Prevalence and Associated Factors of Dysmenorrhea Among University Students in Tamil Nadu, India: A Cross-Sectional Study
DOI:
https://doi.org/10.55489/njcm.160120254550Keywords:
Menstrual disorder, Menstrual pain, Prevalence, Primary dysmenorrhea, Young girlsAbstract
Introduction: Dysmenorrhea is a common gynaecological condition of uterine origin characterised by excruciating menstrual cramps. For more than 50% of menstruating women primary dysmenorrhea is both a clinical and a social problem. A cross-sectional study was conducted to estimate the prevalence and determine the factors associated with dysmenorrhoea among university students in Tamil Nadu.
Methods: With ethical approval from the Institutional Ethical Committee of SRMIST (Deemed University), 1076 students aged 18-25 were selected with simple random sampling. Data were collected using a structured questionnaire over June-Sept. 2023. The pain of dysmenorrhea was assessed using the Visual Analogue Scale (VAS).
Results: The estimated prevalence of dysmenorrhoea was 25.5% (274), and 92.47% (n=995) had menstrual pain. It was found that 45.45%, 28.90%, 17.01% and 8.64% of the university students experienced mild, moderate, severe, and worse pain, respectively, as measured using the VAS. There is a significant association between dysmenorrhea and clots during menstruation (AOR=1.40; 95% CI [1.032, 1.913]) and skipping of meals (AOR=1.7; 95% CI [1.172, 2.489]).
Conclusions: It is evident from the study that more than 25% of university students face dysmenorrhea, and most have pain with varied degrees and types. The students should seek help for dysmenorrhoea, not neglect it, and take care of their physical activities and nutrition. In addition, universities should promote education on nutrition and physical activities and empower students to seek help for dysmenorrhea.
References
Itani R, Soubra L, Karout S, Rahme D, Karout L, Khojah HM. Primary dysmenorrhea: pathophysiology, diagnosis, and treatment updates. Korean journal of family medicine. 2022 Mar;43(2):101. DOI: https://doi.org/10.4082/kjfm.21.0103 PMid:35320895 PMCid:PMC8943241
Bilir E, Yıldız Ş, Yakın K, Ata B. The impact of dysmenorrhea and premenstrual syndrome on academic performance of university students, and their willingness to seek help. Turkish journal of obstetrics and gynecology. 2020 Sep;17(3):196. DOI: https://doi.org/10.4274/tjod.galenos.2020.97266 PMid:33072424 PMCid:PMC7538819
Belayneh W, Kassaye Z, Arusi T, Abera N, Hantalo A, Melkamu B, Gutulo M. Prevalence of dysmenorrhea and associated factors and its effect on daily academic activities among female undergraduate students of Hawassa University University of Medicine and Health Sciences, Hawassa, Ethiopia. Frontiers in Reproductive Health. 2023 Dec 15;5:1244540. DOI: https://doi.org/10.3389/frph.2023.1244540 PMid:38162010 PMCid:PMC10757849
Barcikowska Z, Rajkowska-Labon E, Grzybowska ME, Hansdorfer-Korzon R, Zorena K. Inflammatory markers in dysmenorrhea and therapeutic options. International journal of environmental research and public health. 2020 Feb;17(4):1191. DOI: https://doi.org/10.3390/ijerph17041191 PMid:32069859 PMCid:PMC7068519
Esan DT, Ariyo SA, Akinlolu EF, Akingbade O, Olabisi OI, Olawade DB, Bamigboye TO, Ogunfowokan AA. Prevalence of dysmenorrhea and its effect on the quality of life of female undergraduate students in Nigeria. Journal of Endometriosis and Uterine Disorders. 2024;5:100059. DOI: https://doi.org/10.1016/j.jeud.2024.100059
Khan KS, Champaneria R, Latthe PM. How effective are non-drug, non-surgical treatments for primary dysmenorrhoea?. Bmj. 2012 May 14;344. DOI: https://doi.org/10.1136/bmj.e3011 PMid:22586231
Ferries-Rowe E, Corey E, Archer JS. Primary dysmenorrhea: diagnosis and therapy. Obstetrics & Gynecology. 2020 Nov 1;136(5):1047-58. DOI: https://doi.org/10.1097/AOG.0000000000004096 PMid:33030880
Mitsuhashi R, Sawai A, Kiyohara K, Shiraki H, Nakata Y. Factors associated with the prevalence and severity of menstrual-related symptoms: a systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 2022 Dec 29;20(1):569. DOI: https://doi.org/10.3390/ijerph20010569 PMid:36612891 PMCid:PMC9819475
Molla A, Duko B, Girma B, Madoro D, Nigussie J, Belayneh Z, Mengistu N, Mekuriaw B. Prevalence of dysmenorrhea and associated factors among students in Ethiopia: A systematic review and meta-analysis. Women's Health. 2022 Feb;18:17455057221079443. DOI: https://doi.org/10.1177/17455057221079443 PMid:35168425 PMCid:PMC8855444
Maity S, Wray J, Coffin T, Nath R, Nauhria S, Sah R, Waechter R, Ramdass P, Nauhria S. Academic and social impact of menstrual disturbances in female medical students: A systematic review and meta-analysis. Frontiers in medicine. 2022 Feb 15;9:821908. DOI: https://doi.org/10.3389/fmed.2022.821908 PMid:35242785 PMCid:PMC8886240
Wang L, Yan Y, Qiu H, Xu D, Zhu J, Liu J, Li H. Prevalence and risk factors of primary dysmenorrhea in students: a meta-analysis. Value in Health. 2022 Oct 1;25(10):1678-84. DOI: https://doi.org/10.1016/j.jval.2022.03.023 PMid:35523614
Belayneh W, Kassaye Z, Arusi T, Abera N, Hantalo A, Melkamu B, Gutulo M. Prevalence of dysmenorrhea and associated factors and its effect on daily academic activities among female undergraduate students of Hawassa University University of Medicine and Health Sciences, Hawassa, Ethiopia. Frontiers in Reproductive Health. 2023 Dec 15;5:1244540. DOI: https://doi.org/10.3389/frph.2023.1244540 PMid:38162010 PMCid:PMC10757849
Manjunath SM, Lakshmipathi BS, Ravi Kumar S, Srinivasa V. Prevalence and treatment patterns of dysmenorrhea among female medical students: a questionnaire based study at KIMS, Koppal. International Journal of Basic & Clinical Pharmacology. 2020 Dec;9(12):1844. DOI: https://doi.org/10.18203/2319-2003.ijbcp20205121
Burnett MA, Antao V, Black A, Feldman K, Grenville A, Lea R, Lefebvre G, Pinsonneault O, Robert M. Prevalence of primary dysmenorrhea in Canada. Journal of Obstetrics and Gynaecology Canada. 2005 Aug 1;27(8):765-70. DOI: https://doi.org/10.1016/S1701-2163(16)30728-9 PMid:16287008
De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Elalaily R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different countries. Acta Bio Medica: Atenei Parmensis. 2016;87(3):233.
Vilšinskaitė DS, Vaidokaitė G, Mačys Ž, Bumbulienė Ž. the risk factors of dysmenorrhea in young women czynniki ryzyka bolesnego miesiączkowania u młodych kobiet. Wiad Lek. 2019;72(6):1170-7. DOI: https://doi.org/10.36740/WLek201906102 PMid:31175722
Chauhan M, Kala J. Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation. The journal of obstetrics and gynecology of India. 2012 Aug;62:442-5. DOI: https://doi.org/10.1007/s13224-012-0171-7 PMid:23904707 PMCid:PMC3500946
Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiologic reviews. 2014 Jan 1;36(1):104-13. DOI: https://doi.org/10.1093/epirev/mxt009 PMid:24284871
Acheampong K, Baffour-Awuah D, Ganu D, Appiah S, Pan X, Kaminga A, Liu A. Prevalence and predictors of dysmenorrhea, its effect, and coping mechanisms among adolescents in Shai Osudoku District, Ghana. Obstetrics and Gynecology International. 2019;2019(1):5834159. DOI: https://doi.org/10.1155/2019/5834159 PMid:31236112 PMCid:PMC6545782
Mammo M, Alemayehu M, Ambaw G. Prevalence of primary dysmenorrhea, its intensity and associated factors among female students at high schools of Wolaita Zone, Southern Ethiopia: cross-sectional study design. International Journal of Women's Health. 2022 Dec 31:1569-77. DOI: https://doi.org/10.2147/IJWH.S384275 PMid:36387327 PMCid:PMC9656336
Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, Harris JD. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. JAAOS Global Research & Reviews. 2018 Mar 1;2(3):e088. DOI: https://doi.org/10.5435/JAAOSGlobal-D-17-00088 PMid:30211382 PMCid:PMC6132313
Jena S, Sahoo KC, Patro BK, Tripathy SK, Pandit R. Prevalence of dysmenorrhoea and its management strategies among females: a cross-sectional study in the tribal district, Koraput. Int J Community Med Public Health 2024; 11:794-801. DOI: https://doi.org/10.18203/2394-6040.ijcmph20240268
Karanth S, Liya SR. Prevalence and risk factors for dysmenorrhoea among nursing student and its impact on their quality of life. Int J Reprod Contracept Obstet Gynecol. 2018 Jun;7(7):2661-7. DOI: https://doi.org/10.18203/2320-1770.ijrcog20182483
Tanushree B. A Cross Sectional Study to Assess the Knowledge, Attitude and Health Care Seeking Behaviour towards Dysmenorrhea among Female Students in a Medical University, Kancheepuram, Tamil Nadu. Journal of Pharmaceutical Research International. 2021 Nov 4;33(47B):530-7. DOI: https://doi.org/10.9734/jpri/2021/v33i47B33152
Swaroopa H, Arunachalam R, Prem A. Prevalence of primary dysmenorrhea among adolescent girls in Rajasthan Sirohi District-A cross sectional study. Indian Journal of Natural Sciences.;12(69):35905-10.
Muskan V, Shrestha R, Prasad P, Prasad A. Prevalence of menstrual abnormalities and its effect among undergraduate students. J Nepal Health Res Counc 2021 Oct-Dec; 19 (53): 693-9. DOI: https://doi.org/10.33314/jnhrc.v19i04.3635 PMid:35615824
Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. American journal of obstetrics and gynecology. 1982 Nov 15;144(6):655-60. DOI: https://doi.org/10.1016/0002-9378(82)90433-1 PMid:7137249
Harlow SD, Campbell B. Ethnic differences in the duration and amount ofmenstrual bleeding duration during the postmenarcheal period. Am J Epidemiol1996;144(10):980-8. DOI: https://doi.org/10.1093/oxfordjournals.aje.a008868 PMid:8916509
Tadese M, Kassa A, Muluneh AA, Altaye G. Prevalence of dysmenorrhoea, associated risk factors and its relationship with academic performance among graduating female university students in Ethiopia: a cross-sectional study. BMJ open. 2021 Mar 1;11(3):e043814. DOI: https://doi.org/10.1136/bmjopen-2020-043814 PMid:33741669 PMCid:PMC7986900
Sudhakar P, Anjali G, Anupragathy R, Archana C, Fathumuthu AA, Bhuvaneshwari R. Prevalence of Primary Dysmenorrhea in Pharma Students: A Cross-Sectional Study. Sch Acad J Pharm. 2021 Jan;1:6-12. DOI: https://doi.org/10.36347/sajp.2021.v10i01.002
Konjengbam S, Devi HS. Dysmenorrhea among higher secondary schoolgirls of Imphal West district, Manipur: A cross-sectional study. Journal of Medical Society. 2016 Jan 1;30(1):38-43. DOI: https://doi.org/10.4103/0972-4958.175849
Bavil DA, Dolatian M, Mahmoodi Z, Baghban AA. A comparison of physical activity and nutrition in young women with and without primary dysmenorrhea. F1000Research. 2018;7. DOI: https://doi.org/10.12688/f1000research.12462.1 PMid:30228874 PMCid:PMC6117855
Priya A, Dandotiya D, Toppo M et al. Effect of Skipping Breakfast on Young Girls' Menstruation. Ind J Youth Adol Health 2017; 4(3): 17-20. DOI: https://doi.org/10.24321/2349.2880.201720
Mayo JL: A healthy menstrual cycle. Clin Nutr Insights. 1997;5(9):1-8
Subburaj L, Rajkumar K. Menstrual hygiene and their predictors among school going adolescent girls in Tamil Nadu. Indian J Obstet Gynecol Res 2021;8(2):250-254. DOI: https://doi.org/10.18231/j.ijogr.2021.051
Sherin Raj TP, Kathuria B. How Tamil Nadu is performing better in menstrual hygiene management in India: Evidence from National Family Health Survey (NFHS‐4). International Journal of Human and Health Sciences. 2022;6(4):404-11. DOI: https://doi.org/10.31344/ijhhs.v6i4.480
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Benson Thomas M, Daniyal J, Venmathy S, Kowsalya B, Janmejaya Samal
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.