ABSTRACT
Background: Health Risk behavior is a major concern in the society, especially among young people. Aims: This study evaluated the influence of self-image; socio-demographic factors and low parental supervision on pornography consumption and substance use among Nigerian adolescents. Methods: This was a cross-sectional observational study. Adolescents’ self-image was measured with Rosenberg Self-Esteem (RSE) scale. Multivariate analysis was used to explore the relationship among demographic variables, self-image, pornography consumption and substance use. A 2-sided p-value < 0.05 was considered significant. Results: Altogether, 883 street youths participated in the study. The mean ages (years) were 17.6±2.5 and 16.8±2.3 for boys and girls respectively. The overall prevalence of pornography viewing and substance use were 54.5% and 21.5% respectively. Specific prevalence for substance use was highest for Cannabis (10.5%). Self-image significantly influenced both vices, p<0.001. Stepwise logistic regression identified predictors of substance use as follows: male gender, OR = 3.65 (2.44 – 5.47); secondary education: OR = 2.50 (1.51 – 4.13) and living with relatives, OR = 2.77 (1.17-6.52). Conclusion: Self-image and modifiable demographic features influence pornography viewing and substance use among young people. Adolescent Preventive Services should be made readily available to this high risk group.
ABSTRACT
Objective: To evaluate the extent of coverage of curriculum contents pertinent to Adolescent Medicine; as well as the adequacy of facilities and professionals in Nigeria using residents' viewpoint. Design: A descriptive cross-sectional study. Setting: The Intensive Course in Paediatrics of the National Post-graduate Medical College of Nigeria at the University of Benin Teaching Hospital; Benin City Nigeria. Subjects: One hundred and three paediatric residents from training institutions in all zones of the country. Results: Altogether;68.0% and 32.0% of the participants were from Southern and Northern geopolitical zones respectively. Only 14% of them stated that a rotation in an AM unit is a part of training in their centres. None specified its duration. Coverage of AM topics; physical facilities and trainers were rated as inadequate by 77.0%; 82.8% and 70.8% of the respondents respectively. Residents from north were more likely to rate interview/ confidentiality in AM as covered (either partly or well) than their colleagues from the South; (p 0.01; OR= 5.3, 95% CI = 1.5-19.5). We found no difference between federal and state residents' perceived adequacy of AM training. Conclusion: AM in paediatric residency programme in Nigeria is still an unmet challenge. There is a need for a revision of the training curriculum to specify mandatory duration of clinical rotation in AM units