5 research outputs found
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Self-monitoring of blood pressure: awareness, practice, perceived barriers and associated sociodemographic factors among adult hypertensives attending a tertiary hospital in south-south Nigeria
Background: Self-monitoring of blood pressure (SMBP) is helpful in blood pressure (BP) status categorization and emerging evidence shows its beneficial impact on BP control. The study assessed the awareness and practice of SMBP and its associated sociodemographic factors among adult hypertensives in Southern Nigeria.
Methods: The study was cross-sectional and questionnaire-based. Eligible adult hypertensive patients attending a tertiary hospital in South-South, Nigeria, were randomly recruited from the cardiology clinic over one year. Health Research Ethics Committee provided Ethics Approval to conduct the study [HREC/PAN/2021/016/0327].
Results: Of the 364 hypertensive adults studied, the mean (±SD) age was 59.34 (±14.308) years, males (192, 52.7%) and urban dwellers (273, 75%). A total of 287 (78.8%) were aware of SMBP, and 240 (65.9%) practiced SMBP. Most (75, 60.5%) of the respondents who did not practice SMBP had no specific reason not to. Of the respondents who practiced SMBP, 226 (94.2%) owned a BP monitoring device, and 135 (56.3%) kept records of their BP readings, out of which 83% (112/135) cross-checked with clinic readings. The practice of SMBP was significantly associated with marital status (p=0.038), education (p<0.001), residence (p=0.011), average monthly income (p=0.020), and access to healthcare insurance (p=0.042) but not with age, sex, and occupation.
Conclusion: The awareness and practice of SMBP were high in this study. However, almost half of the respondents who practiced SMBP neither kept records nor cross-checked home BP with clinic readings, thus limiting the added clinical support SMBP offers. Healthcare providers must continue educating patients to maximize the benefits of SMBP
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Sociodemographic predictors of non-communicable diseases risk-related knowledge and behaviours: A cross-sectional study of in-school adolescents in a southern Nigerian State
Background: The adolescence period is a significant phase in development of non-communicable diseases. Public health interventions that reduce risky behaviours among adolescents are beneficial across the life course. This study assessed the level of NCDs’ risk-related knowledge, the prevalence of NCDs’ risk behaviour, and the sociodemographic predictors of NCDs’ risk-related knowledge and behaviours among in-school adolescents in a southern Nigerian State.
Methods: A cross-sectional study design was employed to assess the NCDs’ risk-related knowledge and behaviours among a random multistage sample of 607 students age between 10 and 19 years. Data was collected using an interviewer-administered semi-structured questionnaire adapted from the WHO STEPS questionnaire. Descriptive and inferential analyses of data collected were carried out using the IBM SPSS version 22 software.
Results: The mean age of the students was 14.7 (SD = 1.52) years, 57.2% (n=347) of which were females, and 42.8% (n=260) were males. The proportion of students with good overall NCDs risk-related knowledge was 22.7% (n=138). Age, place of residence, family's socioeconomic status, and mother's level of education were significant sociodemographic predictors of good overall NCD risk-related knowledge. Among the students, 66.2% (n=402) self-report inadequate physical activity, 65.7% (n=399) self-report consumption of unhealthy diets, 29.2% (n = 177) self-report current alcohol use, and 3.3% (n = 20) self-report they were current cigarette smokers.
Conclusion: A significant proportion of the surveyed students had poor overall NCDs risk-related knowledge and engaged in NCDs risk behaviours. The relevant stakeholders concern with prevention of NCDs in government and non-governmental organisations should target adolescents in NCD control strategies in the study setting
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Prevalence and sociodemographic predictors of multiple non-communicable diseases risk behaviours among in-school adolescents in Delta State, Nigeria: A cross-sectional study
Background: NCDs risk behaviours are modifiable and particularly patterned during adolescence. This study assessed the prevalence and sociodemographic predictors of multiple NCDs risk behaviours among in-school adolescents.
Methods: A cross-sectional study design was employed to assess the simultaneous occurrence of NCD risk behaviours among a random multistage sample of 607 participants. Data was collected using an interviewer-administered semi-structured questionnaire. Bivariate and multivariate analysis was carried using the IBM SPSS version 22 software.
Results: The mean age of the study participants was 14.7 (SD = 1.52) years. The prevalence of two and at least three co-occurring NCDs risk behaviours among the study participants 46.1 % (n=280) and 16.6 % (n = 101). Increasing age (AOR=1.84; 95% CI: 1.11 - 3.05), male sex (AOR=1.75; 95% CI: 1.28 - 2.82) and being an urban resident (AOR=1.41; 95% CI: 1.06 - 2.86) were predictors of at least three co-occurring NCDs risk behaviours.
Conclusion: The prevalence of multiple NCDs risk behaviours was relatively high among the study participants. This calls for urgent implementation of interventions at all ecological levels that will equip in-school adolescents with the skills to adopt healthy lifestyles and choices
Incidence, clinical characteristics, and risk factors of peripartum cardiomyopathy in Nigeria : results from the PEACE Registry
Aims: The aim of this study was to describe the incidence, clinical characteristics and risk factors of peripartum cardiomyopathy (PPCM) in Nigeria. Methods and Results: The study was conducted in 22 hospitals in Nigeria, and PPCM patients were consecutively recruited between June 2017 and March 2018. To determine factors associated with PPCM, the patients were compared with apparently healthy women who recently delivered, as controls. Four hundred six patients were compared with 99 controls. The incidence and disease burden (based on the rate of consecutive recruitment of subjects) varied widely between the six geographical zones of Nigeria. From the North-West zone, 72.3% of the patients was recruited, where an incidence as high as 1 per 96 live births was obtained in a centre, while the disease was uncommon (7.6% of all recruited patients) in the South. Majority of the patients (76.6%) and controls (74.8%) (p = 0.694) were of Hausa-Fulani ethnic group. Atrial fibrillation, intracardiac thrombus, stroke, and right ventricular systolic dysfunction were found in 1.7%, 6.4%, 2.2%, and 54.9% of the patients, respectively. Lack of formal education (odds ratio [OR] 3.08, 95% confidence interval [1.71, 5.53]; P < 0.001), unemployment (OR: 3.28 [2.05, 5.24]; P < 0.001), underweight (OR: 13.43 [4.17, 43.21]; P < 0.001) and history of pre-eclampsia (OR: 9.01 [2.18, 37.75]; P = 0.002) emerged as independent PPCM risk factors using regression models. Customary hot baths (OR: 1.24 [0.80, 1.93]; P = 0.344), pap enriched with dried lake salt (OR: 1.20 [0.74, 1.94]; P = 0.451), and Hausa-Fulani ethnicity (OR: 1.11 [0.67, 1.84]; P = 0.698) did not achieve significance as PPCM risk factors. Conclusions: In Nigeria, the burden of PPCM was greatest in the North-West zone, which has the highest known incidence. PPCM was predicted by sociodemographic factors and pre-eclampsia, which should be considered in its control at population level. Postpartum customary birth practices and Hausa-Fulani ethnicity were not associated with PPCM in Nigeria