scholarly journals Tobacco use among rural women in reproductive age group and its association with regularity of menstrual cycles and dysmenorrhoea: a community based cross sectional study

Author(s):  
Namratha Kulkarni ◽  
Nikhil Hawal ◽  
Vijaya A. Naik

Background: Tobacco is a killer of men and women but sex specific differences exists. Along with the risk of suffering from the various health hazards from tobacco use, women are more prone to unique risks related to menstrual and reproductive function reproductive health hazards. This study was done to know the prevalence of tobacco consumption among the rural women in the reproductive age group and its association with the regularity of menstrual cycles and dysmenorrhoea.Methods: A community based cross sectional study, conducted from January 2011 to December 2011 among 1200 rural women aged between 15 years to 49 years residing in Primary Health Centre (PHC) Vantmuri area, Belgaum, Karnataka, India. Statistical analysis was done using rates, ratios and chi-square tests.. Results: The prevalence of tobacco consumption was 9.7%. 11 (10.9%) of currently pregnant women were consuming tobacco. Among the tobacco users, 89 (76.1%) had regular cycles. The association of tobacco consumption with irregular menstrual cycles was statistically significant (χ2=5.575, df=1, p=0.018). Further in this study, a very high percentage of 100 (85.5%) of the tobacco users had dysmenorrhoea. The difference was statistically strongly significant. (χ2=266.593, df=1, p<0.001). Among the tobacco users with irregular menstrual cycles, the most common manifestation was oligomenorrhoea 12 (42.9%) followed by 9 (32.1%) and 7 (25%) of menorrhagia and polymenorrhoea respectively. Conclusions: Significant association was found between tobacco consumption and the irregularity of menstrual cycles and dysmenorrhoea. It has become the need of the hour to provide enough evidence on the correlates of tobacco use in the community to assist government policy makers, health professionals and the public in developing realistic models towards effective tobacco control to cater to different sections of community in need. 

Author(s):  
Monisha Kanya Savarimuthu ◽  
Srisudha Bhaskar ◽  
Anu Mary Alexander ◽  
Suja Kurian

Background: Absence of menstrual period in a woman of reproductive age group could be physiological or pathological. Ascertaining the cause for this is a common clinical scenario faced by physicians. It is also a common clinical problem in women who are on treatment with antipsychotic medication. This cross-sectional study aimed to assess the occurrence of antipsychotic induced amenorrhoea among women aged 18-45 years, attending outpatient services of a tertiary care setting, the factors associated and to assess the effective strategies of treatment.Methods: Retrospective chart review of clinical details of women in the reproductive age group who fulfilled the inclusion criteria was carried out. They were divided into two groups: Group A included 84 women with antipsychotic induced amenorrhea and Group B included 94 women on antipsychotics and had normal menstrual cycles. Various factors and strategies which worsened or alleviated the symptoms were noted.Results: Women who were less than 35 years of age, on antipsychotic treatment for more than two years duration (52;83.9%) and those who were on treatment with Risperidone (69;73.4%) were identified as having the risk of developing antipsychotic induced amenorrhoea. The strategy of switch of medication to prolactin sparing antipsychotic was more effective in regularising the menstrual cycles (43;87.8%).Conclusions: In women presenting with amenorrhoea, a possible medication induced aetiology need to be considered, especially use of antipsychotics. Further understanding of the complexities of this relationship may help to guide the assessment and proper treatment of women with antipsychotic related amenorrhoea.


Author(s):  
Namratha Kulkarni ◽  
Pavan P. Havaldar ◽  
Vijiya A. Naik

Background: Tobacco imposes a colossal burden of disease and death leading to catastrophic health, social, economic, and environmental effects. “Tobacco” kills both men and women but sex-specific differences exist. Traditional forms of tobacco like dentifrice or tobacco tooth powder and betel quid, tobacco and lime mixture are commonly used and also, the new products use is increasing not only among men but even among children, teenagers, women of reproductive age. This study was done to know the patterns and other correlates of tobacco use among the rural women in the reproductive age group.Methods: A community based cross sectional study, conducted from January 2011 to December 2011 among 1200 rural women aged between 15 years to 49 years residing in primary health centre, Vantmuri area, Belgaum, Karnataka, India. Statistical analysis was done using rates, ratios and chi-square tests.Results: Tobacco consumption was seen in 9.7% of the study participants. A very high percentage of 79 (67.5%) had more than 10 years of exposure to tobacco amongst the users. Dentifrice was the most common form of tobacco used (85.5%) followed by 32 (27.4%) plain tobacco consumption. However, 49 (4.1%) consumed multiple forms of tobacco, most common being dentifrice along with plain tobacco or paan with beetelquid or used snuff.Conclusions: The distribution of tobacco consumption is likely to maintain, and perhaps increase, the current considerable socioeconomic differentials in health in India. Dual users are at much higher health risks than those who consume the individual tobacco product. It also emphasizes the variations in patterns of using tobacco among rural women. There is a need for periodical surveys using more consistent definitions of tobacco use and eliciting information on different types of tobacco consumed. 


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