Browsing by Author "Odeigah, L.O."

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    Family dysfunction among depressed HIV/AIDS patients on HAART, in a secondary health institution, in North Central Nigeria
    (Elsevier Urban & Partner, 2014-02) Shittu, R.O.; Issa, B.A.; Olanrewaju, G.T.; Mahmoud, A.O.; Odeigah, L.O.; Sule, A.G.
    Objective: Family and caregiver distress can impair optimal care and support of the patients, particularly those suffering from stigmatizing diseases requiring life-long treatment such as HIV/AIDS. This study aimed at determining the relationship between family dysfunction and depression among HIV/AIDS patients.Methods: This was a hospital based, cross sectional, descriptive study, of 300 adult HIV/AIDS patients attending the HIV clinic. Depression was assessed using the PHQ-9 scale. A family APGAR questionnaire was then used to determine, the prevalence of self-reported family dysfunction, among the depressed patients.Results: The prevalence of depression among the HIV/AID patient was 56.7% with the following level of depression viz., minimal 109 (64%), mild 44 (25.9%), moderate 10 (5.9%), moderately severe 3 (1.8%), and4 (2.4%), severely depressed. Moreover, there was severe family dysfunction in 75 (44.1%) and moderate dysfunction in 48 (28.2%) of the respondents. Only 47 (27.6%) had highly functional family.Conclusion: Depression is very prevalent among HIV/AID patient. They have low family APGAR score,because family dysfunction is a common problem among them. There was a significant association between depression and family dysfunction. This may partly be responsible for non-disclosure of their HIV/AID status to their family members.
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    PATTERN AND EXPLANATORY FACTORS FOR MEDICATION ADHERENCE AMONG PATIENTS WITH HYPERTENSION, DIABETES MELLITUS AND THEIR COMORBIDITY IN A NORTH CENTRAL STATE OF NIGERIA
    (International Journal of Public Health and Clinical Sciences, 2017) Bolarinwa, O.A.; Bamgbola, O.A.; Sanya, E.O.; Kolo, P.M.; Ameen, H.A.; Durowade, K.A.; Uthman, M.M.B.; Ogunmodede, J.A.; Buliaminu, S.A.; Odeigah, L.O.; Akande, T.M.; Morisky, D.E.
    Introduction: Hypertension and diabetes are the two most common non-communicable diseases seen in outpatient clinics in Sub-Saharan Africa. Promoting medication adherence is a major clinical hurdle to be crossed in reducing the premature morbidity and mortality associated with these diseases. This study explored factors that predict medication adherence among hypertensive and diabetic patients in Ilorin, Nigeria. Methods: This cross-sectional study was carried out among hypertensive and diabetic patients in outpatient clinics of a teaching hospital in Ilorin, Nigeria. Data was collected from 1,203 patients using a validated Morisky 8-item medication adherence questionnaire. Multivariate ordinal logistic regression was used to model the medication adherence explanatory factors with SPSS version 22. Result: Less than half (43.3%) of the patients were highly adherent to their medication. The relative proportion for high adherence was 42.7%, 35.6% and 49.2% for hypertension, diabetes and both diseases respectively. The odds of medication adherence improving from either low to medium level or from medium to high level was explained by; age, symptoms count, absence of disease complication and absence of drug side effect among the patients. Blood pressure, gender and disease duration did not explain medication adherence among hypertensive and diabetic patients. Conclusion: It is concluded that the discomfort experienced due to the disease condition and the medication regimen are important explanatory factors for patient’s medication adherence in the study setting. This study recommends strategies to reduce multiple drug combinations and promote medication adherence counselling and education among patients.
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    Self-reported medical care seeking behaviour of doctors in Nigeria
    (Alexandria Journal of Medicine - Elsevier, 2016) Fawibe, A.E.; Odeigah, L.O.; Akande, T.M.; Salaudeen, A.G.; Olanrewaju, I.
    Background: There is need for information on the medical care seeking behaviour of Nigerian doctors. Purpose: This work was therefore designed to study the medical care seeking behaviour of Nigerian doctors in Nigeria. Methods: It was a cross-sectional survey among doctors in Nigeria. Results: Data from 522 doctors were included in the analysis. Majority of them (80.5%) had one form of illness or the other in the year preceding the survey. Only 35% of them reportedly consulted another doctor during their illness. Most of the consultations (61.2%) were informal in the form of over the phone (45.6%), Corridor (33.3%) and home visit (21.1%) and just 18.4% of the consultations occurred within 24 h of onset of illness. A low 19.5% of them had a regular source of medical care. Screening for illnesses was generally below expectation. Just 6 out of the 436 (1.4%) male doctors had screened for prostate cancer while 39 out of 86 (45.3%) females had screened for cervical cancer. A significantly higher proportion of general practitioners (p= 0.01) and doctors above 45 years of age (P = 0.004) consulted informally. Higher proportion of general practitioners and resident doctors based their consultations on their familiarity with the doctors consulted (p= 0.001) and privacy during consultation (p=0.001). Delay in consultation for more than 24 h after onset of illness was more likely in those above below the age of 45 years (p= 0.001). Conclusion: This study has shown that Nigerian doctors are often reluctant patients who frequently tend to delay medical care. The teaching of appropriate medical care seeking behaviour should be incorporated into medical curriculum in Nigeria.