scholarly journals Menstrual health and related problems in adolescent girls of Lucknow district: a cross sectional study

Author(s):  
Geeta Singh ◽  
Anish Khanna ◽  
Monika Agarwal ◽  
V. K. Singh ◽  
Rekha Sachan

Background: Menstruation and related problems are difficult issues for adolescent girls and are a common reason for consulting healthcare providers. The objective of the study was to study the age of menarche, menstrual pattern, menstrual related health problems and health seeking behaviour for it.Methods: A cross sectional study was carried out in urban as well as rural schools of Lucknow district from August 2014 to September 2015. Multistage random sampling was used to select the requisite number of girls. A total of 600 girls of age group 10-19 years were interviewed and analysed using appropriate statistical methodsResults: The mean age of menarche of the total population was 13.2±1 years. During menstruation, urban girls had significantly excessive passage of clots (26.5%) and faced more discomfort in their routine activities (78.8%) when compared to their rural counterpart (25.2% and 73.4% respectively), whereas the relation was inverse with regard to school absenteeism that was significantly higher in rural girls (44.0%) than urban girls (32.3%). The usual age of menarche as well as the pattern of pre-menstrual symptoms varied significantly between the girls of rural and urban areas.Conclusions: With few exceptions, menstrual health related problems have an unequal distribution in girls of rural and urban origin. Hence effective management of menstrual problems will lose its chase unless health education targeting all the three groups viz.; adolescent girls, concerned parents and teachers have to be uniformly strengthened.

2013 ◽  
Vol 1 (1) ◽  
pp. 13
Author(s):  
Maushami Ghimire ◽  
Madhusudhan Ghimire ◽  
Anand Prakash Singh

  Introduction: Menarche is a highly emotional experience for the young pubescent. The intensity of experience for the young pubescent is maximum at the time of menarche and depends on how well she is informed about menstruation and the type of support system around her. The subject of menstruation revolves around notion of dirt, taboos and restrictions in various spheres of a woman’s life. The objective of this study is to ascertain and compare practices and problems during menarche among adolescent girls in Sultanpur, Uttarpradesh (UP), India.   Methods: The comparative study was conducted in both urban (Civil Lines) and rural (Wallipur Village) areas in Sultanpur district of UP, India. A cross-sectional study was followed from August  to November 2011. Two hundred adolescence girls were selected through simple random procedure. Interview schedule was used to collect information from respondents.   Results: The mean age of menarche among adolescence girls was 12.16 years. There was no statistical difference between rural and urban population with regard to knowledge about menstruation. Menstruation was taken as a disease by 20.6% and 23.7%. in each population. Use of sanitary pads was more in urban girls. Unhygienic practices like using no means of menstrual absorbent were more prevalent among rural girls.   Conclusion: Unhygienic practices during menstruation among adolescent girls was common in adolescent girls in rural population.


2021 ◽  
Author(s):  
Nurul Asikin

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.


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. 


Author(s):  
Ahmed Arafa ◽  
Alshimaa Mostafa ◽  
Yasser Khamis

AbstractBackgroundAcne and menstrual symptoms are highly prevalent among young women. Since both acne and menstrual symptoms have similar hormonal pathogenesis, it is highly suggested that the two conditions are associated. Herein, we conducted this study to assess the relationship between acne and menstrual symptoms among young women.Subjects and methodsIn this population-based cross-sectional study, a multi-stage random sampling approach was used to include 3065 young women (18–25 years) from Egypt. Women were interviewed for their socio-demographic characteristics, gynecological history, premenstrual and menstrual symptoms, and history of acne and perimenstrual acne flare during the past 6 months.ResultsThe mean age of women was 21.5 ± 2.2 and their age of menarche was 13.1 ± 1.5 years. During the previous 6 months, 44.8% of participants had acne. After adjusting for socio-demographic and gynecological characteristics, acne was associated with most menstrual symptoms with odds ratios (ORs) and 95% confidence intervals (CIs) as follows: [premenstrual symptoms: 1.23 (1.05–1.44) for irritation or nervousness, 1.45 (1.24–1.68) for fatigue, 1.37 (1.15–1.62) for breast tenderness, 1.48 (1.21–1.80) for abdominal bloating, and 1.36 (1.11–1.66) for nausea or vomiting], [menstrual symptoms: 1.63 (1.19–2.23) for dysmenorrhea and 1.24 (1.06–1.45) for dysmenorrhea requiring drugs], and [symptoms severity: 1.44 (1.24–1.68) for missing events and 1.38 (1.16–1.64) for medical consultation]. Of acne patients, 56.7% reported perimenstrual acne flare: 58.5% before menses, 35% during menses, and 6.5% after menses.ConclusionThis study supports the concept that acne is associated with menstrual symptoms. Physicians should consider screening for menstrual symptoms among young women with acne.


2021 ◽  
Author(s):  
Muh Isral Marlis

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.Keywords: Menarche, adolescent, nutritional status.


Author(s):  
Neha Goyal

Background: Menstruation becomes an important aspect in life of an adolescent girl once she attains puberty and is often associated with variable characteristics. Being a development process and a reported significant source of morbidity too, it becomes important to study its pattern and characteristics. The purpose of this study was to determine the pattern of menstruation among adolescent girls.Methods: A cross sectional study was conducted among 574 adolescent girls of 10-19 years age of 6th to 12th grades in four selected government and private schools of Haldwani. Data was collected using a predesigned semi-structured questionnaire with brief interview and examination. Analysis of data was done with help of SPSS version 21.Results: Mean age of the girls was 14.95±1.41 years. Mean age at menarche was 12.94±1.01 years. Majority of girls 441 (76.82%) had cycle length of 21-35 days and it was found that 95 (16.55%) girls had irregular menstrual periods. Rural and urban differences in regularity of menstruation were statistically significant. Duration of flow in majority 300 (52.26%) of girls was 2-4 days followed by 5-7 days in 222 (38.68%). Dysmenorrhoea was reported by 422 (73.52%) of adolescent girls and of them 259 (61.37%) have never used analgesics while 66 (15.63%) have always used analgesics. Girls with absence of pallor were 1.2 (0.8-1.9) times more likely to have regular menstruation as compared to those showing pallor.Conclusions: Irregular menstruation was common among girls and significant association was found with place of residence. Dysmenorrhoea was present in three-fourth of adolescent girls still majority of them have never used analgesics. Daily routine was affected in more than 80% of girls during menstruation. 


Author(s):  
Shantanu Sharma ◽  
Devika Mehra ◽  
Charu Kohli ◽  
M. M. Singh

Background: Menarche is an important milestone in the life of a girl which signifies the onset of fertility in a woman. To understand the health consequences and importance of menstrual hygiene practices among adolescent girls, it is important to study the current practices about the same so that future interventions can be planned accordingly.Methods: This study adopted a cross-sectional study design. A total of 85 adolescent girls (10-19 years old) were interviewed by the investigator over a period of 3 months (Jan-Mar 2015). Data were analyzed using the software SPSS version 17.Results: Out of 85 adolescent girls studied, the majority was between 15 to 19 years. In our study 71(83.5%) out of 85 adolescent girls had already started their menstruation. The mean (±SD) age of menarche in the study subjects was 11.4±5.3 years. Around 33 out of 71 (46.4%) girls practiced different restrictions during menstruation. Out of 71 (85.9%) girls used sanitary pads during menstruation. In cases of reused cloth, the place of its drying was observed, responses stated were; outside the house in sunlight in 1 (5.8%) girl, 14 (82.2%) dried them inside the house, and 2 (11.7%) girls dried them outside in a dark place.Conclusions: It is imperative to strengthen the menstrual hygiene management (MHM) programs of the country and have a greater outreach. Multiple strategies need to be used to address this such as education on reproductive health and menstruation provided in schools, media campaign’s and improving water and sanitation for improving school retention of adolescent girls and their overall health.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0254166
Author(s):  
Tewodros Getaneh Alemu ◽  
Addis Bilal Muhye ◽  
Amare Demsie Ayele

Introduction Adolescence is the time of puberty in which a substantial changes in physical, mental, and emotional are observed; Nutritional requirements significantly rise as a result. Even though improving adolescent girls’ nutritional status helps to break the intergenerational cycle of malnutrition, many studies in Ethiopia focus on determining the nutritional status of under-five and pregnant women and even they don’t show disparities between urban and rural adolescent girls. Thus, this study was aimed at comparing the rural and urban prevalence’s of stunting and thinness and their associated factors among adolescent girls attending school in Debark district, Northwest Ethiopia, 2020. Method A community-based comparative cross-sectional study was conducted among 792 adolescent girls from February 25th to March 21st 2020. A multi-stage sampling followed by simple random sampling technique was used. Data were collected through a face-to-face interviewer-based questionnaire. Different anthropometric measurements were taken. The collected data were entered to Epi-data and exported into SPSS for analyses. Variables with p-values < 0.25 in the bivariable analysis were exported to multivariable logistic regression model to control confounders and identify the factor. The strength of association and statistical significance was declared using the adjusted odds ratios with its corresponding 95% CI, and p-value ≤ 0.05 respectively. Results A total of 757 adolescent girls with a response rate of 95.6% were participated in the study. The overall prevalence of stunting and thinness were 20.1% and 10.3%, respectively. Stunting among rural adolescent girls was 24.2%; whereas it was 16% among urban residents. Likewise, thinness among rural adolescent girls was 8.5%; whereas it was 12.1% among urban dwellers. No latrine [AOR: 1.95 (95% CI: 1.11, 3.43)], lowest media exposure [AOR: 5.14 (95% CI: 1.16, 22.74)], lower wealth class [AOR:2.58 (95% CI: 1.310, 5.091)], and middle wealth class[AOR: 2.37 (95% CI: 1.230, 4.554)] have risen the likelihood of stunting in rural setting while early adolescent age [AOR:3.17 (95% CI:1.445,6.95)] significantly associated with stunting in urban setting. Food insecurity [AOR: 1.95 (95% CI: 1.01, 3.78)] was associated with stunting in overall adolescent girls. Middle adolescent age groups in rural area have more than three times to experience thinness [AOR: 3.67 (95% CI: 1. 21, 11.149)]. Whereas urban resident girls fall in early adolescent age group developed thinness were eight times [AOR: 8.39 (95% CI: 2.48–28.30)]. Conclusion Stunting was higher among rural adolescent girls as compared to urban. However, thinness was higher among urban dwellers. Lower wealth class, food insecurity, lowest media exposure, and age were significantly associated with stunting and thinness. Hence, increasing latrine coverage, boosting the economic status of the community, and increasing media exposure for adolescent girls should get due attention.


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