Nympha O. Enebe

A rapidly increasing population is a threat to national development, family stability and social security. This study aimed at assessing family size preferences and its predictors among married men in urban slums in Enugu, Nigeria. A descriptive cross-sectional study that involved household survey of 381 married men living in urban slums of Enugu, Nigeria was carried out. Data was collected using pre-tested, interviewer-administered questionnaires. Data aanalysis was done with IBM Statistical Package for the Social Sciences (SPSS). The average actual family size was 6 people, with an average of 4 children. 62.5% had their children mixed, 27% had all males, while 10.5% had all girls. However, over 50% of respondents desired to have a family size of 8 or more, with 52.8% of them preferring to have at least 3 sons and 3 daughters. The predictors of family size were: age of respondent (AOR 2.951; CI=1.343-3.314), sex distribution (AOR 2.905; CI= 1.960-4.306), number of twins (AOR 4.720 ...

Background: World Health Organization (WHO) recommended use of partograph during childbirth to ensure early identification of abnormalities and prompt referral for emergency obstetrics care. However, factors that determine use of partograph during childbirth among primary healthcare workers (PHCWs) remain inadequately documented. Objective: This study investigated the determinants of use of partograph in conduct of labor among PHCWs in Enugu, South-East Nigeria. Materials and Methods: It was a cross-sectional descriptive survey of public PHCWs in Enugu State, Nigeria. Multistage sampling technique was used to select 393 respondents. Data were collected using a structured self-administered questionnaire and analyzed with IBM-SPSS version 22. Tests of statistics were conducted using χ2 and binary logistic regression, and statistical significance was determined at P-value of < 0.05. Results: Majority (87.0%) of the respondents have good knowledge of partograph. Reported regular availability of partograph is 32.8% but regular use of it is 25.2%. Statistically significant association exists between use of partograph and reception of training on it (P=0.001), knowledge of it (P=0.001), and availability of it (P=0.001). Availability of partograph was a predictor of use of it (adjusted odds ratio (AOR)=27.129; confidence interval=14.780–49.797). Conclusion: Although there is high knowledge of partograph among PHCWs in Enugu state, there is poor usage of it. There are 27 times higher odds of using partograph when it is made available compared with when it is not. We recommend regular provision of partograph to labor ward personnel in PHCWs in Enugu state and other similar populations.

Conclusions: There is a signi fi cant relationship between SB and adverse MHO in a sample of BC youth during the COVID-19 pandemic. Future analyses will assess for the potential moderating impact of sociodemographic variables. Further research is indicated to measure the size and effect of the role of SB on MHO for youth in a post-pandemic world. (p ¼ 0.701) were not statistically signi fi cant (p > 0.05). There was a signi fi cant increase in exercise during the pandemic (22.9% to 64.3%, p ¼ 0.006). Conclusions: Our initial hypothesis was that we would observe an increase in IGDS9-SF and CDI scores of video gamers. However, although screen time increased, problematic video gaming did not. Our fi ndings indicate that the interventions applied in our clinic after the initial study might have acted as a protective factor towards problematic video game use and the associated sedentary lifestyle. Sources of Support: None. Similarly, 58% had a positive PHQ-9A screen of which 58% (n ¼ 150) did not have a pre-existing diagnosis of depression. A positive PRIUSS score was observed in 18% of our participants. Of those,13% (n ¼ 36) did not have a pre-existing diagnosis of either anxiety or depression, 21% (n ¼ 31) had a pre-existing diagnosis of anxiety, 27% (n ¼ 35) had a pre-existing diagnosis of depression and 24% (n ¼ 23) had a pre-existing diagnosis of depression and anxiety. In our study, therewas a positive association between PHQ-9A and GAD-7 scores and PRIUSS score (p < 0.001). Analysis also showed positive correlation between PRIUSS score and pre- existing diagnosis of depression (p < 0.001). Conclusions: This study showed a higher prevalence of PIU using the PRIUSS screening tool scale during the COVID-19 pandemic. It demonstrated the importance of screening for depression and anxiety as over half the sample had positive screens without underlying diagnosis of depression and anxiety. Our study showed a positive correlation between PRIUSS scores and pre-existing diagnosis of depression, positive GAD and PHQ 9 A scores. Based on these fi ndings, providers should consider screening for PIU in patients with underlying depression as well as positive mental health screens. Sources of Support: Not Applicable.

Introduction the prevalence of cervical squamous intraepithelial lesion is not well appreciated in most low-income countries. The study aimed to determine the level of awareness, prevalence and the pattern of squamous intraepithelial lesions and predictors for abnormal Pap smear reports (development of pre-malignant lesions of the cervix) among women attending various clinics in a tertiary health facility in Enugu, Nigeria. Methods a cross-sectional study of 207 female patients attending various clinics of Enugu State University Teaching Hospital, Parklane, Enugu between June and August 2017 was undertaken. Structured interviewer-administered questionnaires were used for data collection while cervical smears were collected from the patients and sent for cytology. Data analysis was done using the Statistical Package for the Social Sciences (SPSS) version 22.0. The results were presented as means, standard deviations, frequencies and proportions. Pearson´s Chi-square test was used to test for associations between categorical variables and statistical significance was set at a p-value of < 0.05. Results the levels of awareness of cervical cancer and the screening methods among the respondents were 76.8% and 36.7% respectively. The overall knowledge of cervical cancer and its screening was poor (6.8% and 29.0% respectively). The prevalence of pre-malignant lesions of the cervix among the respondents was 15.0% with low grade squamous intraepithelial lesion (LGSIL) having the highest frequency (38.7%). Among all the other risk factors for the development of premalignant lesions of the cervix among the respondents, a report of abnormal pap (positive) smear report was significantly associated with only age ≥35 years (χ2=5.723; p=0.017). The same age of 35 years and above also correctly predicted abnormal Pap smear reports among other factors (AOR = 3.02, 95% CI = 1.16 - 7.89, p = 0.024). Conclusion the awareness of cervical cancer and cervical cancer screening was high but the overall knowledge on cervical cancer and its screening was very poor among the respondents. The prevalence of pre-malignant lesions of the cervix was high, and the commonest abnormal smear was LGSIL. Only age 35 years and above correctly predicted the occurrence of abnormal Pap smear reports among the respondents.

BackgroundPre-eclampsia is a common obstetric complication of pregnancy in Nigeria, and oxidative stress has been implicated in its aetiopathogenesis. Despite this fact, there is a paucity of information regarding the serum antioxidant micronutrient status of pre-eclamptic Nigerian women. The objective of the was to determine the mean serum levels of some antioxidant trace elements (copper, zinc, selenium, magnesium, manganese) in pre-eclamptic pregnant women and compare with that of healthy pregnant women in Enugu, South-Eastern, Nigeria.MethodsA cross-sectional analytical study was carried out at the Obstetrics and Gynaecology department of the University of Nigeria, Teaching Hospital Ituku-Ozalla, Enugu. Using atomic absorption spectrophotometry, the sera of 81 pregnant pre-eclamptic and 81 matched healthy pregnant controls were analyzed for the antioxidant micronutrients. Both descriptive and inferential analysis was performed using the statistical package for social sciences (S...

Background Globally, millions of children are involved in child labour. However, low- and middle-income countries are mostly hit. This study examined the predictors of child labour among public secondary school students in the Enugu metropolis. Methods This was a descriptive cross-sectional study of 332 junior secondary students attending public schools in Enugu metropolis, Nigeria. Multistage sampling technique was used to select the six secondary schools and the students that participated in the study. Data collection was done from September to October 2018. Pretested structured, interviewer-administered questionnaire was used for data collection. The questionnaire contained information on the sociodemographic variables, the kind of work done by the respondents and the number of working hours spent weekly. UNICEF’s standard indicator for child labour was used to estimate the prevalence of child labour. Logistic regression was used to identify socioeconomic predictors of child labo...