Liu Huimin, Han Dan, Hu Yancen, Huang Liyan, Wang Jing, Zhu Danling
Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, 518000, Guangdong Province, China.
The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Sci Rep. 2025 Jul 1;15(1):22180. doi: 10.1038/s41598-025-05152-4.
This study aims to explore the association between stress coping and primary dysmenorrhea among Chinese female adolescent students. A two-step random, stratified, cluster sampling method was employed to assess the health status of female adolescents; aged 10 to 19 years attending middle and secondary schools in the urban region of Shenzhen city. The survey utilized a structured questionnaire that addressed menstrual details, dietary and sleep habits, and psychological factors. Binary logistic regression analysis was conducted to support the research objectives, and interaction and subgroup analyses were performed. Among the 1449 adolescent females surveyed, 72% reported experiencing dysmenorrhea. The analysis identified significant associations between primary dysmenorrhea and stress coping, menstrual cycle length, dietary, sleep duration, and family history. After adjusting for potential confounders, including menstrual characteristics and family history, compared with adolescents who experienced no difficulty coping with stress, those reporting moderate difficulty were 1.66 times more likely to experience primary dysmenorrhea (95% CI 1.12-2.47), while those reporting severe difficulty were 1.97 times more likely (95% CI 1.01-3.18). Additional sensitivity analyses substantiated the robustness of these findings. Our study establishes a significant association between stress coping and the incidence of dysmenorrhea among Chinese female adolescent students, highlighting the critical need to incorporate stress management strategies to addressing menstrual pain.
本研究旨在探讨中国女性青少年学生压力应对与原发性痛经之间的关联。采用两阶段随机分层整群抽样方法评估10至19岁在深圳市市区中小学就读的女性青少年的健康状况。该调查使用了一份结构化问卷，涉及月经细节、饮食和睡眠习惯以及心理因素。进行二元逻辑回归分析以支持研究目标，并进行了交互作用和亚组分析。在接受调查的1449名青少年女性中，72%报告有痛经经历。分析确定了原发性痛经与压力应对、月经周期长度、饮食、睡眠时间和家族史之间存在显著关联。在调整了包括月经特征和家族史等潜在混杂因素后，与应对压力无困难的青少年相比，报告有中度困难的青少年发生原发性痛经的可能性高1.66倍（95%置信区间1.12 - 2.47），而报告有严重困难的青少年发生原发性痛经的可能性高1.97倍（95%置信区间1.01 - 3.18）。额外的敏感性分析证实了这些发现的稳健性。我们的研究确定了中国女性青少年学生压力应对与痛经发生率之间存在显著关联，强调了纳入压力管理策略以解决痛经问题的迫切需求。
