Sawyer Gemma, Fraser Abigail, Lawlor Deborah A, Sharp Gemma C, Howe Laura D
MRC Integrative Epidemiology Unit, University of Bristol, Bristol, England, UK.
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, England, UK.
NPJ Sci Learn. 2025 Aug 19;10(1):54. doi: 10.1038/s41539-025-00338-x.
Menstrual symptoms may negatively impact academic achievement, but rigorous population-based studies are lacking. 2,698 participants from the Avon Longitudinal Study of Parents and Children (ALSPAC) self-reported heavy or prolonged bleeding and menstrual pain during adolescence and multivariable regression were used to estimate associations with linked data on absences and attainment at age 15/16, adjusting for confounders. Heavy or prolonged bleeding and pain were associated with missing 1.7 (16.58% increase) and 1.2 (12.83% increase) additional days of school per year, respectively, and 48% and 42% higher odds of persistent (≥10%) absence. Heavy or prolonged bleeding was associated with lower examination scores (-5.7 points) and 27% lower odds of achieving five standard passes. The association between pain and attainment was weaker but still present (-3.14 points; 95% CI: -7.46, 1.17; 16% lower odds of five standard passes). Greater research and support are needed to prevent adolescents' menstrual symptoms impacting their academic achievement.
月经症状可能会对学业成绩产生负面影响，但缺乏严谨的基于人群的研究。来自阿冯父母与儿童纵向研究（ALSPAC）的2698名参与者自我报告了青春期的大量或长时间出血以及痛经情况，并使用多变量回归来估计与15/16岁时缺勤和学业成绩相关数据的关联，同时对混杂因素进行了调整。大量或长时间出血以及疼痛分别与每年多缺课1.7天（增加16.58%）和1.2天（增加12.83%）相关，以及持续缺勤（≥10%）的几率分别高出48%和42%。大量或长时间出血与考试成绩较低（-5.7分）以及获得五门标准及格成绩的几率低27%相关。疼痛与学业成绩之间的关联较弱，但仍然存在（-3.14分；95%置信区间：-7.46，1.17；获得五门标准及格成绩的几率低16%）。需要更多的研究和支持来防止青少年的月经症状影响他们的学业成绩。
