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Background: The incidence of erectile dysfunction among men with HIV/AIDS is twice compared with the general population and this remains a major concern because of its negative impact on the quality of life of sufferers. While researchers have documented varying prevalence rates of ED among diverse population of men, there is paucity of data on this subject among PLWHA in Nigeria and most especially in the North central part of the country. This study aimed to determine the prevalence and pattern of erectile dysfunction as well as its association with certain socio-demographic factors among HIV/AIDS subjects attending a tertiary hospital in North-central Nigeria. Methods: This was a hospital-based cross-sectional study conducted among 300 adult HIV-positive male patients. A semi-structured questionnaire was adapted to obtain information on socio-demographic data of the study subjects. The erectile dysfunction was assessed using the International Index for Erectile Function-5 which was interviewer-administered. The systematic sampling method was used to recruit study participants following informed consent. Data obtained were analyzed using SPSS version 21. Confidence interval of 95% was used and p-value of less than .05 was considered statistically significant. Results: The prevalence of erectile dysfunction among the respondents was 57%; of which 64.9% of them had mild form and 2.9% had severe form. There was a significant association between higher prevalence of ED and low educational status of the study subjects (p-value=.01). Conclusion: There is a high prevalence of erectile dysfunction among men living with HIV/AIDS in North-central Nigeria and those with lower educational qualifications are particularly vulnerable. We recommend routine screening at HIV clinics for early detection, management as well as timely referral.

Objectives: This study was done to determine the prevalence of anxiety symptoms and assess the associated factors among new  members of national youth service corps (NYSC) programme in North-Western Nigeria.Method: A clinic-based descriptive cross-sectional study with convenient sampling method using selfadministered questionnaires was done among 157, 2018 Batch-C, corps members at Dakingari orientation camp in Kebbi State, over a period of three weeks. The prevalence of anxiety symptoms was determined using anxiety subset of Hospital Anxiety and Depression scale. Data were analyzed with SPSS-16 andChi-square was used to assess the degree of association between anxiety symptoms and certain factors. Pvalue of less than 0.05 was considered statistically significant.Results: The prevalence of anxiety symptoms was 50.0% among the respondents. There was a significant association between the presence of anxiety symptoms and age of the respondents (P-value= 0.006).Conclusion: The high prevalence of anxiety symptoms among the new NYSC members suggests the need to take preventive measures such as incorporation of subjects on what should be expected during service year into the undergraduate learning curriculum. Doctors attending to youth corps members, especially when on camp, should routinely screen them for anxiety symptoms.

Objective: Depression is a common mental health problem among people living with HIV/AIDS (PLWHA); because low count of lymphocytes with  cluster of differentiation 4 (CD4 cell count) is associated with severe symptoms of HIV infection, there are thoughts that low CD4 cells count can provoke depressive illness. This study was conducted to determine the relationship between CD4 count and depression among adult HIV positivepatients attending Family Medicine clinics at University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria.Method: A hospital based descriptive cross-sectional study was done over a period of 6 months among 350 systematically randomly selected adult HIV-positive patients. PHQ-9 was used to obtain information on depression and the CD4 count was determined using a flow-cytometric method. Data were obtained and analyzed using SPSS-17. Chi-square was used to determine degree of association between the depression and the level of CD4 count. P-value of < 0.05 was considered statistically significant.Results: The prevalence of depression among the respondents was 33.4%. The prevalence of depression was highest among respondents with low CD4 count (≤349cells/ul), 37.0%, and least among those with high CD4 count (≥500cells/ul), 28.3%. This relationship was however not statistically significant.Conclusion: The overall prevalence of depression was high among the respondents (33.4%) suggesting the need for routine depression screening among HIV positive patients. There was no statistically significant association between presence of depression and level of CD4 count (p-value=0.302). Keywords: Depression, CD4count, PLWHA, Family Medicine, UITH.

Introduction domestic violence affects one in four families and has significant health consequences on sufferers. When it occurs among pregnant women, it can be associated with pregnancy-related complications. There is dearth of data on the association between certain family and clinical factors of pregnant women, and domestic violence in Nigeria. This study was conducted to determine the prevalence and pattern of domestic violence and its association with certain clinical factors and family functioning of pregnant women attending the antenatal clinic at the University of Ilorin Teaching Hospital, Ilorin, North-Central Nigeria. Methods a total of 333 respondents were recruited for the cross-sectional study between June and August, 2017 using systematic sampling technique. Structured questionnaires were used to obtain information about domestic violence and family functioning among the study participants. Blood pressure, urinalysis and packed cell volume of respondents were obtained following standard procedures. Data were analyzed using SPSS-20 and Chi-square was used to identify significant risk factors for domestic violence among the study subjects. Results the results of this study showed that the prevalence of domestic violence among the study population was 34.5%. The most common form of violence in this study was psychological aggression (74.8%), followed by sexual coercion (47.8%), then physical assault (14.8%) and physical assault with injury (3.5%). There was a statistically significant association between domestic violence and; 1) family dysfunction p<0.001); 2) anaemia (p<0.001). Conclusion pregnant women presenting with anaemia as well as those from dysfunctional families are particularly at high risk of domestic violence and as such, special attention should be drawn to these factors with a view to screen and identify victims of abuse during routine antenatal clinic visits.