Background:Few studies in Nigeria have investigated HIV risk behavior among persons with severe mental disorders. This study examined HIV risk behavior and associated factors among patients receiving treatment at a Nigerian psychiatric hospital.Aim:To determine the HIV risk behavior in persons with severe mental disorders in a psychiatric hospital.Subjects and Methods:This was a cross-sectional survey involving 102 persons with serious mental disorders receiving treatment at a major psychiatric facility in Southwestern Nigeria. HIV risk screening instrument was self-administered to assess HIV risk behavior. A questionnaire was used to elicit socio-demographic variables while alcohol use was assessed with the alcohol use disorder identification test. Differences in HIV risk levels were examined for statistical significance using Chi square test.Results:Forty eight percent of the respondents engaged in HIV risk behavior. This study revealed that 10.8% (11/102) gave a history of sexually transmitted disease, 5.9% (6/102) reported sex trading and no reports of intravenous drug use was obtained. A single risk factor was reported by 19.6% (20/102), 12.7% (13/102) reported two risk factors and 15.7% (16/102) reported three or more risk factors. HIV risk behavior was significantly related to alcohol use (P = 0.03).Conclusion:Mental health services provide an important context for HIV/AIDS interventions in resource-constrained countries like Nigeria.
Alcohol use and drink driving were associated with multiple risky driving behaviors. This provides useful insight for policy development and presents additional challenges for traffic injury prevention.
Background: In developing countries with shortage of mental health professionals, paramedics are trained in the delivery of mental health services. Knowledge of the experience of the trained health workers is useful in evaluating output of service and restructuring training package. This study was undertaken to determine the experience of trained primary health care (PHC) workers in mental health service delivery across Ogun State South west Nigeria.
Background: Many elderly persons in Nigeria are having mental health challenges and there is a lack of commensurate increase in services to attend to such. Aim: To assess the prevalence, pattern and correlates of psychiatric morbidity among community dwelling elderly persons (≥ 60 years) in Abeokuta, Nigeria. Methods: 532 respondents were selected using a multistage, stratified cluster sampling method from the elderly population in Abeokuta. First, participants were administered the socio-demographic questionnaire, General Health Questionnaire-12 (GHQ-12), and the Mini-Mental State Examination (MMSE). Those with a score of ≥ 3 in GHQ-12 were assessed with the Mini International Neuropsychiatric Interview (MINI PLUS), while those with ≤ 16 in MMSE were assessed with the Diagnostic Statistical Manual (DSM) IV criteria for Dementia and the Petersen’s criteria for Mild Cognitive Impairment (MCI). Results: 36.3% of the respondents had a probable psychological disorder, while 25.4% had a probable cognitive impairment. 9.8% had a current definitive psychiatric disorder. The commonest disorders were major depressive disorder and dementia. The female gender, the oldest old (≥ 80 years), having a chronic medical illness and bereavement in the last 1 year were most significantly associated with having mental health problems. Conclusion: A significant number of the elderly population in the studied community suffers from a psychiatric illness. It is hoped that studies as these will inform stakeholders on the need to pay closer attention to the mental health needs of the elderly, as their overall wellbeing plays a role in determining the overall health of the community.
Aims: To measure subjective Quality of Life and its relationship to psychiatric morbidity and sociodemographic variables in secondary school teachers in Abeokuta, Ogun state, Nigeria. Study Design: Cross-sectional. Place and Duration of Study: 10 selected public secondary schools in Abeokuta between November 2014 and March 2015. Methodology: The study was carried out among 341 school teachers in two stages. The 1st stage involved the administration of the World Health Organization Quality of Life (WHOQOL-BREF) and the 12-item General Health Questionnaire (GHQ-12), to all teachers to measure their subjective Quality of Life and to screen for a probable psychiatric disorder. In the second stage, subjects who were GHQ-positive and a proportion of those who were GHQ-negative were assessed using the
Original Research Article
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