Department of Paediatrics and Child Health- Journal Articles
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- ItemOpen AccessOral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria.(PLOS ONE, 2021-02-25) Folayan, Morenike Oluwatoyin; Tantawi, Maha El; Oginni, Olakunle; Oziegbe, Elizabeth; Mapayi, Boladale; Arowolo, Olaniyi; Adeniyi, Abiola Adetokunbo; Sam-Agudu, Nadia AOral health is a less-recognized correlate of overall and mental well-being. This study aimed to assess the relationship between suicidal behavior (ideation and attempt) and oral health practices and status and to determine the effect of sex on these associations among Nigerian adolescents. Household survey data were collected from 10 to 19-year-old adolescents in southwestern Nigeria. Dependent variables were daily tooth brushing, daily consumption of refined carbohydrates between meals, and oral hygiene status (measured by plaque index). The independent variable was lifetime suicidal ideation/attempt, dichotomized into ‘yes’ and ‘never’. ‘Daily tooth brushing’ and ‘daily consumption of refined carbohydrates between meals’ were included in two logistic regression models, and ‘oral hygiene status’ was included in a linear regression model. The models were adjusted for sex, age, and socioeconomic status. The linear regression model was also adjusted for the frequency of daily tooth brushing and consumption of refined carbohydrates between meals. Interactions between sex and suicidal ideation/suicide attempt in association with dependent variables were assessed. Significance was set at 5%. We recruited 1,472 participants with a mean age (standard deviation) of 14.6 (2.6) years. The mean plaque index was 0.84 (0.56), and 66 (4.5%) adolescents reported ever having suicidal ideation/attempt. Suicidal ideation/attempt was associated with significantly lower likelihood of tooth brushing (OR = 0.48, 95% CI: 0.26, 0.91), higher likelihood of consuming refined carbohydrates between meals (OR = 2.30, 95% CI: 1.29, 4.10), and having poor oral hygiene (B = 0.18, 95% CI: 0.05, 0.32). Among males, suicidal ideation/attempt was associated with less likelihood of eating refined carbohydrates between meals (OR = 0.96, 95% CI: 0.35, 2.61). Conversely, it was associated with a significantly higher likelihood of this outcome (OR = 4.85, 95% CI: 2.23, 10.55) among females. The study findings suggest that poor tooth brushing habits and poor oral hygiene are indicators of the risk of suicidal behavior for adolescents in Nigeria. At the same time, high sugar consumption may be an additional risk factor for adolescent females. These findings support the role of dental practitioners as members of healthcare teams responsible for screening, identifying, and referring patients at risk for suicidal ideation/attempts.
- ItemOpen AccessNigeria's financing of health care during the COVID-19 pandemic: Challenges and recommendations.(WMHP, 2022-10-03) Aregbeshola, Bolaji S; Folayan, Morenike OAn analysis of the financing of Nigeria's health-care system in response to coronavirus disease 2019 (COVID-19) pandemic was conducted. Nigeria projected that it would need US$330 million to control its COVID-19 pandemic. However, it raised more than US$560.52 million, of which more than 90% came from the private sector and the donor/philanthropist community. The pooled COVID-19 fund is mainly being expended on temporary public health and clinical care measures, with little invested to strengthen the health system beyond the pandemic. The poor turn-around time for COVID-19 test results and the stigma associated with the disease results in most persons with mild to moderate symptoms seeking care from alternatives to the health-care institutions designated for COVID-19 health care. The huge out-of-pocket expenses, and the inability of most Nigerians to earn money because of measures instituted to contain the pandemic, will likely cause many Nigerians to become economically impoverished by the COVID-19 pandemic. COVID-19-related commodity procurement was least responsive to the needs of those most in need of care and support. The government needs to institute several fiscal policies. Immediate response to ease the financial impact of COVID-19 require inclusion of COVID-19 management in health insurance packages and an increase in domestic government health spending.
- ItemOpen AccessSocioeconomic inequality, health inequity and well-being of transgender people during the COVID-19 pandemic in Nigeria.(BMC Public Health, 2023-08-12T00:00:00Z) Folayan, Morenike Oluwatoyin; Yakusik, Anna; Enemo, Amaka; Sunday, Aaron; Muhammad, Amira; Nyako, Hasiya Yunusa; Abdullah, Rilwan Mohammed; Okiwu, Henry; Lamontagne, ErikWe aimed to explore socioeconomic inequality, health inequity, and the well-being of transgender people during the COVID-19 crisis in Nigeria.
- ItemOpen AccessAssociations between mental health challenges, sexual activity, alcohol consumption, use of other psychoactive substances and use of COVID-19 preventive measures during the first wave of the COVID-19 pandemic by adults in Nigeria.(BMC Public Health, 2023-08-09T00:00:00Z) Folayan, Morenike Oluwatoyin; Ibigbami, Olanrewaju; El Tantawi, Maha; Aly, Nourhan M; Zuñiga, Roberto Ariel Abeldaño; Abeldaño, Giuliana Florencia; Ara, Eshrat; Ellakany, Passent; Gaffar, Balgis; Al-Khanati, Nuraldeen Maher; Idigbe, Ifeoma; Ishabiyi, Anthonia Omotola; Khan, Abeedha Tu-Allah; Khalid, Zumama; Lawal, Folake Barakat; Lusher, Joanne; Nzimande, Ntombifuthi P; Popoola, Bamidele Olubukola; Quadri, Mir Faeq Ali; Roque, Mark; Okeibunor, Joseph Chukwudi; Brown, Brandon; Nguyen, Annie LuThe aims of this study were to assess: 1) the associations among sexual activity, alcohol consumption, use of other psychoactive substances and mental health during the COVID-19 pandemic; and 2) the associations between COVID-19 preventive measures, alcohol consumption and use of psychoactive substances.
- ItemOpen AccessHIV sexual risk behavior and preferred HIV prevention service outlet by men who have sex with men in Nigeria.(BMC Health Services Research, 2019-04-27T00:00:00Z) Emmanuel, Godwin; Folayan, Morenike Oluwatoyin; Ochonye, Bartholomew; Umoh, Paul; Wasiu, Bashiru; Nkom, Mercy; Iorwa, Apera; Anenih, JamesThe study objectives were to identify differences in HIV sexual risk behavior of men who had sex with other men (MSM) resident in urban and rural Nigeria, their perspectives on need for HIV prevention services and perceived barriers and facilitators to access of HIV prevention services in private, public and peer-led health facilities.