Menstrual disorders and medical counseling among schoolgirls in South Egypt: a cross-sectional study

Author(s):  
Ahmed Arafa ◽  
Shaimaa Senosy

Abstract Background Menstrual disorders are common gynecological problems among adolescents, however, medical counseling for these disorders is not well documented in developing countries. Objectives This study aimed to assess medical counseling for menstrual disorders among schoolgirls in Beni-Suef city in South Egypt. Methods Using a multi-stage random sampling, a total of 970 preparatory schoolgirls were included in this study. We used a self-administered questionnaire to detect the premenstrual and menstrual disorders as reported by the schoolgirls during the previous 6 months. Medical counseling for the menstrual disorders and other demographic characteristics were also surveyed. Results The mean age of the schoolgirls was 15.4 ± 0.8 years, age of menarche 13.2 ± 1.1 years and menstrual flow days 5.0 ± 1.3. During the past 6 months, 19.4% of the schoolgirls reported medical counseling for at least one menstrual symptom. Dysmenorrhea (89.2%), premenstrual fatigue (32.4%) and headache (31.1%) were the most often reported symptoms. After adjustment for personal and gynecological characters, abdominal bloating [odds ratio (OR) 3.66; 95% confidence interval (CI) 2.18–6.17], flow days >4 (OR 1.73; 95% CI 1.21–2.47), acne flare (OR 1.42; 95% CI 1.01–1.99), dysuria (OR 2.09; 95% CI 1.35–3.22) and facial hair (OR 6.89; 95% CI 3.47–13.69) were associated significantly with a higher likelihood of medical counseling. Conclusion Menstrual disorders are highly prevalent among preparatory schoolgirls in Beni-Suef, however, there is a noticeable lack of the medical counseling for these disorders. Future research should focus on the barriers to medical counseling for menstrual disorders among adolescents.

Author(s):  
Ahmed Arafa ◽  
Lamiaa Saleh ◽  
Sherwet Shawky

Background Menstrual disorders are highly prevalent among girls and may interrupt school attendance. This study aimed to investigate the association between menstrual disorders and school absenteeism among schoolgirls in South Egypt. Subjects and methods A multi-stage random sampling method was adopted to select 930 schoolgirls. A self-administered questionnaire composed of 3 sections (socio-demographic characteristics, menstrual disorders, and school absenteeism) was used to assess the relationship between different menstrual disorders and school absenteeism during the previous 6 months. Results The mean age of the participating schoolgirls was 15.5 ± 0.8 years, age of menarche 13.2 ± 1.2 years, menstrual cycle duration 28.8 ± 7.3 days with average flow days 5 ± 1.3. During the previous 6 months, 43.9% of schoolgirls reported school absenteeism. Dysmenorrhea (89.1%) and premenstrual symptoms, especially abdominal spasm (62.2%), fatigue (32%), and headache (22.7%) were heavily reported during the same period. Menstrual flow >4 days [odds ratio (OR) 1.37, 1.04–1.80], premenstrual abdominal spasm (OR 1.60, 1.22–2.11), fatigue (OR 1.69, 1.27–2.24), breast tenderness (OR 1.67, 1.17–2.38), insomnia (OR 1.92, 1.31–2.80), abdominal bloating (OR 2.29, 1.34–3.91), dysmenorrhea (OR 4.44, 2.58–7.62), dysmenorrhea for more than 1 day (OR 1.38, 1.03–1.84), menstrual acne flare (OR 2.23, 1.68–2.97), dysuria (OR 1.96, 1.31–2.93), and facial hair (OR 2.59, 1.26–5.31) were significantly associated with school absenteeism. Conclusion Premenstrual and menstrual disorders are associated with school absenteeism among schoolgirls in South Egypt. Future research should focus on the effect of school counseling on reducing the absenteeism rate attributed to menstrual disorders.


2020 ◽  
Vol 9 (4) ◽  
pp. 148-152
Author(s):  
Sajjad Shamloo ◽  
Azin Alavi ◽  
Koorosh Nematpour ◽  
Zahra Mirshekari ◽  
Abolfazl Taheri

Background: Menstrual cycle is one of the important factors to protect women’s sexual health, and it is affected by various factors in different individuals. Disrupting the balance of this cycle imposes numerous impacts on women’s health. The present study aimed to investigate the incidence rate and factors associated with menstrual disorders among high school girls in Bandar Abbas, Iran. Materials and Methods: The population of current cross-sectional study was selected through a multi-stage cluster sampling method. Data were collected through a questionnaire. We entered the data of 370 individuals into SPSS software (version 23, SPSS Inc., Chicago, IL, USA) and analyzed them using descriptive statistics and Mann-Whitney U test. The significant level was considered as 0.05. Results: The mean age of the subjects was 16.29 ± 0.89 years. In addition, the mean menarche age and BMI were 12.82 ± 1.09 years and 20.67 ± 4.17. The incidence rates of hypomenorrhea, hypermenorrhea, amenorrhea, oligomenorrhea, and polymenorrhea were 24.6%, 8.4%, 9.7%, 5.7%, and 13.0%, respectively. There was a significant relationship between age trend with disorders like amenorrhea, oligomenorrhea, and polymenorrhea. However, there was no significant relationship between age trend with hypomenorrhea and hypermenorrhea. Generally, the prevalence of menstrual disorders increased with the increase in BMI, though this relationship was not significant. Conclusion: Due to the relatively high incidence of menstrual disorders in the present study and since numerous major illnesses such as infertility originate from these disorders, we suggest that effective measures be taken to promote the culture of menstrual health among adolescent girls and correct the misconceptions of families.


2015 ◽  
Vol 27 (3) ◽  
pp. 247-251 ◽  
Author(s):  
Bridget Omisore ◽  
Akinlolu G. Omisore ◽  
Emmanuel Akintunde Abioye-Kuteyi

Abstract Background: Adolescents are in their formative years, and they experience several changes including anthropometric changes. Significant weight gain occurs in adolescence, and increasingly, obesity and consequent increase in blood pressure (BP) are found in adolescents. Objective: This study compared anthropometric and BP measurements in male and female adolescents. Methods: A cross-sectional study of 1000 adolescents (510 males and 490 females) were selected by multi-stage sampling from eight secondary schools. Pertinent information was collected with the aid of a structured questionnaire, anthropometric and blood pressure measurements. Data were analyzed using SPSS 16.0 version, and the means of anthropometric indices and blood pressures in males and females were compared using independent t-test. Results: The mean age for male respondents was 13.83 years (SD 2.12) and for females 13.62 (SD 1.96). Generally, anthropometric indices gradually increased from the lower ages to the higher ages in both males and females. The mean height was the same for both males and females (1.54 m), while the mean weight, body mass index (BMI), and waist circumference were significantly higher in females than in males (p<0.05). A significantly higher proportion of females compared with males were overweight (10.2%, 5.3%) and obese (3.9%, 2.0%), respectively. The overall prevalence of “hypertension,” was 4.1% and more females (70.7%) had “hypertension” than males (29.3%). Conclusion: Females were heavier and constituted the greater proportion of those who had elevated BP. Adequate attention needs to be given to the challenging problems of overweight and obesity to forestall development of hypertension in adolescents, especially female adolescents.


2021 ◽  
Vol 6 (1) ◽  
pp. 268-278
Author(s):  
Norazlifah Muhamad ◽  
Azrianii Ab Rahman ◽  
Mohd Ismail Ibrahim ◽  
Razlina Abdul Rahman ◽  
Wan Nor Arifin Wan Mansor ◽  
...  

Although the number of pornography exposure is increasing, our understandings on the issues are still lacking. This study aimed to compare gender differences in the attitudes towards pornography among youth in Kelantan. A cross sectional study was conducted using a validated self-administered questionnaire (PORQUE) on 930 college students in both government and private colleges in Kelantan. The mean scores were significantly higher among females for majority of the items assessing non-permissive feelings toward pornography materials (p<0.001), perception on impact of pornography (p<0.05) and perception on factors contributed to pornography (p<0.05). The mean score for majority of the items assessing permissive and perceptions toward pornography materials were significantly higher among males(p<0.001). Females were more non-permissive towards pornography, better perceived the impact of pornography and factors contributed to pornography compared to males. These findings are important as it serve as a guide for the stakeholders to implement pornography intervention for youth in Malaysia.


2018 ◽  
Vol 14 (1) ◽  
pp. 323-333 ◽  
Author(s):  
Ahmed Hussein Subki ◽  
Abdel Moniem Mukhtar ◽  
Rakan Salah Al-Harbi ◽  
Abdulaziz Khaled Alotaibi ◽  
Faisal Ghazi Mosaad ◽  
...  

Background and Objectives: Epilepsy is considered one of the most prevalent causes of morbidity in children. The aim of this study is to determine how epilepsy impacts the lives of children with epilepsy and their families. Methods: A translated version of the “Impact of Pediatric Epilepsy Scale” (IPES) questionnaire was completed by the 80 mothers of children with epilepsy, recruited at three hospitals in Jeddah, Saudi Arabia This is a validated self-administered questionnaire used to assess the impact of epilepsy on the lives of the child and family, as well as the quality of life (QoL) of the child. Results: The mean age of children epilepsy was 6.32 years (SD = 3.22). The mean IPES score was 6.28 (SD = 8.42) and the mean child’s QoL was 2.85 (SD= 0.83). 87.5% of the mothers rated their child’s QoL as low. IPES score was significantly associated with cause of seizure (β=0.259; 95%-CI= 0.263 - 10.334; p = 0.039). Child’s QoL was significantly associated with frequency of seizure (β=0.251; 95%-CI= 0.016 - 0.568; p= 0.039) and child’s nationality (β=-0.270; 95%-CI -0.252, -0.013; p= 0.031). Conclusions: Pediatric epilepsy may have a greater impact on the lives of the child and the family when it is not comorbid with cerebral palsy. Quality of life tends to be lower for non-Saudi children, and children with more frequent seizures. Therefore, these groups may need more support in managing the impact that epilepsy has on their daily functioning and quality of life.


2018 ◽  
Vol 4 (3) ◽  
pp. 259-266 ◽  
Author(s):  
Liton Chandra Sen ◽  
Israt Jahan Annee ◽  
Naharina Akter ◽  
Fawzia Fatha ◽  
Sujan Kanti Mali ◽  
...  

Menstrual disorder is a common fact includes menstrual irregularity, amenorrhea, dysmenorrhea, menorrhagia, oligomenorrhea, polymenorrhea and other related symptoms. Realizing the fact, the present investigation was carried out to determine the prevalence of menstrual disorders among female overweight and obese students and their association with different life style factors. A descriptive cross-sectional study was carried out among 70 overweight students from Patuakhali science and Technology University, Bangladesh through self-administered structural questionnaires. The data were collected on hemoglobin level (g/dl); menstrual pattern viz. menstrual cycle length, duration and flow; lifestyle factors including junk food consumption and dietary pattern. The statistical test was carried out using SPSS V16. The hemoglobin level test ensured that 20% students were non-anemic, 44.3% were mild anemic and 35.7 % were moderate anemic and the mean hemoglobin level was 10.12g/dL. The most commonly observed menstrual disorders among students were dysmenorrhea (47.1%), irregular menstruation (11.4%), menorrhagia (1.4%) and oligomenorrhea (11%). It was observed that 1.4% had scanty flow, 65.7% had normal flow whereas 32.9% had heavy flow of blood. However, the mean flow was 31.6ml. The habit of junk food consumption was found in 88.6% of the respondents and 24.3% of the students practice dieting. Additionally, the respondents who didn’t consume junk foods had regular cycle length although about 88.6% students had regular menstruation cycle and 78.2% had normal duration of flow. Most of the respondents were in moderate dietary diversity score (10.5%) because they maintain a diet chart. The hemoglobin levels ensured that 80% students were found clinically anemic. Thus the study concluded that obesity made the students susceptible to anemia.Asian J. Med. Biol. Res. September 2018, 4(3): 259-266


Author(s):  
Ahmed Arafa ◽  
Alshimaa Mostafa ◽  
Yasser Khamis

AbstractBackgroundAcne and menstrual symptoms are highly prevalent among young women. Since both acne and menstrual symptoms have similar hormonal pathogenesis, it is highly suggested that the two conditions are associated. Herein, we conducted this study to assess the relationship between acne and menstrual symptoms among young women.Subjects and methodsIn this population-based cross-sectional study, a multi-stage random sampling approach was used to include 3065 young women (18–25 years) from Egypt. Women were interviewed for their socio-demographic characteristics, gynecological history, premenstrual and menstrual symptoms, and history of acne and perimenstrual acne flare during the past 6 months.ResultsThe mean age of women was 21.5 ± 2.2 and their age of menarche was 13.1 ± 1.5 years. During the previous 6 months, 44.8% of participants had acne. After adjusting for socio-demographic and gynecological characteristics, acne was associated with most menstrual symptoms with odds ratios (ORs) and 95% confidence intervals (CIs) as follows: [premenstrual symptoms: 1.23 (1.05–1.44) for irritation or nervousness, 1.45 (1.24–1.68) for fatigue, 1.37 (1.15–1.62) for breast tenderness, 1.48 (1.21–1.80) for abdominal bloating, and 1.36 (1.11–1.66) for nausea or vomiting], [menstrual symptoms: 1.63 (1.19–2.23) for dysmenorrhea and 1.24 (1.06–1.45) for dysmenorrhea requiring drugs], and [symptoms severity: 1.44 (1.24–1.68) for missing events and 1.38 (1.16–1.64) for medical consultation]. Of acne patients, 56.7% reported perimenstrual acne flare: 58.5% before menses, 35% during menses, and 6.5% after menses.ConclusionThis study supports the concept that acne is associated with menstrual symptoms. Physicians should consider screening for menstrual symptoms among young women with acne.


Author(s):  
Patrick McGuinn ◽  
Conor Buggy ◽  
Anne Drummond ◽  
Penpatra Sripaiboonkij

Background: Workers who are exposed to high levels of noise should consider wearing HPDs when elimination of noise cannot be put in place. There are several factors including health and safety management systems, peers and policy that could influence workers to either use or not use HPDs. Objectives: To determine worker’s perception of noise risk in a mining setting and to determine if there is an association between organisational rules, knowledge, and the wearing of Hearing Protection Devices (HPDs). Methods: A cross- sectional study was conducted at a mining setting in Ireland in which 116 workers participated; a self-administered questionnaire survey was used. Data analysis was carried out using descriptive statistics and binary regression analysis. Results: The study had a response rate of 94% of the entire population. The mean exposure to noise levels that require HPDs is 5.32 hours. The results showed an association between using HPDs and organisation rules; and no association between preventing abnormal hearing, perceived influences in the workplace, knowledge and information. Conclusion: Factors that can influence workers likelihood to wear HPDs are organisation rules; this is unaffected by the influence of colleagues. Each company should have a clear policy to encourage workers to wear HPDs for preventing Noise Induced Hearing Loss (NIHL). Application: The findings highlighted that a company’s health and safety policy is important to encourage employees to wear HPDs. Mine settings or noisy workplaces should have transparent policies for employees to follow and benefit their hearing health, even if an employee is not aware of the full content of a policy, aspects are known.


Author(s):  
Pavani M. ◽  
Monisha Deepika R. ◽  
Lavanya B. ◽  
Anant A. Takalkar

Background: Menstrual disorders in adolescent age are quite different than in adult women, both for diagnostic and therapeutic management. We need to take into account the problems in normal initiation of menarche, hematological problems, general endocrine problems, and fragile emotional status at this tender age. The objective of the study was to study the patterns of menstrual disorders in adolescent girls.Methods: Cross sectional observational study was carried out in 200 adolescent girls, aged 12 to 19 years, among the students of S.R.P.S PU college and the district government Girls’ school in Raichur during the period of January 2017 to December 2017. A pre-structured questionnaire was used and data was analysed using Statistical package for social sciences (SPSS) 23.0 version.Results: Majority of the girls in our study were from 17-18 years age group (55%). The mean age of menarche was 13.2±0.9 years. Cycle length of <21 days was found in 4 (2%) of cases, 143 (71.5%) had 21-35 days cycle and 10 (5%) had >35 days cycle length. Majority had normal cycle length. Dysmenorrhea was found in 84 (42%) students. Premenstrual symptoms like tiredness were noted in 14 (7%) of cases, pain in the legs in 10 (5%), irritability in 8 (4%), lack of interest in work and play in 7 (3.5%), low back pain in 6 (3%), low/depressed mood in 6 (3%), anger in 4 (2%), anxiety in 4 (2%), difficulty in concentrating in 2 (1%), nausea\vomiting were noted in 2 (1%).Conclusions: Prevalence of dysmenorrhea was 42%. Premenstrual symptoms like tiredness were noted in majority of the girls 7%, pain in the legs in 5%, irritability in 4%.


Author(s):  
Farha Tarannum ◽  
Najam Khalique ◽  
Uzma Eram

Background: Age at menarche reflects the health status of a population. This marks the beginning of sexual maturation and is affected by various factors. This study measured the menarcheal age of adolescent girls in Aligarh and explored factors that could influence the onset of menarche.Methods: A descriptive cross-sectional study in schools under Aligarh Muslim University, Aligarh was undertaken. A total of 422 girls were taken by systematic random sampling with probability proportionate to size. Data was analysed statistically by ANOVA and post hoc Scheffe test using SPSS Version 20.Results: Majority of the study population (69.9%) had attained menarche between 12-14 years. The mean age of menarche is 12.52±1.415. On analysis of variance (ANOVA) testing, the age of menarche was significantly associated with socioeconomic class (p=0.002). On applying post hoc Scheffe test there was a significant difference in the mean age of menarche between class 1 and class 5 (p=0.01).Conclusions: In this study most of the girls attained menarche between 12-14 years. Socio economic class and birth order had influenced the age of menarche. Mothers were main source of information on attainment of menarche. 


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