Nigerian Journal of Family Practice <p><em>Nigerian Journal of Family Practice</em> (NJFP) serves as a repository for cutting-edge, peer-reviewed research in all fields of primary health care and family medicine in a uniquely African context. Encouraging scholarly exchange between family medicine and primary health care researchers and practitioners across Sub-Saharan Africa, NJFP provides a contextual and holistic view of family medicine as practiced across the continent. The journal is indispensable for family medicine specialists, primary health care practitioners and academics from both the developing and developed worlds, and offers an engaging insight into the growth of these disciplines from a distinctly African perspective.</p><p><em>Coverage of NJFP includes: Family medicine; Primary health care; District health; Rural health; Health promotion Prevention of disease and disability; Community oriented primary care; Education and training of professionals and health workers in primary health care and family medicine; Medical informatics and information science; Accident &amp; Emergency care; Occupational Health; Travel Medicine etc</em><strong><em>.</em></strong></p> SOCIETY OF FAMILY PHYSICIANS OF NIGERIA (SOFPON) en-US Nigerian Journal of Family Practice 2141-9884 Depression among people living with HIV/AIDS in Ilorin, Nigeria <p><strong>Background:</strong> Depressive disorders are a significant public health problem. They are prevalent, disabling, and often chronic, with a high economic burden to the society. Although depression is common, determining its prevalence across studies and within different segments of the HIV population is not easy, given the variety of methodological issues that warrant consideration. This study estimates the prevalence of depressive disorders and its correlates.<br><strong>Objectives:</strong> The study sought to determine the prevalence of depression among adult HIV/AIDS respondents, attending HIV/AIDS clinic in the Kwara State specialist Hospital, Sobi, Ilorin, Nigeria.<br><strong>Methods</strong>: This was a hospital based, cross sectional, descriptive study of three hundred adult HIV/AIDS patients attending the HIV clinic of the Kwara State Specialist Hospital, Sobi, Ilorin from 1st of March to 3oth July, 2014. Informed consent was obtained from the respondents. The PHQ-9 was administered to the respondents to screen for depression. A pre-tested PHQ-9 questionnaire was used to collect data. Subjects who scored one and more were assessed clinically for depression. The severity of the depression was further classified as minimal, mild, moderate and severe. The three keys to social determinants of depression (SDS) were assessed and the association with depression sought.<br><strong>Results</strong>: One hundred and seventy (56.7%) satisfied the criteria for a depressive disorder using the PHQ-9 score. Depressive symptoms were strongly related to gender, below average year of schooling, poor economic status, low social cohesion and stressful life events.<br><strong>Conclusion</strong>: Clinicians should assess HIV-infected people for depression, to ensure early detection and treatment. Failure to recognize depression may endanger both the subjects and others in the community. This result calls for improved public health education and awareness to highlight the health impact of depressive symptoms among People Living with HIV/AIDS (PLWHA).</p> <p><strong>Keywords</strong>: Prevalence; Depression; HIV/AIDS; People Living with HIV/AIDS</p> L.O. Odeigah S.U. Rotifa R.O. Shittu G.J. Olanrewaju Copyright (c) 2020-04-24 2020-04-24 10 3 1 11 Relationship between family support and depression symptoms among older women attending a general practice clinic, Lautech Teaching Hospital, Osogbo, Nigeria <p><strong>Background</strong>: Older women are more at risk of depression symptoms. This study assessed the relationship between family support and factors associated with depression symptoms among older women.<br><strong>Methods</strong>: A descriptive cross-sectional study conducted among 317 older women attending the General Practice Clinic, Ladoke Akintola University Teaching Hospital, Osogbo, Nigeria over a period of four months. They completed a semi-structured questionnaire on socio-demographic, clinical characteristics, Patient Health Questionnaire (PHQ-9) and Perceived Social Support-Family Scale. Data were analyzed using descriptive and&nbsp; inferential statistics.<br><strong>Results</strong>: The prevalence of depression symptoms was 42.5%. Most respondents (73.8%) also had chronic health problems such as hypertension (53.8%), obesity (43.2%), musculo-skeletal disorders (30.3%) and diabetes mellitus (10.3%). Poor family support was associated with depression symptoms among the respondents Significant factors associated with having depression symptoms include presence of chronic illness (OR=3.54, 95%CI=1.29-9.71, p=0.0001), low income (OR=5.21, 95%CI=1.50-17.86, p=0.020), bereavement (OR=2.39, 95%CI=1.01-5.63, p=0.014) and poor family support (OR=3.42, 95%CI=0.99-11.76, p=0.010).<br><strong>Conclusions</strong>: Poor family support was associated with depressive symptoms. Depression symptoms are common among older women with chronic health problems, poverty and poor family support. Targeting Improving family support these factors will reduce depression symptoms among older women. </p> O.S. Subair S.A. Olowookere A. Akinsulore O. Ibigbami J. Faronbi O.M. Shabi V.A. Adefila Copyright (c) 2020-04-24 2020-04-24 10 3 12 18 Physician enquiry of erectile dysfunction among hypertensives in a primary care setting, Ilorin, north-central Nigeria <p><strong>Background</strong>: Erectile dysfunction(ED) among adult hypertensives is common, yet it is under-reported, under-diagnosed and undertreated in primary care. Screening and early diagnosis of erectile dysfunction will reduce its negative effects on the quality of life among hypertensive patients.<br>This study was done at the Family Medicine Department of UITH, Ilorin, Kwara State. The aim was to assess the prevalence, severity pattern and physician enquiry of ED among adult hypertensives.<br><strong>Methods</strong>: This study is a descriptive cross-sectional hospital based study. Data was collected from 228 adult hypertensive male patients from June through August 2016 using the International Index of Erectile Function (IIEF-5), and semi-structured questionnaire and was analyzed with Statistical Package for Social Sciences (SPSS 20).<br><strong>Results</strong>: The prevalence of ED among respondents was 85.1%, mild in 22.4%, mild to moderate in 28.5%, moderate in 21.5 % and severe in 12.7%. Overwhelming percentage of the respondents (86.8%) had not been asked question related to ED by their physicians.<br><strong>Conclusion</strong>: This study showed that ED is a major problem and physician enquiry of ED among hypertensives is very poor.</p> <p><strong>Key Words</strong>: Erectile dysfunction, Adult hypertensives, Family physicians, Primary care and Physician enquiry. </p> C.O. Ademola L.O. Odeigah K.M. Alabi K.O. Olafimihan T.O. Bamidele Copyright (c) 2020-04-24 2020-04-24 10 3 19 25 Cognitive impairment among type 2 diabetic patients attending family medicine clinics, university of Ilorin Teaching Hospital, Ilorin, north central Nigeria <p><strong>Background:</strong> Cognitive impairment (CI) is increasing worldwide with its burden affecting a wide range of adults. It is a less addressed and underdiagnosed complication of Diabetes Mellitus. This study aimed to determine the prevalence and pattern of cognitive impairment among type 2 diabetic patients in the primary care setting of a tertiary hospital. It also determined the relationship between CI and some socio-demographic factors among participants.<br><strong>Materials and method</strong>: It was a descriptive hospital-based cross-sectional study. Data was collected from 274 adult type 2 diabetic patients attending the Family Medicine clinics of the UITH, Ilorin from March through May 2017. Interviewer-administered structured and semi-structured questionnaires were used to obtain information from the respondents. The Mini-Mental State Examination (MMSE) was used to assess the prevalence and pattern of CI among respondents. Data was collated and analyzed using the Statistical Package for Social Sciences version 21 (SPSS-21).<br><strong>Results:</strong> The prevalence of CI in this study was 27%. Mild cognitive impairment (MCI) was commoner than severe cognitive impairment. CI had a statistically significant relationship with the age, level of education and employment status of the respondents (p-value of 0.001, 0.026 and 0.014 respectively).<br><strong>Conclusion:</strong> CI is common among type 2 diabetic patients in primary care. Physicians should routinely screen type 2 diabetic patients for CI as well as assess its pattern and risk factors. This would allow for the implementation of appropriate care to prevent CI or its worsening among type 2 diabetic patients.&nbsp; </p> <p><strong>Keywords:</strong> Cognitive impairment, Type 2 Diabetes, Mini-Mental State Examination, Primary care </p> A.R. Yusuf K.M. Alabi L.O. Odeigha K.W. Wahab I.A. Obalowu A.A. Yusuf Copyright (c) 2020-04-24 2020-04-24 10 3 26 33 Contraceptive utilization profile and influencing factors among women accessing health care services in a tertiary health facility in Jos, north central Nigeria <p><strong>Background</strong>: Despite the prevailing wide spread knowledge of contraception, uptake continues to remain low with high unmet need fuelled by a number of factors.</p> <p><strong>Methods</strong>: This study documents historical account of contraceptive uptake and preferences among 196 mothers attending postnatal clinic in&nbsp; Bingham University Teaching Hospital, Jos, Plateau State, Nigeria, and examines related demographic and socioeconomic factors.</p> <p><strong>Results</strong>: Contraceptive uptake rate was 61.7% with preferences being condom (24.0%), natural/cyclical (18.6), implant (17.1%), injectable (14.7%), oral pills (14.0%) and IUCD (4.7%). There was significant difference or association between respondents' contraceptive uptake and their&nbsp; occupational status (pV = 0.0228), more users with increased number of pregnancies (pV = 0.0479) and increasing number of children (pV = 0.0137), and less users with desire for more children (pV = 0.0008).</p> <p><strong>Conclusion</strong>: Respondents' occupational profile, number of pregnancy experiences, number of children and desire for more children were thus strong influence in contraceptive use, and should serve as markers for identifying potential clients at service delivery points. The comparatively high uptake in study indicates health facilities and staff potential roles in the provision of contraceptive services if properly channeled and harnessed. Partners' impact, found low, if harnessed has the potential in enhancing further this service uptake.</p> <p><strong>Key Words</strong>: Contraceptive uptake, influencing factors, Nigeria</p> H.O. Isah G. Chima C.Z. Olorunsaiye Copyright (c) 2020-04-24 2020-04-24 10 3 34 41