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West Afr J Med ; 38(8): 762-769, 2021 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-34503325


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.

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
Niger J Clin Pract ; 24(7): 978-985, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34290172


Background: Self-care practices in individuals with diabetes are important skills required to effectively prevent, manage, and limit complications associated with diabetes since patients spend considerably less time with health care providers than spend alone to manage their diabetes condition. Aims: The aim of the study was to assess self-cate practices and their determinants among patients with type 2 diabetes. Hence, this study aimed at assessing self-care practices and their determinants among patients with type 2 diabetes. Materials and Methods: This cross-sectional, descriptive, multi-center study was conducted among 348 type 2 diabetes patients selected from six tertiary hospitals in Southwest Nigeria. Descriptive statistical analysis was employed for categorical and continuous variables and multivariable logistic regression assessed association between determinant factors and adherence to self-monitoring of blood glucose (SMBG). Results: Of the study participants, 83.1%, 66.9%, 28.4%, and 27.9% adhered to prescribed medications, physical exercise, had meal plans incorporated into their diabetes management and SMBG, respectively. There was a statistically significant association between male gender, duration of diabetes, and previous episode of hypoglycemia with adherence to SMBG practices while lower educational level and use of insulin were associated with less likelihood of adherence to prescribed medications. Conclusion: The degree to which individuals with diabetes adhered to recommended self-care practice components were less than satisfactory especially SMBG, physical activity, and having meal plans.

Diabetes Mellitus Tipo 2 , Glucemia , Automonitorización de la Glucosa Sanguínea , Estudios Transversales , Diabetes Mellitus Tipo 2/terapia , Humanos , Masculino , Nigeria , Autocuidado