FACULTY OF PUBLIC HEALTH
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Item Correlates of the quality of life of adolescents in families affected by HIV/AIDS in Benue State, Nigeria.(Routledge Taylor & Francis Group, 2015) Akpa, O. M.; Bamgboye, E. A.It was estimated that over 260,000 children are living with Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) while close to 2 million are directly or indirectly affected by the disease in Nigeria. Improvements in treatments for infected children have been documented in the literature but there is gross knowledge gap on the impact of HIV/AIDS on the quality of life and psychosocial functioning (PSF) of affected children in Nigeria. We comparatively explored the association of quality of life with PSF and other factors among adolescents in families affected by HIV/AIDS (FAHA) and in families not affected by HIV/AIDS (FNAHA). Data were extracted for 960 adolescents from a State wide cross-sectional study in which participants were selected through multistage sampling techniques. Data were collected using question naires consisting of demographic information, adapted World Health Organization Quality of Life-BREF and the strength & difficulty questionnaire (SDQ). The quality of life scores were categorized into poor, moderate, and high based on the amount of standard deviation away from the mean while the SDQ scores were categorized into normal, borderline, and abnormal based on the SDQ scoring systems. The chi-square test and the independent t-test were used for bivariate analyses while the logistic regression was used for multivariate analyses at the 5% level of significance. The proportion with poor quality of life (27.0%) was significantly higher among adolescents in FAHA than in FNAHA (p = 0.0001). Adolescents in FAHA (OR:2.32; 95%CI: 1.67—4.09) were twice more likely to have poor quality of life than those in FNAHA. In FAHA, adolescents on the borderline of PSF (OR:2.19; 95%CI: 1.23-3.89) were twice more likely to have poor quality of life than those with normal PSF. Adolescents in FAHA have poor quality of life than those in FNAHA and also face additional burden of psychosocial dysfunctions. Interventions focusing on functional social support and economic empowerment will benefit adolescents in FAHA in the studied location.Item Analysis of trends and projections of the emergence, impact and the epidemiology of HIV/AIDS in Nigeria(Nigerian Statistical Association, 2010) Akpa, O. M.; Oyejola, B. A.The first case of AIDS was reported in Nigeria-(Lagos) in 1986. Since then, both the incidence and the prevalence of the epidemic has grown steadily, particularly during the military regimes. In this study, We used the UNAIDS softwares: Estimation and Projection Package-(EPP) and AIDS Impact Mode/-(AIM), to present models, trends analysis and projections/or the incidence a/HIVIAIDS in the six geopolitical zones in Nigeria. 0111' results show that the peak incidence 0/HIVIAIDS epidemics in the zones was during the Military rule in Nigeria. We also projected that by year 2010, the incidence are expected to be stable.Item Statistical modelling of HIV/AIDS epidemics; Nigeria’s most needful statistical support for meeting the MDGs in HIV/AIDS intervention initiatives.(Nigerian Statistical Association, 2006) Akpa, O. M.; Oyejola, B. A.Since the first cases of AIDS were identified in the United State of America nearly two decades ago, researchers have made significant progress in understanding the epidemiology of HIV/AIDS Pandemic worldwide, with special attention to Sub-Saharan Africa. However, no particular attempt has been made to Model either the transmission dynamics or the trajectory of HIV/AIDS infection in Nigeria. In this paper, we review various methods adopted by Mathematicians and statisticians to Model HIV/AIDS epidemics. Their peculiar applicability and limitations with reference to Nigeria are discussed. We also discuss why Statistical Modeling of HIV/AIDS Epidemics is one of the most needed Statistical support for meeting the Millennium Development Goals (MDGs), particularly in Nigeria.
