Mesele Tiruye Tilahun, Ayalew Hiwotie Getaneh, Syoum Asmra Tesfahun, Antehneh Tazeb Alemu
Department of Midwifery, School of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Department of Midwifery, School of Nursing and Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
Front Reprod Health. 2022 Jul 6;4:939035. doi: 10.3389/frph.2022.939035. eCollection 2022.
Dysmenorrhea is the most common gynecological problem among students. The disease affects students' academic performance, although studies carried out in Ethiopia primarily focused on the prevalence aspects rather than the impacts of dysmenorrhea on academic performance and its associated factors. Therefore, this study focused on the prevalence of the impact of dysmenorrhea on academic performance and its associated factors among undergraduate female students of Haramaya University in eastern Ethiopia.
A cross-sectional study design was conducted from February to March 2020. A multistage random sampling technique was applied and a total of 356 students were included in the study. To select students, simple random sampling was used and the sample size was proportionally allocated with respect to the total number of each selected department. A semi-structured and a pre-tested self-administered questionnaire were used. The descriptive result was presented as a proportion whereas the analytic part was presented with an adjusted odds ratio.
The prevalence of the impact of dysmenorrhea on academic performance was 266 [(74.7%):95%CI (70.0, 79.5%)]. Premenstrual syndrome [AOR = 4.86:95%CI (2.13, 11.06)], early menarche [AOR = 4.89:95%CI (2.03, 11.77)], moderate/severe dysmenorrhea pain intensity [AOR = 8.53:95%CI (4.45, 16.39)], and students monthly pocket money <150ETB [AOR = 3.91:95%CI (1.48, 10.29)] were significantly associated with the occurrence of the impact of dysmenorrhea on academic performance. The most common impacts were difficulty in studying followed by loss of concentration in the class.
There was a high prevalence of impact of dysmenorrhea on academic performance among undergraduate female students of the Haramaya University. Awareness should be created among Haramaya university authorities and teachers about the academic performance impact of premenstrual syndrome and dysmenorrhea pain intensity to provide psychological and academic guidance, and managing mechanisms for the affected students. Haramaya University should also establish medical care for the affected students.
痛经是学生中最常见的妇科问题。该疾病会影响学生的学业成绩，尽管在埃塞俄比亚开展的研究主要集中在患病率方面，而非痛经对学业成绩的影响及其相关因素。因此，本研究聚焦于埃塞俄比亚东部哈拉马亚大学本科女学生中痛经对学业成绩的影响患病率及其相关因素。
于2020年2月至3月进行了一项横断面研究设计。采用多阶段随机抽样技术，共356名学生纳入研究。为选取学生，使用了简单随机抽样，并根据每个所选系的总数按比例分配样本量。使用了一份半结构化且经过预测试的自填式问卷。描述性结果以比例呈现，而分析部分以调整后的优势比呈现。
痛经对学业成绩产生影响的患病率为266例[（74.7%）：95%置信区间（70.0，79.5%）]。经前综合征[AOR = 4.86：95%置信区间（2.13，11.06）]、初潮早[AOR = 4.89：95%置信区间（2.03，11.77）]、中度/重度痛经疼痛强度[AOR = 8.53：95%置信区间（4.45，16.39）]以及学生每月零花钱<150埃塞俄比亚比尔[AOR = 3.91：95%置信区间（1.48，10.29）]与痛经对学业成绩产生影响的发生显著相关。最常见的影响是学习困难，其次是课堂上注意力不集中。
哈拉马亚大学本科女学生中痛经对学业成绩产生影响的患病率较高。应让哈拉马亚大学当局和教师了解经前综合征和痛经疼痛强度对学业成绩的影响，以便为受影响的学生提供心理和学业指导以及管理机制。哈拉马亚大学还应为受影响的学生建立医疗护理。
