Browsing by Author "Adebowale, S. A."

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Blood transfusion requirement during caesarean delivery: risk factors
(Association of Resident Doctors, University College Hospital, Ibadan, Nigeria, 2015-06) Eyelade, O. R.; Adesina, O. A.; Adewole, I. F.; Adebowale, S. A.
Background: Group specific blood is often cross-matched ready for all patients scheduled for caesarean section in anticipation of haemorrhage during the surgery. This study was conducted to determine the risk factors for blood transfusion during anaesthesia for caesarean section. Methods: This was a prospective cross-sectional study. A total of 706 pregnant patients scheduled for emergency or elective Caesarean section at the University College Hospital, Ibadan, Nigeria between March and August 2011 were recruited. Participants were followed-up from the date of delivery till the end point of the study which could fall into either of the following conditions: satisfactory postoperative clinical status up to 48 hours post-delivery or death. Transfusion rate was determined and Chi-square test was used to determine if there exist an association between blood transfusion status and preoperative haematocrit level, years of experience of obstetrician, indication for Caesarean Section(CS), CS type (primary or repeat) and HIV status. Results: Transfusion rate was 9.1 %; variables found to be significantly associated with blood transfusion were; preoperative haematocrit less than 26%, increasing parity, years of experience of resident obstetrician, indication for CS (bleeding or not bleeding) and estimated blood loss. Being HIV positive does not increase the need for blood transfusion. Conclusion: Preoperative anaemia, increasing parity and severe blood loss at surgery significantly contribute to the requirement for blood transfusion in patients undergoing caesarean section.
Contraceptive use: implication for completed fertility, parity progression and maternal nutritional status in Nigeria
(Women's Health and Action Research Centre, 2011) Adebowale, S. A.; Fagbamigbe, F. A.; Bamgboye, E. A.
The study identified socio-demographic factors influencing contraceptive use while using nutritional status, completed fertility and parity progression as key variables. NDHS, 2008 dataset on married women aged 45-49 was used. Chi-square, ordinary linear and logistic regression models were used for the analysis. The mean age of the women and CEB were 46.8±1.5 years and 6.9±3.1 respectively. About 26.0% of the women ever used contraception, while 9.0% of the women were underweight. Parity progression from parity 0 to 4 was consistently higher among never-users than women who ever used contraception. The tempo changes for all parities above four as ever-users now progress at lower rate during these periods. The completed fertility and the risk of undernourishment were significantly higher among never users of contraception than ever users. The level of risk persists even when the potential confounding variables were used as control
Modelling morbidity related absenteeism among workers in University of Ibadan Community, Nigeria: Poisson regression
(Academic Journals, 2011) Apau, G. S.; Fagbamigbe, A. F.; Adebowale, S. A.; Bamgboye, E. A.
Globally, sickness absenteeism is a contemporary public health problem, particularly in developing countries. However, very few studies had addressed the theoretical and methodological aspects of health related absenteeism among University workers. A retrospective study of sickness records of 4447 employees of University of Ibadan made available at the University Staff Clinic (Jaja). The health records of each staff for the whole 12 months in 2007 were reviewed. Data analysis was performed using descriptive statistics and Poisson distribution model was used in the data modeling. The prevalence of sick-off leave at the staff clinic was 4.7%. Also, 12.4% of all the staff had been sick at least once during the study period. There was a slight differential in absent rate by sex, age, marital status and years of service. However, differential existed in absent rate among subgroup of workers by different occupational groups and staff category. Majority of the spells lasted for between one and two days. The Poisson regression model showed that staff category and occupational group are the only predictors of days sick-off. Among the dependent variables considered, only sick-off days followed Poisson distribution model. Also, Poisson regression model is adequate to describe and predict the pattern of sickness absenteeism in the study area.
Re-analysis of Nigerian 2006 census age distribution using growth rate and mortality level
(Population Association of Southern Africa, 2014) Adebowale, S. A.; Fagbamigbe, F. A.; Bamgboye, E. A.
The usefulness of human population age structure in public health research is enormous, but age misreporting and an incomplete Vital Registration System (VRS) in Nigeria constitute a serious challenge. Age misreporting affects the true estimate of basic demographic parameters which are part of yardsticks for measuring the growth, development and well-being of a nation, thus the need to refine the age structure in Nigeria is important. This study was conceived with the view to refining the 2006 census age distribution using growth rate and mortality level. The Logit transformation system and Coale-Demeny life-table were used for data analyses. This study revealed that there was a gross age misstatement across all age categories, but age errors were more pronounced among females than males. The pattern of either under-reporting or over reporting of ages was similar for both sexes. Also, there was tendency to under-report ages 0 to 19 years and above 55 years, whereas gross over-reporting of age was observed in ages between 20 and 55 years. Good VRS and showing certificate of birth as evidence of age during census enumeration will reduce the errors in age reporting in future censuses in Nigeria.
Rural-urban differential in maternal mortality estimate in Nigeria, sub-Saharan Africa
(Cenresin Publications, 2010) Adebowale, S. A.; Fagbamigbe, F. A.; Bamgboye, E. A.
In developing countries, the traditional sources of demographic statistics in which the estimates of demographic indices are based are either non-existence or incomplete. Data requirements on maternal deaths are always very large and costly. The indirect method (sisterhood method) for estimating maternal deaths was designed primarily as check to these problems. The study used Nigeria Demographic and Health Survey (NDHS), 2008 data. A total of 18,250 (6,894 urban and 11,356 rural) adults responded to questions essential for the estimation of maternal mortality. The P/F ratio method was used to adjust the total fertility rates (TFR) in urban and rural areas. Thereafter, the life-time risks of maternal deaths (LTRMD) were estimated for the two areas. These were later converted to maternal mortality ratio (MMR). Data analyses revealed that the adjusted total fertility rates for urban and rural areas were 5.26 and 7.12 respectively. The LTRMD in urban was 0.0221 (1 in 45) whereas, in rural area it was 0.0309 (1 in 32). These results correspond to MMR of 424/100,000 and 440/100,000 live births in urban and rural areas respectfully. These are not far from the national estimate of 436/100,000 live births as evidence in this study. This method provided a robust estimate of MMR in both urban and rural areas and shows that the MMR in Nigeria is reducing. However, the figures at the two locations are still high. Government and international agencies should put appropriate mechanisms in place for further reduction in the prevalence.
Survival analysis of timing of first marriage among women of reproductive age in Nigeria: Regional differences
(Women's Health and Action Research Centre, 2012) Adebowale, S. A.; Fagbamigbe, F. A.; Okareh, T. O.; Lawa, G. O.
Early marriage is common among women in developing countries. Age at first marriage (AFM) has health implication on women and their under-five children. In Nigeria, few studies have explored AFM; the current study was designed to fill the gap. Nigeria Demographic and Health Survey, 2008 dataset on married women aged 15-49(N=24,986) was used. Chi-square, OLS regression and Cox proportional hazard models were used in the analysis. The mean AFM was 17.8±4.8 years and significant difference existed between the mean AFM of women in the North (16.0±3.6) and South (20.4±5.0) (p<0.001). Region, education, religion, residence, nutritional status, age at first sexual intercourse and children ever born were significantly associated with timing of first marriage (p<0.001). Majority of the women married between ages 15-19 years (43.1%), while very few married late (2.3%) and about 27.0% married too early (less than 15years). Early marriage was more common in all the regions in the North than the South and the hazard was highest in the North West and North East. Women who reside in rural area (H.R=1.15; C.I=1.111.18) married early than their counterparts in the urban area. Age at first marriage was directly related to levels of education (p<0.001). Muslim women married early (H.R=1.34; C.I=1.29 1.39) than Christians. Three models were generated from the data. Women married too early in Nigeria with Teenage marriage more common in the North than the South. Education has influence on AFM; therefore, women should have at least secondary education before marriage in Nigeria.