Menstrual characteristics, menstrual anxiety and school attendance among adolescents in Uganda: a longitudinal study.
Menstrual characteristics, menstrual anxiety and school attendance among adolescents in Uganda: a longitudinal study.
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DOI：
10.1186/s12905-021-01544-6
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发表时间：
2021-12-11
期刊：
影响因子：
--
通讯作者：
Weiss HA
中科院分区：
文献类型：
--
作者：
Tanton C;Nakuya K;Kansiime C;Hytti L;Torondel B;Francis SC;Namirembe P;Nakalema S;Nalugya R;Musoke SN;Neema S;Ross DA;Bonell C;Seeley J;Weiss HA
定性数据显示，在许多情况下，月经对健康和教育产生负面影响，但很少有关于月经影响的纵向定量研究。我们分析协会与月经焦虑和上学在乌干达中学生的研究。数据来自一项在乌干达恩德培分区的两所中学进行的月经健康干预（MENISCUS）的纵向试点研究。自我完成的月经相关数据，包括月经焦虑，收集了232名参与者干预前后。一个由100名随机选择的月经初潮后女孩组成的子队列被要求在10个月的随访期间自我完成每日日记，包括月经量，疼痛和上学情况的数据。我们使用多变量logistic回归估计基线时所有女孩与月经焦虑的相关性，并使用随机效应logistic回归估计子队列中干预前3个月月经特征与未上学的相关性，并对女孩内聚类进行调整。总体而言，130/222（58.6%）的怀孕女孩报告对下一次月经感到焦虑。那些不和母亲住在一起的人的月经焦虑更高（调整后的比值比（OR）= 1.91; 95%置信区间（CI）1.01-3.60），相信月经神话（aOR = 1.83; 0.95-3.50不同意女孩在经期跑步、跳舞或骑自行车是健康的; aOR = 1.97; 1.04-3.73同意当一个女孩来月经时她是不洁的），降低月经信心（月经期间避免体力活动的aOR = 2.49; 1.33-4.65;月经期间不愿与其他女孩谈论月经的aOR = 1.68; 0.89-3.17; aOR = 2.89; 1.28-6.54同意男孩/女孩取笑他们的时期; aOR = 2.27; 1.21-4.27担心在她的时期被取笑）。月经知识水平低的女性焦虑发生率低（aOR = 0.44; 0.23-0.84）。在子队列的干预前阶段，缺课与月经疼痛相关，21.7%的女孩在报告疼痛的日子缺课，而在没有报告疼痛的日子缺课的比例为8.3%（aOR = 3.82; 1.66-8.77）。月经引起乌干达女学生的严重焦虑，月经疼痛与经期缺课有关。月经保健干预措施应解决月经的社会文化方面，以减少焦虑，并提供有关疼痛管理策略的教育，以支持上学。在线版本包含补充材料，可通过10.1186/s12905-021-01544-6获得。
Qualitative data show negative impacts of menstruation on health and education in many settings, but there are few longitudinal quantitative studies of the impact of menstruation. We analyse associations with menstrual anxiety and school attendance in a study of Ugandan secondary school students. Data were from a longitudinal pilot study of a menstrual health intervention (MENISCUS), conducted in two secondary schools in Entebbe sub-district, Uganda. Self-completed menstrual-related data, including menstrual anxiety, were collected from 232 participants pre- and post-intervention. A sub-cohort of 100 randomly-selected post-menarcheal girls were asked to self-complete daily diaries during 10 months of follow-up, with data on menstrual flow, pain, and school attendance. We used multivariable logistic regression to estimate associations with menstrual anxiety among all girls at baseline, and random-effects logistic regression to estimate associations of menstrual characteristics with school non-attendance for 3 months pre-intervention in the sub-cohort, adjusting for within-girl clustering. Overall, 130/222 (58.6%) of menstruating girls reported being anxious about their next period. Menstrual anxiety was higher in those not living with their mother (adjusted odds ratio (OR) = 1.91; 95% confidence interval (CI) 1.01–3.60), believing menstrual myths (aOR = 1.83; 0.95–3.50 for not agreeing that it is healthy for a girl to run, dance or cycle during her period; aOR = 1.97; 1.04–3.73 for agreeing that when a girl has her period she is unclean), lower menstrual confidence (aOR = 2.49; 1.33–4.65 for avoiding physical activity during her period; aOR = 1.68; 0.89–3.17 for not feeling comfortable to talk to other girls about her period; aOR = 2.89; 1.28–6.54 for agreeing that boys/girls tease them about their periods; and aOR = 2.27; 1.21–4.27 for worrying about being teased during her period). Those with lower knowledge about menstruation were less likely to report anxiety (aOR = 0.44; 0.23–0.84). During the pre-intervention period of the sub-cohort, school non-attendance was associated with menstrual pain, with 21.7% of girls missing school on days when they reported pain vs. 8.3% on days when no pain was reported (aOR = 3.82; 1.66–8.77). Menstruation causes substantial anxiety in Ugandan schoolgirls, and menstrual pain is associated with missing school on period-days. Menstrual health interventions should address socio-cultural aspects of menstruation to reduce anxiety, and provide education on pain management strategies to support school attendance. The online version contains supplementary material available at 10.1186/s12905-021-01544-6.
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DOI：
10.11604/pamj.2014.19.253.5313
发表时间：
2014
期刊：
The Pan African medical journal
影响因子：
--
作者：
Boosey R;Prestwich G;Deave T
通讯作者：
Deave T
DOI：
10.1186/s12905-015-0228-8
发表时间：
2015-09-04
期刊：
BMC women's health
影响因子：
--
作者：
Abdelmoty HI;Youssef MA;Abdallah S;Abdel-Malak K;Hashish NM;Samir D;Abdelbar M;Hosni AN;Abd-El Ghafar M;Khamis Y;Seleem M
通讯作者：
Seleem M
影响因子：
6.2
作者：
Oster, Emily;Thornton, Rebecca
通讯作者：
Thornton, Rebecca
影响因子：
1.4
作者：
Dolan, Catherine S.;Ryus, Caitlin R.;Scott, Linda
通讯作者：
Scott, Linda
影响因子：
3.7
作者：
Mason, Linda;Nyothach, Elizabeth;Phillips-Howard, Penelope A.
通讯作者：
Phillips-Howard, Penelope A.