Midwifery, Debre Berhan University College of Health science, Debre Berhan, Ethiopia
Midwifery, Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia.
BMJ Open. 2021 Mar 19;11(3):e043814. doi: 10.1136/bmjopen-2020-043814.
The study aimed to provide an association between dysmenorrhoea and academic performance among university students in Ethiopia. Further, the study attempts to determine the prevalence and associated risk factors of dysmenorrhoea.
Institution-based cross-sectional study was conducted from 1 April to 28 April 2019. A semistructured and pretested self-administered questionnaire was used to collect data. Binary logistic regression analysis and one-way analysis of variance were performed to model dysmenorrhoea and academic performance, respectively.
Ethiopia (2019: n=647 female university students).
The primary outcome is dysmenorrhoea, which has been defined as painful menses that prevents normal activity and requires medication. The self-reported cumulative grade point average of students was used as a proxy measure of academic performance, which is the secondary outcome.
The prevalence of dysmenorrhoea was 317 (51.5%). The educational status of father (adjusted OR (AOR) (95% CI) 2.64 (1.04 to 6.66)), chocolate consumption (AOR (95% CI) 3.39 (95% 1.28 to 8.93)), daily breakfast intake (<5 days/week) (AOR (95% CI) 0.63 (0.42 to 0.95)), irregular menstrual cycle AOR (95% CI) 2.34 (1.55 to 3.54)) and positive family history of dysmenorrhoea AOR (95% CI) 3.29 (2.25 to 4.81)) had statistically significant association with dysmenorrhoea. There was no statistically significant difference in academic performance among students with and without dysmenorrhoea (F (3611)=1.276, p=0.28)).
Dysmenorrhoea was a common health problem among graduating University students. However, it has no statistically significant impact on academic performance. Reproductive health officers should educate and undermine the negative academic consequences of dysmenorrhoea to reduce the physical and psychological stress that happens to females and their families.
本研究旨在探讨埃塞俄比亚大学生痛经与学业成绩之间的关系。此外，本研究还试图确定痛经的患病率及相关危险因素。
本研究于 2019 年 4 月 1 日至 4 月 28 日期间采用基于机构的横断面研究方法进行。采用半结构式和预测试的自我管理问卷收集数据。采用二项逻辑回归分析和单因素方差分析分别对痛经和学业成绩进行建模。
埃塞俄比亚（2019 年：n=647 名女大学生）。
主要结局为痛经，定义为疼痛性月经，可导致正常活动受阻并需要药物治疗。学生的自我报告累积平均绩点被用作学业成绩的替代衡量标准，即次要结局。
痛经的患病率为 317 例（51.5%）。父亲的教育程度（调整后的比值比（AOR）（95%置信区间）2.64（1.04 至 6.66））、巧克力消费（AOR（95%置信区间）3.39（95%置信区间 1.28 至 8.93））、每日早餐摄入（每周<5 天）（AOR（95%置信区间）0.63（0.42 至 0.95））、月经周期不规律（AOR（95%置信区间）2.34（1.55 至 3.54））和痛经的阳性家族史（AOR（95%置信区间）3.29（2.25 至 4.81））与痛经有统计学显著关联。痛经患者和无痛经患者的学业成绩之间无统计学显著差异（F（3611）=1.276，p=0.28））。
痛经是毕业大学生中常见的健康问题。然而，它对学业成绩没有统计学显著影响。生殖健康官员应教育并消除痛经对学业成绩的负面影响，以减轻女性及其家庭所面临的身体和心理压力。
