Armour Mike, Ferfolja Tania, Curry Christina, Hyman Mikayla S, Parry Kelly, Chalmers K Jane, Smith Caroline A, MacMillan Freya, Holmes Kathryn
NICM Health Research Institute, Western Sydney University, Penrith, NSW, Australia; Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia.
Centre for Educational Research, Western Sydney University, Penrith, NSW, Australia.
J Pediatr Adolesc Gynecol. 2020 Oct;33(5):511-518. doi: 10.1016/j.jpag.2020.06.007. Epub 2020 Jun 13.
To explore the prevalence and impact of dysmenorrhea, pelvic pain and menstrual symptoms on young women at school or in tertiary education.
Cross-sectional online survey in Australia.
A total of 4202 adolescent and young women (13-25 years of age; median age 17 years), having reached menarche, living in Australia and currently attending school (n = 2421) or tertiary education (n = 1781).
Online survey hosted by Qualtrics between November 2017 to January 2018. Data were collected on sociodemographic data, menstrual cycle characteristics, dysmenorrhea, pelvic pain, and educational and social impact.
Information on menstrual and pelvic pain impact, academic absenteeism and presenteeism, impact on non-academic activities and interactions with teaching staff.
Dysmenorrhea was reported by 92% of respondents. Dysmenorrhea was moderate (median 6.0 on a 0-10 numeric rating scale) and pain severity stayed relatively constant with age [r(3804) = 0.012, P = .477]. Noncyclical pelvic pain at least once a month was reported by 55%. Both absenteeism and presenteeism related to menstruation were common. Just under half of women reported missing at least one class/lecture in the previous three menstrual cycles. The majority of young women at school (77%) and in tertiary education (70%) reported problems with classroom concentration during menstruation. Higher menstrual pain scores were strongly correlated with increased absenteeism and reduced classroom performance at both school and in tertiary education. Despite the negative impact on academic performance the majority of young women at school (60%) or tertiary education (83%) would not speak to teaching staff about menstruation.
探讨痛经、盆腔疼痛和月经症状对在校或接受高等教育的年轻女性的患病率及影响。
澳大利亚的横断面在线调查。
共有4202名青春期及年轻女性（年龄13 - 25岁；中位年龄17岁），已初潮，居住在澳大利亚，目前在校（n = 2421）或接受高等教育（n = 1781）。
2017年11月至2018年1月由Qualtrics主持的在线调查。收集了社会人口统计学数据、月经周期特征、痛经、盆腔疼痛以及教育和社会影响方面的数据。
月经和盆腔疼痛影响、学术缺勤和出勤不足、对非学术活动的影响以及与教师互动的信息。
92%的受访者报告有痛经。痛经程度为中度（在0 - 10数字评分量表上中位数为6.0），疼痛严重程度随年龄保持相对稳定[r(3804) = 0.012，P = 0.477]。55%的人报告每月至少有一次非周期性盆腔疼痛。与月经相关的缺勤和出勤不足都很常见。近一半的女性报告在前三个月经周期中至少缺课一次。大多数在校年轻女性（77%）和接受高等教育的年轻女性（70%）报告在月经期间课堂注意力有问题。较高的月经疼痛评分与学校和高等教育阶段的缺勤增加及课堂表现下降密切相关。尽管对学业成绩有负面影响，但大多数在校年轻女性（60%）或接受高等教育的年轻女性（83%）不会与教师谈论月经问题。
