Objectives Sexual activity tends to decline with age and is greatly impacted in postmenopausal women. This study aimed to describe the sexual activity pattern among postmenopausal Nigerian women and also detect socio-demographic and menopause-related predictors of their sexual activity. Methods In this hospital-based cross-sectional study, 357 postmenopausal women between 45–60 years participated. Data was collected using the sexual activity questionnaire and a socio-demographic questionnaire developed by the authors. Results The prevalence of sexual inactivity among the participants was 60%. This was attributed mainly to the unavailability of male partners (50.5%) and negative menopause-related sociocultural beliefs (23.8%). Among sexually active participants, 83.2% of them reported having pleasurable experiences and 53.8% of them reported no associated sexual discomfort. Only being in a marital relationship was found to be a statistically significant predictor of sexual activity among the participants (regression coefficient = 3.125, degree of freedom = 1, P < 0.0001). Conclusions We reported a high prevalence of sexual inactivity among the participants; the most important reasons given were the unavailability of their husbands and the belief that sexual intercourse was taboo during the postmenopausal period. The study also provided positive evidence for the importance of marriage for sexual activity among the participants.

Objectives There are limited data on the associated factors of circulating endogenous estradiol among Nigerian postmenopausal women. The main objective of this study is to assess the relationship between serum estradiol levels and some menstrual, clinical, and sociodemographic factors in postmenopausal women attending a family medicine clinic in Nigeria. Methods This was a hospital-based cross-sectional study involving 372 postmenopausal women. Sociodemographic, menstrual, and clinical data of the participants were collected, and their serum estradiol concentrations were assayed. The collected data were analyzed using IBM SPSS version 21 statistical software. A χ 2 test of association and logistic regression analysis were done to identify significant correlates of serum estradiol concentration among the participants. Results The mean ages at menarche and menopause among the participants were 15.6 and 48.1 years respectively. Approximately half of them (51.1%) were receiving chronic medical care for systemic hypertension and/or diabetes. The mean estradiol concentration of the participants in the study was 20.69 pg/mL. The participants' marital status and clinical presentation pattern (chronic vs others) were found to have statistically significant associations with their serum estradiol concentration; P = 0.048 and P = 0.001, respectively. Logistic regression analysis revealed that only the clinical presentation pattern had a significant relationship with serum estradiol concentration among the participants (P = 0.002). Conclusion Of all the studied factors, the only significant correlate of low serum estradiol concentration found in this study was chronic medical care presentation for hypertension and/or diabetes.

The aim of this study is to compare the prevalence, severity, and symptoms of Distal Symmetrical Polyneuropathy (DSP) among adult patients with diabetes and those without diabetes in a primary care clinic. It was a cross-sectional comparative study involving 72 adults of between 40-60 years of age living with diabetes and 72 age-matched adults without diabetes. DSP was assessed with a biothesiometer device, and data analysis was performed using the SPSS Version 21 statistical software. The overall prevalence of neuropathy among the participants was 68.1% for those living with diabetes and 38.9% for the other group. Furthermore, 22.3% of the diabetes group had severe neuropathy compared with 8.3% of the other group. These differences were found to be statistically significant with p=0.001 (df = 2, X2 = 14.07). We reported higher prevalence and severity of DSP in those living with diabetes. We also found significant association between high VPT (≥25V) and presence of neuropathic symptoms thereby enhancing the use of the biothesiometer device in the diagnosis of adults with DSP in the primary care setting.

Background: School health program (SHP) involves all aspects of the school program that contribute to understanding, maintaining, and improving school health. This study aimed to assess the level of implementation of SHP in all its domains among primary schools.Methods: The study is a comparative, cross-sectional study carried out in 64 public and private primary schools each in Ilorin Nigeria using the school health program evaluation scale (SHPES) pre-tested, self-administered questionnaire to obtain data. The data collected on the questionnaire was appropriately verified and computed for analysis.Results: A total of 128 primary schools were surveyed. Eighty-three (64.8%) of the 128 schools had school health committee. One hundred and four (81.3%) of the sampled primary schools in Ilorin had no designated health personnel. Significantly more private schools had no health hazards at the site (p=0.001) than public schools. Twenty-seven schools (21.1%) met the minimum acceptable total SHP score of 103. One hundred and seven met the minimum acceptable score of 19 in SHS. Six schools (all private) met the minimum acceptable score of 57 in HSE. Ninety-eight schools met the minimum acceptable score of 27 in SHI. 25 private schools (39.1%) performed well in the total SHP score compared with 2 (3.1%) among the public schools.Conclusions: The SHP implementation was poor in this study area. However, private schools performed better than public schools and the difference was statistically significant.