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Global Public Health | 2017

Trends in reproductive health indicators in Nigeria using demographic and health surveys (1990–2013)

Chinelo C. Okigbo; Korede K. Adegoke; Comfort Z. Olorunsaiye

ABSTRACT There is an urgent need to improve reproductive health (RH) in Nigeria – the most populous country in Africa. In 2015, Nigeria had the highest number of maternal deaths in the world. This study assessed the trends in select RH indicators in Nigeria over two decades. Data used were from Nigeria Demographic and Health Surveys (NDHS) conducted between 1990 and 2013. The NDHS uses a two-stage cluster sampling design to select nationally representative samples of reproductive-age women. The study sample ranged from 7620 to 38,948 women aged 15–49 across the five surveys. Trends in modern contraceptive prevalence rate, skilled antenatal care, skilled birth attendance, and adolescent birth were assessed. The results show increasing trends in modern contraceptive prevalence rate from 4% in 1990 to 11% in 2013 (p < .001); in skilled antenatal care from 57% in 1990 to 61% in 2013 (p < .001); and in skilled birth attendance from 31% in 1990 to 40% in 2013 (p < .001). The trend in adolescent birth decreased from 24% in 1990 to 17% in 2013 (p < .001). Marked disparities exist as rural, poor, and less educated women bear the greatest burden. Interventions should target the at-risk populations to improve their access and use of RH services.


Nutrition Research | 2016

Community-based fortified dietary intervention improved health outcomes among low-income African-American women.

Hamisu M. Salihu; Korede K. Adegoke; Rachita Das; Ronee E. Wilson; Jessica Mazza; Jennifer O. Okoh; Eknath Naik; Estrellita Lo Berry

Poor dietary exposure disproportionately affects African-Americans and contributes to the persistence of disparities in health outcomes. In this study, we hypothesized that fortified dietary intervention (FDI) will improve measured dietary and related health outcomes and will be acceptable among low-income African-American women living in Tampa, FL. These objectives were tested using a prospective experimental study using pretest and posttest design with a control group, using a community-based participatory research approach. The intervention (FDI) was designed by the community through structural modification of a preexisting, diet-based program by the addition of a physical and mental health component. Paired sample t tests were used to examine preintervention and postintervention changes in study outcomes. A total of 49 women participated in the study, 26 in the FDI group and 23 controls. Two weeks postintervention, there were significant improvements in waist circumference and health-related quality of life related to physical health (P< .0001), physical fitness subscores (P= .002), and nutritional subscores (P= .001) in the FDI group. Among overweight/obese women, improvement in health-related quality of life related to physical health, a significant decrease in depressive score, and a reduction in waist circumference were noted. In the control group, a decrease in waist circumference was observed. Implementation of the FDI through a community-based participatory research approach is feasible and effective among low-income African-American women in general and overweight/obese women in particular. Social reengineering of a nutritional intervention coupled with community-based approach will enhance health outcomes of low-income women.


Southern Medical Journal | 2015

Effectiveness of a federal Healthy Start Program on HIV/AIDS risk reduction among women in Hillsborough County, Florida.

Euna M. August; Muktar H. Aliyu; Alfred K. Mbah; Ifechukwude O. Okwechime; Korede K. Adegoke; Cara de la Cruz; Estrellita Lo Berry; Hamisu M. Salihu

Objectives To examine the impact of the Central Hillsborough Healthy Start Project (CHHS) on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) diagnosis rates in women in Hillsborough County, Florida. Methods Project records were linked to hospital discharge data and vital statistics (Florida, 1998–2007; N = 1,696,221). The &khgr;2 test was used to compare rates for HIV/AIDS and pregnancy-related complications for mothers within the CHHS service area with mothers in Hillsborough County and the rest of Florida. Results During a 10-year period, HIV/AIDS diagnosis rates among women in the CHHS service area declined by 56.3% (P = 0.01). The observed decline was most evident among black women. HIV/AIDS diagnosis rates in the rest of Hillsborough County and Florida remained unchanged (P = 0.48). Conclusions Lessons learned from the CHHS Project can be used to develop effective and comprehensive models for addressing the HIV epidemic.


Preventing Chronic Disease | 2018

Florida Populations Most at Risk of Not Being Up to Date With Colorectal Cancer Screening

Claudia X. Aguado Loi; Korede K. Adegoke; Clement K. Gwede; William M. Sappenfield; Carol A. Bryant

Introduction The purpose of this study was to examine the characteristics of populations at risk of not being up to date on colorectal cancer screening in Florida. Methods We used Exhaustive Chi-squared Automatic Interaction Detection, a classification tree analysis, to identify subgroups not up to date with colorectal cancer screening using the 2013 Florida Behavioral Risk Factor Surveillance System. The data set was restricted to adults aged 50 to 75 years (n = 14,756). Results Only 65.5% of the sample was up to date on colorectal cancer screening. Having no insurance and having a primary care provider were the most significant predictors of not being up to date on screening. The highest risk subgroups were 1) respondents with no insurance and no primary care provider, regardless of their employment status (screening rate, 12.1%–23.7%); 2) respondents with no insurance but had a primary care provider and were employed (screening rate, 32.3%); and 3) respondents with insurance, who were younger than 55 years, and who were current smokers (screening rate, 42.0%). Conclusion Some populations in Florida are at high risk for not being up to date on colorectal cancer screening. To achieve Healthy People 2020 goals, interventions may need to be further tailored to target these subgroups.


International Journal of Gynecology & Obstetrics | 2018

Health insurance coverage and access to skilled birth attendance in Togo

Komi Mati; Korede K. Adegoke; Abimbola Michael‐Asalu; Hamisu M. Salihu

To examine the effect of the newly introduced national health insurance plan on access to skilled birth attendance (SBA).


Southern Medical Journal | 2017

Social Support and Health-Related Quality of Life Among Low-Income Women: Findings from Community-Based Participatory Research

Hamisu M. Salihu; Korede K. Adegoke; DeAnne Turner; Dania Al Agili; Estrellita Lo Berry

Objectives This study examined the association between social support and health-related quality of life (HRQoL) among low-income women in the southeastern region of the United States. Methods Analysis was performed on data from a community needs assessment survey that was designed to explore social determinants of health and QoL indicators using a community-based participatory research approach. The study sample comprised 132 women aged 18 years old and older. Bivariate analysis and logistic regressions with bootstrapping were performed. Results Social support was predictive of physical and mental HRQoL in a contrasting fashion, suggesting a complex relation. Other social determinants of global HRQoL independent of social support status include marital and employment status, maternal age, and income. Our results also demonstrate complex interaction patterns across race, social support, and HRQoL. Conclusions The linkage between social support and HRQoL may not be a simple relation, as previously assumed. Rather, it is characterized by multifaceted interactions through which social determinants of health modulate the impact of social support on HRQoL. These are new findings.


American Journal of Men's Health | 2015

Paternal Involvement and Fetal Morbidity Outcomes in HIV/AIDS A Population-Based Study

Amina P. Alio; Alfred K. Mbah; Krupa Shah; Euna M. August; Sharon Bernecki DeJoy; Korede K. Adegoke; Phillip J. Marty; Hamisu M. Salihu; Muktar H. Aliyu

Prior research indicates that infants with absent fathers are vulnerable to unfavorable fetal birth outcomes. HIV is a recognized risk factor for adverse birth outcomes. However, the influence of paternal involvement on fetal morbidity outcomes in women with HIV remains poorly understood. Using linked hospital discharge data and vital statistics records for the state of Florida (1998-2007), the authors assessed the association between paternal involvement and fetal growth outcomes (i.e., low birth weight [LBW], very low birth weight [VLBW], preterm birth [PTB], very preterm birth [VPTB], and small for gestational age [SGA]) among HIV-positive mothers (N = 4,719). Propensity score matching was used to match cases (absent fathers) to controls (fathers involved). Conditional logistic regression was employed to generate adjusted odds ratios (OR). Mothers of infants with absent fathers were more likely to be Black, younger (<35 years old), and unmarried with at least a high school education (p < .01). They were also more likely to have a history of drug (p < .01) and alcohol (p = .02) abuse. These differences disappeared after propensity score matching. Infants of HIV-positive mothers with absent paternal involvement during pregnancy had elevated risks for adverse fetal outcomes (LBW: OR = 1.30, 95% confidence interval [CI] = 1.05-1.60; VLBW: OR = 1.72, 95% CI = 1.05-2.82; PTB: OR = 1.38, 95% CI = 1.13-1.69; VPTB: OR = 1.81, 95% CI = 1.13-2.90). Absence of fathers increases the likelihood of adverse fetal morbidity outcomes in women with HIV infection. These findings underscore the importance of paternal involvement during pregnancy, especially as an important component of programs for prevention of mother-to-child transmission of HIV.


BMC Public Health | 2016

Factors associated with married women’s support of male circumcision for HIV prevention in Uganda: a population based cross–sectional study

Komi Mati; Korede K. Adegoke; Hamisu M. Salihu


Southern Medical Journal | 2018

Effects of Maternal Carbohydrate and Fat Intake on Fetal Telomere Length

Hamisu M. Salihu; Korede K. Adegoke; Lindsey M. King; Rana Daas; Arnut Paothong; Anupam Pradhan; Muktar H. Aliyu; Valerie E. Whiteman


Archive | 2017

The Effects of Maternal Folate on Fetal Brain and Body Size among Smoking Mothers

Korede K. Adegoke

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Hamisu M. Salihu

Baylor College of Medicine

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Alfred K. Mbah

University of South Florida

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Euna M. August

University of South Florida

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Komi Mati

University of South Florida

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Anupam Pradhan

University of South Florida

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