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Determination of Dysmenorrhea and Associated Factors in Women in Türkiye: A Cross-Sectional Study

Year 2024, Volume: 12 Issue: 3, 886 - 896, 21.10.2024
https://doi.org/10.33715/inonusaglik.1377921

Abstract

Menstrual disorders are very common in women, with rates as high as 75%, and dysmenorrhea is the most commonly reported menstruation-related disorder. Dysmenorrhea is defined as a painful, cramping sensation in the lower abdomen, often accompanied by headache, nausea, vomiting and sweating. Studies on primary dysmenorrhea and its severity have investigated the effects of various demographic, physical, lifestyle and psychosocial factors. However, there is a need for a study that examines these factors together and comprehensively, especially in the Turkish population. This study aimed to determine the factors associated with primary dysmenorrhea in Turkish women. The study was a cross-sectional study conducted between May 2021 and December 2021. The study included 760 literate, reproductive-age women over 18 years of age. Personal Information Form and Beck Anxiety Scale were used to collect data. When the socio-demographic and lifestyle characteristics of the participants were compared, it was found that family history of menstrual pain (p=<.001) and alcohol use (p=.027) were associated with increased menstrual pain. Duration of menstruation (p=.026), duration of pain during menstruation (p=.005) and giving birth (p=.024) were associated with pain intensity. As the duration of menstruation increased, the severity of pain increased in those who stated that they experienced pain during menstruation and in those who did not give birth. When the severity of menstrual pain and anxiety levels of the participants were compared, it was determined that the severity of menstrual pain increased as the anxiety level increased (p=.026). Family history, alcohol use, duration of menstruation, giving birth and anxiety level were determined as risk factors for pain intensity in primary dysmenorrhea.

References

  • Adib, R., Basirat, Z., Bakouei, F., Moghadamnia, A., Khafri, S., Farhadi, K. ve Kazemi, S. (2018). Effect of ginger and novafen on menstrual pain: A Cross-Over Trial. Taiwanese Journal of Obstetrics and Gynecology, 57(6), 806–809. https://doi.org/10.1016/j.tjog.201 8.10.006.
  • Åkerlund, M. (1979). Pathophysiology of dysmenorrhea. Acta Obstetricia Et Gynecologica Scandinavica, 58(Sup87), 27-32.
  • Al-Matouq, S., Al-Mutairi, H., Al-Mutairi, O., Abdulaziz, F., Al-Basri, D., Al-Enzi, M. ve Al-Taiar, A. (2019). dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatrics, 19(1), 80. https://doi.org/10.1186/s12887-019-1442-6
  • Ballagh, A ve Heyl, A. (2008) Communicating with women about menstrual cycle symptoms. J Reprod Med, 53:837-46.
  • Burnett, M. ve Lemyre, M. (2017). Primary dysmenorrhea consensus guideline. Journal Of Obstetrics and Gynaecology Canada, 39(7), 585-595.
  • Çetin, Ö. ve Aslan, E. (2019). Adölesanlarda sık görülen jinekolojik sorunlar. Sağlık Bilimlerinde İleri Araştırmalar Dergisi, 2(1), 33-43.
  • Cinar, N., Akbayrak, T., Gursen, C., Baran, E., Uzelpasaci, E., Nakip, G., Bozdag, G., Beksaç, M. S. ve Ozgul, S. (2021). Factors related to primary dysmenorrhea in turkish women: a multiple multinomial logistic regression analysis. Reproductive Sciences, 28(2), 381-392.
  • Duman, N. B., Yildirim, F. ve Vural, G. (2022). Risk factors for primary dysmenorrhea and the effect of complementary and alternative treatment methods: sample from Corum, Turkey. International Journal of Health Sciences, 16(3), 35.
  • Hailemeskel, S., Demissie, A. ve Assefa, N. (2016). Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: Evidence from Female University Students in Ethiopia. International Journal of Women's Health, 8, 489.
  • Harlow, D. ve Park, M. (1996). A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Bjog: An International Journal of Obstetrics ve Gynaecology, 103(11), 1134-1142.
  • Hu, Z., Tang, L., Chen, L., Kaminga, C. ve Xu, H. (2020). Prevalence and risk factors associated with primary dysmenorrhea among chinese female university students: A Cross-Sectional Study. Journal Of Pediatric and Adolescent Gynecology, 33(1), 15-22.
  • Ju, H., Jones, M. ve Mishra, G. (2014). The prevalence and risk factors of dysmenorrhea. Epidemiologic Reviews, 36(1), 104-113.
  • Juang, M., Yen, S., Twu, F., Horng, C., Yu, C. ve Chen, Y. (2006). Impact of pregnancy on primary dysmenorrhea. International Journal of Gynecology ve Obstetrics, 92(3), 221-227.
  • Kahyaoğlu, Süt, H., Küçükkaya, B. ve Arslan, E. (2019). Primer dismenore ağrısında tamamlayıcı ve alternatif tedavi yöntemleri kullanımı. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(4), 322-327. doi: 10.34087/Cbusbed.568502
  • Karout, S., Soubra, L., Rahme, D., Karout, L., Khojah, H. M. ve Itani, R. (2021). Prevalence, risk factors, and management practices of primary dysmenorrhea among young females. BMC Women's Health, 21(1), 1-14.
  • Laurent, D., Schneider, E., Prusaczyk, K., Franklin, C., Vogel, M., Krssak, M., Petersen, F., Goforth, W. ve Shulman, I. (2000). Effects of caffeine on muscle glycogen utilization and the neuroendocrine axis during exercise. The Journal of Clinical Endocrinology ve Metabolism, 85(6), 2170-2175.
  • Nasir, L. ve Bope, E. T. (2004). Management of pelvic pain from dysmenorrhea or endometriosis. The Journal of The American Board of Family Practice, 17 Suppl, S43–S47. https://doi.org/10.3122/jabfm.17.suppl_1.s43
  • Ozerdogan, N., Sayiner, D., Ayranci, U., Unsal, A. ve Giray, S. (2009). Prevalence and predictors of dysmenorrhea among students at a university in Turkey. International Journal of Gynaecology and Obstetrics: The Official Organ of The International Federation of Gynaecology and Obstetrics, 107(1), 39–43. https://doi.org/10.1016/j.ijgo.2009.05.010
  • Pakpour, H., Kazemi, F., Alimoradi, Z. ve Griffiths, D. (2020). Depression, anxiety, stress, and dysmenorrhea: a A protocol for a systematic review. Systematic Reviews, 9(1), 1-6.
  • Parveen, N., Majeed, R. ve Rajar U. D., (2009). Familial predisposition of dysmenorrhea among the medical students. Pak J Med Sci, 25(5), 857-860.
  • Patel, V., Tanksale, V., Sahasrabhojanee M., Gupte S. ve Nevrekar P. (2006). The burden and determinants of dysmenorrhoea: A population-based survey of 2262 women in Goa, India. BJOG: An International Journal of Obstetrics and Gynaecology, 113(4), 453-463. https://doi.org/10.1111/j.1471-0528.2006.00874.x
  • Türkmen, H. (2019). Üniversite öğrencilerinde dismenore görülme sıklığı ve dismenoreye etki eden faktörler. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(1), 39-46. https://dergipark.org.tr/tr/pub/cbusbed/issue/44250/470224
  • Ulusoy M., Sahin H. ve Erkmen H. (1998) Turkish version of the beck anxiety ınventory: psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163-172
  • Unsal A., Ayranci U., Tozun M., Arslan G. ve Çalik E. (2010). Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Upsala journal of medical sciences, 115(2).
  • Yaşar, Ö., Yıldırım, D. ve Turhan, S. (2020). Primer dismenore ve kişilik. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, 17(2), 364-367.
  • Weissman M., Hartz J., Hansen D. ve Johnson R. (2004). The natural history of primary dysmenorrhoea: A longitudinal study. Bjog: An International Journal of Obstetrics ve Gynaecology, 111(4), 345-352.

TÜRKİYE’DE KADINLARDA DİSMENORE VE İLİŞKİLİ FAKTÖRLERİN BELİRLENMESİ: KESİTSEL BİR ARAŞTIRMA

Year 2024, Volume: 12 Issue: 3, 886 - 896, 21.10.2024
https://doi.org/10.33715/inonusaglik.1377921

Abstract

Menstrual bozukluklar %75'e varan oranlarla kadınlarda çok yaygındır ve dismenore menstruasyonla ilişkili en sık bildirilen bozukluktur. Dismenore sıklıkla baş ağrısı, bulantı, kusma ve terleme gibi bulguların eşlik ettiği alt karın bölgesinde ağrılı, kramplı bir his olarak tanımlanır. Primer dismenore ile ilgili yapılan çalışmalarda çeşitli demografik, fiziksel, yaşam tarzı ile ilgili ve psikososyal faktörlerin etkileri araştırılmıştır. Ancak, özellikle Türk toplumunda bu faktörleri bir arada ve kapsamlı şekilde inceleyen çalışmaya ihtiyaç bulunmaktadır. Çalışmamızda, Türk kadınlarında primer dismenore ile ilişkili faktörlerin saptanması amaçlanmıştır. Araştırma, Mayıs 2021-Aralık 2021 tarihlerinde yürütülen kesitsel bir araştırmadır. Çalışmaya, 18 yaşından büyük, okuma-yazma bilen üreme çağındaki 760 kadın dahil edilmiştir. Araştırmada veri toplama aracı olarak Kişisel Bilgi Formu ve Beck Anksiyete Ölçeği kullanılmıştır. Katılımcıların sosyo-demografik ve yaşam tarzı özellikleri karşılaştırıldığında ailede menstrual ağrı öyküsü (p=<.001) ve alkol kullanımının (p=.027) artan menstrual ağrıyla ilişkili olduğu bulunmuştur. Menstruasyon süresi (p=.026), menstruasyondaki ağrı süresinin (p=.005) ve doğum yapma durumunun (p=.024) ağrı şiddetiyle ilişkili olduğu görülmüştür. Menstruasyon süresi arttıkça, menstruasyon boyunca ağrı yaşadığını ifade edenlerde ve doğum yapmayanlarda ağrı şiddeti artmıştır. Katılımcıların menstrual ağrı şiddeti ile anksiyete düzeyleri karşılaştırıldığında anksiyete düzeyi arttıkça menstrual ağrı şiddetinin arttığı belirlenmiştir (p=.026). Aile öyküsü, alkol kullanımı, menstruasyon süresi, doğum yapma durumu, anksiyete düzeyi primer dismenorede ağrı şiddeti için risk faktörleri olarak belirlenmiştir.

Thanks

Çalışmamıza katılan tüm kadınlara teşekkür ederiz.

References

  • Adib, R., Basirat, Z., Bakouei, F., Moghadamnia, A., Khafri, S., Farhadi, K. ve Kazemi, S. (2018). Effect of ginger and novafen on menstrual pain: A Cross-Over Trial. Taiwanese Journal of Obstetrics and Gynecology, 57(6), 806–809. https://doi.org/10.1016/j.tjog.201 8.10.006.
  • Åkerlund, M. (1979). Pathophysiology of dysmenorrhea. Acta Obstetricia Et Gynecologica Scandinavica, 58(Sup87), 27-32.
  • Al-Matouq, S., Al-Mutairi, H., Al-Mutairi, O., Abdulaziz, F., Al-Basri, D., Al-Enzi, M. ve Al-Taiar, A. (2019). dysmenorrhea among high-school students and its associated factors in Kuwait. BMC Pediatrics, 19(1), 80. https://doi.org/10.1186/s12887-019-1442-6
  • Ballagh, A ve Heyl, A. (2008) Communicating with women about menstrual cycle symptoms. J Reprod Med, 53:837-46.
  • Burnett, M. ve Lemyre, M. (2017). Primary dysmenorrhea consensus guideline. Journal Of Obstetrics and Gynaecology Canada, 39(7), 585-595.
  • Çetin, Ö. ve Aslan, E. (2019). Adölesanlarda sık görülen jinekolojik sorunlar. Sağlık Bilimlerinde İleri Araştırmalar Dergisi, 2(1), 33-43.
  • Cinar, N., Akbayrak, T., Gursen, C., Baran, E., Uzelpasaci, E., Nakip, G., Bozdag, G., Beksaç, M. S. ve Ozgul, S. (2021). Factors related to primary dysmenorrhea in turkish women: a multiple multinomial logistic regression analysis. Reproductive Sciences, 28(2), 381-392.
  • Duman, N. B., Yildirim, F. ve Vural, G. (2022). Risk factors for primary dysmenorrhea and the effect of complementary and alternative treatment methods: sample from Corum, Turkey. International Journal of Health Sciences, 16(3), 35.
  • Hailemeskel, S., Demissie, A. ve Assefa, N. (2016). Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: Evidence from Female University Students in Ethiopia. International Journal of Women's Health, 8, 489.
  • Harlow, D. ve Park, M. (1996). A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Bjog: An International Journal of Obstetrics ve Gynaecology, 103(11), 1134-1142.
  • Hu, Z., Tang, L., Chen, L., Kaminga, C. ve Xu, H. (2020). Prevalence and risk factors associated with primary dysmenorrhea among chinese female university students: A Cross-Sectional Study. Journal Of Pediatric and Adolescent Gynecology, 33(1), 15-22.
  • Ju, H., Jones, M. ve Mishra, G. (2014). The prevalence and risk factors of dysmenorrhea. Epidemiologic Reviews, 36(1), 104-113.
  • Juang, M., Yen, S., Twu, F., Horng, C., Yu, C. ve Chen, Y. (2006). Impact of pregnancy on primary dysmenorrhea. International Journal of Gynecology ve Obstetrics, 92(3), 221-227.
  • Kahyaoğlu, Süt, H., Küçükkaya, B. ve Arslan, E. (2019). Primer dismenore ağrısında tamamlayıcı ve alternatif tedavi yöntemleri kullanımı. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(4), 322-327. doi: 10.34087/Cbusbed.568502
  • Karout, S., Soubra, L., Rahme, D., Karout, L., Khojah, H. M. ve Itani, R. (2021). Prevalence, risk factors, and management practices of primary dysmenorrhea among young females. BMC Women's Health, 21(1), 1-14.
  • Laurent, D., Schneider, E., Prusaczyk, K., Franklin, C., Vogel, M., Krssak, M., Petersen, F., Goforth, W. ve Shulman, I. (2000). Effects of caffeine on muscle glycogen utilization and the neuroendocrine axis during exercise. The Journal of Clinical Endocrinology ve Metabolism, 85(6), 2170-2175.
  • Nasir, L. ve Bope, E. T. (2004). Management of pelvic pain from dysmenorrhea or endometriosis. The Journal of The American Board of Family Practice, 17 Suppl, S43–S47. https://doi.org/10.3122/jabfm.17.suppl_1.s43
  • Ozerdogan, N., Sayiner, D., Ayranci, U., Unsal, A. ve Giray, S. (2009). Prevalence and predictors of dysmenorrhea among students at a university in Turkey. International Journal of Gynaecology and Obstetrics: The Official Organ of The International Federation of Gynaecology and Obstetrics, 107(1), 39–43. https://doi.org/10.1016/j.ijgo.2009.05.010
  • Pakpour, H., Kazemi, F., Alimoradi, Z. ve Griffiths, D. (2020). Depression, anxiety, stress, and dysmenorrhea: a A protocol for a systematic review. Systematic Reviews, 9(1), 1-6.
  • Parveen, N., Majeed, R. ve Rajar U. D., (2009). Familial predisposition of dysmenorrhea among the medical students. Pak J Med Sci, 25(5), 857-860.
  • Patel, V., Tanksale, V., Sahasrabhojanee M., Gupte S. ve Nevrekar P. (2006). The burden and determinants of dysmenorrhoea: A population-based survey of 2262 women in Goa, India. BJOG: An International Journal of Obstetrics and Gynaecology, 113(4), 453-463. https://doi.org/10.1111/j.1471-0528.2006.00874.x
  • Türkmen, H. (2019). Üniversite öğrencilerinde dismenore görülme sıklığı ve dismenoreye etki eden faktörler. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 6(1), 39-46. https://dergipark.org.tr/tr/pub/cbusbed/issue/44250/470224
  • Ulusoy M., Sahin H. ve Erkmen H. (1998) Turkish version of the beck anxiety ınventory: psychometric properties. Journal of Cognitive Psychotherapy, 12(2), 163-172
  • Unsal A., Ayranci U., Tozun M., Arslan G. ve Çalik E. (2010). Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Upsala journal of medical sciences, 115(2).
  • Yaşar, Ö., Yıldırım, D. ve Turhan, S. (2020). Primer dismenore ve kişilik. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, 17(2), 364-367.
  • Weissman M., Hartz J., Hansen D. ve Johnson R. (2004). The natural history of primary dysmenorrhoea: A longitudinal study. Bjog: An International Journal of Obstetrics ve Gynaecology, 111(4), 345-352.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Araştırma Makalesi
Authors

İrem Gülsüm Ceran 0009-0006-2976-4735

Berrak Mızrak Şahin 0000-0001-7757-5003

Early Pub Date October 12, 2024
Publication Date October 21, 2024
Submission Date October 19, 2023
Acceptance Date June 28, 2024
Published in Issue Year 2024 Volume: 12 Issue: 3

Cite

APA Ceran, İ. G., & Mızrak Şahin, B. (2024). TÜRKİYE’DE KADINLARDA DİSMENORE VE İLİŞKİLİ FAKTÖRLERİN BELİRLENMESİ: KESİTSEL BİR ARAŞTIRMA. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 12(3), 886-896. https://doi.org/10.33715/inonusaglik.1377921