Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?
Introduction and hypothesis Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes. Methods All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015...
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| Veröffentlicht in: | International Urogynecology Journal 2019-02, Vol.30 (2), p.307-312 |
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| creator | Shephard, Steven N. Mamven, Oluwatobi V. Lee, Eunjin Lengmang, Sunday J. |
| description | Introduction and hypothesis
Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.
Methods
All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the “divorce group”).
Results
Among 581 new patients, 66% were married and 18% experienced marital disruption. Presence of living children in the home and having attended any level of formal education were found to be protective of marriage (
p
values |
| doi_str_mv | 10.1007/s00192-018-3729-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2082091324</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2081204947</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-fe8ecf9fab198c63c8dab2a09771be534445fd5c443f4c2cddd3d10b9a6764be3</originalsourceid><addsrcrecordid>eNp1kMtKAzEUhoMotl4ewI0E3LgZPbl0MnEjUrxB1Y2Cu5DJZNrUudRkhuLbm9qqILg6i_P9_zl8CB0ROCMA4jwAEEkTIFnCBJWJ3EJDwhlLGFC2jYYgmUgYT-kA7YUwBwAOI9hFAwaQSkHFEL0-aO86XeHCBd8vOtc2WNdtM8XLtrYNXrpuhqe2-WJKF7q-0tg1-NFNrXf6Ai9nLXYB6w5PvdWdDR32LrxdHqCdUlfBHm7mPnq5uX4e3yWTp9v78dUkMfHlLiltZk0pS50TmZmUmazQOdUghSC5HTHO-agsRoZzVnJDTVEUrCCQS52KlOeW7aPTde_Ct-99PK9qF4ytKt3Ytg-KQkZBEkZ5RE_-oPO29038bkURClxyESmypoxvQ_C2VAvvau0_FAG10q7W2lXUrlbalYyZ401zn9e2-El8e44AXQMhrpqo7vf0_62flwSNaQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2081204947</pqid></control><display><type>article</type><title>Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Shephard, Steven N. ; Mamven, Oluwatobi V. ; Lee, Eunjin ; Lengmang, Sunday J.</creator><creatorcontrib>Shephard, Steven N. ; Mamven, Oluwatobi V. ; Lee, Eunjin ; Lengmang, Sunday J.</creatorcontrib><description>Introduction and hypothesis
Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.
Methods
All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the “divorce group”).
Results
Among 581 new patients, 66% were married and 18% experienced marital disruption. Presence of living children in the home and having attended any level of formal education were found to be protective of marriage (
p
values <0.0001 and 0.0045 respectively). Patients in the divorce group were more likely to have delivered a baby before the age of 18, be of Muslim background, and have a longer time since fistula formation (
p
values all <0.0001), as were those married younger than 18 and those whose fistula followed a vaginal delivery (
p
values 0.0015 and 0.0017 respectively).
Conclusion
Several factors correlate with disruption of the marriage relationship. Patients at highest risk for marital disruption should be identified early and provided with interventions aimed at protecting their marriage and social support system.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-018-3729-9</identifier><identifier>PMID: 30069727</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Developing Countries ; Divorce ; Divorce - psychology ; Divorce - statistics & numerical data ; Female ; Fistula ; Gynecology ; Humans ; Marital Status - statistics & numerical data ; Marriage ; Marriage - psychology ; Marriage - statistics & numerical data ; Medicine ; Medicine & Public Health ; Nigeria - epidemiology ; Original Article ; Retrospective Studies ; Urology ; Vaginal Fistula - epidemiology ; Vaginal Fistula - psychology</subject><ispartof>International Urogynecology Journal, 2019-02, Vol.30 (2), p.307-312</ispartof><rights>The International Urogynecological Association 2018</rights><rights>International Urogynecology Journal is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-fe8ecf9fab198c63c8dab2a09771be534445fd5c443f4c2cddd3d10b9a6764be3</citedby><cites>FETCH-LOGICAL-c372t-fe8ecf9fab198c63c8dab2a09771be534445fd5c443f4c2cddd3d10b9a6764be3</cites><orcidid>0000-0002-7240-662X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00192-018-3729-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00192-018-3729-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30069727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shephard, Steven N.</creatorcontrib><creatorcontrib>Mamven, Oluwatobi V.</creatorcontrib><creatorcontrib>Lee, Eunjin</creatorcontrib><creatorcontrib>Lengmang, Sunday J.</creatorcontrib><title>Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.
Methods
All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the “divorce group”).
Results
Among 581 new patients, 66% were married and 18% experienced marital disruption. Presence of living children in the home and having attended any level of formal education were found to be protective of marriage (
p
values <0.0001 and 0.0045 respectively). Patients in the divorce group were more likely to have delivered a baby before the age of 18, be of Muslim background, and have a longer time since fistula formation (
p
values all <0.0001), as were those married younger than 18 and those whose fistula followed a vaginal delivery (
p
values 0.0015 and 0.0017 respectively).
Conclusion
Several factors correlate with disruption of the marriage relationship. Patients at highest risk for marital disruption should be identified early and provided with interventions aimed at protecting their marriage and social support system.</description><subject>Adult</subject><subject>Developing Countries</subject><subject>Divorce</subject><subject>Divorce - psychology</subject><subject>Divorce - statistics & numerical data</subject><subject>Female</subject><subject>Fistula</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Marital Status - statistics & numerical data</subject><subject>Marriage</subject><subject>Marriage - psychology</subject><subject>Marriage - statistics & numerical data</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nigeria - epidemiology</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><subject>Urology</subject><subject>Vaginal Fistula - epidemiology</subject><subject>Vaginal Fistula - psychology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kMtKAzEUhoMotl4ewI0E3LgZPbl0MnEjUrxB1Y2Cu5DJZNrUudRkhuLbm9qqILg6i_P9_zl8CB0ROCMA4jwAEEkTIFnCBJWJ3EJDwhlLGFC2jYYgmUgYT-kA7YUwBwAOI9hFAwaQSkHFEL0-aO86XeHCBd8vOtc2WNdtM8XLtrYNXrpuhqe2-WJKF7q-0tg1-NFNrXf6Ai9nLXYB6w5PvdWdDR32LrxdHqCdUlfBHm7mPnq5uX4e3yWTp9v78dUkMfHlLiltZk0pS50TmZmUmazQOdUghSC5HTHO-agsRoZzVnJDTVEUrCCQS52KlOeW7aPTde_Ct-99PK9qF4ytKt3Ytg-KQkZBEkZ5RE_-oPO29038bkURClxyESmypoxvQ_C2VAvvau0_FAG10q7W2lXUrlbalYyZ401zn9e2-El8e44AXQMhrpqo7vf0_62flwSNaQ</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Shephard, Steven N.</creator><creator>Mamven, Oluwatobi V.</creator><creator>Lee, Eunjin</creator><creator>Lengmang, Sunday J.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7240-662X</orcidid></search><sort><creationdate>20190201</creationdate><title>Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?</title><author>Shephard, Steven N. ; Mamven, Oluwatobi V. ; Lee, Eunjin ; Lengmang, Sunday J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-fe8ecf9fab198c63c8dab2a09771be534445fd5c443f4c2cddd3d10b9a6764be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Developing Countries</topic><topic>Divorce</topic><topic>Divorce - psychology</topic><topic>Divorce - statistics & numerical data</topic><topic>Female</topic><topic>Fistula</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Marital Status - statistics & numerical data</topic><topic>Marriage</topic><topic>Marriage - psychology</topic><topic>Marriage - statistics & numerical data</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nigeria - epidemiology</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Urology</topic><topic>Vaginal Fistula - epidemiology</topic><topic>Vaginal Fistula - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shephard, Steven N.</creatorcontrib><creatorcontrib>Mamven, Oluwatobi V.</creatorcontrib><creatorcontrib>Lee, Eunjin</creatorcontrib><creatorcontrib>Lengmang, Sunday J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shephard, Steven N.</au><au>Mamven, Oluwatobi V.</au><au>Lee, Eunjin</au><au>Lengmang, Sunday J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>30</volume><issue>2</issue><spage>307</spage><epage>312</epage><pages>307-312</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.
Methods
All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the “divorce group”).
Results
Among 581 new patients, 66% were married and 18% experienced marital disruption. Presence of living children in the home and having attended any level of formal education were found to be protective of marriage (
p
values <0.0001 and 0.0045 respectively). Patients in the divorce group were more likely to have delivered a baby before the age of 18, be of Muslim background, and have a longer time since fistula formation (
p
values all <0.0001), as were those married younger than 18 and those whose fistula followed a vaginal delivery (
p
values 0.0015 and 0.0017 respectively).
Conclusion
Several factors correlate with disruption of the marriage relationship. Patients at highest risk for marital disruption should be identified early and provided with interventions aimed at protecting their marriage and social support system.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>30069727</pmid><doi>10.1007/s00192-018-3729-9</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7240-662X</orcidid></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Developing Countries Divorce Divorce - psychology Divorce - statistics & numerical data Female Fistula Gynecology Humans Marital Status - statistics & numerical data Marriage Marriage - psychology Marriage - statistics & numerical data Medicine Medicine & Public Health Nigeria - epidemiology Original Article Retrospective Studies Urology Vaginal Fistula - epidemiology Vaginal Fistula - psychology |
| title | Marital disruption among women with genital fistula in Nigeria: who is at greatest risk? |
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