scholarly journals Determination of the prevalence and pattern of menstrual disorders in college going adolescent girls in rural Haryana

Author(s):  
Vaishali Verma ◽  
Das Banashree ◽  
Nath Jayathi

Background: Adolescence is the transitional period from puberty to adulthood, causing rapid physical, cognitive, social and emotional changes. Any deviation of normal menstrual pattern is one of the reasons of severe stress and academic losses on many. The aim of the study was to determine prevalence and pattern of menstrual disorders in college going adolescent girls.Methods: A descriptive cross-sectional study was conducted in a medical college of Gurugram district of Haryana, North India. A semi-structured, pretested questionnaire was used to ask about the characteristics of girl’s menstruation: age of menarche; regularity/irregularity of menstruation, interval and duration; presence of amenorrhoea; amount of blood loss; degree of pain during menstruation; activity during menstruation and BMI.Results: All the girls were in the age group 17 to 19 years i.e.; in the late adolescent period with the mean age of 18.2±0.7 3 years. 81.66% girls attained menarche between 12 to 14 years of age. 3.66% girls attained early menarche and 0.33% girls attained menarche late. 19 had scanty menstrual bleeding and 7 suffered from secondary amenorrhea. 27 girls suffered from heavy menstrual bleeding. 78.3% adolescent girls had various degrees of dysmenorrhea with 8.66% had severe dysmenorrhea. 17.66% girls had high BMI and 11% girls for underweight.Conclusions: There was a high prevalence of menstrual disorders among adolescent girls which affects their social and academic lives. Thus, more attention should be paid to identify and treat these menstrual morbidities.

Author(s):  
Neha Goyal

Background: Adolescence is a nutritionally vulnerable period for a number of specific reasons, including high requirements for growth, eating patterns and lifestyles, risk-taking behaviour and, susceptibility to social and environmental influences. The objectives of the study were to compare the nutritional status of rural and urban school going adolescent girls by anthropometric measurements.Methods: A cross-sectional study was carried out in urban as well as rural schools of Haldwani block of district Nainital from October 2012 to September 2014. Multistage random sampling was used to select the requisite number, 770 (443 rural and 327 urban) of school going adolescent girls of 10 to 19 years of age, who were interviewed and anthropometric measurements were recorded for assessing the nutritional status. WHO 2007 growth standards for 5-19 years old for girls was followed. Height-for-age Z scores and BMI-for-age Z scores were calculated with help of WHO Anthro Plus Software version 1.0.4. Data was analysed using SPSS v.20.Results: Mean weight and mean BMI of adolescent girls in urban area was significantly higher than those in rural area, while mean height in two groups was not significantly different. Mean height-for-age and the mean BMI-for-age of the study girls was below median of the 2007 WHO reference throughout the adolescent period.Conclusions: Thinness was significantly higher in rural girls while overweight and obesity was not significantly different in rural and urban girls. 


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.


Author(s):  
Satendra Kumar Verma ◽  
Rufia Shaistha Khanum ◽  
Sunil D. Kumar ◽  
Narayanmurthy M. R.

Background: Anemia is a serious issue globally affecting all age groups. Anemia can be both acute and chronic. The most common cause is undernutrition which is a common issue in underdeveloped countries. Knowledge about anemia, attitude, and practices are important to decrease the burden of anemia. The community should be educated about the causes and prevention of anemia. Despite various measures like WIFS, POSHAN abhiyan, and National iron plus initiative, etc., there is still a long way to go to improve the nutritional status of adolescents and curb nutrient deficiency disorders.Methods: A cross-sectional study was conducted in JSS schools and pre-university during February 2021. The sample size was 292, but a total of 300 girls in the late adolescent age group were included in the study. A structured proforma was used to collect data regarding knowledge, attitude, and practices towards anemia. Descriptive statistics such as mean, frequencies, and percentages were calculated.Results: Mean age of the participants was 16.8±1 years. The knowledge about anemia was poor, positive attitudes and good practices were noticed among the participants.Conclusions: Anemia is a huge problem among adolescent girls. The awareness is poor regarding the disease and its effects. The community is ignorant about the detrimental effects of anemia. Hence appropriate health interventions targeting women and children are needed to see any positive changes in their status.


Author(s):  
Soumya Gopakumar ◽  
Sandra Johns

Background: Adolescence is a transitional period where the relationship between them and their parents are vital. Mental health status of girls staying in poor homes without parental care may influence their academic performance and since need special attention. So a study was undertaken to assess the depression status of adolescent girl students (13-15yaers) in selected schools using Kutcher Adolescent Depression Assessment Scale (KADS) given by Kutcher and to compare the depression scores, academic and other socio-demographic factors of adolescent girls with and without parental care. Methods: Cross sectional study involving 130 girl students from selected schools of which 40 students were from poor homes. Chi -square test and Mann Whitney U test was used as test of significance for qualitative and quantitative variables respectively. Binary logistic regression was also used. Results: Analysis of KADS score indicated that both type of students with and without parental care had similar cumulative scores varying from 1- 19. Among the study subjects 10 (7.7% with 95 % confidence interval 3.12% - 12.28%) had scores above 15. Academic performances and participation in arts and sports were significantly different between students staying with parents than those from poor homes. Conclusions: Percentage of students from poor homes with collective KAD scores above 15 is almost double the percentage of students with parental care. Parental support is positively related to better academic and extracurricular activities of students. 


Author(s):  
Amal Kumar Sinha Roy ◽  
Manabendra Sau ◽  
Kishore P. Madhwani ◽  
Pausali Das ◽  
Jitendra Kumar Singh

Background: Puberty is the unique stage of growth and development associated with the social and psychological changes referred to as adolescence. The adolescent psychosocial development is the process through which the dependent child becomes a self reliant adult. A large number of adolescents suffer from psychosocial problems and many of these problems are of transient in nature and are often not even noticed. The objective of the study was to find out the prevalence of psychosocial problems among adolescents.Methods: A cross-sectional study was conducted in ward no 58 of Tangra area of Kolkata. The study group comprised of 420 adolescents, selected by multistage stratified random sampling. Data was collected on a pre-designed and pre-tested questionnaire by interviewing the adolescents and was subsequently analyzed by using suitable statistical package.Results: Anxiety was maximum (34.76%) in adolescent boys whereas conduct disorder was found to be maximum (28.57%) in adolescent girls. Majority (35.62%) of late adolescent boys were attributed to substance abuse. Anxiety was found to be the commonest problem among adolescent males in all religions. Educational difficulties were maximum among Muslim adolescents. The problems per subject (with psycho-social problems) were more in adolescent boys (4.4) and girls (3.8) having joint family. None of the class I adolescent girls claimed to have any educational difficulties.Conclusions: A holistic approach to underlying causes of psycho-social problems of adolescents should be undertaken. There is need of strengthening the existing “package” of services for adolescents in various initiatives and programmes. 


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%.


2021 ◽  
pp. 1-3
Author(s):  
Anum Fatima ◽  
Pratap Bhan Kaushik

INTRODUCTION: INDIA HAS LARGEST ADOLESCENT POPULATION IN WORLD. ADOLESCENT IS CHARACTERIZED BY SIGNIFICANT PHYSIOLOGICAL AND PSYCHOLOGICAL CHANGES.OBJECTIVE: TO ASSESS KNOWLEDGE AND AWARENESS OF LATE-ADOLESCENT GIRLS REGARDING MENSTRUAL HYGIENE AND REPRODUCTIVE HEALTH INCLUDING CONTRACEPTION.METHODS: A CROSS SECTIONAL STUDY WAS CONDUCTED IN THE MONTH OF OCTOBER 2020 AMONG LATE-ADOLESCENT GIRLS WHO CAME TO OUTDOOR OF AN URBAN HEALTH TRAINING CENTRE, UDAIPUR.160 SUCH GIRLS WHO CAME WITH GUARDIAN AND GAVE CONSENT WERE INCLUDED.A PRETESTED, SEMI-STRUCTURED QUESTIONNAIRE WAS USED.DATA WAS ENTERED IN MS EXCEL2016 AND ANALYSED USING SPSS.RESULTS: AMONG 160 PARTICIPANTS, 43% BELONGED TO AGE GROUP 15-17 YEARS AND 57% TO 18-19 YEARS.5% WERE MARRIED, ALL WERE LITERATE.THE MAIN SOURCE OF INFORMATION FOR KNOWLEGDE ABOUT PUBERTY WERE TEACHERS(46.9%), ALTHOUGH THEY WISHED TO HAD KNOWLEDGE FROM DOCTORS(36.9%).THEY HAD GOOD KNOWLEDGE AND PRACTICES FOR MENSTRUAL HYGIENE.MOST OF THEM WERE FAMILIAR WITH HIV(79.4%) BUT LACKED INDEPTH KNOWLEDGE.MAJORITY DID NOT KNOW ABOUT ANY OTHER SEXUALLY TRANSMITTED DISEASES (67.5%).AMONG CONTRACEPTIVE METHODS, MAJORITY HAD KNOWLEDGE ABOUT CONDOMS (73%), AND LEAST ABOUT EMERGENCY CONTRACEPTIVE(26%).CONCLUSION: PARTICIPANTS HAD GOOD MENSTRUAL HABITS BUT LACK REPRODUCTIVE HEALTH KNOWLEDGE.ATTEMPTS TO INCREASE BASIC KNOWLEDGE ABOUT MENSTRUATION AND REPRODUCTIVE HEALTH THROUGH SCHOOL CURRICULUM OR COMPULSORY WORKSHOPS, COUNSELLING ,COMMUNITY AND PARENTERAL COMMUNICATION IS REQUIRED.


Author(s):  
Veena G. Rahatgaonkar ◽  
Anuradha H. Wakankar ◽  
Gauri A. Oka ◽  
Sonal V. Kamble

Background: Menstrual abnormalities are a major gynaecological problem faced by adolescent girls leading to morbidity that may have an adverse effect on their school attendance. The objective of the study was to determine prevalence of menstrual disorders in girls aged 10-19 years and to study their treatment-seeking behaviour.Methods: We conducted a cross-sectional study on 592 girls in the age group of 10 to 19 years attending schools in Pune city during January 2016 to December 2016. Permission was sought from school authorities. Girls 10-17 years were included after obtaining parental consent. For 18 and 19 year olds, informed consent was taken from the girls themselves. Demographic information, height, weight and characteristics of menstrual period were noted.Results: Majority girls (36%) were in age group 12.1-14 years. Most prevalent menstrual disorder was painful menses reported by 70% of girls, followed by heavy menstrual bleeding (46%) and cycle irregularity (22%). All menstrual disorders were most commonly prevalent in the age group of 14.1 to 16 years. Proportion of girls visiting a doctor and taking medications for painful menses was 26.7% and 16.5% respectively, for heavy menstrual bleeding was 25.7% and 16.5% respectively and for cycle irregularity was 33% and 16.5% respectively. No association was found between mother’s education and treatment seeking behaviour for menstrual disorders.Conclusions: In spite of high prevalence of menstrual disorders, only a minority of the adolescents seek expert advice. This underscores the need for creating awareness among girls, mothers and teachers and developing a screening tool to identify girls who could benefit by further investigation and follow-up.


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