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1.
West Afr J Med ; 38(8): 732-737, 2021 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-34499831

RESUMEN

BACKGROUND: The first reported case of the novel coronavirus (COVID 19) in Nigeria was on the 27th of February 2020. Since then, the country has witnessed a steady increase in the number of patients confirmed with the disease. As of April 27th 2021, a total of 164,756 confirmed COVID-19 cases were notified making it the fifth-highest number of cases in the African region. This study aims to determine the spatial distribution of COVID-19 in Nigeria, identify clusters and determine factors associated with COVID-19. METHODS: The study used secondary data of COVID-19 cases notified in each of the 36 states and the Federal Capital Territory between 27th February and 9th June, 2020. The Global and Local Moran'sItest were used to identify significant spatial clusters. The negative binomial regression model was used to identify factors associated with COVID-19 and p d" 0.05 was regarded as statistically significant. RESULTS: The Local Moran I identified Lagos State as the significant cluster for COVID-19 in Nigeria at p<0.05. Higher GDP per capita and lower literacy rates were significantly associated with COVID-19 cases reported by the states while population density, BCG coverage and average temperature were not significantly associated. CONCLUSION: The study identified Lagos State as the hotspot for the COVID-19 pandemic in Nigeria. The states with lower literacy rate and higher GDP per capita reported a higher number of COVID-19 cases. Proactive measures are needed to control of the infection in Lagos state while improving the literacy about the disease transmission and control measures.


Asunto(s)
COVID-19 , Pandemias , Humanos , Nigeria/epidemiología , SARS-CoV-2
2.
West Afr J Med ; 38(8): 762-769, 2021 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-34503325

RESUMEN

BACKGROUND: Cardiovascular disease is a major public health problem globally. The public service workers, who are facilitators of national development, are particularly vulnerable because the nature of their job predisposes them to unhealthy lifestyles. However, there is paucity of reference data on the profile of cardiovascular risks among public servants in Nigeria. Therefore, this study determined the pattern and predictors of cardiovascular risk among public servants in Southwest, Nigeria. METHODS: A total of 1,778 public servants were recruited from 47 Ministries, Departments and Agencies in Ondo State through multi-stage random sampling technique. The World Health Organization Stepwise instrument and Framingham Heart Study non-laboratory cardiovascular risk assessment tool were used to collect data. STATA version 14.2 was used for analysis and p-value of< 0.05 was taken as significant. RESULTS: The mean age of participants was 44.2±9.1 years. They were predominantly females (64.8%). The proportions of participants with moderate and high 10-year absolute cardiovascular risks were 18.3% and 5.6%, respectively. Significant factors associated with increased cardiovascular risk were age (p=<0.001), sex (p =<0.001), education (p =<0.001), income (p =<0.001), staff category (p =<0.001) and employment grade level (p=<0.001). The significant predictors of increased cardiovascular risk on multivariate analysis were age > 50years (AOR:1.25;CI:1.19-1.32;p=<0.001) and male sex (AOR:6.62; CI:3.76-11.65;p=<0.001). CONCLUSION: The prevalence of increased 10-year absolute cardiovascular risk among public servants in Ondo State was high. The significant predictors were age >50 years and male sex. Cardiovascular risk reduction strategies should be encouraged among public servants especially the older males.


Asunto(s)
Enfermedades Cardiovasculares , Adulto , Enfermedades Cardiovasculares/epidemiología , Estudios Transversales , Femenino , Factores de Riesgo de Enfermedad Cardiaca , Humanos , Masculino , Persona de Mediana Edad , Nigeria/epidemiología , Prevalencia , Factores de Riesgo
3.
West Afr J Med ; 38(4): 335-341, 2021 04 23.
Artículo en Inglés | MEDLINE | ID: mdl-33900716

RESUMEN

Introduction: Psychosocial problems are common in chronic kidney disease (CKD) patients and are associated with poor overall outcomes; however, their evaluation has not received the deserved attention. This study assessed self-perceived burden on caregivers, psychosocial wellbeing, anxiety and depression among CKD patients, and the impact on their quality of life (QoL) in two hospitals in Nigeria. Methods: This was a cross-sectional study. Self-perceived burden on caregivers, QoL, anxiety, and depression of the patients, were assessed using the Cousineau questionnaire, modified SF-12 questionnaire, Hospital Anxiety and Depression Scale, respectively. Results: There were 141 participants in the study comprising 50 haemodialysis (HD) patients, 41 pre-dialysis CKD patients and 50 controls. The male: female ratio for CKD patients and controls were 1.1 and 1.4 respectively. Prevalence of depressive and anxiety symptoms in the CKD patients were 46.2% and 33.0% respectively. The QoL score was significantly higher in the control group compared to the CKD patients (p= <0.001) and significantly lower in the HD patients compared to the pre-dialysis CKD patients (p= <0.001). Self-perceived burden score was significantly higher in the HD group compared to the pre-dialysis CKD group (p = < 0.001) There was a negative correlation between QoL score and self-perceived burden, hospital anxiety score and hospital depression score (p =<0.001). Conclusion: Psychological disorders and self-perceived burdens are highly prevalent among CKD patients. They have negative impact on their QoL, hence regular evaluation and management of these disorders should be incorporated into the care of CKD patients.


Asunto(s)
Calidad de Vida , Insuficiencia Renal Crónica , Ansiedad/epidemiología , Ansiedad/etiología , Cuidadores , Estudios Transversales , Femenino , Humanos , Masculino , Nigeria , Insuficiencia Renal Crónica/complicaciones , Insuficiencia Renal Crónica/epidemiología , Insuficiencia Renal Crónica/terapia
4.
West Afr J Med ; 37(6): 606-611, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33185254

RESUMEN

BACKGROUND: Patients' Bill of Right (PBoR) was launched in Nigeria in 2018 with the aim of improving health service delivery to Nigerians. However, knowledge of PBoR among physicians and patients is pivotal to achieving its laudable objective. AIM: This study assessed the awareness and knowledge of PBoR and associated factors among physicians and their patients at the University of Medical Sciences Teaching Hospital in Ondo State, Southwest Nigeria. METHODS: This was a cross-sectional study that assessed awareness and knowledge of PBoR among physicians and patients using questionnaire. Maximum score obtainable was 16 and those with less than 8 were considered as having poor knowledge, 8-12 as good knowledge and 13-16 as excellent knowledge. P value of <0.05 was taken as significant. RESULTS: Four hundred and fifty-three respondents made up 199 physicians and 254 patients participated in the study. There were 227(50.1%) males and 226(49.9%) females. Amongst the participants, 212(46.8%) were aware of existence of PBoR and 108(23.8%) claimed to be aware of its contents. Physicians and patients with good to excellent knowledge were 60.6% and 21.3 % respectively. The physicians had significantly better knowledge of PBoR compared to patients (p= <0.001). Factors associated with good to excellent knowledge of PBoR were male gender (p= 0.004), higher educational level (p= <0.001), being physician (p= <0.001) and younger age (p= <0.001). CONCLUSION: Overall level of knowledge of PBoR was unsatisfactory especially among the patients. There is an urgent need for government to adequately educate and sensitize the public on PBoR in order to ensure qualitative health services delivery.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Médicos , Estudios Transversales , Femenino , Humanos , Masculino , Nigeria , Encuestas y Cuestionarios , Centros de Atención Terciaria
5.
West Afr J Med ; 37(6): 666-670, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33185264

RESUMEN

BACKGROUND: Metabolic Syndrome (MS) is a non-communicable disease of global significance. The presence of MS denotes increased risk of cardiovascular disease. The global prevalence of MS is on the increase because of lifestyle changes like consumption of high calorie, low fibre foods coupled with reduced physical activity OBJECTIVES: To determine the prevalence of MS and its components and to estimate atherosclerotic cardiovascular disease (ASCVD) risk in a population of market women. METHODS: A cross-sectional, observational study among female traders in a market in South-western Nigeria. MS was determined using the harmonized NCEP-ATPIII and IDF criteria. The ASCVD risk estimator by the American College of Cardiologists and American Heart Association was used to assess ASCVD risk. RESULTS: One hundred and sixty-nine female traders aged 23 to 80 years with a mean age of 52.8±13.2 years were involved in the study. Overweight and obesity were seen in 61 (36.5%) and 57 (34.1%) participants respectively. Prevalence of MS was 34.9% and the most frequent components of MS were hypertension (62.1%), low HDL-cholesterol (53.8%) and elevated serum triglycerides (18.3%). MS was associated with increasing age (p= 0.010) and BMI (p= 0.009). Significant 10-year ASCVD risk was found in 63 (52.1%) out of 121 participants eligible for ASCVD risk estimation. Significant 10-year ASCVD risk was found in 33(67%) out of 59 participants with MS. CONCLUSION: This study demonstrated significant risk for cardiovascular disease in a population of market women. A more active lifestyle, appropriate diet and treatment of hypertension, diabetes and dyslipidaemia should be encouraged.


Asunto(s)
Enfermedades Cardiovasculares , Síndrome Metabólico , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades Cardiovasculares/epidemiología , Estudios Transversales , Femenino , Factores de Riesgo de Enfermedad Cardiaca , Humanos , Síndrome Metabólico/epidemiología , Persona de Mediana Edad , Nigeria/epidemiología , Prevalencia , Factores de Riesgo , Adulto Joven
6.
West Afr J Med ; 36(3): 239-245, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31622486

RESUMEN

BACKGROUND: Numerous studies indicate that immunization against vaccine-preventable infectious diseases lowers mortality among Chronic Kidney Disease/dialysis patients and improve their quality of life. However, their knowledge and practice of this appears to be poor in Nigeria and parts of Africa. OBJECTIVES: We set out to determine subjects' awareness of vaccination against preventable infectious diseases and its impact on their participation in vaccination programs. METHODS: A prospective, cross-sectional study. Data was collated using questionnaires, laboratory results and dialysis entries and analyzed using IBM SPSS Statistics19. RESULTS: One hundred and twenty-four participants (mean age, 48.26±14.45 years) undergoing maintenance haemodialysis were studied. Sixty-two subjects (50.4%), 15.3% and 16.9% had heard of Hepatitis B Virus, S. pneumoniae and H. influenza virus respectively. Thirty-four (54.6%) of the participants first heard of these infections from sources other than healthcare personnel. Of the three common infections, study participants only received formal counselling on Hepatitis B Virus (HBV) infection. Majority had never heard of S. pneumoniae or H. influenzae. Seven (5.7%) had completed their HBV immunisation schedule only. Better educated participants were more aware of necessary vaccination against Hepatitis B Virus (p=0.000) S. pneumoniae (p=0.005) and H. influenza virus (p = 0.003). A significantly higher proportion of participants who received health-personnel driven formal education commenced vaccination against Hepatitis B virus (p=0.000). CONCLUSION: Awareness and practice of vaccination against infectious diseases by haemodialysis patients was found to be poor. Defective system and practice of information dissemination by healthcare workers was remarkably contributory.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Vacunas contra Hepatitis B , Virus de la Hepatitis B/inmunología , Hepatitis B/prevención & control , Calidad de Vida , Vacunación/estadística & datos numéricos , Adulto , Estudios Transversales , Femenino , Hepatitis B/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Nigeria , Estudios Prospectivos , Diálisis Renal
7.
Niger J Clin Pract ; 22(2): 201-207, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30729943

RESUMEN

Background: Although sickle cell disease has become a recognized etiology of chronic kidney disease (CKD), the sickle cell trait (SCT) variant was until recently believed to be a benign carrier state with little or no effect on the health of affected individuals. However, recent studies now appear to suggest an association between SCT and CKD. Objective: The objective of the study is to determine the association between SCT (hemoglobin AS) and renal dysfunction among young Nigerian adults. Methodology: This was a cross-sectional, descriptive study among apparently healthy undergraduates of Adeyemi College of Education, Ondo, southwest Nigeria. Their hemoglobin genotypes were determined using standard alkaline electrophoresis; their blood pressure, anthropometry, serum total cholesterol (TC), creatinine, and estimated glomerular filtration rate (eGFR) were determined. Data analyzed using Statistical Package for Social Sciences (SPSS) 20 were significant at P < 0.05. Results: Six hundred and two subjects with HbAS (SCT, n = 465) and HbAA (non-SCT, n = 137) were studied. Their age range was 18-30 years with male-to-female ratio 1:3.8. There was no difference in the prevalence of renal dysfunction between SCT and non-SCT subjects (5.1% vs. 5.2%, P = 0.591). There was no increased risk of CKD among subjects with SCT (PR, 0.99 at 95% CI [0.417-2.348]). Conclusion: SCT was not associated with increased risk of renal dysfunction among young adults in Nigeria. Further studies are needed to clarify the controversy, especially in Nigeria, with a relatively higher prevalence of SCT.


Asunto(s)
Grupo de Ascendencia Continental Africana/estadística & datos numéricos , Insuficiencia Renal Crónica/epidemiología , Rasgo Drepanocítico/epidemiología , Adolescente , Adulto , Anemia de Células Falciformes/complicaciones , Anemia de Células Falciformes/epidemiología , Presión Sanguínea , Creatinina/sangre , Estudios Transversales , Femenino , Tasa de Filtración Glomerular , Hemoglobina A , Humanos , Masculino , Nigeria/epidemiología , Prevalencia , Insuficiencia Renal Crónica/complicaciones , Rasgo Drepanocítico/sangre , Adulto Joven
8.
Arch Womens Ment Health ; 22(5): 613-620, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-30353272

RESUMEN

Optimal maternal caregiving is critical for children's healthy development, yet quality of maternal caregiving may be influenced by a negative birth experience. We examined whether the birth experience was associated with maternal caregiving attitudes and behavior throughout the first year. We conducted secondary analysis of the Avon Longitudinal Study of Parents and Children birth cohort on perinatal data. The birth experience was assessed using self-report data on level of support in labor. Maternal caregiving variables were self-report maternal attitudes at one and eight postnatal months, and observed maternal behavior at 12 postnatal months. Data were analyzed using multivariable logistic regression models adjusting for critical covariates at one (N = 4389), eight (N = 4580), and 12 (N = 842) postnatal months. Feeling supported in labor was associated with a report of "immediately falling in love" with one's baby after birth, surveyed at 1 month (adjusted OR 1.41 [95% CI 1.20-1.65]), and with more positive parenting scores at 8 months (adjusted OR 1.56 [95% CI 1.36-1.79]), but not with more positive observed maternal behavior at 12 months. Additional risk factors were identified. Our findings suggest that we may be able to modify the risk of poor postnatal maternal caregiving by supporting women in labor and facilitating a positive birth experience.


Asunto(s)
Conducta Materna/psicología , Madres/psicología , Parto/psicología , Apoyo Social , Adulto , Femenino , Humanos , Lactante , Estudios Longitudinales , Apego a Objetos , Responsabilidad Parental , Periodo Posparto , Embarazo , Factores de Riesgo
9.
Saudi J Kidney Dis Transpl ; 30(6): 1423-1430, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31929290

RESUMEN

Although the incidence of pregnancy-related acute kidney injury (PRAKI) is declining in developing countries, it still remains a major cause of maternal and fetal morbidity and mortality. The aim of this study was to determine the etiologies, short-term outcomes, and their predictors in patients with PRAKI managed in a tertiary health facility in Southwest Nigeria over a four-year period. This was a four-year retrospective review of clinical records of patients managed for PRAKI in University of Medical Sciences Teaching Hospital, Ondo State, Nigeria. Thirty-two women with a mean age of 31.09 ± 7.50 years had PRAKI during the period reviewed. Twenty-four (75%) patients were multiparous and PRAKI was most common in the postpartum period (56.3%). Twenty-three patients (71.9%) were in RIFLE Stage 3, 24 (75%) received blood transfusion, 5 (15.6%) required intensive care unit (ICU) care, 24 (75%) needed dialysis while 19 (59.4%) had hemodialysis. The common causes of PRAKI were obstetric hemorrhage in 16 (50%), sepsis in seven (21.9%), and eclampsia in six (18.8%). Maternal and fetal mortality were 34.4% and 50% respectively. Seventeen (53.1%) had full renal recovery and only one (3.1%) became dialysis dependent. Significant factors that were associated with maternal mortality were admission to ICU (P = 0.01), hypotension (P = 0.02), and impaired consciousness (P <0.001) PRAKI is still relatively common and significantly contributes to maternal and perinatal mortality in Nigeria. Obstetric hemorrhage which is the most common cause of PRAKI is preventable and treatable. There is a need for physicians to effectively prevent and manage obstetric hemorrhage.


Asunto(s)
Lesión Renal Aguda/etiología , Lesión Renal Aguda/terapia , Complicaciones del Embarazo/etiología , Complicaciones del Embarazo/terapia , Adulto , Femenino , Humanos , Nigeria , Embarazo , Estudios Retrospectivos , Centros de Atención Terciaria , Factores de Tiempo , Resultado del Tratamiento
10.
Ann Afr Med ; 15(2): 83-6, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27044732

RESUMEN

A little over 30 cases on co-existing nephrotic syndrome and autosomal dominant polycystic kidney disease (ADPKD) have been reported from different regions of the world since 1957. We present a case report on co-existence of nephrotic syndrome (secondary to lupus nephritis) with ADPKD in a 24-year-old woman from Nigeria. She was positive for anti-double stranded DNA. Renal histology showed International Society of Nephrology/Renal Pathology Society Class II lupus nephritis. The co-existence of nephrotic syndrome and ADPKD may have been overlooked in Africa in the past. There is a need to screen for nephrotic syndrome in patients with ADPKD among clinicians in the African setting.


Asunto(s)
Riñón/patología , Nefritis Lúpica/patología , Síndrome Nefrótico/patología , Riñón Poliquístico Autosómico Dominante/patología , Diálisis , Femenino , Humanos , Inmunosupresores/administración & dosificación , Nefritis Lúpica/complicaciones , Nefritis Lúpica/tratamiento farmacológico , Ácido Micofenólico/administración & dosificación , Ácido Micofenólico/análogos & derivados , Síndrome Nefrótico/complicaciones , Síndrome Nefrótico/tratamiento farmacológico , Nigeria , Riñón Poliquístico Autosómico Dominante/complicaciones , Riñón Poliquístico Autosómico Dominante/genética , Prednisolona/administración & dosificación , Proteinuria/etiología , Resultado del Tratamiento , Adulto Joven
11.
Transplant Proc ; 47(10): 2810-5, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26707293

RESUMEN

BACKGROUND: Kidney transplantation (KT) is now the preferred renal replacement therapy in suitable patients with end-stage renal disease but organ availability is a major limiting factor. AIMS: To evaluate the willingness of caregivers (CGs) and healthcare workers (HWs) to donate a kidney and possible motivating factors in our setting. METHODS: This cross-sectional study was done at Mother and Child Hospital, Kidney Care Centre Ondo and Babcock University Teaching Hospital, all in Southern Nigeria. Participants' willingness to donate a kidney was assessed using Likert and Visual Analogue Scales (VAS). The data were analyzed using SPSS version 20.0. Student t test was used to compare weighted mean scores. Multivariate analysis done; P < .05 was taken as significant. RESULTS: A total of 563 CGs and HWs took part in the study. Sixty percent of them were aware of kidney donation (KD) but only 43.7% had a favorable attitude towards it, and these were predominantly HWs (63.4% vs 33.1%, P < .001). A quarter of the participants were adequately willing to donate a kidney; HWs were significantly more willing than CGs (45.4% vs 15.8%, P < .001). On VAS, the mean willingness score of HWs was higher than that of CGs (t = 7.13, P < .001). Factors strongly influencing the willingness of CGs to donate include their educational level (P = .028, OR = 4.86, 95% CI: 1.19-19.91) social class (P = .012, OR = 6.17 95% CI: 1.5-24.8) and having a relative with kidney disease (P = .019; OR = 3.07 95% CI: 1.25-12.00). Willingness correlated with awareness of KD among CGs (r = 0.534, P < .001). CONCLUSION: There is a low level of willingness alongside negative attitudes toward kidney donation among our participants.


Asunto(s)
Actitud del Personal de Salud , Conocimientos, Actitudes y Práctica en Salud , Donadores Vivos , Adulto , Cuidadores , Estudios Transversales , Femenino , Personal de Salud , Humanos , Fallo Renal Crónico/terapia , Trasplante de Riñón , Masculino , Persona de Mediana Edad , Nigeria
12.
Public Health Action ; 5(3): 165-9, 2015 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-26399285

RESUMEN

BACKGROUND: Human immunodeficiency virus (HIV) and tuberculosis (TB) are the leading causes of death from infectious disease worldwide. The World Health Organization estimates that the prevalence of HIV among children with TB in moderate to high prevalence countries ranges between 10% and 60%. This study aimed to determine the access to HIV services of HIV-TB co-infected children. METHODS: A retrospective review of data of children diagnosed with TB in Lagos State, Nigeria from 1 January 2012 to 31 December 2013. RESULTS: A total of 1199 children aged between 0 and 14 years were diagnosed with TB. Of 1095 (91.3%) who underwent testing for HIV, 320 (29.2%) were HIV seropositive. The male-to-female ratio of HIV-TB positive outcomes was 1:0.9. Of the 320 HIV-TB co-infected children, 57 (17.8%) were aged <1 year, 86 (26.9%) 1-4 years and 186 (58.1%) 5-14 years; 186/320 (58.1%) began cotrimoxazole preventive therapy (CPT), and 151 (47.2%) were put on antiretroviral treatment (ART). ART uptake was not significantly higher in facilities where HIV-TB services were co-located (P > 0.05). CONCLUSION: The uptake of CPT and ART was low. There is a need to intensify efforts to improve access to HIV services in Lagos State, Nigeria.

13.
Indian J Nephrol ; 25(3): 158-63, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26060365

RESUMEN

The prevalence of kidney diseases is on the increase in Nigeria. The cost of its management is far beyond the reach of an average patient. Prevention is thus of paramount importance and awareness of kidney diseases will help in its prevention. The aim of this study is to assess the level of awareness of kidney functions and diseases among adults in a Nigerian population. A semi-structured, researcher - administered questionnaire was the tool for data collection. Four hundred and thirty-five questionnaires were analyzed. There were 160 males (36.8%) and 275 females (63.2%). The mean age was 42.8 ± 14 years with a range of 18-78 years. Among these, 82.1% were aware of the kidneys' involvement in waste removal from the body through urine while 36% and 29% were aware of kidneys' role in blood pressure regulation and blood production, respectively. Only 26.6% correctly identified at least two basic functions of the kidneys. Also, 32.6% of the respondents were aware of at least three common causes of kidney diseases in our environment. Majority of the respondents (70.7%) did not know that kidney diseases could be inherited. Furthermore, belief in alternative therapy for kidney disease was documented in 83.2%, while unawareness of dialysis as a treatment modality was recorded in 68% of the respondents. The awareness of kidney functions and diseases among the population is poor. Measures are needed to improve this to stem the rising prevalence of chronic kidney disease in Nigeria.

14.
West Afr J Med ; 27(4): 259-62, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19469407

RESUMEN

BACKGROUND: Suicide is now among the five top causes of death in youth worldwide. However, during the preadolescent period, suicidal behaviour is rare and difficult to define because the cognitive level of young children limits their ability to plan and understand the consequences or the finality of suicide. There is virtually no information about preadolescent suicidal behaviour in Nigeria. OBJECTIVE: To illustrate the presentation and psychosocial issues associated with preadolescent suicidal attempt using the 'hanging' method in Nigeria. METHODS: Three case scenarios of suicide attempt by hanging in preadolescents seen at the University College Hospital, Ibadan between 2005 and 2006 were interviewed in detail along with mental state and physical examination. Family and individual therapies were embarked upon. RESULTS: Types of psychopathology found in the preadolescents include depressive symptoms, conduct and oppositional defiant disorder and impulse control problems. Stressful life events such as family disruption, physical abuse, and bullying at school were factors associated with suicidal behaviour. The influence of the media in providing information about 'hanging' as a method of suicide was evident. Therapy yield varying results. CONCLUSION: High risk parameters for suicide in children should be known to all health professionals. The importance of intervention strategies particularly media education, monitoring systems and further research on suicidal behaviour in this environment is apparent.


Asunto(s)
Familia/psicología , Problemas Sociales/psicología , Intento de Suicidio/psicología , Adolescente , Niño , Terapia Familiar/métodos , Humanos , Acontecimientos que Cambian la Vida , Masculino , Nigeria , Relaciones Padres-Hijo , Psicología del Adolescente , Factores de Riesgo
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