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PubMed1992

Social origins of the brain fag syndrome.

The aetiology of psychiatric morbidity associated with education in Africa was explored using two different screening methods (as described in paper III, this supplement). The interactive effect of psychosocial variables was examined by Log linear analysis which demonstrated five independent factors: (a) the financial implications of education which represented the change from subsistence to cash economy; (b) fear of envy and bewitchment which represented the intense cultural response to education; (c) parenting in the pre-school years which was the independent family variable; (d) academic ability; (e) attributes of the school. Age of starting school and birth rank had a marginal effect. Current family adversity in terms of unstable parental union, paternal use of alcohol, polygamy and sibship size operated by interactive or additive effect. Gender and social status had no effect. The brain fag syndrome can be related to the complex social changes during rapid social transition where education is a major agent of change.

Adolescent↗
PubMed2003

[Prevalence of HIV in Mayotte].

Mayotte is a little French island, located in the Indian ocean, between Madagascar and Mozambic. Officially, the population goes up to 150,000 inhabitants, but in fact, it probably comes up to about 200,000 people, because of a very numerous illegal immigration, especially coming from Anjouan, the nearest Comorian island. Up to now there are no data about HIV in Mayotte. There is only one adult medical unit (except intensive care). All patients detected as seropositive for HIV are sent for treatment in this unit. The only case of systematically proposed HIV serology is pregnancy, and this since 1994. 70% to 80% of women accept it. There are annually 6000 deliveries in Mayotte. When a seropositivity is detected, screening is systematically proposed to other members of the family. Epidemiology does not seem to worsen, even if detection is increasing: 8675 tests done in 1998, 9142 in 1999, 12,085 in 2000. All cases of seropositivity attended to at present time in our unit have been registered and studied, apart from patients who died before this study, and those who did not consult for more than two years. There were 8 HIV positive people who died since 1990 in Mayotte, most of them in 1991, 1992. There was no death in the last years, nor sanitary evacuation, except one. 50 people are registered: 20 males, 30 females. Average age is 34. 39 Comorian people, 10 metropolitans, and one from another origin. Contamination was heterosexual in 43 cases, intravenous drug user in 1 case, homosexual in 2 cases, professional in 1 case, unknown in 3 cases. There are 4 double contamination Ag Hbs/HIV, and 2 HCV/HIV. 39 subjects are at A stage, 5 B, 6 C. The beginning of the epidemic in Mayotte took place probably around 1990, among militaries and prostitutes. Now, transmission keeps going on, in most cases, heterosexual, as it occurs in the nearby Africa. Polygamy, official or officious, has a leading role. Females who were detected during pregnancy have obtained zidovudine, or have been able to pursue previous therapy. Medical care and therapy are free in Mayotte, but sometimes there are delays in supplying medicines or in returning results. Epidemic has not increased up to now; even though screening has. There are very few pediatric cases: only 4 cases were notified in Mayotte until now: one who died very soon, one who has gone to live in Reunion island, and two who are still in Mayotte: one is 12 years old, and another one 5 years old.

Adult↗
PubMed2004

Socio-cultural factors affecting the spread of HIV/AIDS in Africa: a case study.

There is a disproportionate share of AIDS cases over the years in Africa. This has occurred in racial and ethnic minority populations, a finding likely related to social, economic and cultural factors. Certain socio-cultural and religious practices such as polygamy and giving a daughter away in marriage without considering the social life of the man are likely contributory factors to the higher prevalence of HIV/AIDS in women in this part of the world. This is illustrated with a case of Mr. M. S. who married two wives within four months interval, having lived a promiscuous life before marriage. One of the wives was a virgin at the time of marriage. Neither of wives had any symptoms suggestive of STD or HIV before marriage, however, the three of them tested positive to HIV-1 following a visit to the special treatment clinic. He had genital herpes and his two wives also had vulvovaginal candidiasis, genital herpes and condyloma accuminata (genital warts). The husband would not want his HIV status declared to the wives. There is therefore a need to enact law on pre-marriage HIV screening for intending couples. Couple Pre-and post-test counseling must be encouraged and promoted. In addition, women should be empowered to negotiate safer sex.

Adolescent↗
PubMed2004

Predictors of hazardous and harmful alcohol use among Nigerian freshmen.

Problem drinking among young persons is a concern among contemporary researchers. The present study examines the prevalence and the predictors of hazardous and harmful alcohol use among a sample of freshmen at the University of Ibadan Nigeria. Five hundred and forty freshmen were surveyed, of which 289 used alcohol. The effect of eighteen psychosocial variables on Alcohol Use Disorder Identification Test (AUDIT) scores was investigated using regression analysis. The results showed that, being a male freshman (r = 0.78, p < 0.0005); coming from a polygamous home background (r = 0.59, p < 0.01); high levels of parents socio-economic status (r = -0.47, p < 0.0005); living with both parents (r = -0.24, p < 0.0005); mother working full time outside home (r = 0.39. p < 0.005); increasing number of siblings (r = 0.35, p < 0.0005); living in urban cities (r = 0.38, p < 0.005); belonging to a social club (r = -0.46, p < 0.01); increasing religious activities (r = -0.51, p < 0.005); increasing parent child interaction (r = 0.72, p < 0.01); and low need for affiliation (r = -0.49, p < 0.0005) were found to be associated with hazardous and harmful alcohol use among the freshmen. When these eleven variables were entered into a stepwise multiple regression analysis to determine their relative predictive power to hazardous and harmful alcohol use among the freshmen, three variables; being a male (p < 0.0005); polygyny polygamy (p < 0.0053) and low need for affiliation (p < 0.0053) remained significant. There is a need to consider psychosocial factors in designing health educational programs for students on alcohol consumption.

Adult↗
PubMed2005

Faithful without care: the evolution of monogyny.

The traditional paradigm of male polygamy and female monogamy has been replaced by the recognition that both sexes may typically mate with several partners. As a consequence, much attention has focused on the evolution of polyandry, while the evolutionary significance of monogyny (male monogamy) remains poorly understood. Monogyny, a taxonomically widespread mating system that includes dramatic examples of male self-sacrifice, is predicted when the benefits of paternal investment exceed those of searching for additional mates. However, monogyny also occurs in animals lacking paternal investment, instead representing a form of paternity protection. It has been suggested that such mating systems are expected where the costs of mate search for males are high. However, this argument fails to recognize that if there is a low probability of a male finding a mate, then there may be a high probability that he will not need to defend his paternity. Using a mathematical model, we show that monogyny as a means of increasing paternity is favored when the sex ratio is male biased, but not necessarily by high search costs. The importance of a male-biased sex ratio for the evolution of monogyny is supported by various empirical studies.

Animals↗
PubMed2005

Socio-political aspects of mental health practice with Arabs in the Israeli context.

Since the 1948 establishment of the Israeli state, an event described by Arab peoples as "Al-Nakbah" (catastrophe), the Arab minority in Israel has experienced oppression, trauma and social exclusion; they feel defeated, disempowered and poorer. There are huge gaps in quality of life between Arab and Jewish Israelis. Such social inequities, as well as other issues such as polygamy, have been identified as risk factors for psychological distress. This situation puts the Israeli Arab, like other post-colonial peoples, in an attitude of ambivalence towards modern mental health services. On the one hand, certain forms of intervention, particularly medicinal, may improve peoples' lives. On the other, mental health services, as part of the colonial process, continue to present limited cultural sensitivity towards Arab peoples. A cultural gap leading to mistrust is a given when a non-Arab mental health provider comes into contact with an Arab client. Religious beliefs, the importance of the family and the stigma attached to mental health problems have substantial influence on the Arab's perception and reaction toward mental health problems and their treatment. The expression of conflict and negative feelings are not well accepted within Arab culture. For this reason, mental illness is often denied and kept away from professional help or expressed as a physical illness. There is also a difficulty for a male being treated by a female and for the individual to ask for help outside his family or community. Arab Muslims also generally have a tendency to resign themselves to God's care and thus may neglect or deny symptoms. Another tendency is the preference for using traditional healers and folk medicine. Other problems in mental health work are the passive attitude of the patient and the degree of authority vested in the therapist. To facilitate bridging this cultural gap, the therapist's first task is that of educating him/her self about the religious, cultural and national background of the client. Cultural competence and self-reflection are key components to effective cultural practice.

Arabs↗
PubMed2005

Evolutionary pathways in shorebird breeding systems: sexual conflict, parental care, and chick development.

Sexual selection, mating opportunities, and parental behavior are interrelated, although the specific nature of these relationships is controversial. Two major hypotheses have been suggested. The parental investment hypothesis states that the relative parental investment of the sexes drives the operation of sexual selection. Thus, the sex that invests less in offspring care competes more intensely and monopolizes access to mates. The sexual conflict hypothesis proposes that sexual selection (the competition among both males and females for mates), mating opportunities, and parental behavior are interrelated and predicts a feedback loop between mating systems and parental care. Here we test both hypotheses using a comprehensive dataset of shorebirds, a maximum-likelihood statistical technique, and a recent supertree of extant shorebirds and allies. Shorebirds are an excellent group for these analyses because they display unique variation in parental care and social mating system. First, we show that chick development constrains the evolution of both parental care and mate competition, because transitions toward more precocial offspring preceded transitions toward reduced parental care and social polygamy. Second, changes in care and mating systems respond to one another, most likely because both influenced and are influenced by mating opportunities. Taken together, our results are more consistent with the sexual conflict hypothesis than the parental investment hypothesis.

Animals↗
PubMed2006

Human papillomavirus infection among women attending health facilities in the Kingdom of Bahrain.

OBJECTIVE: To investigate the occurrence of human papillomavirus (HPV) infection and the associated risk factors in Bahrain's female population. METHODS: This study was carried out between March to December 2004, which includes cervical scrapings for Pap smear and HPV-DNA testing using polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP) analysis, obtained from 100 women attending the Gynecology Clinic at Salmaniya Medical Center and Sheikh Sabah Health Center in the Kingdom of Bahrain. We distributed questionnaires that include the sociodemographic data as well as information on risk factors such as smoking, parity, and the contraceptive used. RESULTS: Eleven women (11%) with normal cytology were HPV-positive. The RFLP analysis detected HPV-types 16, 18, 45, 62 and 53. Positive women were significantly older (43.3 +/- 10.1 years) than negatives (36.5 +/- 9.9 years; p=0.04), however, there was no difference in age of first sexual contact (positive: 18.1 +/- 5.7 years versus negative: 20.6 +/- 4.4 years). Polygamy, smoking and hormonal contraception was not identified as risk factors, but positive women showed higher parity. CONCLUSION: In this study on HPV infection in Bahrain, the 11% positivity with high risk HPV types, in the presence of normal cytology suggests that in addition to the cervical cancer screening program, offer of HPV testing deserves consideration.

Adult↗
PubMed1991

[Perinatal mortality in Burkina Faso: risk factors in an urban environment of Bobo-Dioulasso].

A total of 96 mothers of stillborn babies (cases) and 402 mothers of live-born babies (controls) were studied between the 1st November 1988 and the 31st July 1989 in an attempt to identify the risk factors for the high number of stillbirths in the Maternity wing of the Hôpital National Sourô SANON in Bobo-Dioulasso, Burkina Faso. From a stratified analysis, eight risk factors emerged as significant predictors of mortality: mother older than 35 years, high parity (five or more), previous history of stillbirth, lack of medical supervision of pregnancy, interval between last consultation and birth longer than 30 days, complications during delivery and birth weight less than 2,500 g. Polygamy was associated with a 51% reduction in the risk of stillbirth. The problem of selection bias which affects the validity of hospital based case-control studies is discussed. Techniques for reducing selection bias in hospital based case-control studies are proposed. Improvements in antenatal care in Bobo-Dioulasso are suggested.

Birth Intervals↗
PubMed1985

Women of polygamous marriages in an inpatient psychiatric service in Kuwait.

The practice of polygamy, although varying from culture to culture, is widespread in many areas of the world. In Kuwait, for example, 8 to 12.5% of all marriages contracted are polygamous. Although sociologists and anthropologists, as well as common sense, have suggested that a polygamous marriage may have a negative effect on the wives involved, an extensive literature search failed to uncover any psychiatric research that attempts to examine this situation or objectively delineates possible psychiatric sequelae. The present study was a pilot effort to determine whether Kuwaiti wives of polygamous marriages were disproportionately represented in the inpatient psychiatric as opposed to the general population. A second purpose was to determine the extent of the relationship between psychiatric disorder and marital situation. Preliminary data indicated that the percentage of wives of polygamous marriages was significantly greater in the inpatient psychiatric population than in the general population of Kuwait, as reflected in the 1975 census. In addition, the results suggested a relationship between the nature of psychiatric disorder and the marital situation. Alternate explanations of the data are advanced, and the need for controlled future studies outlined.

Adolescent↗
PubMedDate not supplied

[Family therapy in polygamous families].

Patients from polygamous families are over-represented in the Enugu Psychiatric Hospital. The authors came to this conclusion after case notes from 116 anxiety neurotic, 101 schizophrenic and 117 depressive patients were examined. The patients were treated from 1970 to 1979. Polygamy was shortly described with its advantages and disadvantages. Competition between the wives, over-burdening of the husband and often poor care of the children represent the background for the symptoms of the patients, who come from such families. Looking for useful therapeutic methods the method of the natives to solve family quarrels were viewed. Making use of psychoanalytic therapy models especially as represented by Dührssen, Richter and Toman a family therapy model was presented which takes the native judgement model into consideration. A case was presented to illustrate the above.

Adolescent↗
PubMedDate not supplied

[Evaluation of the risks of sexually transmitted diseases and HIV infection in a rural region of Senegal in 1991].

This study was performed in the Sereer region 150 km to the east of Dakar, the capital of Senegal. The population of the region is characterised by large seasonal migration, a high divorce rate (41% of marriages end in divorce) and frequent polygamy (1.8 married women per married man). We organised the medical centres in the region to monitor actively the epidemiology of HIV infection. Three populations were targeted: pregnant women presenting for their first prenatal consultation; patients presenting with STD; and people with chronic (more than three weeks) cough. The patients consulting for STD were recruited two ways: those presenting spontaneously and those identified during home interviews by the team performing a parallel sociological study of behaviour. Overall, the prevalence of HIV seropositivity was 0.2% of the women and 1.3% of the men (the difference is not significant). The seropositive individuals identified were 2 pregnant women and 5 patients (3 of 409 women and 2 of 84 men) with STD. There was no significant difference between the sex, age, marital status, or type of recruitment (spontaneous or identified by the sociological survey) of the HIV seropositive and seronegative individuals. The prevalence of treponema antibodies was 1.8% among pregnant women, 2% among STD patients and 2.4% among patients with chronic cough. There was no significant difference according to age, sex, marital status or motivation for consultation. More than half the patients consulting for STD presented biomedical disease. The majority of the STD patients were women: 70% of those spontaneous consulting; 90% of those identified by the survey; and 92% of those with biomedical disease were women.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1994

Reduced variability in Y-chromosome-specific haplotypes for some Central African populations.

Only 7 nonrare haplotypes concerning Y-chromosome-specific TaqI fragments recognized by DNA probes p49f and p49a were encountered in 433 individuals belonging to 7 populations living in central Africa. Most of the haplotypes (77.7%) are characterized by the allelic combination A1,C0,D0,F1,I1 (haplotype IV). The degree of variability displayed by these sequences is low in the African population studied, compared with Europeans, probably because of the recent common origin of the Bantu-speaking populations studied and the common practice of male polygamy in Africa.

Africa, Central↗
PubMed1997

Body mass index and family histories in type II diabetic propositi and preliminary observations on the transmission of diabetes in polygamous families.

We studied family histories of diabetes mellitus in the first-degree relatives of 356 type II diabetic propositi in whose families monogamy is practiced. Positive family histories were noted in 32% of the propositi: parental 20%, sibling 14%, and offspring 0.6%. In 11 pedigrees with conjugal diabetic parents, 33% (18/55) of their offspring were diabetic. Paternal influence was significantly higher than maternal influence (43 of 62 vs. 19 of 62, Z = 2.86, p < 0.01). The presence or absence of sibling history did not depend on the body mass index in the propositi. We also studied pedigrees of 10 propositi in whose paternal families polygamy is practiced. In these families also a trend toward greater paternal influence was noted. We conclude that (1) a family history of diabetes is present in one-third of diabetic propositi, (2) paternal influence is stronger than maternal influence in the transmission of diabetes, (3) sibling history for diabetes has no relation to the body mass index of the propositi, (4) prevalence of diabetes is higher in the offspring of conjugal diabetic parents, and (5) studies in polygamous families are a new approach that may help to quantify the genetic load transmitted from a parent when there is heterogeneity in the spouses.

Adult↗
PubMed1997

Prevalence of transmissible blood infections among blood donors at the University of Maiducuri Teaching Hospital, Maiduguri, Nigeria.

Before the advent of the Acquired Immune Deficiency Syndrome (AIDS), many countries of the world transfused blood without seriously considering the potential risks of transmission of infectious agents. Even after it was shown that the Human Immunodeficiency virus(HIV) could be transmitted through blood and blood products, many hospitals and clinics in Nigeria still continue to transfuse unscreened blood. This study was therefore initiated to highlight the risks of transmitting infectious agents through blood transfusion and the category of infectious agents which could be transfused in blood in this area. A total of 364 healthy blood donors were counselled, bled and screened for HIV-1, HIV-2, HBsAg, Treponema pallidum, Plasmodium falciparum and microfilaria. The results show that the three most common infections transmissible through blood transfusion are Hepatitis B(14.9%), HIV-1 (5.8%) and P.falciparum (4.1%). Thirteen of the 364 blood donors (3.6%) and antibodies to T. pallidum. There were no donors with HIV-2 or filarial infection. Infection of donors by hepatitis B virus (HBV), T. pallidum and HIV-1 was not significant dependent on promiscuity, polygamy, previous blood transfusion or local surgery. However, there was a significant difference between donors with no risk factors and those with risk factors with regard to seroprevalence to HBV, T. pallidum and HIV-1 (p = 0.0053). The results confirm that transfusion of unscreened blood carries severe risks of transmitting serious infectious agents and that is a need to enforce laws for transfusing blood in Nigeria. Meanwhile, in the absence of screening facilities, proper counselling of blood donors in order to ascertain their risk behaviour should be used to select donors and reduce this risk.

Adult↗
PubMed1988

Makbul Ali v. Manwara Begum, 15 January 1987.

The Court held that a second wife is not responsible for any offense committed under Section 6(5) of the Bangladesh Muslim Family Laws Ordinance, 1961. Section 6(5) provides penalties for the offense of marrying more than one woman without the permission of the Arbitration Council. The second wife in this case had been criminally charged along with the man who had allegedly married twice.

Asia↗
PubMed1988

Ayisha Begum v. Hajiah Maideen, 21 June 1988.

The Court held that, in determining whether to authorize a Muslim man to take a second wife under Rule 11 of the Malaysia Muslim Marriage and Divorce Rules 1968, an objective test, rather than a subjective test, should be used. It ruled that, whether "a husband is competent to support more than one wife and will be able, if he marries more than one wife, to treat them with equity in accordance with the Muslim law" should be established by objective evidence, not merely by a husband's statement that he can support both wives and will treat them equitably. The Court allowed the appeal of the wife of the respondent against a decision of the Registrar of Muslim Marriages to allow the respondent to take a second wife.

Asia↗
PubMed1988

Yamunabai v. Anantrao, 27 January 1988.

The appellant sought an order of maintenance to be made against the respondent under Section 125 of the Code of Criminal Procedure, 1973, of India which authorizes such an order for a wife who is unable to maintain herself. She had been married under Hindu rites to the respondent while a previous wife was still living. The Supreme Court upheld a lower court decision refusing to make the order. It held that, because the respondent already had a wife, his marriage to the appellant was void from the beginning, rather than voidable, and, thus, she had never been his "wife." It rejected an argument that the appellant should be considered a wife under the Civil Procedure Code because her marriage would have been recognized under Hindu law and custom in effect before the enactment of the Hindu Marriage Act, 1955. It also rejected an argument that the respondent should be stopped from claiming that the appellant was not his wife, because she was not informed of his earlier marriage.

Asia↗