Menstrual Hygiene Practices in Context of Schooling: A Community Study among Rural Adolescent Girls in Varanasi

INTRODUCTION:

Up until now, poor menstrual hygiene in developing countries has been an insufficiently acknowledged problem. The lack of attention to this issue is striking as we cannot achieve several Millennium Development Goals (MDGs), that is, 2, 3 4,5, and 5B. This study aimed to assess the level of awareness about menarche and hygienic practices during menstruation in context of schooling.

MATERIALS AND METHODS:

Community-based cross-sectional study using a mix method approach (qualitative and quantitative). It was conducted among 650 adolescent girls in the field practice area of Rural Health and Training Centre, Chiraigaon block of district Varanasi between January and June2011. Pretested, semistructured interview schedule was used. Data were analyzed statistically by using Statistical Package for Social Sciences (SPSS) software.

RESULTS:

Out of the total 650 respondents, 590 (90.78%) had attained menarche at the time of interview and only one-third of the respondents (29.4%) were aware of menstruation before menarche and sisters (55%) played the key role in providing information to them. Only 31% respondents were using sanitary pads during menstruation. Self-reported reproductive tract infection (RTI) was observed more in respondents not maintaining hygienic practices (6.6%) as compared to those maintaining hygiene (2.6%).

CONCLUSION AND RECOMMENDATIONS:

From the Focus Group Discussions (FGDs) as well as quantitative survey it was observed that the awareness about menarche before its onset was still poor in rural areas. Significant association (P < 0.05) was observed between respondent education and their awareness about menarche before its onset. Therefore, it is recommended that teachers can play an influential role in informing them about changes during adolescence, especially about menarche and other issues related to menstruation. As per the present study, sisters and mothers were the major source of information. Therefore, there is a need for the provision of comprehensive family life education for the parents also.

Below:  Association of hygienic practices during menstruation and respondent's socioeconomic and demographic characteristics

Full article at:   http://goo.gl/g4rl4D

By:  Kansal S1, Singh S1, Kumar A1.

• 1Department of Community Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
• Indian J Community Med. 2016 Jan-Mar;41(1):39-44. doi: 10.4103/0970-0218.170964. 

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Educational Needs of Adolescents Regarding Normal Puberty and Menstrual Patterns

OBJECTIVE:

The study aimed to determine the level of knowledge and the sources of information about normal puberty and menstrual patterns in Turkish schoolgirls from İstanbul.

METHODS:

The study sample was comprised of 922 randomly chosen schoolgirls. A questionnaire survey of knowledge of normal pubertal development and menstrual patterns was conducted.

RESULTS:

The age of the girls ranged between 10 and 17 years and 82.3% had had menarche. The leading source of pubertal information was the mothers (84.2%). There was no statistically significant relationship between the mothers' education level and the level of knowledge of the students about pubertal development (p>0.05). The main source for 18% of students was their teacher, but only 6% had a preference for their teacher providing education on this topic. 

Students who attained menarche preferred education about puberty to be given by health professionals and to both genders at the same setting (p<0.01). A total of 31.5% of students thought that the first symptom of puberty was acne. Half (50.7%) of the students did not know the time period between the beginning of puberty and menarche. The girls who had attained menarche were more knowledgeable about puberty, largely through their own experience.

CONCLUSION:

This study shows that schoolgirls have an insufficient level of knowledge about normal puberty. Education programs must be conducted for students and their parents.

Full article at: http://goo.gl/rz6zBH

By:  İşgüven P1, Yörük G, Çizmecioğlu FM.

• 1Sakarya University Faculty of Medicine, Department of Pediatric Endocrinology, Sakarya, Turkey Phone: +90 216 495 68 26 E-mail: pinarisguven@gmail.com.
• J Clin Res Pediatr Endocrinol. 2015 Dec 5;7(4):312-22. doi: 10.4274/jcrpe.2144. 

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Characteristics of the Menstrual Cycle in 13-Year-Old Flemish Girls & The Impact of Menstrual Symptoms on Social Life

ABSTRACT

This study aimed to investigate the characteristics of symptoms related to the menstrual cycle and their impact on social activities in young teenage girls. Between March and June 2009, all girls born in 1996 who were residents of eight regions in Flanders (Belgium) received a semi-structured questionnaire, including questions about the age of menarche, characteristics of the menstrual cycle, and its impact on social activities. 

Participants were 792 13-year-old girls (15.7 % of the target population). Out of 363 (47.2 % of participants) postmenarcheal girls, 41.6 % (95 % confidence interval (CI) 36.4-47.0 %) reported painful menstruations. 

The proportion of girls with painful menstrual periods decreased approximately 16 % with each year the age at menarche increased (relative risk (RR) = 0.84; 0.73-0.98; p < 0.05) and was positively correlated with the amount of blood loss (RR = 0.33; 0.16-0.67; p < 0.05 when little and 1.85; 1.49-2.31; p < 0.001 when abundant, compared to average). 

One in four (25.4 %) postmenarcheal girls indicated a negative impact of menstruation on social activities, but this proportion was significantly higher in girls who experienced menstruation as painful (41.3 %) compared to those who did not (14.2 %).

CONCLUSION:

Early menstrual complaints are common in young adolescent girls and the likelihood of pain increased significantly with lower menarcheal age. 

What is Known? 

• Menstrual cycle-related symptoms may negatively interfere with school absence and social activities. 
• Early menarche and severe dysmenorrhea are correlated with endometriosis. 

What is New? 

• In this large population-based study on the characteristics of the menstrual cycle in young teenage girls at or shortly after menarche, painful menstruation was highly prevalent (41.7 %), but related school absenteeism was low (3.2 %). The likelihood of pain increased significantly with lower menarcheal age.
• The findings support the need for a systematic evaluation of the characteristics of the menstrual cycle shortly after menarche.

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By:   Hoppenbrouwers K1, Roelants M2, Meuleman C3, Rijkers A4, Van Leeuwen K5, Desoete A6, D'Hooghe T7.

• 1Centre of Environment and Health, Department of Public Health and Primary Care, University Leuven, Kapucijnenvoer 35, block d, 7001, 3000, Leuven, Belgium. karel.hoppenbrouwers@med.kuleuven.be.
• 2Centre of Environment and Health, Department of Public Health and Primary Care, University Leuven, Kapucijnenvoer 35, block d, 7001, 3000, Leuven, Belgium. mathieu.roelants@med.kuleuven.be.
• 3University Fertility Centre, Department of Obstetrics and Gynaecology, University Hospital Leuven, 3000, Leuven, Belgium. christel.meuleman@uzleuven.be.
• 4University Fertility Centre, Department of Obstetrics and Gynaecology, University Hospital Leuven, 3000, Leuven, Belgium. lian.rijkers@uzleuven.be.
• 5Parenting and Special Education Research Group, University Leuven, 3000, Leuven, Belgium. karla.vanleeuwen@ppw.kuleuven.be.
• 6Department of Experimental Clinical and Health Psychology, University Ghent, 9000, Ghent, Belgium. annemie.desoete@ugent.be.
• 7University Fertility Centre, Department of Obstetrics and Gynaecology, University Hospital Leuven, 3000, Leuven, Belgium. thomas.dhooghe@uzleuven.be. 

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Influence of Socioeconomic Status in the Age at the of Menarche and Duration of Menstrual Bleeding

Purpose:

The study of the relationship ,between the age at menarche and socioeconomic status in a rural area in Sudan.

Work method:

This was a cross-sectional descriptive study conducted in Altadamon and Eldubha areas in the northern state of Sudan during year 2006. It included 182 girls of age between 13 to 18 years in elementary and secondary school.

Work results:

The mean age at menarche for girls in Northern Sudan in this study was 13.93 ± 1.29 year, the mean menarcheal age in these girls are amongst the lowest values presented for African countries. The mean duration of menstrual bleeding among girls in the Northern Sudan in this study was 4.8 ± 1.22 days. We also found statistically significant differences in age at menarche between girls whose parents had a higher educational level and those with a lower educational level and also according to the economic status and size of the family.

Conclusion:

Between the girls whose parents were living together and girls whose parents separated there was a significant difference of 1.02 day.

Below:  Distribution of sample according to age of menarche

Below:  Distribution of sample according to duration of menstrual bleeding

Below:  Distribution of sample according to economic status

Below:  Correlation between age of menarche and economic status

Full article at:   http://goo.gl/ekZLus

By:   Mohammed Elshiekh1 and Ammar Mohammed Ali Mohammed2

¹Department of Physiology, Faculty of Medicine, University of Dongola, Dongola, Sudan

²Department of Anatomy, Faculty of Medicine, University of Dongola, Dongola, Sudan

Corresponding author: Ammar Mohammed Ali Mohammed, MD. Department of psysiology, Faculty of medicine, University of Dongola, Dongola, Sudan. E-mail: moc.liamtoh@2002oremama

 

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Menstrual Patterns & Disorders among Secondary School Adolescents in Egypt. A Cross-Sectional Survey

Background

To our knowledge, no large population – based studies have been performed on the topic of menstrual patterns among Egyptian adolescent in recent years. The aims of this study were to identify menstrual patterns and associated disorders as well as the sources of menstrual health knowledge among Egyptian adolescents.

Methods

A cross-sectional survey. A total of 800 questionnaires were administered to post-menarcheal Egyptian adolescents attending secondary schools in Giza, Egypt, from September 1, 2012, to December 1, 2013. Participants were asked to respond to a semi-structured questionnaire on menstrual health awareness. The questionnaire included items on girl’s socio-demographic and menstrual pattern characteristics, concerning their age at menarche, menstrual cycle length and regularity, duration and amount of flow, type and severity of pain related to menstruation, need for analgesia; and symptoms suggestive of premenstrual syndrome (PMS) Main Outcome Measure: description of menstrual patterns, disorders and source of knowledge.

Results

Four hundred twelve (51.5%) out of 800 adolescents completed the questionnaire. The mean age of the girls was 14.67 ± 1.7 years. Mean age at menarche was 12.49 ± 1.20 years. 382 respondents reported various menstrual disorders, giving a prevalence rate of 95%. Dysmenorrhea was the most prevalent (93%) menstrual disorder in our sample, followed by PMS (65%), and abnormal cycle lengths (43%). Menstrual disorders interfered with social and academic life of 33 and 7.7% of respondents respectively. Most participants lacked menstrual health knowledge and only 8.9% of girls reported consulting a physician.

Conclusion

To the best of our knowledge, this is one of the largest studies on menstrual pattern and disorders among Egyptian adolescent girls. Our Findings of the present study are consistent with other studies and reported higher than expected prevalence of menstrual disorders.

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