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The stigma of Epilepsy among Outpatients in a Tertiary Hospital in south-East Nigeria

Open Journal of Psychiatry 2017年第4期7卷 344-364页

作者： Justin U. Achor Birinus A. Ezeala-Adikaibe Okwudili N. Obayi Chinwe F. s. Ezeruigbo Oluchi s. ekenze Obinna D. Onodugo Federal Neuropsychiatric Hospital Enugu New Haven Nigeria Department of Medicine University of Nigeria Teaching Hospital Ituku/Ozalla Nigeria Department of Psychological Medicine Ebonyi State University Abakaliki Nigeria Department of Nursing sciences Faculty of Health Science Ebonyi State University Abakaliki Nigeria

Background: The stigma of epilepsy is pervasive in developing country contexts and negatively affects the psychological and social wellbeing of its sufferers. The experience of stigma varies across settings and probably relate to disease severity and social characteristics. This study sought to describe the extent and correlates of perceived and enacted stigma among outpatients with epilepsy. Methods: The participants were consecutively presenting epilepsy outpatients in a tertiary facility that attended clinic regularly and had no overt medical or psychiatric co-morbidities. The patients were interviewed with a semi-structured questionnaire. Results: There were 93 participants with a mean age of 30.2 ± 10.3 years and 57.0% were males. The experience of stigma was reported by 46.2% and 67.7% of the participants for perceived and enacted stigma, respectively. Over one-third of the patients had suffered burns or a similar injury in the past. The correlates of perceived stigma were rural residence, lower levels of education, and longer duration of illness. Gender, age and frequency of seizures were not statistically significant determinants. The correlates of enacted stigma were being single, older age, rural residence, and longer duration of epilepsy. A past history of burns and disclosure of epilepsy to individuals outside the family added to the likelihood of experiencing stigma. Conclusion: The burden of epilepsy related social stigma is high in Nigeria. Cultural stereotypes and misconception add to this. There is need for appropriate culture-congruent educational interventions to provide the right information about epilepsy and debunk the misconceptions and myths associated with the condition. This will need to be coupled with astute clinical management of cases and active case finding. Both qualitative and longitudinal quantitative studies would be required to deepen our understanding of the lived reality of grappling with stigma in our setting.

关键词： Epilepsy stigma Perceived/Enacted Nigeria

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Prevalence and Pattern of Migraine, Tension Type Headache and Chronic Daily Headache among Medical and Nursing students in Enugu, south East Nigeria

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Health 2018年第10期10卷 1283-1293页

作者： O. s. ekenze B. A. Ezeala-Adikaibe C. Orjioke N. Mbadiwe U. N. Ijoma C. Onyekonwu N. P. Ezeala-Adikaibe O. Onodugo O. Anyim T. Okpara C. B. Nwatu I. O. Onwuekwe Department of Medicine University of Nigeria Teaching Hospital Enugu Nigeria Department of Medicine Enugu State University of Science and Technology Enugu Nigeria Department of Community Medicine University of Nigeria Teaching Hospital Enugu Nigeria

Aim: To assess the lifetime prevalence of tension-type headache, migraine and chronic daily headache, including the primary headaches in a student population. Methods: This is a cross-sectional descriptive study. Data were collected from consecutive consenting students by means of a semi-structured questionnaire. The questionnaire was designed to assess demographic data, headache profiles and medical consultation. Results: Four hundred and forty-nine (89.8%) out of 500 students who were interviewed were analyzed. The lifetime prevalence of primary headache was 89.8%;it 90.5% and 88.6% in females and males respectively. The overall prevalence of migraine was 8.9%, with a prevalence of 10.6% in females and 6.5% in males. Migraine without aura was most commonly seen at 73%. The prevalence of migraine without aura was 7.6% in females and 4.9% in males. Tension type headache (TTH) had an overall prevalence of 22.9%, with a prevalence of 28.4% in females and 15.1% in males. Migraine and tension type headache co-existed in 5.8% of the students. About 8.5% suffered from chronic daily headache: chronic migraine 2.9%, chronic tension headache 3.1%. The rate of medical consultation was 54.8% (males 49.7%, females 58.3%). Conclusions: Headache is a common health problem among medical and nursing students in Enugu south East Nigeria where 89.8% of respondents have had primary headaches. The prevalence of migraine, TTH and chronic daily headache was 8.9%, 22.9% and 8.5% respectively. Headaches therefore, represent one of the most challenging neurological disorders in sub-saharan Africa where most sufferers do not have access to specialist care.

关键词： Primary Headache Migraine Tension Headache Chronic Daily Headache

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Erratum to “Retrospective Evaluation of Intussusception in Under-Five Children in Nigeria” [World Journal of Vaccines Vol.4 No.3 (August 2014) 123-132]

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World Journal of Vaccines 2015年第3期5卷 147-147页

作者： Beckie Nnenna Tagbo Jason Mwenda Christopher Eke Tagbo Oguonu s.bas.ian ekenze Uchechukwu Obiora Ezomike Benedict Edelu Ogechukwu Amadi Ifeyinwa Okeke Okechukwu Ani Roservelt Okechukwu Nnani Vina Okafor Henrietta Uche Okafor Egbuna Obidike Emmanuel Abanida Chris Elemuwa Toyin Odetunde Institute of Child Health and Department of Paediatrics University of Nigeria Teaching Hospital Enugu Nigeria World Health Organization Regional Office for Africa (WHO/AFRO) Brazzaville Republic of Congo Department of Paediatrics University of Nigeria Teaching Hospital Enugu Nigeria Department of Paediatric surgery University of Nigeria Teaching Hospital Enugu Nigeria Department of Paediatrics Enugu State University Teaching Hospital Enugu Nigeria Institute of Child Health University of Nigeria Teaching Hospital Enugu Nigeria National Primary Health Care Development Agency Federal Ministry of Health Abuja Nigeria Department of Paediatric surgery Enugu State University Teaching Hospital Enugu Nigeria

The original online version of this article (Tagbo, B. N., et al. 2014 “Retrospective Evaluation of Intussusception in Under-Five Children in Nigeria”, 2014, 4, 123-132, http://***/10.4236/wjv.2014.43015) was publis... 详细信息

关键词： Intussusception Children Rotavirus surgery Bloody stool Nigeria

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