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波兰青春期女孩的痛经:对身体、心理和社会幸福感的影响——POLKA 18研究结果

Dysmenorrhea in Polish Adolescent Girls: Impact on Physical, Mental, and Social Well-Being-Results from POLKA 18 Study.

作者信息

Drejza Michalina, Rylewicz Katarzyna, Majcherek Ewa, Barwińska Joanna, Łopiński Grzegorz, Mizgier Małgorzata, Plagens-Rotman Katarzyna, Pisarska-Krawczyk Magdalena, Jarząbek-Bielecka Grażyna, Kędzia Witold

机构信息

Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK.

National Medical Institute of the Ministry of the Interior and Administration, 02-507 Warsaw, Poland.

出版信息

J Clin Med. 2024 Oct 21;13(20):6286. doi: 10.3390/jcm13206286.

Abstract

: Dysmenorrhea, characterised by painful menstrual cramps, is a pressing issue among adolescent girls globally. It significantly impacts their quality of life and has been associated with increased mental health issues and engagement in risky behaviours like smoking. In Poland, there is limited research on menstrual health, emphasising the need for a study to understand dysmenorrhea experiences and their impact on young menstruating individuals. : This research project investigated the effects of dysmenorrhea on quality of life and school attendance, as well as its associations with non-communicable diseases, including mental health among adolescent girls in Poland. Additionally, the study examined risk factors for non-communicable disease development, including high-risk health behaviours and exposure to violence. The study utilised a cross-sectional design, administering self-reported questionnaires in high schools and vocational schools in six voivodeships (regions) in Poland. The analysis was performed using the R language in the Rstudio environment. -value < 0.05 was considered significant. : A significant percentage of respondents experienced heavy menstruation, irregularity, and pain. Adolescents with dysmenorrhea reported higher rates of school absenteeism, mental health issues (such as anxiety and panic attacks), and a higher likelihood of engagement in risk behaviours like smoking and illicit drug use. The study also identified associations between dysmenorrhea and experiences of violence, including sexual abuse and intimate partner violence, as well as links to self-harm and suicidal ideation. : These findings contribute to understanding dysmenorrhea among Polish adolescent girls, emphasising the need for tailored interventions and support services. The study underscores the necessity of addressing menstrual health comprehensively, considering its impact on various aspects of young women's lives and promoting their overall well-being.

摘要

痛经以月经绞痛为特征,是全球青春期女孩面临的一个紧迫问题。它严重影响她们的生活质量,并与心理健康问题增加以及吸烟等危险行为有关。在波兰,关于月经健康的研究有限,这凸显了开展一项研究以了解痛经经历及其对年轻经期女性影响的必要性。

本研究项目调查了痛经对生活质量和上学出勤率的影响,以及它与包括波兰青春期女孩心理健康在内的非传染性疾病的关联。此外,该研究还考察了非传染性疾病发展的风险因素,包括高风险健康行为和暴力暴露情况。该研究采用横断面设计,在波兰六个省(地区)的高中和职业学校发放自填式问卷。分析在Rstudio环境中使用R语言进行。P值<0.05被视为具有显著性。

相当比例的受访者经历过月经过多、月经不规律和疼痛。患有痛经的青少年报告的缺课率、心理健康问题(如焦虑和惊恐发作)更高,以及吸烟和使用非法药物等危险行为的可能性更大。该研究还确定了痛经与暴力经历之间存在关联,包括性虐待和亲密伴侣暴力,以及与自我伤害和自杀意念的联系。

这些发现有助于了解波兰青春期女孩的痛经情况,强调需要有针对性的干预措施和支持服务。该研究强调了全面解决月经健康问题的必要性,考虑到其对年轻女性生活各个方面的影响,并促进她们的整体福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d0a/11508638/7c5e71361180/jcm-13-06286-g001.jpg

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