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Licensed Unlicensed Requires Authentication Published by De Gruyter September 12, 2015

Knowledge and attitude about pubertal health and their socio-demographic predictors in Iranian adolescents

  • Sima Saghi , Mojgan Mirghafourvand EMAIL logo , Sakineh Mohammad Alizadeh Charandabi , Abbas Nabighadim , Simin Seidi and Azad Rahmani



Adolescence is a critical period and is associated with physical and psycho-social changes induced by puberty, which builds personality, behavior, and future health of the adolescents. This study aimed to determine the adolescent’s knowledge and attitude toward pubertal health and his/her socio-demographic predictors.


This cross-sectional study was performed on 1017 adolescent girls who were in the second and third grades of secondary schools in Tabriz, Iran, in 2013. The sampling method was random. The general linear model was used to determine the social-demographic predictors of the adolescent’s knowledge and attitude about pubertal health.


The mean (standard deviation) score of knowledge and attitude was 53.2 (13.7) and 66.7 (11.5), respectively (from an attainable score range of 0–100). The variables of educational level, economic status, household members, obtaining information about the puberty, and age of menarche were predictors of knowledge. Educational level, the most feeling at menarche, and source of the most information about puberty were predictors of attitude (p<0.05).


The findings of this study show that the knowledge and attitude of adolescents about pubertal health are moderate. Thus, it is necessary to educate the girls about pubertal health to enable them to have a healthy reproductive life in the future.

Corresponding author: Mojgan Mirghafourvand, Tabriz University of Medical Sciences, Tabriz, Iran, E-mail:


This research was sponsored by Tabriz University of Medical Sciences (Code: 91203). The assistance of the head office of the Education Ministry of Tabriz City, the personnel from the girls’ secondary schools, and all participants in this study is greatly appreciated.


1. Savi F, Akboy R. The relationship between behavioral problems of primary school students in pre-adolescence period and family functionings. J Res Teach Educ 2010;1:28–41.Search in Google Scholar

2. Statistical Center of Iran. National Census of Population and Housing of Iran. 2006; Available from: in Google Scholar

3. Azar M. Female puberty. 6th ed. Tehran: Noore Danish publisher, 2003; Vol 2, [In Persian].Search in Google Scholar

4. Herva A, Jokelainen J, Pouta A. Age at menarche and depression at the age of 13 years: finding from the Northern Finland 1966 birth cohort study. J Psychosom Res 2004;57:359–62.Search in Google Scholar

5. Barnard College Student Health Service Bulletin. The new our bodies ourselves. New York: Simon and Schuster, 1998.Search in Google Scholar

6. World Health Organization. Adolescent development: maternal, newborn, child and adolescent health. 2012; Available from: child adolescent/topics/ adolescence/dev/en/index.html.Search in Google Scholar

7. Majlesi F, Mahmoodian M, Rahimi A, Hosseinzadeh P. The impact of lecture and educational package methods in knowledge and attitude of teenage girls on puberty health. Hormozgan Uni Med Sc J 2012;15:327–32. [In Persian].Search in Google Scholar

8. Teitelman AM. Adolescent girls’prereactive of family interactions related to menarche and sexual health. Qual Health Res 2004;14:1292–308.10.1177/1049732304268794Search in Google Scholar

9. Lowdermilk DL, Perry SH, Bobak I. Maternity and womańs health care. 9th ed. St. Louis: Mosby, 2007.Search in Google Scholar

10. Regional Office for the Eastern Mediterranean (World Health Organization). Training workshop on school health and nutrition promotion. 2011; Available from: in Google Scholar

11. Abdollahi F, Shaaban khani B, Khani S. Study of puberty health educational needs of adolescents in mazandaran province. J Mazandaran Univ Med Sci 2004;14:56–63. [In Persian].Search in Google Scholar

12. Malekshahi F, Farhadi A. Knowledge, attitude and practice of high school girls on menstrual health. Yaft-e 2006;8:73–8. [In Persian].Search in Google Scholar

13. Abdullah Alosaimi J. Saudi intermediate girls knowledge, attitudes and practices of puberty in Tauf, Saudi Arabia. Int J Med Sci Public Health 2014;3:196–202.10.5455/ijmsph.2013.021220131Search in Google Scholar

14. Bobhate PS, Shrivastava SR. A cross-sectional study of knowledge and practices about reproductive health among female adolescents in an urban slum of Mumbai. J Family Reprod Health 2011;5:117–24.Search in Google Scholar

15. Salganik MJ. Variance estimation, design effects, and sample size calculations for respondent-driven sampling. J Urban Health 2006;83: 98–112.10.1007/s11524-006-9106-xSearch in Google Scholar

16. Alavi M, Poushaneh K, Khosravi AA. Puberty health: knowledge, attitude and practice of the adolescent girls in Tehran. Payesh 2009;8:59–65. [In Persian].Search in Google Scholar

17. Baiali Meibodi F, Mahmodi M, Hasani M. Knowledge and practice of Kerman primary-secondary school girls on menstrual health in the academic. Dena 2009;4:54–62. [In Persian].Search in Google Scholar

18. Hagikhani Golchin NA, Hamzehgardeshi Z, Fakhri M, Hamzehgardeshi L. The experience of puberty in Iranian adolescent girls: a qualitative content analysis. BMC Public Health 2012;12:698.10.1186/1471-2458-12-698Search in Google Scholar

19. El-Mowafy RI, Moussa M, Moussa M, El-Ezaby HH. Effect of health education program on knowledge and practices about menstrual hygiene among adolescents girls at orphanage home. IOSR J Nurs Health Sci 2014;3:48–55.10.9790/1959-03614855Search in Google Scholar

20. Haque SE, Rahman M, Itsuko K, Mutahara M, Sakisaka K. The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh. Br Med J Open 2014;4:e004607. doi:10.1136/ bmjopen-2013-004607.Search in Google Scholar

21. Shirzadi S, Shojaeezadeh D, Taghdisi MH, Hosseini F. The effect of education based on health belief model on promotion of physical puberty health among teen girls in welfare boarding centers in Tehran. Sci J School Public Health Inst Public Health Res 2012;10:59–71.Search in Google Scholar

22. Mohammad Alizadeh Charandabi S, Mirghafourvand M, Rahmani A, Eidi S, Saffari E, et al. The effect of software on knowledge and performance of teenage girls toward puberty hygiene: a randomized controlled trial. Iranian J Med Edu 2014;14:110–21.Search in Google Scholar

23. Lawan UM, Yusuf NW, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. Afr J Reprod Health 2010;14:201–7.Search in Google Scholar

24. Ozdemir F, Nazik E, Pasinlioglu T. Determination of the motherly reactions to adolescents’ experience of menarche. J Pediatr Adolesc Gynecol 2010;23:153–7.10.1016/j.jpag.2010.06.004Search in Google Scholar

25. Nagar SH, Aimol KH. Knowledge of adolescent girls regarding menstruation in Tribal Areas of Meghalaya. Stud Tribes Tribals 2010;8:3021–27.10.1080/0972639X.2010.11886610Search in Google Scholar

26. Sudeshna R, Aparajita D. Determinants of menstrual hygiene among adolescent girls: a multivariate analysis. Natl J Community Med 2012;3:294–301.Search in Google Scholar

27. Gupta S, Sinha A. Awareness about reproduction and adolescent change school girls of different socioeconomic status. J Obstet Gynaecol India 2006;56:324–8.Search in Google Scholar

28. Hennik M, Rana I, Iqbal R. Knowledge of personal and sexual development among young people in Pakistan. Culture, Health and Sexuality J 2005;7:319–32.10.1080/13691050500035367Search in Google Scholar

29. Rahnama M, Asadi E, Dalir Z, Mazloomi SR. The menstruation health status of high School, girls in Zabol. J Nurs Midwifery Fac Yasouj Uni Med Sci 2006;1:11–7. [In Persian].Search in Google Scholar

30. Johanna S, Archer VM. Evaluation and treatment of the adolescent patient. Primary Care Update for OB/GYNS 2002;9:17–27.10.1016/S1068-607X(01)00097-XSearch in Google Scholar

31. Shireen J. Adolescent sexual and reproductive behavior. Soc Sci Med 1998;46:1290–8.Search in Google Scholar

Received: 2015-2-25
Accepted: 2015-5-25
Published Online: 2015-9-12
Published in Print: 2016-11-1

©2016 Walter de Gruyter GmbH, Berlin/Boston

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