scholarly journals Age at Menarche, Menstrual Characteristics and Associated Factors among Adolescent Girls in Indigenous Population in Niger Delta Region, Nigeria

Author(s):  
Ologhaguo M. Adienbo ◽  
Victoria T. Erigbali

Aim:Age atmenarchevaries among different populations, and isdependent on interaction between genetic and environmental factors. The aim of this study was to determine the age at menarche, menstrual characteristics and associated factors among adolescent girls in indigenous population in Niger Delta region, Nigeria. Study Design: A cross-sectional study on 903 adolescent school girls from 6 secondary schools in Rivers state selected by multi-staged random sampling technique. Place and Duration of Study: Indigenous ethnic populations in urban and rural (coastal rural and upland rural) areas in Rivers state were surveyed between April and June 2019. Methodology: Data collected with questionnaire: menarcheal age, menstrual and demographic characteristics of participants. Results: Age at menarche was12.10±1.37years, while urban area had11.62±0.13, coastal rural (11.69±0.04) and upland rural (13.24±0.10) years;with early menarche (10%) and delayed menarche (5%). Geographical area, ethnicity and fathers’ occupation significantly (P=0.001) influenced menarcheal age; with Ethnic groups: Ekpeye (12.96±1.36) >Ogoni (12.89±0.71) >Ikwerre (12.43±1.72) >Kalabari (11.69±0.99); Fathers’ occupation: Professionals/public servants (11.82±1.14) and fishing (11.75±0.94) < artisans/traders (12.02±1.36) and farming (12.69±1.45). Menstrual cycle length (days), was 28.04±1.57 (21-35), with majority (91.50%) having 26-30 days; and significantly different among geographical area (P=0.003), and ethnicity (P=0.001). Menstrual bleeding duration (days) was 4.55±1.03 (2-7), with majority (72.1%) having 4-5 days;and is statistically different according to geographical areas (P=0.001), ethnicity (P=0.001), and fathers’ occupation (P=0.14). Dysmenorrhoea was experienced by majority (56.6%) of subjects, and associated with increase in menarcheal age (P=0.01) and menstrual cycle length (P=0.001). Conclusion: This study shows a low age at menarche, with earlier onset in urban and coastal rural areas than in upland rural areas. Ethnicity and geographical area, strongly influenced the menarcheal age and menstrual characteristics of subjects.

Author(s):  
P. N. Tabansi ◽  
U. C. Onubogu

Aims: To make comparative analysis of the indications and outcome of paediatric echocardiography in tertiary centers in Rivers State, Nigeria using the Appropriate Use Criteria (AUC) guidelines [11].    Methodology: A retrospective analysis of 645 echocardiography requests done between July 2019 to June 2020. Patients’ biodata and indications for echocardiography and echocardiography diagnosis were retrieved. Using the AUC guidelines, each indication was scored from 1 to 9, after which they were categorized into Appropriate, May be appropriate and Rarely appropriate to determine the respective percentages accordingly. Cochran-Armitage test for trend was done to assess degree of yield of cardiac anomaly for each level of AUC classification while bivariate associations were assessed using persons chi squared tests. Results: There were 645 echocardiography requests within the study period. The median age was 5months, with interquartile range of 2months to 24months. There were 355(55%) males and 290(45%) females. The clinical indication for echocardiography was appropriate in 490(76.0%), May be appropriate in 32(5.0%) and Rarely appropriate in 104(16.1%). Nineteen (2.9%) clinical indications were “Unclassified” under the AUC. Echocardiography showed abnormality in 544(84.3%) reports, among which children with “Appropriate indications” had the highest yield 457(93.3%), while “unclassified indications” had the lowest yield 8(42.1%). The yield for cardiac anomalies significantly decreased with decreasing appropriateness (p=0.00001). Conclusion: Most indications for paediatric echocardiography in our centers were appropriate according to the AUC guidelines. The AUC guidelines are applicable in resource poor settings.


2020 ◽  
Vol 18 (2) ◽  
pp. 48-61
Author(s):  
Grace A. Tonye-Scent ◽  
Endurance Uzobo

Health insecurity is a major problem affecting the well-being of internally displaced persons in Nigeria. In the Niger Delta region, the situation remains virulent with attendant consequences on the displaced population. This study investigated health insecurity among the internally displaced persons. Data were sourced across three States of the Niger Delta Region, identified among areas with a high rate of internal displacement. Human Security Approach was employed as a theoretical framework. A total of 582 respondents (Bayelsa = 206, Delta = 211, and Rivers = 165) who had been displaced between the year 2012 to 2018 were randomly selected, and a questionnaire was administered. Findings indicated that 51.9% of respondents in Delta state, 50.0% in Rivers state, and 35.7% in Bayelsa state were diagnosed with diseases resulting from flood displacement. The diseases diagnosed were high blood pressure, cholera, hernia, malaria, measles, tuberculosis, and typhoid. While the diagnosis of blood pressure was high in Bayelsa (3.9%) and Delta (3.5%), the diagnosis of cholera was not recorded in Bayelsa and Delta States but Rivers state (3.4%). Those displaced by flood were 0.4 times less likely to experience abnormal health status than those displaced by other causes. The study concluded that displacement has serious implications on the health of internally displaced persons. It, therefore, recommended that medical centres should be cited in displaced camps to cater for the medical needs of the displaced population.


2020 ◽  
Vol 7 (2) ◽  
pp. 355
Author(s):  
Ramamani D. ◽  
Ramyaa Rajendiran ◽  
Iyanar Kannan

Background: There are various factors that influences the age of menarche which includes genetic, nutritional status, socioeconomic status and environmental conditions. Further it has also proved that the malnutrition has delayed the age of menarche. Thus, the present study focuses on the study of relation between the nutritional status and age of menarche among the adolescent girls in a rural and urban area in Tamil Nadu, India.Methods: It is a community based cross-sectional study done in the adolescent girls of age between 11 to 15 years studying in school in the city of Chennai, India and surrounding rural areas. A total of 602 post-menarcheal adolescent girls were included in the study. The participants who were post-menarcheal were asked to recall the year and month of menarche and was noted. To assess the nutritional status, the parameters weight, height and waist circumference were determined.Results: The association between the age of menarche and BMI was studied. The study showed that there was an association with a Pearson coefficient (r) value of - 0.252 which is statistically significant (p˂0.001). The association between the age of menarche and waist to height ratio was studied. The study showed that there was an association with a Pearson coefficient (r) value of - 0.261 which is statistically significant (p˂0.001).Conclusions: This study has confirmed that the nutritional status has association with the age of menarche and is the contribution to the reduction in the mean of age of menarche in this geographical area.


OALib ◽  
2021 ◽  
Vol 08 (09) ◽  
pp. 1-17
Author(s):  
Chisom Onwuka ◽  
Augustine Nnaluo Eboatu ◽  
Vincent Ishmael Egbulefu Ajiwe ◽  
Ebele Joy Morah

2020 ◽  
Author(s):  
Christian Chijioke Agu ◽  
Asma Ibrahim

Abstract Background: This research looks at the assessment and mapping of coastal flooding in Niger-Delta region of Nigeria, staring at the three local governments (Bonny, Okrika, and Ogu/Bolo) in Rivers State that lies at intervals the shores of Atlantic Ocean. Result: At the analysis it was found that most of the study areas lies at the creek and with the steady rise of the sea level, as a result of increase in temperature, most of the study area will have steady occurrence of flooding. Conclusion: Adaptation measures like dike construction, maintenance of natural dune systems, protection of coastal ecosystems, planting of vegetation around the coastal areas and different flood proofing and accommodation activities should be put in place to checkmate flooding in those areas.


2021 ◽  
Vol 12 (2) ◽  
pp. 421-433
Author(s):  
Kenneth Chisom Gbali ◽  
Vincent Ezikornwor Weli ◽  
Prince Chinedu Mmom

The study sought to examine the Corporate Social (CSR) and management of oil related conflicts in Host Communities of the Southern States. Corporate Social Responsibility is the commitment of businesses to contribute to sustainable economic development by working with employees, the local community and the society at large to improve their lives in ways that are good for business and for development. The study was guided by three research objectives, three research questions and three hypotheses. The design adopted for this study is exploratory and descriptive research design and was conducted in Bayelsa, Delta and Rivers State in Nigeria. The population of this study comprised of 15,245,247 residents in Bayelsa, Delta and Rivers State in Nigeria. The instrument for data collection was a set of structured questionnaire. Data derived from the field were analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0. And statistical tools such as mean and standard deviation were used to respond to the research questions, while inferential statistical tool of independent sample T-test was used to test the hypotheses at 0.05 level of significance. Findings from the study showed that there is a significant difference in the mean ratings of male and female respondents on the level of relationship between IOC’s and hosts Communities in Niger Delta Region, Nigeria ((P=0.738>0.05), df (400) =. -0.49273, p=0.738); there is a significant difference in the mean ratings of male and female respondents on the on CSR programs carried out by IOCs in hosts Communities in Southern Nigeria (P=.117>0.05), df (400) = -401.618, p=.117); further findings showed that there is a significant difference in the mean ratings of male and female respondents on the Factors causing conflict between oil companies and host communities in Southern, Nigeria (P=0.775>0.05), df (400) =382.256 p=0.775). Based on the findings of the study, it was recommended that host communities should be integrated into the planning process, a paradigm shift from planning for to planning with the host Communities, amongst others.


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