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1

Ihesie, Chukwuemeka Austin, and Ogoamaka Chukwuogo. "Integrating mHealth into adolescent sexual and reproductive health promotion in Nigeria: prospects and barriers." International Journal Of Community Medicine And Public Health 4, no. 11 (October 25, 2017): 3931. http://dx.doi.org/10.18203/2394-6040.ijcmph20174801.

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Adolescent sexual and reproductive health (ASRH) is a key public health issue because of its impact on health and development. Adolescent SRH is linked to available information which often determines sexual behaviours. The use of mobile phones for health (mHealth) has shown success in delivering health education and behaviour change interventions for young people for smoking cessation, nutrition and in SRH. This article explores the possible prospects and barriers to the use of mHealth for ASRH promotion in Nigeria. This paper reviews secondary data from international and local literature obtained from database search. A conceptual framework and an applicability and transferability (A&T) tool guided the analysis of ASRH issues and feasibility of mHealth use in ASRH in Nigeria. The prospects of mHealth use for ASRH in Nigeria include the widespread coverage of mobile phone services and the acceptability of its use for health by Nigerian adolescents, unmet need in ASRH information provision and the similarity of some characteristics of Nigerian adolescents to other study populations where mHealth has been successfully used. Other prospects include the Nigerian government’s focus on ICT solutions and the availability of essential technical and organisational expertise for implementation. Possible barriers to the successful use of mHealth include poor funding for ASRH and inadequate information on implementation costs and cost-effectiveness which may make it difficult to present a business case. In conclusion, the use of mHealth in ASRH promotion in Nigeria is feasible and can be effective, however, measures must be taken to address specific barriers identified.
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Asubiaro, Olayinka Yetunde, and Adesegun Olayiwola Fatusi. "Differential effects of religiosity on sexual initiation among Nigerian in-school adolescents." International Journal of Adolescent Medicine and Health 26, no. 1 (February 1, 2014): 93–100. http://dx.doi.org/10.1515/ijamh-2012-0118.

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Abstract Background: Sexual initiation in adolescence has significant health implications; identifying associated risk and protective factors is critical for context-specific evidence-based interventions. This study examined the influence of religiosity on sexual debut among in-school adolescents in Lagos State, Nigeria. Methods: Data was obtained from 1350 randomly selected in-school adolescents using a self-administered questionnaire. Internal and external religiosity, defined based on the extant literature, were the independent variables. The dependent variable was “ever had sex.” The association between religiosity and the age of sexual debut was assessed using Cox regression and controlling for relevant covariates. The hazard ratio (HR) and 95% confidence interval (CI) were calculated. Results: Of the participants, 19.8% of the females and 26.6% of the males have had sex (p<0.004). Internal religiosity was protective against sexual debut among females (HR=0.63, 95% CI=0.44–0.91), whereas external religiosity was protective among the males (HR=0.70, 95% CI=0.51–0.71). Age was positively associated with sexual debut among both male (HR=1.11, 95% CI=1.001–1.24) and female adolescents (HR=1.26, 95% CI=1.11–1.42). Early pubertal development (HR=1.11; 95% CI=1.001–1.24) was also a risk factor for male adolescent sexual initiation. In addition, knowledge of HIV/AIDS risk (HR=0.47; 95% CI=0.30–0.72) was a protective factor against sexual debut among adolescent females, whereas the positive perspective of friends’ involvement in sex (HR=1.014; 95% CI=1.21–2.58) was a risk factor. Conclusion: The protective effect of internal and external religiosity with regards to sexual debut varied by gender among Nigerian in-school adolescents; the gender differences as well as other significant factors should be taken into account in evidence-based programming to address adolescent sexual health challenges in Nigeria.
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Adeosun, I., A. Adegbohun, T. Peters, O. Jeje, A. Bello, and O. Manuwa. "Perceived barriers to help-seeking for depression among secondary school students in Lagos, Nigeria." Babcock University Medical Journal (BUMJ) 1, no. 1 (March 31, 2015): 1–6. http://dx.doi.org/10.38029/bumj.v1i1.19.

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Objective: In spite of a wide range of effective treatment options, a huge treatment gap persists for depression among adolescents especially in low and middle-income countries. The barriers to help seeking for depression among Nigerian adolescents are currently under-researched. Identifying these barriers is critical to the design of interventions towards better utilisation of mental health services. This study assessed the barriers to help-seeking for depression among adolescent secondary school students in Lagos Nigeria. Method: Using a cross-sectional study design, 156 adolescent students attending a public co-educational secondary school in Lagos, south-West Nigeria completed a vignette-based questionnaire which assessed barriers to help-seeking for depression. The vignette depicted an adolescent with depression according to the DSM-1V criteria. Result: The mean age of the participants was 15.9 (± 1.1) years and 49% were males. The most commonly perceived barrier to help-seeking for depression was stigma (50.6%). Other barriers reported included disapproval by families/friends (21.2%), illness-related factors (7.7%), negative attitudes to treatment (7.1%), financial constraint (5.1%), ignorance (3.9%) and preference for spiritual treatment (3.9%). Conclusion: Stigma, ignorance, misperceptions and negative attitudes to treatment are major barriers to help-seeking for depression among adolescents. Destigmatisation and mental health literacy interventions are crucial steps towards facilitating help-seeking among adolescents with depression.
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Aikins, Elfleda Angelina, Oluranti Olatokunbo daCosta, Chukwudi Ochi Onyeaso, and Michael Chukwudi Isiekwe. "Orthodontic Treatment Need and Complexity among Nigerian Adolescents in Rivers State, Nigeria." International Journal of Dentistry 2011 (2011): 1–6. http://dx.doi.org/10.1155/2011/813525.

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Introduction. The assessment of orthodontic treatment need and complexity are necessary for informed planning of orthodontic services. The aim of this cross-sectional study was to assess these parameters using the Index of Complexity, Outcome, and Need (ICON) in a Nigerian adolescent population in a region where orthodontic services are just being established.Methods. Six hundred and twelve randomly selected Nigerian adolescents aged 12 to 18 years were examined using the ICON in their school compounds. Descriptive statistics were employed in the data analysis.Results. Out of a total of 38.1% of the population found to need orthodontic treatment, there were more males and older adolescents. The overall mean ICON score for the population was SD with males having statistically higher mean ICON score. The grades of complexity of the population were 21.6% for very difficult and difficult, 7.5% moderate, and 70.9% mild/easy.Conclusions. Although just over a third of the adolescents were found to have a need for treatment, about a quarter of them were found to have difficult and very difficult complexity grades indicating a need for specialist care. The authors recommend the training of more specialist orthodontists in this region.
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de Vries-ten Have, Judith, Adedotun Owolabi, Jan Steijns, Urszula Kudla, and Alida Melse-Boonstra. "Protein intake adequacy among Nigerian infants, children, adolescents and women and protein quality of commonly consumed foods." Nutrition Research Reviews 33, no. 1 (January 30, 2020): 102–20. http://dx.doi.org/10.1017/s0954422419000222.

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AbstractProtein is important for growth, maintenance and protection of the body. Both adequacy of protein quantity and protein quality in the diet are important to guarantee obtaining all the essential amino acids. Protein–energy malnutrition is widely present in developing countries such as Nigeria and might result in stunting and wasting. Needs for protein differ depending on age and physiological status and are higher during growth, pregnancy and lactation. The present review assessed protein quantity and quality in diets of Nigerian infants, children, adolescents, and pregnant and lactating women. Literature reviews and calculations were performed to assess adequacy of Nigerian protein intake and to examine the Nigerian diet. The digestible indispensable amino acid score was used to calculate protein quality of nine Nigerian staple foods and of a mixture of foods. The Nigerian population had mostly adequate protein intake when compared with the most recent protein recommendations by the FAO (2013) and WHO/FAO/UNU (2007). An important exception was the protein intake of adolescent girls and pregnant and lactating women. Most of the assessed Nigerian plant-based staple foods were of low protein quality and predominantly lacked the amino acid lysine. The addition of animal-source foods can bridge the protein quality gap created by predominance of plant-based foods in the Nigerian diet. The methodology of this review can be applied to other low- and middle-income countries where diets are often plant-based and lack variety, which might influence protein intake adequacy.
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Avogo, Winfred A., and Oluwaseyi D. Somefun. "Early Marriage, Cohabitation, and Childbearing in West Africa." Journal of Environmental and Public Health 2019 (June 13, 2019): 1–10. http://dx.doi.org/10.1155/2019/9731756.

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The prevalence of child marriage in West Africa is one of the highest in the global south. Yet, much of what we know about the harmful effects of early marriage and why it persists comes from research on South Asia. Adopting life course family development perspectives on adolescent sexuality, we examine the linkages between the timing of union formation and childbearing across multiple countries with high rates of child marriage. Using the latest round of data from the Demographic and Health Surveys (DHS), we find that by age 18, 28 percent of adolescents in Nigeria, 25 percent in Burkina Faso, and as high as 60 percent in Niger are in a union, whilst 13 percent of Nigerian adolescents, 12 percent in Burkina Faso, and 27 percent in Niger have had a first birth. The results demonstrate that, net of individual characteristics, community variables are strong predictors of union formation and childbearing. Individual characteristics such as women’s education, economic status of households, and residing in female-headed households and rural areas are other salient determinants of adolescent family transitions. We discuss the findings in the context of revamping stalled fertility transitions and the post-2015 framework for development in sub-Saharan Africa.
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Abdulkarim, Aishatu Ahmed, Adekunle T. Otuneye, Patience Ahmed, and Dennis R. Shattima. "Factors associated with adolescent malnutrition among Nigerian students." Bangladesh Journal of Medical Science 15, no. 2 (August 10, 2016): 243–48. http://dx.doi.org/10.3329/bjms.v15i2.20619.

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Objectives: The objective of this study was to determine the factors associated with malnutrition among adolescents. Design: This was a cross-sectional study conducted among adolescents (10-19 years) in secondary schools. A multistage sampling technique was employed.Setting: Senior secondary schools in The Abuja Municipal area council, Federal Capital Territory, Nigeria. Participants: A total of 1700 students from 8 selected schools. All schools in the Abuja Municipal Area council (AMAC) were stratified into urban and rural schools. Eight schools were selected by balloting from a list of schools obtained from the Education centre. A school was selected from each of the four major districts of AMAC and four schools were selected from the rural making a total of 8 schools. Although the consent of the school authorities was obtained, individual subject also consented to the study before being enrolled.Study: The study excluded those adolescents who were physically challenged thus limiting physical activity. Sociodemographic information was obtained using an interviewer administered questionnaire. Subject’s height and weight was taken using the floor-type height (H) and weight (W) measuring scale model ZT-120 using Massachusetts Department of Public Health Protocol. Main outcome measure: The nutritional status was determined using the formula: BMI= W/H2, where W=weight (in kilograms) and H=height (in meters). The age and sex specific height and BMI percentile for each subject was determined using the 2007 WHO Height and BMI growth charts for age 5-19 years. The students were then classified into one of the following categories using previously used standards: normal, stunted, wasted, overweight or obese. Data was analyzed using SPSS version 17 statistical package. A regression analysis of all investigated factors was done to determine those with significant association to malnutrition.Results: The mean age was 14.43±1.94 years; male 688, female 862, M:F ratio 1.1.3. Mean BMI, weight and height were 20.31±3.07kg/m2, 51.07±10.80 kg, and 157.88±9.33 cm. The prevalence of overweight, stunting, obesity and wasting was documented as 13.2% (205/1550), 11.3% (175/1550), 2.6% (41/1550) and 1.7% (27/1550) respectively. Low social class, male gender, hawking after school and rural setting were associated with stunting (p<0.05) and female gender and watching Television for more than 3 hours daily were associated with overweight (p<0.05). Obesity occurred more in urban areas.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.243-248
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Olofinbiyi, Sogo Angel, and Shanta Balgobind Singh. "Migration, Urbanization, and Adolescent Prostitution in Nigeria." Oriental Anthropologist: A Bi-annual International Journal of the Science of Man 20, no. 2 (September 30, 2020): 246–61. http://dx.doi.org/10.1177/0972558x20952283.

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The article begins with a brief discussion of migration and urbanization and its attendant problems in propagating prostitution among adolescent girls in Nigeria. It argues that the combined effects of urbanization, as well as people’s increasing agitation to secure greener pastures in cities, have made a large number of adolescent girls migrate to cities in the hope of meeting some basic needs of life—an adventure that turns out contrary to their expectations and predisposes some of them into the act of prostitution. Due to excruciating poverty within various families and the impacts of this awkward situation on most adolescent girls, delivery of quality social support services and care to the adolescent girls has been undermined over time, and their life chances have been affected, thereby making them most vulnerable to prostitution as a means of livelihood. The article concludes on socioeconomic constraints as the primary factors that push adolescent girls into prostitution in Nigeria, and these same factors are seen to influence their migration from one geographical location to another. The article recommends programs that will reduce the poverty level and unemployment trends among adolescent girls across a wide range of Nigerian societies. Drawing upon lessons learnt from the existing literature, there is an urgent need for collective social action through which more resources must be put in place to ameliorate the conditions of young girls at the interface of migration for greener pastures.
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Ikpeme, Anthonia Asanye, Usang Edet Usang, Akan Wilson Inyang, and Nchiewe Ani. "Klippel Trenaunay Syndrome: A Case Report in an Adolescent Nigerian Boy." Open Access Macedonian Journal of Medical Sciences 3, no. 2 (March 28, 2015): 322–25. http://dx.doi.org/10.3889/oamjms.2015.036.

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AIM: This is to report a case of Klippel Trenauay Weber syndrome in a fifteen year old Nigerian boy. This is a rare syndrome and it is the first case to be reported in UCTH Calabar.CASE PRESENTATION: Product of a full term uneventful pregnancy, delivered to non-consanguineous apparently healthy parents. At birth was noted to gradually develop swelling on the right leg, worse at the right foot. There was crossed hemi-hypertrophy with right leg bigger than the left. As child grew symptoms worsened, parents separated and eventually he was abandoned to the streets. He presented at University of Calabar Teaching Hospital for medical care at the age of fifteen years with lymphatic obstruction, persistent foul smelling drainage, lipodermatosclerosis of right foot as well psycho-social and financial constraints. The diagnosis was made with x-rays and Doppler studies of the lower limb vessels. He is currently being managed conservatively with compression dressings on the affected limbs, Antibiotics for the infection and analgesics. De-bulking surgery is being anticipated at this time.CONCLUSION: This is a case of KTWS presenting in adolescence and due to its rarity in Nigeria, this report is to increase awareness.
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Cole, Abiodun H., Omowumi O. Taiwo, Ngozi I. Nwagbara, and Cornelia E. Cole. "Energy intakes, anthropometry and body composition of Nigerian adolescent girls: a case study of an institutionalized secondary school in Ibadan." British Journal of Nutrition 77, no. 4 (April 1997): 497–509. http://dx.doi.org/10.1079/bjn19970052.

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Twenty-two apparently healthy Nigerian adolescent girls aged 11–17 years residing in a hostel, were studied over five consecutive days in order to assess their energy intake (EI), energy cost of specific activities and body composition (BC). The mean characteristics of the group were: height 1·58 (SD 0·1, range 1·42–1·68) m, body weight 49·1 (SD 7·9, range 34·0–61·0) kg and BMI 19·5 (SD 2·0, range 16·0-23·0) kg/m2. The food intake of each subject was assessed by direct weighing and its energy value was determined by means of a ballistic bomb calorimeter. BMR values were calculated according to Food and Agriculture Organization/World Health Organization/United Nations University (FAO/WHO/UNU) (1985) equations. Percentage body fat (BF %) values were derived from three skinfold thickness measurements, using population-specific equations. The adolescents' mean daily EI was found to be 6510 (SD 855) kJ/d (138·3 (SD 27·8) kJ/kg body weight per d) which is lower than the FAO/WHO/UNU (1985) calculated energy requirement of 8800 kJ/d for adolescent girls aged 12–14 years. The contributions of specific nutrients and individual meals to the total EI were: carbohydrate, protein and fat, 59·2, 12·5 and 28·3 % of energy respectively and breakfast, lunch and supper, 21·5, 41·0 and 37·4 % respectively. However, the mean BMR was 5627kJ/d, which is comparable with that given by FAO/WHO/UNU (1985) for adolescent girls aged 13–14 years. The mean BF % was found to be 21·7. The comparatively low EI of the participants in the present study may be indicative of energy deficiency in their meals. This assumption is also reflected in their BC values. Nevertheless, further studies of this kind on adolescents in Nigeria are needed to confirm these observations.
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Izugbara, Chimaraoke Otutubikey. "Representations of sexual abstinence among rural Nigerian adolescent males." Sexuality Research and Social Policy 4, no. 2 (June 2007): 74–87. http://dx.doi.org/10.1525/srsp.2007.4.2.74.

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Onyiriuka, Alphonsus N., Jackson I. Ikuren, and Rita C. Onyiriuka. "Body Mass Index Of Nigerian Adolescent Urban Secondary School Girls." Romanian Journal of Diabetes Nutrition and Metabolic Diseases 22, no. 2 (June 1, 2015): 151–57. http://dx.doi.org/10.1515/rjdnmd-2015-0019.

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AbstractBackground and Aims: Body mass index (BMI) is an inexpensive and easy-to-perform method of screening for weight status, which may have detrimental health consequences. The aim of our study was to assess the pattern of BMI among Nigerian adolescent secondary school girls and determine the prevalence of underweight, overweight and obesity among them.Materials and Methods: In this school-based cross-sectional study, weight was measured, using the spring bathroom scale which was supported at all times on a rigid base. Height was measured without footwear with the heels together. The BMI was computed, using the formula weight/height2 (kg/m2). The BMI-for-age percentile chart was used in classifying the weight status of the subjects.Results: A total of 2,159 girls from two public urban day secondary schools participated in the study. Seven students declined to participate, giving a response rate of 99.7%. The overall mean weight, height and body mass index (BMI) of the participants were 43.16±6.07 kg (95% confidence interval, CI= 42.90-43.42), 151.53±6.20 cm (95% CI=151.27-151.79) and 19.76±3.07 kg/m2 (95% CI= 19.63-19.89). The BMI values increased directly with age. Participants in the early adolescent stage demonstrated a significantly lower mean BMI value than either the middle or late adolescent stages. Based on WHO criteria, the prevalence rates of underweight, overweight and obesity were 7.1% (95% CI= 3.0-11.2), 8.3% (95% CI= 4.3-12.3) and 2.1% (95% CI= 2.0-6.2), respectively. The overall prevalence of healthy weight status was 82.5% (95% CI= 80.7-84.3). Conclusion: Nigerian adolescent secondary school girls are at increased risk of the double burden of nutrition as both underweight and overweight show a relatively similar prevalence rates.
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Onyiriuka, Alphonsus N., Amarabia N. Ibeawuchi, and Rita C. Onyiriuka. "Assessment of eating habits among adolescent Nigerian urban secondary schoolgirls." Sri Lanka Journal of Child Health 42, no. 1 (March 13, 2013): 20. http://dx.doi.org/10.4038/sljch.v42i1.5290.

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14

Izugbara, C. Otutubikey. "Local erotic songs and chants among rural Nigerian adolescent males." Sexuality and Culture 9, no. 3 (September 2005): 53–76. http://dx.doi.org/10.1007/s12119-005-1014-9.

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Andayani, Friska Tri, and Endang Ekowarni. "Peran Relasi Orang Tua-Anak dan Tekanan Teman Sebaya terhadap Kecenderungan Perilaku Pengambilan Risiko." Gadjah Mada Journal of Psychology (GamaJoP) 2, no. 2 (February 6, 2018): 138. http://dx.doi.org/10.22146/gamajop.33097.

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Jakarta: Ditjen Kependudukan dan Catatan Sipil Kemendagri Per Semester I.Klahr, A.M., McGue, M., Lacono, W.G., & Burt, S.A. (2011). The association between parent–child conflict and adolescent conduct problems over time: Results from a longitudinal adoption study. Journal Abnormal Psychology, 120, 46–56.Masten, A. S. (2001) Resiliensi process in development. American Psichological Association, 56(3), 227-228.Mathijssen, J. P. J., Janssen, M. M., Bon-Martens, M., Oers, H. A., Boer, A. D., & Garretsen, H. F. (2014). Alcohol segment-specific associations between the quality of the parent-child relationship and adolescent alcohol use. Journal of Public Health, 872, 1471-2458.Leather, N. C. (2009). Risk-taking behaviour in adolescence: A literature review. Journal of Child Health Care,13(3), 295–304. Oni, A. A. (2010). Peer group pressure as a determinant of adolescent social adjustment in Nigerian schools. Asian Pasific Journal of Educators and Education, 25, 189-202.Peacock, A., & Bruno, R. (2015). Young adults who mix alcohol with energy drink: Typology of risk taking behaviour. Addictive Behaviours, 45, 252-258.Qu, Y., Fuligni, A. J., Galvan, A., & Telzer, E. H. (2015). Buffering effect of positive parent–child relationships on adolescent risk taking: A longitudinal neuro imaging investigation. Developmental Cognitive Neuroscience, 15, 26–34.Ritcher. (2010). Risk behavior in adolescence, patterns, determinants, and consequences. Germany: Springer Fachmedien.Sales, J. M., & Irwin, C. E., Jr. (2009). Theories of adolescent risk-taking: A biopsychosocial model. In R. DiClemente & R. Crosby (Eds.), Adolescent health:Understanding and preventing risk behaviors andadverse health outcomes (pp. 31–50). San Francisco, CA: Jossey-Bass.Santrock, J. W. (2003). Adolescene: Perkembangan remaja. Jakarta: Erlangga.Savitri, A. R. (2015, Desember 11). Inilah organisasi paling nge-hits di Yogyakarta. Youth Forum. Retrieved from http://www.duniaremaja. jogjaprov.go.id/detilberita/14/1/Inilah-Organisasi-Paling-Nge-Hits-di-Yogyakarta,-YouthForum-DIYSkaar, N. R. (2009). Development of the adolescent exploratory and health risk behaviour rating scale(Unpublished dissertation). University of Minnesota, United Stated.Sofronoff, Dalgliesh, & Kosky. (2004). Out of options, a cognitive model of adolescent suicide and risk-taking. USA: Cambridge University Press.Stattin, H., & Kerr, M. (2000). Parental monitoring: A reinterpretation. Child Developmental, 71, 1072-1085.Survei Demografi dan Kesehatan Indonesia. (2013). Kesehatan reproduksi remaja. Badan Pusat Statistik. Jakarta: Indonesia.Tsai, K. M. (2013). Continuity and discontinuity in perceptions of family relationship from adolescence to young adulthood. Journal of Child Development, 84(2), 471-484.Turley, R. N. L., Desmond, M., & Bruch, S. K. (2010). Unanticipated educational consequences of a positive parent-child relationship. Journal of Marriage and Family, 72(5), 1377-1390.
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Osujih, Michael. "Adolescent Sexual Behaviour in Contemporary Nigerian Society: Social And Psychological Perspectives." Journal of the Institute of Health Education 30, no. 3 (January 1992): 115–22. http://dx.doi.org/10.1080/03073289.1992.10805772.

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Adejuyigbe, O., O. A. Sowande, O. S. Olayinka, and O. B. Fasubaa. "Rectovestibular fistula with absent distal vagina in an adolescent Nigerian girl." Journal of Pediatric Surgery 37, no. 10 (October 2002): 1479–80. http://dx.doi.org/10.1053/jpsu.2002.35419.

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Hur, Yoon-Mi, Jeanette Taylor, Hoe-Uk Jeong, Min-Seo Park, and Brett C. Haberstick. "Perceived Family Cohesion Moderates Environmental Influences on Prosocial Behavior in Nigerian Adolescent Twins." Twin Research and Human Genetics 20, no. 3 (March 28, 2017): 226–35. http://dx.doi.org/10.1017/thg.2017.15.

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Research shows that perceived family cohesion is positively related to prosocial behavior in adolescents. In this study, we investigated heritability of prosocial behavior (PB) and perceived family cohesion (FC) among Nigerian twins attending public schools in Lagos State, Nigeria (mean age = 14.7 years, SD = 1.7 years), and explored the issue of whether children's perception of cohesive family environment moderated genetic and environmental influences on (PB). The PB scale of the Strengths and Difficulties Questionnaire and the FC scale of the Family Adaptability and Cohesion Evaluation Scale III were completed by 2,376 twins (241 monozygotic (MZ) male, 354 MZ female, 440 dizygotic (DZ) male, 553 DZ female, and 788 opposite-sex DZ twins). A general sex-limitation and the bivariate genotype by environment interaction (G×E) models were applied to the data. The general sex-limitation model showed no significant sex differences, indicating that additive genetic and non-shared environmental influences were, 38% (95% CI = 31, 46) and 62% (95% CI = 54, 69) for PB and 33% (95% CI = 24, 40) and 67% (95% CI = 60, 76) for FC in both sexes. These estimates were similar to those found in Western and Asian twin studies to date. The correlation between PB and FC was 0.36. The best-fitting bivariate G×E model indicated that FC significantly moderated non-shared environmental influence unique to PB (E×E interaction). Specifically, non-shared environmental contributions to PB were highest when FC was lowest, and decreased as the levels of FC increased. However, genetic variances in PB were stable across all levels of FC. These findings suggest that FC reduces individual differences in PB by changing non-shared environmental experiences rather than genetic factors in PB.
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Ibeabuchi, MikeN, SmartI Mbagwu, HA Omotayo, TA Olayemi, and J. Aniah. "Skeletal frame-size variations in adolescent female Nigerian school children in Lagos." Annals of Bioanthropology 3, no. 1 (2015): 22. http://dx.doi.org/10.4103/2315-7992.160746.

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Onyiriuka, Alphonsus Ndidi, Dominic D. Umoru, and Amarabia N. Ibeawuchi. "Weight status and eating habits of adolescent Nigerian urban secondary school girls." South African Journal of Child Health 7, no. 3 (August 30, 2013): 108. http://dx.doi.org/10.7196/sajch.529.

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Adeosun, I. I., O. A. Otesile, O. Ogun, T. Ijarogbe, A. Bello, O. Akinjola, and O. Jeje. "Correlates of dropout from a Nigerian child and adolescent mental health service." Neuropsychiatrie de l'Enfance et de l'Adolescence 60, no. 5 (July 2012): S292. http://dx.doi.org/10.1016/j.neurenf.2012.04.825.

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Brabin, L., J. Ikimalo, N. Dollimore, J. Kemp, C. Ikokwu-Wonodi, S. Babatunde, O. Obunge, and N. Briggs. "How do they grow? A study of south-eastern Nigerian adolescent girls." Acta Paediatrica 86, no. 10 (October 1997): 1114–20. http://dx.doi.org/10.1111/j.1651-2227.1997.tb14819.x.

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Matthew Eghosa, Airhunmwunde. "Public Health Financing for Adolescent and Sexual Reproductive Health: The Nigerian Case." International Journal of Health Economics and Policy 4, no. 3 (2019): 95. http://dx.doi.org/10.11648/j.hep.20190403.15.

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Izugbara, Chibuogwu. "Socio-demographic risk factors for unintended pregnancy among unmarried adolescent Nigerian girls." South African Family Practice 57, no. 2 (February 25, 2015): 121–25. http://dx.doi.org/10.1080/20786190.2014.977042.

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LB, Babatunde. "Sexual Dimorphism and Bilateral Asymmetric Variability in Percutaneous Foot Anthropometry of Adolescent Nigerian Schoolchildren in Lagos, Southwest Nigeria." Journal of Forensic and Crime Studies 4, no. 1 (July 2021): 1–13. http://dx.doi.org/10.18875/2638-3578.4.101.

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Jimoh, Amzat. "Plucking the Flower Just too Early: Some Community Perspectives on Age at Marriage among Adolescent Girls in a Nigerian State." Nigerian Journal of Sociology and Anthropology 17, no. 1 (June 1, 2019): 1–16. http://dx.doi.org/10.36108/njsa/9102/71(0110).

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In northern Nigeria, there are cultural and religious pressures on girls to marry early. Up to 43% of girls in Nigeria are married before 18, rising as high as 87% in the northwest. The study, using a mixed method approach, examines behaviours of community members towards adolescent girls’ time of marriage with perspectives from adolescent girls, faith leaders, and community members. The study found that the practice of early marriage exists in the areas studied: 35% of survey respondents had one or more daughters married before the age of 18, although most community members believed that a girl should be married when she is “mature”. Only 9.6% of survey respondents noted that they would never marry off an underage daughter. As major stakeholders in multi-component interventions, the study identifies the crucial roles of faith leaders in efforts to reduce the practice of early marriage in northern Nigeria.
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Amzat, Jimoh. "Faith Effect and Voice on Early Marriage in a Nigerian State." SAGE Open 10, no. 2 (April 2020): 215824402091951. http://dx.doi.org/10.1177/2158244020919513.

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The rate of early marriage is 87% in northwest Nigeria, although it is 56% in Kaduna. One major issue is that early marriage is often rationalized as a religious norm. This study explores the role of faith leaders in advancing the cause of adolescent girls regarding the timing of marriage in Kaduna state. This qualitative study took place in three local government areas: Chikun (Mixed Christians and Muslims), Makarfi (majority Muslims), and Zangon-Kataf (majority Christians) were purposively selected to have a variety of mixed religious contexts. Using purposive sampling methods, the researcher conducted 24 focus group discussions with adolescent girls, 24 in-depth interviews with faith leaders, and 12 key informant interviews with other stakeholders. The study used a framework method for analyzing qualitative data. The study found that faith leaders play essential roles in rationalizing or discouraging early marriage through preaching and other activities. The study identifies three categories of faith leaders concerning early marriage. Some are proactive, discoursing about it. The second category is the passive faith leaders, somehow indifferent but has never preached against or in favor of early marriage. The last set consists of faith leaders promoting early marriage—who think early marriage is still beneficial. The study recommends that considering the social position of faith leaders and critical role in sanctioning marital unions, they could be considered as a vital link in efforts to curtail early marriage.
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Donald, Chukwujekwu, Okeafor Chukwuma, and Olose Emmanuel. "Case Report: Childhood Disintegrative Disorder in a 17 Year Old Male Nigerian Adolescent." International Neuropsychiatric Disease Journal 7, no. 4 (January 10, 2016): 1–6. http://dx.doi.org/10.9734/indj/2016/26442.

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Edward, SylvesterSunday, PerpetuaOkwuchi Obiajunwa, and OlusolaAyewale Ayeleke. "Systemic lupus erythematosus masquerading as disseminated tuberculosis: Case report in a Nigerian adolescent." Nigerian Journal of Medicine 29, no. 2 (2020): 317. http://dx.doi.org/10.4103/njm.njm_2_20.

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Akinpelu, AO, OO Oyewole, GO Hammed, and CA Gbiri. "Prevalence of Low Back Pain among Adolescent Students in a Nigerian Urban Community." African Journal of Physiotherapy and Rehabilitation Sciences 5, no. 1-2 (October 29, 2014): 29. http://dx.doi.org/10.4314/ajprs.v5i1-2.5.

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Akinpelu, AO, OO Oyewole, GO Hammed, and CA Gbiri. "Prevalence of Low Back Pain among Adolescent Students in a Nigerian Urban Community." African Journal of Physiotherapy and Rehabilitation Sciences 5, no. 1-2 (October 29, 2014): 29. http://dx.doi.org/10.4314/ajprs.v5i1.5.

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Utoo, Bernard Terkimbi. "Malignant Ovarian Germ Cell Tumor in an Adolescent Nigerian: Diagnostic Dilemma and Management." Journal of Gynecologic Surgery 28, no. 5 (October 2012): 382–84. http://dx.doi.org/10.1089/gyn.2012.0024.

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Obiechina, Nworah J. A., K. Diwe, and O. C. Ikpeze. "Knowledge, awareness and perception of sexually transmitted diseases (STDs) among Nigerian adolescent girls." Journal of Obstetrics and Gynaecology 22, no. 3 (January 2002): 302–5. http://dx.doi.org/10.1080/01443610220130634.

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Otutubikey Izugbara, Chimaraoke, and Felicia Nwabuawele Modo. "Risks and Benefits of Multiple Sexual Partnerships: Beliefs of Rural Nigerian Adolescent Males." American Journal of Men's Health 1, no. 3 (May 23, 2007): 197–207. http://dx.doi.org/10.1177/1557988307301341.

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Drawing on interview data from rural Nigeria, the article explores male youth perceptions of the risks and benefits of multiple sexual partnerships. Participants associated having multiple sexual partners with several harmful health and nonhealth outcomes, including sexually transmitted infections, and frequently confirmed that the practice also bolsters their sense of maleness and boosts their acceptance and ranking among peers. Young males' involvement in multiple sexual partnerships should not be seen as always consequent on their ignorance of and/or indifference to the risks inherent in the behavior. It could also result from the integrality of the behavior to the social processes through which male youths validate their masculinity, mark their transition from boyhood to malehood, and configure their identities to gain acceptance into a local male peer community. Sexuality education curricula that ignore adolescents' understandings of the benefits of their sexual practices may not deliver expected objectives.
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OYEDIRAN, KOLA A., GBENGA P. ISHOLA, and ALFRED A. ADEWUYI. "KNOWLEDGE OF POSSIBLE PREGNANCY AT FIRST COITUS: A STUDY OF IN-SCHOOL ADOLESCENTS IN IBADAN, NIGERIA." Journal of Biosocial Science 34, no. 2 (March 26, 2002): 233–48. http://dx.doi.org/10.1017/s002193200200233x.

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This paper discusses the reproductive health knowledge of Nigerian in-school adolescents, with special reference to pregnancy occurrence at first coitus. The data were derived from an Association for Reproductive and Family Health (ARFH) survey carried out in four secondary schools in Ibadan, Nigeria, between August and October 1995. A total of 828 students were interviewed. The results revealed that the majority of sexually active adolescents were not aware of the consequences of their actions. Religious affiliation and number of wives in a male adolescent’s family, and religion and marital status of a female adolescent’s parents, were found to influence adolescents’ knowledge of pregnancy probability at first coitus. This paper confirms earlier findings that the majority of Nigerian adolescents do not know the consequences of sex. Therefore, a clear-cut plan of action is needed to inform sexually active adolescents through an effective sex education programme.
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Olarinoye-Akorede, Sefiya Adebanke, Bilkisu Farouk, Almustapha Aliyu Liman, and Gbenga Abimbola Kajogbola. "Giant juvenile papillomatosis of the breast in a Nigerian girl." BMJ Case Reports 11, no. 1 (December 2018): e225993. http://dx.doi.org/10.1136/bcr-2018-225993.

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Juvenile papillomatosis is a benign epithelial proliferative tumour of young women. It was recognised as a distinct clinicopathological entity with defining criteria by Rosen et al since 1980. However, giant juvenile papillomatosis is rare. We report a case of a 14-year-old girl who presented to our institution’s breast clinic with a huge right breast mass measuring 20 cm × 15 cm. She had no personal history of previous breast disease and there was no family history of breast cancer. Our initial preoperative diagnosis was of a phylloides tumour. The patient had a total excision of her breast mass which revealed florid juvenile papillomatosis at histology. This presentation highlights the clinical presentation and imaging features of juvenile papillomatosis. The classical histopathological characteristics, unusual microscopic findings and management of a huge-sized tumour in an adolescent Nigerian patient are also presented.
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Eseigbe, EE, FT Nuhu, TL Sheikh, OJ Oguizu, OGC Ezebuiro, P. Eseigbe, KA Sanni, and TS Baduku. "Diagnostic challenges and psychosocial impacts of hypersomnia in a Nigerian adolescent: A case report." Nigerian Journal of Paediatrics 41, no. 4 (September 4, 2014): 386. http://dx.doi.org/10.4314/njp.v41i4.19.

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Chibuike Chukwuere, Precious, Abel Jacobus Pienaar, and Leepile Alfred Sehularo. "Psychosocial management of depression in adolescent learners: Results and implications of a Nigerian study." Journal of Psychology in Africa 30, no. 2 (March 3, 2020): 125–29. http://dx.doi.org/10.1080/14330237.2020.1744282.

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Atilola, O., O. O. Ayinde, C. T. Emedoh, and O. Oladimeji. "State of the Nigerian child – neglect of child and adolescent mental health: a review." Paediatrics and International Child Health 35, no. 2 (July 28, 2014): 135–43. http://dx.doi.org/10.1179/2046905514y.0000000137.

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Folayan, Morenike Oluwatoyin, Maha El Tantawi, Olakunle Oginni, Elizabeth Oziegbe, Boladale Mapayi, Olaniyi Arowolo, Abiola Adetokunbo Adeniyi, and Nadia A. Sam-Agudu. "Oral health practices and oral hygiene status as indicators of suicidal ideation among adolescents in Southwest Nigeria." PLOS ONE 16, no. 2 (February 25, 2021): e0247073. http://dx.doi.org/10.1371/journal.pone.0247073.

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Background Oral health is a less-recognized correlate of overall and mental wellbeing. 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. Methods 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 separate 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 frequency of daily tooth-brushing and of 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%. Results We recruited 1,472 participants with 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. Conclusion The study findings suggest that poor tooth brushing habits and poor oral hygiene are indicators for risk of suicidal behavior for adolescents in Nigeria, while 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/attempt.
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O Umunnah, Joseph, Chukwudi M Ogbueche, Chigozie I Uchenwoke, and Adaora J Okemuo. "Association of tibiofemoral angle, quadriceps angle and body mass index in a selected adolescent population." African Health Sciences 20, no. 2 (July 22, 2020): 891–96. http://dx.doi.org/10.4314/ahs.v20i2.43.

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Background: Tibiofemoral angle (TFA) and quadriceps angle (QA) are important in the evaluation of patients with knee pathologies associated with these angles. Objectives: This study investigated correlations among TFA, QA and body mass index (BMI) among Nigerian adolescent population. Methods: A total of 519 (262 males and 257 females) adolescents aged between 10-18 years selected by stratified random sampling technique from some randomly selected schools in Nnewi metropolis. This study utilised the cross-sectional survey design. A height meter and bathroom weighing scale were used to collect data for BMI while a universal plastic goniometer was used to measure TFA and QA. Independent t- test, paired t-test and Pearson Product Moment Correlation were used to analyse the data obtained. Results: Findings of this study showed there was significant difference between right and left QA of males (t= 2.824; p= 0.005), and females (t= -2.012; p= 0.045) with the right QA been higher than the left in both males and females. Males have a higher TFA and QA (p<0.05 in all cases) than females. A significant negative correlation was found between BMI and right TFA (p=0.034), and between TFA and QA (p= <0.0001). Conclusion: TFA positively significantly correlated with QA, with males having higher QA and TFA than females. The obtained information is important in the assessment and management of knee pathologies associated with these angles. Keywords: Tibiofemoral angle; quadriceps angle; body mass index; selected adolescent population.
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Anaba, Ehiaghe L., and O. O. Adebola. "Quality of life of adolescents with facial acne vulgaris before and after treatment in Ibadan, Nigeria." International Journal of Research in Dermatology 5, no. 1 (January 25, 2019): 155. http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20190230.

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<p class="abstract"><strong>Background:</strong> Adolescent facial acne vulgaris impairs their quality of life (QOL). This impairment of QOL in has been documented to improve with treatment. In Nigerian adolescents who have facial acne vulgaris, it is not known if QOL improves with treatment. The aim was to assess QOL improvement with in adolescents who have facial acne vulgaris. To identify the socio-demographic, CADI QOL items and clinical characteristics related to this QOL improvement.</p><p class="abstract"><strong>Methods:</strong> This was a cross-sectional comparative study. One hundred and nine adolescents aged 15-20 years clinically examined for facial acne vulgaris. Quality of life before and after 6 weeks of treatment with 10% benzoyl peroxide was assessed using the Cardiff acne disability index. Data was analyzed using SPSS 16. The differences in quality of life scores were tested using non-parametric tests. Level of significance of all tests was p&lt;0.05.<strong></strong></p><p class="abstract"><strong>Results:</strong> Post-treatment, the median CADI score improved to 2 from a pre-interventional score of 4, p&lt;0.001. Improvement was observed in all the components of the CADI especially with the question, “how bad do you think your acne is now” with a percentage reduction from 81.4% to 54.6% and this improvement was in more males with improvement from 92% to 65%. Also, post-treatment, moderate to severe clinical severity of acne improved from 49.1% to 10.3%, p&lt;0.001.</p><p class="abstract"><strong>Conclusions:</strong> Treatment of adolescent facial acne leads to improvement of QOL especially in the perception of facial skin appearance and the severity of acne.</p>
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Nwosu, Kingsley Chinaza, Gabriel Chidi Unachukwu, and Greg P. Hickman. "Cooperative and Teacher Directed Learning Classrooms: Places for the Development of Metacognitive Skills for Reading Proficiency." Electronic Journal of Research in Education Psychology 19, no. 53 (April 1, 2021): 19–50. http://dx.doi.org/10.25115/ejrep.v19i53.3352.

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Introduction. Persistent abysmal academic achievement among adolescents in Nigerian secondary schools has become a concern among stakeholders in the Nigerian system of education. This, over time, has been linked to poor reading culture and reading skills, worsened by unproductive instructional approaches adopted by teachers for reading proficiency. An investigation into effective instructional approaches to arm adolescents with metacognitive skills for reading proficiency becomes imperative. This study, therefore, investigated the impact of cooperative learning and teacher-directed learning approaches on secondary school students’ development of metacognitive skills for reading proficiency. Method. We adopted a quasi-experimental research design in our study. One hundred and eighteen early adolescent students were sampled from three public secondary schools in Anambra state. The instrument used in the study is an open-ended metacognitive skill for reading proficiency questionnaire (OMSRPQ). Three operations were used for the experiment: 1) task understanding, 2) strategy understanding, and 3) management of learning process. The sum of these three operations is the overall metacognitive skills of the students. Results. Our findings showed that students in cooperative integrated reading and composition (CIRC) learning approach differed significantly from those in the teacher-directed instructional (DI) approach and the control group (C1) in task understanding operation F (2, 118) = 8.783, p <.01, strategy understanding F(2,118) = 6.324, p <.01and the overall metacognitive reading skills F(2, 118) = 7.047, p < .01. No significant mean differences occurred among the groups in management of learning process skills F (2,118) = 2.949, p >.05. Adjusted omega squared (est. ω2) test showed large to moderate effect sizes in the operations that were significant. Discussion and Conclusion. We concluded that metacognitive skills for reading could be better enhanced in cooperative learning approach. Based on these findings, the researchers recommended that CIRC can be used in developing metacognitive skills needed in secondary school reading classrooms.
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Uzodimma, Chinyere C., Morufat M. Ogundeyi, Florence I. Dedeke, and Olasunkanmi Owolabi. "Child maltreatment, abuse and neglect in a Nigerian adolescent boy, the common but unheard menace: A case report form Southwest, Nigeria." Open Journal of Pediatrics 03, no. 04 (2013): 377–80. http://dx.doi.org/10.4236/ojped.2013.34068.

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Eseigbe, EdwinE, FolorunshoT Nuhu, TaiwoL Sheikh, and OkechukwuJ Oguizu. "Physical trauma in epilepsy: Characteristics and implications in a Nigerian adolescent with severe generalized epilepsy." Journal of Emergencies, Trauma, and Shock 8, no. 4 (2015): 240. http://dx.doi.org/10.4103/0974-2700.161661.

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Ubesie, AgozieC, ChinyereV Okoli, SamuelN Uwaezuoke, and AnthonyN Ikefuna. "Affluence and adolescent obesity in a city in south-east Nigerian: A cross-sectional survey." Annals of Tropical Medicine and Public Health 9, no. 4 (2016): 251. http://dx.doi.org/10.4103/1755-6783.184791.

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Abiodun, Moses Temidayo, Austin Omoigberale, and Micheal Ibadin. "Perceived competence in adolescent medicine practice and paediatrics sub-specialty preferences of Nigerian medical practitioners." Sri Lanka Journal of Child Health 43, no. 3 (September 5, 2014): 163. http://dx.doi.org/10.4038/sljch.v43i3.7377.

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Nzewi, Esther N. "Linking African and Western models through integration of trickster folktales in the application of Cognitive Behavior Therapy for depression." Psychology: the Journal of the Hellenic Psychological Society 16, no. 2 (October 15, 2020): 146. http://dx.doi.org/10.12681/psy_hps.23810.

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The unique re-entry challenges of African psychologists trained in western universities is evolving strategies for applying general clinical theories and therapeutic techniques in ways that are clinically effective and culturally sensitive. This case study presents the cross-cultural application of Cognitive Behavioral Theory (CBT) for the treatment of Major Depressive Disorder (MDD) with a 12-year-old Nigerian adolescent. Cultural relevance is enhanced by the integration of culture-based trickster folktales in the cross-cultural application of CBT.The strategies for identifying major themes, contents, contexts, the characteristics of the villains and victims, nature of interpersonal relationships, emotions, behavior and consequences in trickster folktales are described. The case study further demonstrates how these components of trickster folktales are used for the implementation of core therapeutic techniques of Cognitive Behavioral Therapy (CBT). The outcomes are discussed in terms of the benefits of the therapeutic application of CBT, efficacy of modified CBT in nonwestern countries, and client’s characteristics important in the treatment of Major Depressive Disorder with culturally modified CBT in adolescents.
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Barr, Fiona, Loretta Brabin, Shola Agbaje, Fiekumo Buseri, John Ikimalo, and Nimi Briggs. "Reducing iron deficiency anaemia due to heavy menstrual blood loss in Nigerian rural adolescents." Public Health Nutrition 1, no. 4 (December 1998): 249–57. http://dx.doi.org/10.1079/phn19980041.

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AbstractObjective:Menstrual disorders are common in young women, and heavy menstrual blood losses (MBL) are an important cause of anaemia. Menstrual morbidity normally goes untreated in developing countries where cultural barriers also serve to mask the problems. We investigated the prevalence of menstrual morbidity, and measured MBL and its relationship to iron deficiency in a rural adolescent population. The rationale was to assess whether or not reducing heavy MBL could be part of a strategy to reduce iron deficiency anaemia.Setting:Rural village in south-east Nigeria.Design:Cross-sectional survey.Subjects:The study included all non-pregnant, unmarried nulliparous girls (< 20 years) who had menstruated, and who lived in K'Dere village.Methods:A field worker allocated to each girl completed a questionnaire, and supervised recovery and collection of soiled pads and ensured blood sampling. MBL was measured using the standard alkaline haematin method. Haemoglobin (Hb), serum iron, transferrin saturation and protoporphyrin levels (ZPP) were also measured.Results:307 girls completed MBL measurements; 11.9% refused to participate. 12.1% had menorrhagia (> 80 ml); median MBL was 33.1 ml. Menorrhagia was more frequent in girls who had menstruated for > 2 years (P = 0.048), and had longer duration of menses (P < 0.001). Iron status as measured by haematocrit, serum iron, transferrin saturation and ZPP values was inversely related to MBL. Neither height nor body mass index for age was associated with current iron status.Conclusions:The level of menorrhagia detected (12%) may be an ‘expected’ level for a condition which often has no underlying pathology. Heavy MBL is one of the most important factors contributing to iron deficiency anaemia. Measures are needed to alleviate menstrual disorders, and improve iron status. Oral contraceptives can be part of a strategy to reduce anaemia, particularly for adolescents at high risk of unwanted pregnancies.
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50

Ndukuba, A. C., P. C. Odinka, R. C. Muomah, J. T. Obindo, and O. O. Omigbodun. "ADHD Among Rural Southeastern Nigerian Primary School Children: Prevalence and Psychosocial Factors." Journal of Attention Disorders 21, no. 10 (July 28, 2014): 865–71. http://dx.doi.org/10.1177/1087054714543367.

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Objective: To determine the prevalence of ADHD among primary school pupils in a rural community in Southeastern Nigeria and to determine the psychosocial factors associated with the condition. Method: One hundred eighty-one randomly selected participants had their teachers complete the school version of ADHD Rating Scale–IV. Their parents also completed a sociodemographic questionnaire, the clinical interview form for the child and adolescent ADHD patients, and home version of the ADHD Rating Scale–IV. Results: Twelve (6.6%) of the children met the criteria for diagnosis. A history of prolonged labor (odds ratio [OR] = 14.1; 95% confidence interval [CI] = [2.13, 93.1]), and parents’ negative assessment of their marriages (OR = 0.1; CI = [0.017, 0.567]) were the most predominant factors which independently associated with the ADHD in the children. Conclusion: There is, therefore, a need for the care of rural dwelling African children, who otherwise would have difficulties accessing health care that is concentrated in the cities.
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