IntroductionPrevalence of abdominal obesity dramatically increases both in developed countries and in developing countries. In several regions in Africa, obesity (especially abdominal) is seen as a sign of affluence, dignity and respect. The objective of this study was to determine prevalence of abdominal obesity and seek some factors associated in a peri-urban population of West Africa.MethodsDuring April-May 2014, a cross-sectional study was conducted in Anonkoi 3, a neighborhood of Abidjan (Ivory Coast). Adults of 18 years old and over, not bedridden were included. Sampling was done in two stages. First, we selected the households. Then in each household we randomly chose one adult. Abdominal obesity was measured using a measuring tape and defined by waist circumference ratio (TT) to hip circumference (TH) greater or equal to 0.80 in women and greater or equal to 0.95 in men. Data from sociodemographic, corpulence, socioeconomic level, food habit, level of physical activity and blood pressure were analyzed. Univariate analysis using the Pearson KHI-square test at a significance level of 0.05 and a logistic regression was performed.ResultsWe visited 486 households in which 486 people aged 36.1 ± 12.83 years agreed to participate in the study. Prevalence of abdominal obesity was 50.8%. Those aged 30–45 years, women, couples, those with a primary level of education, the poor, people with high blood pressure, subjects less active and obese (general obesity) had more abdominal obesity. After logistic regression, individuals aged 30–45 years (adjusted OR = 2.35; p = 0.004) and 45 years and older (adjusted OR = 3.18; p = 0.001); females (adjusted OR = 49.05; p = 0.000); hypertension (adjusted OR = 2.26; p = 0.014) and obesity (OR = 2.94; p = 0.009).ConclusionThis work allowed us to estimate a relatively high prevalence of abdominal obesity in a peri-urban African population.

Hypertension affects more than a quarter of the world adult population, with ruralurban disparities. In Côte d’Ivoire, the prevalence was 21.7% in 2005. The aim of this study was to determine factors associated with hypertension in a peri-urban community in Abidjan. A cross-sectional study was conducted at Anonkoi 3 a peri-urban area in Abidjan. The sample was of 360 subjects aged 18 and older. Behavioral, anthropometric and blood pressure characteristics were determined using WHO STEPS questionnaire and multivariate logistic regression was performed. Prevalence of hypertension was 18.61%. Subjects were low fruit and vegetable consumption (3.3%), low level of physical activity (64.2%) and abdominal obesity at 40%. The risk of hypertension was significant from age 45, in subjects living with a partner and in those with low level of physical activity. Health education programs are essential to prevent cardiovascular risks.

Background: Health care renunciation aims to identify unmet care needs that a health condition would have justified. This behavior appears to be more common in women than in men. The objective of this work was to analyze the determinants of the health care renunciation among women in the city of Abidjan. Subjects and Method: We carried out a cross-sectional study from March to May 2019 in Anonkoi-3, a peri-urban district of the municipality of Abobo, in the north of the city of Abidjan. Questionnaires served to collect informations. Bivariate analyzes and a multiple logistic regression were used to measure the association between the different types of renunciation and the characteristics of women. Dependant variable was healthcare renunciation. Independent variables were socio-demographic, economic, health status characteristics and reasons for renouncing to health care. Results: The population sample consisted of 423 women (with mean age= 32; SD= 12 years). The renunciation on consultations with the general practitioner concerned, 72.34% of women. Regarding consultation with the specialist, the ophthalmologist (25.05%), the dentist (21.99%), and the gynecologist (14.89%) were those mostly renounced by the women. After consultation, 31.2% of them renounced to pursuing other treatment. They most often renounced to buying drugs from conventional medicine (19.62%) and preferred to use street drugs and traditional drugs (87.71%). All things being equal, women aged 28 to 38 (OR= 2.45; 95% CI= 1.31 to 4.68; p= 0.013), artisans and traders (OR= 3.22; 95% CI= 1.48 to 7.38; p= 0.004) and those in trade learning (OR= 2.42; 95% CI= 1.12 to 5.49; p= 0.028) significantly renouncing more on health care. Conclusion:In addition to financial reasons, the renunciation on health care can be explained by individual and social behaviors specific to individuals.

Introduction : En Côte d’Ivoire, la prévalence contraceptive moderne nationale reste faible. Elle était de 21 % en 2017. But de l’étude : L’objectif de cette étude était d’identifier les obstacles socioculturels liés à l’utilisation de la contraception moderne chez les femmes en âge de se reproduire. Méthodes : Nous avons mené une étude qualitative descriptive dans le quartier Dallas dans la commune d’Adjamé, située au centre de la ville d’Abidjan. L’enquête s’est déroulée du 9 juin au 7 juillet 2018. Quatre focus groups ont été réalisés avec des hommes de plus de 20 ans, des femmes en âge de se reproduire de 15 à 49 ans et deux leaders religieux recrutés selon un échantillonnage raisonné. Les guides de discussion de groupe et d’entretien individuel étaient les outils de collecte de données. Les données ont été analysées après enregistrement et retranscription, suivant une analyse thématique du contenu. Résultats : Trente personnes dont 14 hommes, 14 femmes et deux guides religieux ont été interrogés. Les principaux obstacles décrits étaient : le manque d’information fiable et adéquate, les fausses idées sur la contraception, la crainte des effets secondaires, l’analphabétisme, le pouvoir décisionnel de l’homme, les interdictions religieuses et les contradictions socioculturelles. Pour contourner ces obstacles, les femmes utilisaient secrètement les contraceptifs, s’exposant ainsi à des risques sociaux. Conclusion : Notre étude a mis en exergue la persistance de pratiques socioculturelles. La prise en compte des perceptions des populations s’avère nécessaire pour améliorer l’utilisation de la contraception moderne au niveau communautaire.

Introduction : La détection de l’hypertension artérielle dans les pays africains varie de 15 à 40 %. Ainsi, plus de la moitié des personnes hypertendues ignorent leur état. En Côte d’Ivoire, très peu de travaux sur la détection de l’hypertension artérielle existent. But de l’étude : L’objectif était d’analyser la détection et le contrôle de l’hypertension artérielle en milieu périurbain ivoirien. Résultats : Trois cent soixante (360) participants ont été interrogés. Parmi eux, 47,8 % (172 participants) avaient leur pression artérielle mesurée au cours des douze derniers mois. Soixante-sept individus ont été classés comme hypertendus dont 30 avaient déjà été détectés (44,8 %). Le contrôle de l’hypertension artérielle était de 60 %. Des probabilités de détection plus élevées étaient associées à la pratique d’une activité physique (OR = 3,27 IC 95 % : 1,08-10,54). Conclusions : La détection de l’hypertension artérielle bien que relativement importante à Anonkoi 3 concernait moins de la moitié des hypertendus. D’où l’intérêt de sensibiliser les populations au dépistage systématique de l’hypertension artérielle.