Nature and Prevalence of Menstrual Disorders among Teenage Female Students at Zagazig University, Zagazig, Egypt
Nature and Prevalence of Menstrual Disorders among Teenage Female Students at Zagazig University, Zagazig, Egypt
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DOI：
10.1016/j.jpag.2015.08.008
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发表时间：
2016-04-01
影响因子：
1.8
通讯作者：
El-Attar, Nadia
中科院分区：
文献类型：
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作者：
Nooh, Ahmed M.;Abdul-Hady, Atiea;El-Attar, Nadia
研究目的：确定少女月经失调的性质和患病率。设计：一项观察性描述性横断面研究。地点：埃及扎加齐格大学学生医院。参与者：参加大学入学前体检的女学生的代表性样本。干预措施：自填问卷，涵盖青少年人口统计数据和月经特征的项目。主要结果指标：有关初潮、体重的信息指标、体育锻炼、周期长度和规律、月经持续时间、经血量、痛经和经前综合症。结果：共分析285份问卷。初潮的平均年龄为 12.3 +/- 1.5 岁。 18 名参与者 (6.3%) 报告月经稀发，另外 5 名参与者 (1.8%) 提到月经过多。 25 名学生（8.8%）出现月经量少，12 名学生（4.2%）出现月经过多。 24 名学生（8.4%）提到月经不调。 188 名学生（66.0%）报告有痛经。其中，81 人（28.4%）将疼痛评定为轻度，69 人（24.2%）将疼痛评定为中度，38 人（13.3%）将疼痛评定为重度。 160 名女孩（56.1%）提到经前综合症。 36 名学生 (12.6%) 报告了向某人咨询月经问题的情况。结论：我们的结果与世界其他地区的结果没有太大差异。关于月经失调的性质和患病率及其对年轻女性健康状况、生活质量和社会融合的影响的数据表明，应在现有的生殖保健计划中更加重视对这些失调的管理。迫切需要对月经失调的患病率和危险因素及其发病率进行进一步研究。
Study Objective: To determine the nature and prevalence of menstrual disorders among teenage girls.Design: An observational descriptive cross-sectional study.Setting: Zagazig University Students' Hospital, Zagazig, Egypt.Participants: A representative sample of female students who attended the university pre-enrollment medical examination.Interventions: Self-administered questionnaire covering items on the adolescents' demographic data and menstruation characteristics.Main Outcome Measures: Information about menarche, body mass index, physical exercise, cycle length and regularity, duration of menses, menstrual blood loss, dysmenorrhea, and premenstrual syndrome.Results: A total of 285 questionnaires were analyzed. Mean age at menarche was 12.3 +/- 1.5 years. Oligomenorrhea was reported by 18 participants (6.3%) and 5 others (1.8%) mentioned having polymenorrhea. Hypomenorrhea was noted in 25 students (8.8%), and hypermenorrhea was reported by 12 (4.2%). Irregular periods were mentioned by 24 students (8.4%). Dysmenorrhea was reported in 188 students (66.0%). Of these, 81 (28.4%) graded their pain as mild, 69 (24.2%) as moderate, and 38 (13.3%) as severe. Premenstrual syndrome was mentioned by 160 girls (56.1%). Consulting somebody regarding their menstrual problems was reported by 36 students (12.6%).Conclusion: Our results are not greatly different from those in other parts of the world. Data on nature and prevalence of menstrual disorders and their effect on young women's health status, quality of life, and social integration suggest that management of these disorders should be given more attention within the available reproductive health care programs. Further research into prevalence of and risk factors for menstrual disorders and their morbidity is warranted and anxiously awaited.