Department of Public Health, Dessie Health Science College, Dessie, Ethiopia.
Department of Epidemiology and Biostatistics, School of Public Health, Colleges of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
BMC Womens Health. 2024 Jun 24;24(1):368. doi: 10.1186/s12905-024-03219-4.
In Ethiopia, premenstrual syndrome (PMS) was predominantly studied among university students who were in their early 20s; as a result, little is known about the prevalence of premenstrual syndrome among adolescent girls. Therefore, this study aimed to determine the prevalence of premenstrual syndrome and identify factors associated with premenstrual syndrome among secondary school female students in the Dessie city administration, 2023.
An institutional-based cross-sectional study was conducted involving a sample of 630 participants. A structured self-administered data collection tool was used to gather the necessary information. To ensure data quality, the pretesting and training of the data collectors and supervisors were conducted. The collected data were entered into Epi-data software and analyzed using SPSS version 25. Frequency tables, graphs, means, and medians were used to describe the characteristics of the study participants. Binary logistic regression was employed to identify significant factors. Variables with a p-value ≤ 0.05 with 95% confidence interval (CI) of adjusted odds ratio (AOR) in the final multivariable logistic regression were reported as statistically significant factors associated with PMS. Model fitness was evaluated using the Hosmer and Lemeshow goodness-of-fit test.
In the present study, the prevalence of PMS was 22%, 95% CI = 19-26%.
Age ≥ 18 years (AOR = 0.54; 95% CI: 0.34, 0.86), duration of menstruation ≥ 7 days (AOR = 3.61; 95% CI: 1.25, 10.37), presence of chronic illness (AOR = 2.08; 95% CI:1.04, 4.16), coffee intake (AOR = 6.05; 95% CI: 2.05, 17.87), alcohol intake (AOR = 0.49; 95% CI: 0.28, 0.86), use of pain medication (AOR = 2.06; 95% CI:1.10, 3.86), use of hormonal contraceptives (AOR = 3.9; 95% CI:1.58, 9.62), sleep disturbance (AOR = 3.82; 95% CI: 2.29, 6.42) and physical exercise (AOR = 0.50; 95% CI: 0.28, 0.87) were significantly associated with PMS.
A significant number of students in this study were affected by premenstrual syndrome. Age, duration of menstruation, presence of chronic illness, coffee intake, use of pain medication, use of hormonal contraceptives, and sleep disturbance were significantly associated with PMS. Students should avoid excessive use of alcohol, coffee intake and use of pain medication without prescription.
在埃塞俄比亚，经前期综合征（PMS）主要在 20 岁出头的大学生中进行研究；因此，对于青春期少女经前期综合征的流行情况知之甚少。因此，本研究旨在确定青春期少女经前期综合征的流行情况，并确定与青春期少女经前期综合征相关的因素。
这是一项在德西市行政部门进行的基于机构的横断面研究，涉及 630 名参与者。使用结构化的自我管理数据收集工具收集必要的信息。为确保数据质量，对数据收集员和主管进行了预测试和培训。将收集到的数据输入 Epi-data 软件，并使用 SPSS 版本 25 进行分析。使用频率表、图表、平均值和中位数来描述研究参与者的特征。使用二元逻辑回归来确定显著因素。在最终多变量逻辑回归中，p 值≤0.05，具有 95%置信区间（CI）的调整比值比（AOR）的变量被报告为与 PMS 相关的统计学显著因素。使用 Hosmer 和 Lemeshow 拟合优度检验评估模型拟合度。
在本研究中，经前期综合征的患病率为 22%，95%CI=19-26%。
年龄≥18 岁（AOR=0.54；95%CI：0.34，0.86）、经期≥7 天（AOR=3.61；95%CI：1.25，10.37）、患有慢性疾病（AOR=2.08；95%CI：1.04，4.16）、摄入咖啡（AOR=6.05；95%CI：2.05，17.87）、摄入酒精（AOR=0.49；95%CI：0.28，0.86）、使用止痛药（AOR=2.06；95%CI：1.10，3.86）、使用激素避孕药（AOR=3.9；95%CI：1.58，9.62）、睡眠障碍（AOR=3.82；95%CI：2.29，6.42）和体育锻炼（AOR=0.50；95%CI：0.28，0.87）与经前期综合征显著相关。
本研究中有相当数量的学生受到经前期综合征的影响。年龄、经期持续时间、慢性疾病的存在、咖啡摄入、止痛药的使用、激素避孕药的使用以及睡眠障碍与经前期综合征显著相关。学生应避免过度饮酒、摄入咖啡和使用未经处方的止痛药。
