Epidemiology of D
Epidemiology of Dysmenorrhea among Adolescent Students in Assiut City, Egypt
Eman M. Mohamed
Public Health and Community Medicine Department, Faculty of Medicine, Assiut University
Abstract: Dysmenorrhea is the most common gynecologic complaint among adolescent females. It is the leading cause of recurrent short-term school absenteeism among them. The aim of the present study was to examine the prevalence, determinants, impact and treatment practices of dysmenorrhea among adolescent secondary school girls in Assiut city. A cross-sectional study was conducted in four secondary schools for girls in Assiut city, that were chosen randomly from a listing frame. Data were collected using a self-administered structured questionnaire about the presence, duration, severity, treatment, and impact of dysmenorrhea. To be eligible for study participation, female students must have had a period in the previous three months. A total of 845 adolescent school girls completed the questionnaire. The prevalence of dysmenorrhea was 76.1% (n = 643) (mild 26.6%, moderate 32.0%, and severe 41.4%). Dysmenorrhea was found to be significantly associated with: older age, earlier menarche, irregular or long cycle, and heavy bleeding. No limitation of activities was reported by 43% of participants with dysmenorrhea. About 39% reported missing school days due to dysmenorrhea during the 3 months prior to the survey and 30% reported missing individual classes. Activities affected by dysmenorrhea included class concentration (53.5%), sports participation (50.9%), class participation (49.9%), socializing with friends (45.3%), test-taking skills (35.6%), and homework tasks performance (35.6%). Nine percent consulted a physician and 42% saw a school nurse for help with their symptoms. Dysmenorrhea was significantly associated with school absenteeism and decreased academic performance, sports participation, and socialization with peers. In conclusion, dysmenorrhea is highly prevalent among adolescent secondary school girls and is related to school absenteeism and limitations on social, academic, and sports activities. Given that most adolescents don't seek medical advice for dysmenorrhea, health care providers should screen routinely for dysmenorrhea and offer treatment. As dysmenorrhea reportedly affects school performance, school administrators may have a vested interest in providing health education on this topic to their students.
[Eman M. Mohamed. Epidemiology of Dysmenorrhea among Adolescent Students in Assiut City, Egypt. Life Sci J 2012;9(1):348-353]. (ISSN: 1097-8135). http://www.lifesciencesite.com. 50
Key words: dysmenorrhea, adolescent girls, prevalence, impact, Egypt Full Text 50