Maurya Priya, Meher Trupti, Muhammad T
International Institute for Population Sciences, Mumbai, Maharashtra, India, 400088.
BMC Public Health. 2022 Apr 14;22(1):758. doi: 10.1186/s12889-022-13196-8.
The study examined the prevalence of self-reported menstrual irregularities during adolescence and explored the association of depressive symptoms with self-reported menstrual irregularities in adolescents in two major states of Uttar Pradesh and Bihar in India.
This study is based on the data obtained from the first round of the "Understanding the lives of adolescents and young adults" (UDAYA, 2016) survey. The effective sample size for the study was 12,707 adolescent girls aged 10-19 years. A bivariate analysis with chi-square test was conducted to determine the self-reported menstrual irregularity by predictor variables. Multivariable logistic regression models were employed to examine the associations between self-reported menstrual irregularity, depressive symptoms and other explanatory variables.
A proportion of 11.22% of adolescent girls reported menstrual irregularity and 11.40% of the participants had mild depressive symptoms. Adolescent girls with mild (AOR: 2.15, CI: 1.85-2.51), moderate (AOR: 2.64, CI: 2.03-3.42) and severe depressive symptoms (AOR: 2.99, CI: 2.19-4.10) were more likely to have menstrual irregularity as compared to those who had minimal depressive symptoms. Physically active adolescent girls were less likely to report menstrual irregularity (AOR: 0.82, CI: 0.73-0.93) than physically inactive girls. Adolescent girls who used piece of cloth for menstrual hygiene practices (AOR: 1.17; CI: 1.02-1.35) and those who used either napkin or cloth or other materials (AOR: 1.32; CI: 1.14-1.54) had higher likelihood of menstrual irregularity as compared to those who used only sanitary napkins.
A significant association of depressive symptoms with self-reported menstrual irregularity among adolescent girls was observed. Therefore, while treating females with irregular menstrual cycles, clinicians may need to pay greater attention to thir mental health peoblems.
该研究调查了印度北方邦和比哈尔邦这两个主要邦青少年自我报告的月经不调患病率，并探讨了青少年抑郁症状与自我报告的月经不调之间的关联。
本研究基于“了解青少年和青年生活”（UDAYA，2016）第一轮调查获得的数据。该研究的有效样本量为12707名10至19岁的青春期女孩。采用卡方检验进行双变量分析，以确定预测变量导致的自我报告月经不调情况。使用多变量逻辑回归模型来检验自我报告的月经不调、抑郁症状和其他解释变量之间的关联。
11.22%的青春期女孩报告有月经不调，11.40%的参与者有轻度抑郁症状。与抑郁症状轻微的女孩相比，有轻度（优势比：2.15，置信区间：1.85 - 2.51）、中度（优势比：2.64，置信区间：2.03 - 3.42）和重度抑郁症状（优势比：2.99，置信区间：2.19 - 4.10）的青春期女孩更有可能出现月经不调。与身体不活跃的女孩相比，身体活跃的青春期女孩报告月经不调的可能性较小（优势比：0.82，置信区间：0.73 - 0.93）。与仅使用卫生巾的女孩相比，使用布进行经期卫生护理的青春期女孩（优势比：1.17；置信区间：1.02 - 1.35）以及使用卫生巾或布或其他材料的女孩（优势比：1.32；置信区间：1.14 - 1.54）出现月经不调的可能性更高。
观察到青春期女孩抑郁症状与自我报告的月经不调之间存在显著关联。因此，在治疗月经周期不规律的女性时，临床医生可能需要更加关注她们的心理健康问题。
