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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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2191-0278
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Association between menstrual disorders and school absenteeism among schoolgirls in South Egypt

Ahmed Arafa / Lamiaa Saleh / Sherwet Shawky
  • Department of Obstetrics and Gynecology, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2019-06-17 | DOI: https://doi.org/10.1515/ijamh-2019-0081

Background

Menstrual disorders are highly prevalent among girls and may interrupt school attendance. This study aimed to investigate the association between menstrual disorders and school absenteeism among schoolgirls in South Egypt.

Subjects and methods

A multi-stage random sampling method was adopted to select 930 schoolgirls. A self-administered questionnaire composed of 3 sections (socio-demographic characteristics, menstrual disorders, and school absenteeism) was used to assess the relationship between different menstrual disorders and school absenteeism during the previous 6 months.

Results

The mean age of the participating schoolgirls was 15.5 ± 0.8 years, age of menarche 13.2 ± 1.2 years, menstrual cycle duration 28.8 ± 7.3 days with average flow days 5 ± 1.3. During the previous 6 months, 43.9% of schoolgirls reported school absenteeism. Dysmenorrhea (89.1%) and premenstrual symptoms, especially abdominal spasm (62.2%), fatigue (32%), and headache (22.7%) were heavily reported during the same period. Menstrual flow >4 days [odds ratio (OR) 1.37, 1.04–1.80], premenstrual abdominal spasm (OR 1.60, 1.22–2.11), fatigue (OR 1.69, 1.27–2.24), breast tenderness (OR 1.67, 1.17–2.38), insomnia (OR 1.92, 1.31–2.80), abdominal bloating (OR 2.29, 1.34–3.91), dysmenorrhea (OR 4.44, 2.58–7.62), dysmenorrhea for more than 1 day (OR 1.38, 1.03–1.84), menstrual acne flare (OR 2.23, 1.68–2.97), dysuria (OR 1.96, 1.31–2.93), and facial hair (OR 2.59, 1.26–5.31) were significantly associated with school absenteeism.

Conclusion

Premenstrual and menstrual disorders are associated with school absenteeism among schoolgirls in South Egypt. Future research should focus on the effect of school counseling on reducing the absenteeism rate attributed to menstrual disorders.

Keywords: dysmenorrhea; premenstrual syndrome; school absenteeism; schoolgirls

References

  • [1]

    Knox B, Azurah A, Grover S. Quality of life and menstruation in adolescents. Curr Opin Obstet Gynecol. 2015;27(5):309–14.Web of SciencePubMedCrossrefGoogle Scholar

  • [2]

    Tanaka E, Momoeda M, Osuga Y, Rossi B, Nomoto K, Hayakawa M, et al. Burden of menstrual symptoms in Japanese women – an analysis of medical care-seeking behavior from a survey-based study. Int J Womens Health. 2014;6:11–23.Google Scholar

  • [3]

    Arafa A, Senosy S, Helmy H, Mohamed A. Prevalence and patterns of dysmenorrhea and premenstrual syndrome among Egyptian girls (12–25 years). Middle East Fertil Soc J. 2018;23(4):486–90.Web of ScienceCrossrefGoogle Scholar

  • [4]

    French L. Dysmenorrhea. Am Fam Physician. 2005;71(2):285–91.PubMedGoogle Scholar

  • [5]

    Henderson C. ACOG issues guidelines on diagnosis and treatment of PMS. Women’s Health Wkly. 2000;5(6):20–2.Google Scholar

  • [6]

    Cerin A, Collins A, Landgren B, Eneroth P. Hormonal and biochemical profiles of premenstrual syndrome. Acta Obstet Gynecol Scand. 1993;72:337–43.CrossrefPubMedGoogle Scholar

  • [7]

    Dawood M. Advances in primary dysmenorrhea. Obstet Gynecol. 2006;108(2):428–41.CrossrefPubMedGoogle Scholar

  • [8]

    Ju M, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epid Rev. 2014;36(1):104–13.CrossrefGoogle Scholar

  • [9]

    El-Gilany A, Badawi K, El-Fedawy S. Epidemiology of dysmenorrhea among adolescent students in Mansoura, Egypt. East Meditter Health. 2005;11(1):155–63.Google Scholar

  • [10]

    Mohamed E. Epidemiology of dysmenorrhea among adolescent students in Assiut City, Egypt. Life Sci J. 2012;9(1):348–53.Google Scholar

  • [11]

    Arafa A, Khamis Y, Hassan H, Saber N, Abbas A. Epidemiology of dysmenorrhea among workers in Upper Egypt; A cross sectional study. Middle East Fertil Soc J. 2018;23:44–7.CrossrefWeb of ScienceGoogle Scholar

  • [12]

    Burnett M, Antao V, Black A, Feldman K, Lea R, Lefebvre G, et al. Prevalence of primary dysmenorrhea in Canada. J Obstet Gynaecol Can. 2005;27(8):765–70.PubMedCrossrefGoogle Scholar

  • [13]

    Omidvar S, Bakouei F, Amiri F, Begum K. Primary dysmenorrhea and menstrual symptoms in Indian female students: prevalence, impact and management. Glob J Health Sci. 2016;8(8):135–44.Google Scholar

  • [14]

    Tegegne T, Sisay M. Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health. 2014;29(14):1118.Web of ScienceGoogle Scholar

  • [15]

    Grant M, Lloyd C, Mensch B. Menstruation and school absenteeism: evidence from rural Malawi. Comp Educ Rev. 2013;57(2):260–84.PubMedWeb of ScienceCrossrefGoogle Scholar

  • [16]

    Jewitt S, Ryley H. It’s a girl thing: menstruation, school attendance, spatial mobility and wider gender inequalities in Kenya. Geoforum. 2014;56:137–47.Web of ScienceCrossrefGoogle Scholar

  • [17]

    Alam M, Luby S, Halder A, Islam K, Opel A, Shoab A, et al. Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey. BMJ Open. 2017;7(7):015508.Web of ScienceGoogle Scholar

  • [18]

    Ohde S, Tokuda Y, Takahashi O, Yanai H, Hinohara S, Fukui T. Dysmenorrhea among Japanese women. Int J Gynaecol Obstet. 2008;100(1):13–7.PubMedCrossrefGoogle Scholar

  • [19]

    Wang L, Wang X, Wang W, Chen C, Ronnennberg A, Guang W, et al. Stress and dysmenorrhoea: a population based prospective study. Occup Environ Med. 2004;61(12):1021–6.CrossrefPubMedGoogle Scholar

  • [20]

    Abd El-Mawgod M, Alshaibany A, Al-Anazi A. Epidemiology of dysmenorrhea among secondary-school students in Northern Saudi Arabia. J Egypt Public Health Assoc. 2016;91(3):115–9.CrossrefWeb of SciencePubMedGoogle Scholar

  • [21]

    Weissman A, Hartz A, Hansen M, Johnson S. The natural history of primary dysmenorrhoea: a longitudinal study. BJOG. 2004;111(4):345–52.CrossrefPubMedGoogle Scholar

  • [22]

    Shiferaw M, Wubshet M, Tegabu D. Menstrual problems and associated factors among students of Bahir Dar University, Amhara National Regional State, Ethiopia: a cross-sectional survey. Pan Afr Med J. 2014;17:246.Google Scholar

  • [23]

    Bakr I, Ez-Elarab H. Prevalence of premenstrual syndrome and the effect of its severity on the quality of life among medical students. Egypt J Community Med. 2010;28(2):19–30.Google Scholar

  • [24]

    Karout N, Hawai SM, Altuwaijri S. Prevalence and pattern of menstrual disorders among Lebanese nursing students. East Meditter Health. 2012;18(4):346–52.CrossrefGoogle Scholar

  • [25]

    Thu M, Diaz E, Kapaw S. Premenstrual syndrome among female university students in Thailand. AUJT. 2006;9(3):158–62.Google Scholar

  • [26]

    Tolossa F, Bekele M. Prevalence, impacts and medical managements of premenstrual syndrome among female students: cross-sectional study in college of health sciences, Mekelle University, Mekelle, Northern Ethiopia. BMC Women’s Health. 2014;14:52.PubMedCrossrefGoogle Scholar

  • [27]

    Zannoni L, Giorgi M, Spagnolo E, Montanari G, Villa G, Seracchioli R. Dysmenorrhea, absenteeism from school, and symptoms suspicious for endometriosis in adolescents. J Pediatr Adolesc Gynecol. 2014;27(5):258–65.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [28]

    Pitangui A, Gomes M, Lima A, Schwingel P, Albuquerque A, de Araújo R. Menstruation disturbances: prevalence, characteristics, and effects on the activities of daily living among adolescent girls from Brazil. J Pediatr Adolesc Gynecol. 2013;26(3):148–52.Web of ScienceCrossrefPubMedGoogle Scholar

  • [29]

    Tadakawa M, Takeda T, Monma Y, Koga S, Yaegashi N. The prevalence and risk factors of school absenteeism due to premenstrual disorders in Japanese high school students–a school-based cross-sectional study. Biopsychosoc Med. 2016;10:13.CrossrefPubMedWeb of ScienceGoogle Scholar

About the article

Received: 2019-03-31

Accepted: 2019-04-25

Published Online: 2019-06-17


Funding sources: None.

Conflict of interest: None.


Citation Information: International Journal of Adolescent Medicine and Health, 20190081, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2019-0081.

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