Garg Suneela, Marimuthu Yamini, Bhatnagar Nidhi, Singh M Megha Chandra, Borle Amod, Basu Saurav, Azmi Falak, Dabi Yomri, Bala Indu
Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Indian J Community Med. 2021 Jan-Mar;46(1):57-61. doi: 10.4103/ijcm.IJCM_183_20. Epub 2021 Mar 1.
Menstruation, a physiological phenomenon, till date is associated with myths, taboos, and malpractices. These interfere with the emotional, physical, and mental health of adolescent girls. This study attempts to draft a validated questionnaire to measure menstruation-related activity restriction.
The objective was to study activities restricted during menstruation among adolescent girls residing in urban resettlement colonies of Delhi and to develop and validate a questionnaire for menstruation-related activity restriction.
A community-based cross-sectional study was conducted among adolescent girls residing in urban resettlement colonies of Delhi during 2019. A multistage random sampling technique was used to select 1100 girls across four districts of Delhi. A 15-item questionnaire was developed by an expert committee and validated with principal component analysis (PCA).
In total, 1100 adolescent girls were included in the study whose mean age was 15.8 (±2.1) years. School/college/work was missed due to menstruation in 60% of the adolescent girls, 66% were not comfortable during menstruation, and 92% were restricted from entering religious places. In exploratory factor analysis using PCA, 6 principal components were identified which had eigenvalues more than 1.
Religious restrictions during menstruation (94%) were highly prevalent among adolescent girls, followed by restriction of routine activity (69%) and work/academically related activity (60%). Construct validity has identified a six-factor structure for the menstruation-related activity restriction questionnaire. This was identified as a valid and internally consistent tool to assess activities restricted during menstruation among Indian adolescent girls.
月经作为一种生理现象，至今仍与诸多神话、禁忌及陋习相关联。这些因素会干扰青春期女孩的情绪、身体和心理健康。本研究旨在编制一份经过验证的问卷，以衡量与月经相关的活动限制情况。
研究居住在德里城市安置区的青春期女孩在月经期间受限的活动，并编制和验证一份与月经相关活动限制的问卷。
2019年，在居住于德里城市安置区的青春期女孩中开展了一项基于社区的横断面研究。采用多阶段随机抽样技术，从德里的四个区选取了1100名女孩。由一个专家委员会编制了一份包含15个条目的问卷，并通过主成分分析（PCA）进行验证。
本研究共纳入1100名青春期女孩，她们的平均年龄为15.8（±2.1）岁。60%的青春期女孩因月经而缺课/缺考/旷工，66%的女孩在月经期间感觉不适，92%的女孩被限制进入宗教场所。在使用主成分分析的探索性因素分析中，确定了6个特征值大于1的主成分。
月经期间的宗教限制（94%）在青春期女孩中极为普遍，其次是日常活动限制（69%）和工作/学业相关活动限制（60%）。结构效度已确定了与月经相关活动限制问卷的六因素结构。该问卷被认定为评估印度青春期女孩月经期间受限活动的有效且内部一致的工具。
