Knowledge and Willingness to Accept Vasectomy as a Method of Family Planning among Married Male Workers in the University of Nigeria, Enugu Campus, Enugu State, Nigeria.

BACKGROUND: Vasectomy is a safe and effective contraceptive option available to men, yet the practice is very low. The study aimed to assess the knowledge and willingness to accept vasectomy as a method of family planning among male married workers in a university in Enugu, Nigeria. METHODS: This was a cross-sectional study conducted among 405 male married workers in a tertiary institution in Enugu, Nigeria. Samples were selected using multistage sampling technique. Data was collected using pretested structured questionnaire and analyzed using proportion, chi - square and logistic regression. Statistical significance was set at < 0.05. RESULTS: Very few of the respondents, 10.6% had good knowledge of vasectomy and about 20.7% showed willingness to accept vasectomy as a contraceptive option. Educational level (AOR = 2.441, C.I = 1.158 - 5.146), wife support (AOR = 0.201, C.I = 0.071 - 0.571) and completed family size (AOR = 0.063, P = 0.030 - 0.136) were found to be the predictors of willingness to use vasectomy as a contraceptive among male workers of University of Nigeria, Enugu. CONCLUSION: Knowledge of vasectomy and willingness to accept it as a contraceptive were found to be poor. Awareness campaign and health education on vasectomy and ensuring that family planning services are attended by couples with completed family size will improve knowledge and willingness to accept vasectomy.

CONTEXTE: La vasectomie est une option contraceptive sûre etCefficace offerte aux hommes, mais sa pratique est très faible. L'étude visait à évaluer les connaissances et la volonté d'accepter la vasectomie comme méthode de planification familiale chez les travailleurs mariés de sexe masculin dans une université d'Enugu, au Nigeria. MÉTHODES: Il s'agit d'une étude transversale menée auprès de 405 hommes mariés travaillant dans une institution tertiaire à Enugu, au Nigeria. Les échantillons ont été sélectionnés à l'aide d'une technique d'échantillonnage à plusieurs degrés. Les données ont été recueillies à l'aide d'un questionnaire structuré prétesté et analysées à l'aide de proportions, du chi carré et de la régression logistique. La signification statistique a été fixée à < 0,05. RÉSULTATS: Très peu de répondants, 10,6 %, avaient une bonne connaissance de la vasectomie et environ 20,7 % étaient prêts à accepter la vasectomie comme option contraceptive. Le niveau d'éducation (AOR = 2,441, C.I = 1,158 - 5,146), le soutien de l'épouse (AOR = 0,201, C.I = 0,071 ­ 0,571) et la taille de la famille (AOR = 0,063, P = 0,030 - 0,136) se sont avérés être les prédicteurs de la volonté d'utiliser la vasectomie comme moyen de contraception parmi les travailleurs masculins de l'Université du Nigeria, Enugu. CONCLUSION: La connaissance de la vasectomie et la volonté de l'accepter comme moyen de contraception sont faibles. Une campagne de sensibilisation et d'éducation sanitaire sur la vasectomie et l'assurance que les services de planification familiale sont fréquentés par des couples ayant une taille de famille complète amélioreront la connaissance et la volonté d'accepter la vasectomie. Mots clés: Connaissance, Volonté, Vasectomie, Planification familiale, Homme, Nigeria.

Correlating optical coherence tomography biomarkers with visual acuity in nigerian retinitis pigmentosa patients.

Background: Spectral Domain Optical Coherence Tomography (SD-OCT) has been used for imaging retinitis pigmentosa (RP) eyes and provides useful information on microstructural changes. Aim: To review SD-OCT findings and correlate the central foveal thickness (CFT), outer nuclear layer (ONL), external limiting membrane (ELM), and ellipsoid zone (EZ) with visual function in nonsyndromic RP eyes. Patients and Methods: A multicenter, retrospective review of records from consecutive eyes diagnosed to have RP. Biodata, systemic disease, visual acuity, lens status, intraocular pressure, and SD-OCT images were examined. The CFT was categorized into normal (250-299 microns), atrophic (0-249 microns), and edematous (≥300 microns). The ONL, ELM, and EZ within the subfoveal area was assessed and rated as normal, reduced (if less than normal), or absent (if missing). The status of these biomarkers was correlated with visual acuity and statistical analysis performed using Pearson Chi2, P < 0.05. In addition, the vitreomacular interface was examined for the presence of vitreomacular traction (VMT), vitreomacular adhesion (VMA), and epiretinal membrane (ERM). Results: Fifty-two RP eyes of 27 patients had SD-OCT images that were used for study analysis. There were 17 males and 10 females; 52% of participants were between 31 and 50 years (age range: 22-77 years). An atrophic retina was the most common finding in 42 eyes (81%); the average CFT in the atrophic group was 175 microns (range: 111-245 microns). There were three eyes with cystoid macular edema, and seven eyes were normal. For the OCT biomarkers, a reduction in ONL and ELM occurred in 69% and 46% of eyes, respectively, while an absence was the most common EZ finding (in 50% of eyes). There was a significant correlation between the presence or absence of the three biomarkers and presenting vision: ONL, ELM, and EZ with P values of 0.000, 0.006, and 0.011, respectively. The CFT had no significant correlation with vision; P = 0.522. Other findings on OCT include ERM 17%, VMA 6%, and VMT 2%. Conclusion: This report supports the notion that OCT image reporting on physical retinal structure in RP eyes can be used to predict disease effects on vision. A prospective study to better quantify the degree of structural change and correlate with the degree of functional loss is required for RP gene types in Nigerians and black Africans.