Research Article
Determinants of Diabetes-hypertension Comorbidity Among Pregnant Women Attending Primary Healthcare Centres in Urban Rivers State, Nigeria
Anthony Ike Wegbom*
,
Priscilia Nyekpunwo Ogbonda,
Nneoma Nyemekworu Akani Samuel
Issue:
Volume 11, Issue 2, June 2026
Pages:
92-104
Received:
6 February 2026
Accepted:
9 March 2026
Published:
26 March 2026
DOI:
10.11648/j.wjph.20261102.11
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Abstract: The coexistence of diabetes mellitus and hypertension during pregnancy represents an important public health concern in low- and middle-income countries, including Nigeria. This study determined the prevalence and factors associated with comorbid diabetes and hypertension among pregnant women attending primary healthcare centres in an urban area of Rivers State, Nigeria. A facility-based cross-sectional study was conducted among 306 pregnant women selected using multistage and systematic random sampling from nine primary healthcare centres between December 2024 and January 2025. Data were collected using a structured questionnaire and standardized measurements of fasting blood glucose and blood pressure. Descriptive statistics were used to summarize participants’ characteristics and prevalence estimates, and binary logistic regression was used to identify factors associated with comorbidity at the p < 0.05 significance level. The prevalence of diabetes–hypertension comorbidity was 4.9% (95% CI: 2.5–7.3). The prevalence of diabetes was 34.6% (95% CI: 26.1–38.8), and hypertension was 8.8% (95% CI: 5.6–12.0). The higher prevalence of diabetes compared with comorbidity reflects the fact that many women had hyperglycaemia without concurrent hypertension. Increasing age, occupation, marital status, genotype and limited social support were significantly associated with comorbidity. Although the prevalence of comorbidity was relatively low, the presence of overlapping cardiometabolic conditions during pregnancy highlights the need for strengthened routine screening for blood glucose and blood pressure and integration of non-communicable disease management into antenatal care services at the primary healthcare level.
Abstract: The coexistence of diabetes mellitus and hypertension during pregnancy represents an important public health concern in low- and middle-income countries, including Nigeria. This study determined the prevalence and factors associated with comorbid diabetes and hypertension among pregnant women attending primary healthcare centres in an urban area of...
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Research Article
Understanding of Antimicrobial Resistance and Antibiotic Stewardship Among Community Members in the Uganda Luwero District
Issue:
Volume 11, Issue 2, June 2026
Pages:
105-117
Received:
27 February 2026
Accepted:
11 March 2026
Published:
26 March 2026
DOI:
10.11648/j.wjph.20261102.12
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Views:
Abstract: Antimicrobial resistance is a growing issue worldwide, directly contributing to more than one million deaths each year. Developing countries like Uganda rely on the continued effectiveness of antimicrobials to combat endemic diseases. This study investigated antimicrobial resistance awareness and antibiotic use behaviors among members of the Luwero district in Uganda. An electronic survey was administered to community members in Uganda's Luwero district, the survey tool included questions reflecting aspects of antibiotic stewardship such as how often antibiotics should be taken, dose completion, and rational use. It was found that very few respondents correctly defined antimicrobial resistance and many stopped taking antibiotics when they felt better. There was no significant relationship found between level of education and the variables of interest. Knowledge gaps regarding appropriate use and frequency of dosing of antibiotics were observed among respondents. Education was found to not be associated with accurate knowledge of antibiotic use, reflective of the lack of educational initiatives regarding AMR in Uganda. Further investigation is necessary to more fully illuminate antibiotic use and stewardship in this region.
Abstract: Antimicrobial resistance is a growing issue worldwide, directly contributing to more than one million deaths each year. Developing countries like Uganda rely on the continued effectiveness of antimicrobials to combat endemic diseases. This study investigated antimicrobial resistance awareness and antibiotic use behaviors among members of the Luwero...
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