Environmental and dietary habits as determinants of polycystic ovarian syndrome among women of childbearing age in Ibadan metropolis. A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i2.2581Keywords:
Polycystic ovarian syndrome, environmental factors, dietary habits, genetics, women of childbearing age, IbadanAbstract
Background:
This study examined the roles of environmental factors (specifically climatic conditions), genetics, and dietary habits as potential contributors to PCOS among women of childbearing age in Ibadan, Oyo State, Nigeria.
Methods:
A descriptive correlational design was adopted. Data were collected using a self-developed, four-scale questionnaire with a Cronbach alpha reliability coefficient of 0.77. Multistage sampling was employed: purposive sampling was used to select all state-owned primary health centres in Ibadan; disproportionate sampling selected 60% of these centres; and a further disproportionate technique selected 50% of nursing mothers from the chosen centres, yielding a sample of 400 respondents.
Results:
77(19.9%) of the respondents were between the age of 20 - 29 years, 135 (35%) were between the age of 30 - 39 years, 137 (35.5%) were aged 40 - 49 years with the least number of respondent 37 (9.6%) were aged 50 - above, with educational background (87.8%) and about (56%) were of the monogamous family type while (44%) were polygamous. Regarding the determinant of PCOS by the respondents, 25.1 % affirmed that Hormonal shifts throw off body temperature regulation, 20.8% testified that the environment also affects and causes irregular flow. Climatic conditions (β = .461, t = 8.777, p < 0.05), genetics (β = .443, t = 9.695, p < 0.05), and diet (β = .590, t = 5.032, p < 0.05) each had a statistically significant and notable impact on PCOS among women of childbearing age.
Conclusion:
It was established that climatic conditions, dietary habits, and genetic predisposition collectively and independently predicted PCOS among women of childbearing age in Ibadan. These findings underscore the multifactorial nature of PCOS.
Recommendation:
The Ministry of Health/Women's Affairs needs to integrate public health interventions targeting lifestyle, environment, and genetics as risk factors to polycystic ovarian syndrome.
References
Abdelazim, I., Amer, O., & Farghali, M. M. (2020). Common endocrine disorders associated with the polycystic ovary syndrome. Przegląd Menopauzalny, 19(4), 179-183. https://doi.org/10.5114/pm.2020.101948
Adam, H. (2014). Polycystic ovary syndrome: Management, diagnosis and treatment. In Infertility in Practice (4th ed., pp. 201-236). CRC Press/Taylor & Francis Group.
Adebowale, A. S., Tinuoya, A. F., Olowolafe, T. A., Gbadebo, M. T., & Otekunrin, O. C. (2019). Unintended pregnancy and childbearing among out-of-school unmarried young women living in metropolitan city slums, South-West Nigeria. Public Health Research, 9(4), 87-98.
Akin, L., Kendirci, M., Narin, F., Kurtoglu, S., Saraymen, R., & Kondolot, M. (2015). The endocrine disruptor bisphenol A may play a role in the aetiopathogenesis of polycystic ovary syndrome in adolescent girls. Acta Paediatrica, 104(2), 171-177. https://doi.org/10.1111/apa.12885
Akpata, C. B., Uadia, P. O., & Okonofua, F. E. (2018). Prevalence of polycystic ovary syndrome in Nigerian women with infertility: A prospective study of three assessment criteria. Open Journal of Obstetrics and Gynecology, 8(12), 1109-1120. https://doi.org/10.4236/ojog.2018.812112
Becker, M. H., Haefner, D. P., Kasl, S. V., Kirscht, J. P., Maiman, L. A., & Rosenstock, I. M. (1977). Selected psychosocial models and correlates of individual health-related behaviours. Medical Care, 15(5), 27-46. https://doi.org/10.1097/00005650-197705001-00005
Ding, T., Hardiman, P. J., Peterson, I., Wang, F. F., Qu, F., & Baio, G. (2017). The prevalence of polycystic ovary syndrome in reproductive-aged women of different ethnicities: A systematic review and meta-analysis. Oncotarget, 8(56), 96351-96358. https://doi.org/10.18632/oncotarget.19180
Hochbaum, G. M. (1958). Public participation in medical screening programmes. US Public Health Service.
Igwegbe, A. O., Eleje, G. U., & Enechukwu, C. I. (2013). Polycystic ovary syndrome: A review of management outcomes in a low-resource setting. Journal of Women's Health Issues and Care, 2(3). https://doi.org/10.4172/2325-9795.1000110
Kechebelu, J. I., Ugboaja, J. O., & Okeke, C. A. (2010). Reproductive outcome in infertile women with clomiphene citrate-resistant polycystic ovarian syndrome treated by laparoscopic ovarian drilling. Tropical Journal of Laparoscopy and Endoscopy, 1(1), 33-38.
Lewin, K. (1951). Field theory in social science. Harper & Row.
Omokanye, L. O., Ibiwoye-Jaiyeola, O. A., Olatinwo, A. W. O., Abdul, I. F., Durowade, K. A., & Biliaminu, S. A. (2015). Polycystic ovarian syndrome: Analysis of management outcomes among infertile women at a public health institution in Nigeria. Nigerian Journal of General Practice, 13(1), 44-48. https://doi.org/10.4103/1118-4647.170152
Pan American Health Organization. (2001). Health indicators: Building a monitoring and information system for the health sector. PAHO.
Papalou, O., Victor, V. M., & Diamanti-Kandarakis, E. (2016). Oxidative stress in polycystic ovary syndrome. Current Pharmaceutical Design, 22(18), 2709-2722. https://doi.org/10.2174/1381612822666160216151852
Rosenstock, I. M. (1966). Why do people use health services? Milbank Memorial Fund Quarterly, 44(3), 94-127. https://doi.org/10.2307/3348967
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2(4), 328-335. https://doi.org/10.1177/109019817400200405
Sedha, S., Gautam, A. K., Verma, Y., Ahmed, R., & Kumar, S. (2015). Determination of in vivo oestrogenic potential of di-isobutyl phthalate (DIBP) and di-isononyl phthalate (DINP) in rats. Environmental Science and Pollution Research, 22(22), 18197-18202. https://doi.org/10.1007/s11356-015-5021-6
Subramanian, A., Anand, A., Adderley, N. J., Okoth, K., & Toulis, K. A. (2021). Increased COVID-19 infections in women with polycystic ovary syndrome: A population-based study. European Journal of Endocrinology, 184(5), 637-645. https://doi.org/10.1530/EJE-20-1163
Ugwu, G. O. I., Iyoke, C. A., Onah, H. E., & Mba, S. G. (2013). Prevalence, presentation, and management of polycystic ovary syndrome in Enugu, South-East Nigeria. Nigerian Journal of Medicine, 22(4), 313-316.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Rasheedah Adunni Abdulquadri, Balogun O. J , Odelola J. O

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
















