is potential risk for Diabetic Foot Ulcer (DFU).Objective: To determine the role of foot care education in diabetic foot status and glycaemic control among diabetics attending Family Medicine Practice, Federal Medical Centre, Ido Ekiti.Materials and Methods: Interventional study was performed on 154 adult patients (77 in intervention group and 77 in control group) with diabetes who had been on treatment for at least three months. Relevant data were collected using interviewer administered semistructured questionnaire. ''CARE framework'' tool was used as a patient education guide.Results: The practice of foot care in the intervention group improved to a statistically significant level compared to control group (85.7% vs 23.4%), p < 0.001. There was no statistically significant difference in diabetic foot status between the intervention and the control group after the intervention. However, the glycaemic control was statistically significantly different between the two groups (p < 0.001) post-intervention.Conclusion: Foot care education was linked to better foot care practice and improved glycaemic control. Family Physicians will do well by giving foot care education to diabetic patients with a view of improving foot care practice and glycaemic control, and reducing.Keywords: foot status, diabetic foot ulcer, diabetes, foot care, education, glycaemic contro

The role of physical exercise in management of depression among adult depressive patients attending family medicine practice of a Federal Teaching Hospital, South west Nigeria

No Abstract

Relationship between family support and depression symptoms among older women attending a general practice clinic, Lautech Teaching Hospital, Osogbo, Nigeria

Background: Older women are more at risk of depression symptoms. This study assessed the relationship between family support and factors associated with depression symptoms among older women.Methods: A descriptive cross-sectional study conducted among 317 older women attending the General Practice Clinic, Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria over a period of four months. They completed a semi-structured questionnaire on socio-demographic, clinical characteristics, Patient Health Questionnaire (PHQ-9) and Perceived Social Support-Family Scale. Data were analyzed using descriptive and  inferential statistics.Results: The prevalence of depression symptoms was 42.5%. Most respondents (73.8%) also had chronic health problems such as hypertension (53.8%), obesity (43.2%), musculo-skeletal disorders (30.3%) and diabetes mellitus (10.3%). Poor family support was associated with depression symptoms among the respondents Significant factors associated with having depression symptoms include presence of chronic illness (OR=3.54, 95%CI=1.29-9.71, p=0.0001), low income (OR=5.21, 95%CI=1.50-17.86, p=0.020), bereavement (OR=2.39, 95%CI=1.01-5.63, p=0.014) and poor family support (OR=3.42, 95%CI=0.99-11.76, p=0.010).Conclusions: Poor family support was associated with depressive symptoms. Depression symptoms are common among older women with chronic health problems, poverty and poor family support. Targeting Improving family support these factors will reduce depression symptoms among older women

Awareness, use and choice of emergency contraceptive among women in Ile-Ife, Nigeria

Background: Immediate access to emergency contraceptives (EC) averts unintended pregnancy following unprotected sex or sexual assault due to ineffective prior contraceptive coverage. This study assessed the awareness, use and choice of EC among females of reproductive age (15-49) resident in Ile-Ife, Osun State, Nigeria.Methods: The study was a community-based cross-sectional study. 400 consenting respondents completed a questionnaire on factors affecting awareness and use of EC. Data analyzed using descriptive and inferential statistics.Results: Mean age (SD) of the respondents was 25.5±5.5 years ranging from 18 to 48 years. Majority of the respondents were single (72.2%) and had secondary education (68.5%). Twenty-one percent had previous unintended pregnancy with 14% having had induced abortion. Majority (51%) were aware of EC with friends (72.1%) and primary care workers (38.7%) as their commonest sources of information. Most (69%) were sexually active with the commonest previous EC use as Postinor (85.8%) and IUCD (14.2%). Major reason for EC use was pregnancy prevention (85.8%) while for non-use was fear of side effects (45.5%). Young age (OR=4.26, CI: 1.46-12.50, p=0.008), higher education (OR=3.77, CI=1.04-13.70, p=0.043) and awareness of EC (OR=10.86, CI: 5.54-21.28, p=0.001) were significant determinants of EC use.Conclusions: Many sexually active women were not aware of EC. Contraceptive education will improve EC awareness.Keywords: Emergency contraceptives, women, primary health workers, friend

Exploring a sub Saharan African framework for family medicine teachers

No Abstract

Relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients attending a general Outpatient Department in southwest Nigeria

Background: Medication non-adherence (MNA) is prevalent in hypertension. Patient satisfaction is derived from the patient's appraisal of how well the provider meets his or her personal emotional and physical needs. The objectives of this study were to determine the factors associated with medication non-adherence; and to also ascertain the relationship between patient satisfaction with medical care and medication non-adherence among hypertensive patients.Methods: Cross sectional study which was conducted in the Family Medicine clinic of the Federal Teaching Hospital, Ido-Ekiti. The sample size was 337. Morisky Medication Adherence Scale (MMAS-8), and the Patient Satisfaction Questionnaire (PSQ-18) were the questionnaires used. Data was analysed using the Statistical Package for Social Sciences (SPSS).Results: The majority {185 (54.9%)} of the hypertensives were in the age-group 45 – 64 years. The male to female ratio was 1:0.67. The largest proportion of the respondents {134 (39.8%)} had low adherence (medication non-adherence), while 104 (30.9%) and 99 (29.3%) had medium and high medication adherence level respectively. Mean satisfaction scores of 3 and above were obtained in the Technical Quality (3.54 ± 0.81),  Accessibility and Convenience (3.48 ± 0.87), Communication (3.23 ± 0.95) and Interpersonal Manner (3.09 ± 0.98) subscales. The subscales with mean satisfaction scores of less than 3 were the General Satisfaction (2.82 ± 1.23), Financial Aspects (1.91 ± 0.82), and Time Spent with Doctor (1.85 ± 0.82) which had the least score. There were statistically significant strong positive correlations between medication adherence and each of the seven patient satisfaction subscales. The significant predictors of medication non-adherence were having primary education or no formal education,  having monthly income of less than ₦50,000, and being overweight or obese.Conclusion: Physicians should deliver quality care in a way to achieve high ratings of patient satisfaction. This will influence patients to adhere better to their antihypertensive medications. Keywords: Patient satisfaction, medication non-adherence, blood pressure, hypertension, Nigeri