Psychological distress is a state of emotional suffering characterized by symptoms of depression and anxiety. There is an association between maternal psychological distress and reduced caregiving behavior. Reduced maternal care to babies is also associated with the low self-esteem of the mothers. The study assesses the prevalence of psychological distress and its relationship with self-esteem among nursing mothers attending the immunization clinic in Ekiti State University Teaching Hospital Ado-Ekiti. This is a descriptive cross-sectional study with 458 nursing mothers recruited. A pretested, adapted, structured interviewer-administered questionnaire was used; data were analyzed using SPSS version 25. Descriptive statistics and inferential statistics were done using the Chi-square and the Spearman correlation coefficient. The level of significance was set at p < 0.05. The mean age of the respondents was 31.7±4.8 years, 398 (86.9%) had tertiary education, 440 (96.0%) were married and 15 (3.3%) were single mothers. Sixty-seven (14.6%), 28 (6.1%), and 24 (5.2%) had mild, moderate, and severe psychological disorders, respectively. Those with low and high self-esteem were 222 (48.5%) and 236 (51.5%) respectively. There was a statistically significant relationship between psychological distress and self-esteem with about 29.6% of the variability in psychological distress being explained by self-esteem alone in the nursing mothers (p< 0.01). Stress of child nursing leads to psychological distress for some nursing mothers and this was significantly associated with self-esteem.

PURPOSE: Much attention has been focused in recent decades on the effects of erectile dysfunction (ED) secondary to lower urinary tract symptoms (LUTS), potentially underestimating its effects in men without LUTS. This study aimed to compare the prevalence and predictors of ED in men with and without LUTS. MATERIALS AND METHODS: The International Index of Erectile Function questionnaire was administered to 303 patients between January 2014 and June 2016. Within this sample, 147 patients with LUTS (cases) were compared to 156 men without LUTS who were matched for age, level of education, and occupation (controls). RESULTS: The mean age was 66.03±9.64 years and 65.78±8.61 years for the cases and controls, respectively. The prevalence of ED was 64.6% and 73.7% (odds ratio [OR], 1.54; 95% confidence interval [CI], 0.94∼2.51) in the case cohort and controls, respectively (p=0.086). There was no difference in the prevalence of impaired erectile function (p=0.067), impaired orgasmic function (p=0.108), impaired sexual desire (p=0.291), impaired intercourse satisfaction (p=0.869), or impaired overall satisfaction (p=0.191). Multivariate logistic regression analysis showed that being currently employed was a significant predictor of ED both in men with LUTS (OR, 8.08; 95% CI, 1.51∼9.27; p=0.004) and in men without LUTS (OR, 7.00; 95% CI, 1.49∼14.51; p=0.008). Being married only predicted for impaired EF in men without LUTS (OR, 6.34; 95% CI, 1.40∼15.20; p<0.05). CONCLUSIONS: ED was not found to be more prevalent in men with LUTS. Being employed was a predictor of ED in both groups of men, while being married was also a predictor of ED in men without LUTS.
Cohort Studies ; Education ; Epidemiology ; Erectile Dysfunction* ; Humans ; Logistic Models ; Lower Urinary Tract Symptoms* ; Male ; Nigeria* ; Occupations ; Orgasm ; Prevalence