. Nishu Jha; . Ajeet Singh Bhadoria; . Yogesh Bahurupi; . Kanchan Gawande; . Bhavna Jain; . Jaya Chaturvedi; . Surekha Kishore
Volume 10, Issue 11 , November 2020, , Pages 1-7
Abstract
BACKGROUND: Menstruation is a normal physiological process among reproductive age groupfemales. Although some of them show the abnormal menstrual pattern, which is influenced byseveral ...
Read More
BACKGROUND: Menstruation is a normal physiological process among reproductive age groupfemales. Although some of them show the abnormal menstrual pattern, which is influenced byseveral factors, including sociodemographic status, psychosocial stress, improper sleep level,etc. The identification of these risk factors associated with abnormal menstrual patterns may permitrisk stratification among adolescent girls. This study was planned to determine various factors whichdepict menstrual cycle pattern among adolescent girls in urban India.MATERIALS AND METHODS: A school‑based case–control study was carried out in urban Indiafrom May to December 2019. Urban locality and schools were randomly selected, and data werecollected in two phases. Adolescent girls in the age group of 10–19 years studying in governmentand private (both Hindi medium and English medium) schools of urban India were screened for theabnormal menstrual pattern. Equal numbers of age‑matched controls were also enrolled. Data werecollected with the help of self‑administered predesigned pretested semi‑structured questionnaire.Chi‑square test, Fisher’s exact test, unpaired t‑test, and McNemar tests were used to analyze datausing SPSS version 23.0.RESULTS: A total of 100 cases and 100 age‑matched controls (mean age 14.8 ± 1.5 years) wereincluded in the study, almost half of the cases and controls have normative menarche. Impropersleep patterns increased stress levels, and low education status of mothers show statisticallysignificant (P = 0.047) association with abnormal menstrual patterns.CONCLUSION: More stress, improper sleep levels, and low education status of mothers amongschool‑going adolescent girls were strongly associated with abnormal menstrual patterns with moresymptoms during menstruation.
