Sexual Orientation Among Unmarried Final Year University Students in Osun State: Distribution, Determinants and Level of Satisfaction.

BACKGROUND: Sexual Orientation is an enduring pattern of romantic or sexual attraction, with the attractions broadly incorporated under heterosexuality and non-heterosexuality. Societal and other factors seem to affect individuals' perception of their self-identified orientation. Thus, this study sets out to document the distribution of sexual orientation, level of self-reported satisfaction, and factors associated with sexual orientation among unmarried university students. METHODS: A cross-sectional study involving 550 respondents sampled using a multi-stage sampling technique. Data collected via a self-administered questionnaire and analyzed via IBM SPSS version 20.0. RESULTS: Most respondents (93.6%) were heterosexuals, 4.7% bisexuals, 1.3% lesbian women and 0.40% gay men. More heterosexuals (80.4%) were fully satisfied with their self-identified sexual orientation compared to 57.2% of non-heterosexuals. Respondents who had religious upbringing and those whose parents were currently married were less likely to have sexual orientation outside of heterosexuality. CONCLUSION: The most prevalent sexual orientation was heterosexuality, with more heterosexuals also expressing satisfaction than others. With the level of dissatisfaction expressed by those who are not heterosexuals as well as the factors associated with heterosexuality, it is plausible to conclude that societal values and/or prejudices constitute major factors in individuals self-identifying with some particular sexual orientation and the satisfaction derived therein.

Interprofessional Rivalry in Nigeria's Health Sector: A Comparison of Doctors and Other Health Workers' Views at a Secondary Care Center.

OBJECTIVES: To examine interprofessional rivalry (IPR) between doctors and other health workers and their understanding of its effects. INTRODUCTION: IPR in Nigeria's health system is a burgeoning issue with apparent adverse effects. The most profound rivalry appears to be between doctors and other health workers. METHODS: A descriptive cross-sectional study involving 120 health workers (24 doctors and 96 other health workers) at the State Specialist Hospital, Okitipupa, Ondo State, Nigeria. Pertinent data were collected via semistructured questionnaire and analyzed using SPSS Version17.0. DISCUSSION: IPR is perceived to be the leading cause of conflicts among health workers by 70% of respondents. Doctors and other workers had significantly divergent opinions on the leadership of the health team, patient management, establishment positions, and monetary issues as well as on the effects of IPR with more doctors recognizing its hazards. Nearly half of the respondents believe that strikes are justifiable and the most recommended antidote is for the government to attempt to meet group needs. CONCLUSION: IPR has reached unprecedented levels in Nigeria. However, its adverse effects have not been duly recognized, especially by nondoctors. There is an urgent need for education of health workers on the deleterious effects of IPR.

Health-Seeking Behavior and Barriers to Care in Patients With Rectal Bleeding in Nigeria.

Purpose Colorectal cancer (CRC) incidence rates are steadily increasing in Nigeria. Organized screening is still largely unused because of financial and logistical barriers; most CRCs are detected by symptoms. One symptom of CRC is rectal bleeding. This study sought to determine health-seeking behavior and barriers to care in patients with rectal bleeding in Nigeria. This study also surveyed physicians to determine major breakdowns in access to care. Methods The recruitment process for this study involved patients referred for colonoscopy because of rectal bleeding as well as response to a media advertisement for a free colonoscopy. Physicians were recruited at the African Research Group for Oncology meeting. Patient responses were scored on the basis of knowledge of rectal bleeding. The physician questionnaire was supporting information and mainly descriptive in nature. Results A total of 82 patients and 45 physicians participated in this study. Less than 40% of patients knew that rectal bleeding could be caused by cancer. Major barriers to care were resolution of the symptom (42%), no consideration of the bleeding as problematic (40%), and financial constraint (22%). Education was strongly correlated with knowledge of rectal bleeding and health-seeking behavior. Although physicians regularly saw patients with rectal bleeding, most of them provided a differential diagnosis of hemorrhoids and few referred patients for colonoscopy. Conclusion General awareness about the signs of colorectal cancer is lacking. This demonstrates the strong need for patient education programs about this issue. Physicians should also receive additional training on differentiation of a potential cancer diagnosis from something more benign, such as hemorrhoids.

Awareness and Knowledge of the Sustainable Development Goals in a University Community in Southwestern Nigeria.

BACKGROUND: The Sustainable Development Goals (SDGs) is a globally accepted developmental agenda, and it is expected that everyone everywhere in the world would be aware, knowledgeable and be willing to contribute to its attainment. This study aims to assess the level of awareness, knowledge of, and attitudes towards the SDGs among members of a university community. METHODS: A cross-sectional survey was conducted on 450 students and staff of Osun State University, Southwestern Nigeria, selected from three of its six multi-campuses via multi-stage sampling. Data were collected by means of semi-structured questionnaire. Data were analysed using SPSS version 20.0. RESULTS: The mean age for the respondents was 26(10.2) years. Only 43% of the respondents were aware of the SDGs and only 4.2% had good knowledge of the SDGs. However, 56.3% had positive attitude towards it. More respondents with good knowledge of the SDGs were either acadenic staff or those have been enlightened via personal study of the SDGs or through other means. Similarly having a positive attitude was associated with being an academic staff/ high level of education as well as belonging to the middle age group. (p<0.05). CONCLUSION: The awareness of and attitudes towards the SDGs was just fair. However, the level of knowledge was abysmally low, and this has serious negative implications for SDGs attainment. Pertinent individual and population-level methods of enlightening people about the SDGs must be put in place in educational settings; curricular changes are imperative.

Obesity indices as predictors of pattern of self-reported arthritis among elderly women in Southwestern Nigeria.

OBJECTIVES: This study assessed obesity indices and pattern of arthritis among elderly women in Osun State, Southwestern Nigeria. METHODS: The cross-sectional descriptive study was carried out among 350 elderly women selected by multistage sampling technique. Research instruments used in data collection were semi-structured, interviewer-administered pre-tested questionnaires that were analyzed using the Statistical Package for Social Sciences software version 17.0. RESULTS: The mean age of the participants was 69.1 (±1.4) years. A total of 232 (66.3%) of them had complaints of joint pains (Awoka as expressed in the local language). Pattern of arthritis showed that 172 (74.0%) had recurrent joint pains, while 35 (15.1%) had joint swelling; the knee joint was mostly affected. A total of 97 (28.0%) were overweight while 84 (24.0%) were obese. Obese women were twice more likely to have arthritis when compared to the nonobese (odds ratio: 2.4, 95% confidence interval: 1.8-9.4, p = 0.001). CONCLUSION: There is a need to give high priority to weight reduction strategies targeted at the elderly and the entire population.

Gender comparisons of adolescents' anthropometry and blood pressure in Osun State, South-Western Nigeria.

BACKGROUND: Adolescents are in their formative years, and they experience several changes including anthropometric changes. Significant weight gain occurs in adolescence, and increasingly, obesity and consequent increase in blood pressure (BP) are found in adolescents. OBJECTIVE: This study compared anthropometric and BP measurements in male and female adolescents. METHODS: A cross-sectional study of 1000 adolescents (510 males and 490 females) were selected by multi-stage sampling from eight secondary schools. Pertinent information was collected with the aid of a structured questionnaire, anthropometric and blood pressure measurements. Data were analyzed using SPSS 16.0 version, and the means of anthropometric indices and blood pressures in males and females were compared using independent t-test. RESULTS: The mean age for male respondents was 13.83 years (SD 2.12) and for females 13.62 (SD 1.96). Generally, anthropometric indices gradually increased from the lower ages to the higher ages in both males and females. The mean height was the same for both males and females (1.54 m), while the mean weight, body mass index (BMI), and waist circumference were significantly higher in females than in males (p<0.05). A significantly higher proportion of females compared with males were overweight (10.2%, 5.3%) and obese (3.9%, 2.0%), respectively. The overall prevalence of "hypertension," was 4.1% and more females (70.7%) had "hypertension" than males (29.3%). CONCLUSION: Females were heavier and constituted the greater proportion of those who had elevated BP. Adequate attention needs to be given to the challenging problems of overweight and obesity to forestall development of hypertension in adolescents, especially female adolescents.

Awareness and use of modern contraceptives among physically challenged in-school adolescents in Osun State, Nigeria.

This study assessed awareness and use of modern contraceptives among physically challenged in-school adolescents in Osun State, Nigeria. A cross-sectional study was carried out among 215 adolescents in the special schools in the state. A pretested semi-structured questionnaire was administered by trained interviewers. Data analysis was done using SPSS 17 and statistical level of significance was set at p < 0.05. The mean age of the respondents was 15.5 years and more than half of them (56%) were males. Only about two fifths of them (38%) had ever heard about modern contraceptives. More males, older adolescents and visually impaired respondents had significantly heard about modern contraceptives compared with females, younger ones and those with other challenges at p-values of 0.026, 0.001 and 0.003 respectively. Only 34% of sexually experienced respondents had used a modern contraceptive method. The male condom was the most commonly used method.

Awareness and use of modern contraceptives among physically challenged in-school adolescents in Osun State, Nigeria

This study assessed awareness and use of modern contraceptives among physically challenged in-school adolescents in Osun State, Nigeria. A cross-sectional study was carried out among 215 adolescents in the special schools in the state. A pretested semi-structured questionnaire was administered by trained interviewers. Data analysis was done using SPSS 17 and statistical level of significance was set at p< 0.05. The mean age of the respondents was 15.5years and more than half of them (56%) were males. Only about two fifths of them (38%) had ever heard about modern contraceptives. More males, older adolescents and visually impaired respondents had significantly heard about modern contraceptives compared with females, younger ones and those with other challenges at p-values of 0.026, 0.001 and 0.003 respectively. Only 34% of sexually experienced respondents had used a modern contraceptive method. The male condom was the most commonly used method. Afr J Reprod Health 2014; 18[2]: 87-96)