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الملخص: أهداف البحث: تحديد النتائج التوليدية للنساء في زواج ''رحالة العمل'' (عندما يكون أحد الزوجين في منزل الأسرة بينما يسافر الآخر للعمل في مدينة أو دولة أخرى) مقارنة بالنساء في الزيجات العادية، وكذلك تأثير العيش مع آخرين على النتائج التوليدية بين النساء في زواج ''رحالة العمل''. طرق البحث: تم إجراء دراسة مقارنة مستقبلية، متعددة المراكز، بين مراجعات عيادة متابعة الحمل في زواج ''رحالة العمل'' (160 امرأة) والزواج العادي (160 امرأة). بعد أخذ الموافقة، تم متابعة المراجعات ومراقبتهن من بداية متابعتهن في العيادة حتى ستة أسابيع بعد الولادة. قياس النتيجة الأولية: النتائج التوليدية (الإجهاض، دخول المستشفى المرتبط بمرض ما قبل الولادة، عمر الحمل عند الولادة، ارتفاع ضغط الدم الناجم عن الحمل، سكري الحمل، ووزن الولادة). قياس النتيجة الثانوية: تأثير العيش مع آخرين على نتائج التوليد. تم تحليل البيانات باستخدام مربع كاي أو اختبار تي حسب الاقتضاء. النتائج: كان الشريك المتنقل هو الزوج (151؛ 94.4٪) بسبب نقل العمل (76؛ 47.5٪) أو العمل الجديد (60؛ 37.5٪). كان هناك ارتباط ذو دلالة إحصائية بين زواج ''رحالة العمل'' وكل من التأخير قبل الحمل الأول (27 مقابل 15)؛ متوسط عمر الحمل الأعلى (22.19 ± 7.7 مقابل 19.86 ± 6.93)؛ دخول المستشفى المرتبط بمرض ما قبل الولادة (39 مقابل 19)؛ الولادة المبكرة (54 مقابل 11)؛ وانخفاض الوزن عند الولادة (26 مقابل 8). كان متوسط عمر الحمل عند الولادة (35.10 ± 2.53 مقابل 38.00 ± 2.38) ووزن الولادة (2445.0 ± 749.37 مقابل 3146.4 ± 1645.79) أقل وذات دلالة إحصائية بين النساء في زواج ''رحالة العمل'' اللاتي يعشن وحدهن مقارنة مع اللاتي يعشن مع آخرين. الاستنتاجات: ارتبط زواج ''رحالة العمل'' بنتائج توليدية ضائرة ولكن يبدو أن العيش مع آخرين يساهم في تقليل هذه النتائج الضائرة. Abstract: Objectives: The study aims to determine obstetric outcomes for women in commuter marriages (CoMs) compared to women in non-CoMs, as well as the influence of living-in-companions on the obstetric outcomes. Methods: A prospective, multicentre, comparative study was conducted among antenatal clinic attendees in CoMs (160 women) and non-CoMs (160 women). Following consent, participants were recruited and monitored from antenatal booking until six weeks postpartum. The primary outcome measure was the obstetric outcomes (miscarriages, antenatal illness-associated hospital admissions, gestational ages at delivery, pregnancy-induced hypertension, gestational diabetes, and birth weights), while the secondary outcome measure was the influence of living-in-companions on the obstetric outcomes, which was measured by comparing the outcomes in women with those without living-in-companions. Data analysis was conducted using chi-square and t-tests, as applicable; a p

BackgroundType 2 diabetes mellitus (T2DM) is a disease of public health importance globally with an increasing burden of undiagnosed pre-diabetes and diabetes in low- and middle-income countries, Nigeria in particular. Pre-diabetes and diabetes are established risk factors for cardiovascular complications. However, data are scanty on the current prevalence of these conditions in Nigeria, based on haemoglobin A1c (HbA1c) diagnosis as recommended by the WHO in 2009. We aimed to determine the prevalence of pre-diabetes, diabetes, and undiagnosed diabetes among the adult population of Nigeria using HbA1c.MethodologyA cross-sectional, multi-site population study was carried out in selected states in Nigeria (namely, Ekiti, Lagos, Osun, Oyo, and Kwara states) involving 2,708 adults (≥18 years) in rural and urban community dwellers, without prior diagnosis of pre-diabetes or diabetes. Participants with ongoing acute or debilitating illnesses were excluded. Data were collected using an interviewer-administered pretested, semi-structured questionnaire. Socio-demographic, clinical (weight, height, blood pressure, etc.), and laboratory characteristics of participants including HbA1c were obtained. Data were analysed using STATA version 16.ResultsThe mean age of participants was 48.1 ± 15.8 years, and 65.5% were female. The overall prevalence of pre-diabetes and undiagnosed diabetes was 40.5% and 10.7%, respectively, while the prevalence of high blood pressure was 36.7%. The prevalence of pre-diabetes was the highest in Lagos (48.1%) and the lowest in Ekiti (36.7%), while the prevalence of diabetes was the highest in Kwara (14.2%) and the lowest in Ekiti (10%). There was a significant association between age of the participants (p< 0.001), gender (p = 0.009), educational status (p = 0.008), occupation (p< 0.001), tribe (p = 0.004), marital status (p< 0.001), blood pressure (p< 0.001), and their diabetic or pre-diabetic status. Independent predictors of diabetes and pre-diabetes include excess weight gain, sedentary living, and ageing. Participants within the age group 45–54 years had the highest total prevalence (26.6%) of pre-diabetes and diabetes.ConclusionOver half of the respondents had pre-diabetes and diabetes, with a high prevalence of undiagnosed diabetes. A nationwide screening campaign will promote early detection of pre-diabetes and undiagnosed diabetes among adult Nigerians. Health education campaigns could be an effective tool in community settings to improve knowledge of the risk factors for diabetes to reduce the prevalence of dysglycaemia.