Prevalence of Dysmenorrhea and its Associated Factors among Adolescent Girls Studying in Technical Schools of Dang, Nepal
Introduction: Dysmenorrhea is a gynecological disorder and more often a cause of shame, anxiety and embarrassment among female adolescents. The prevalence of dysmenorrhea worldwide ranges 15.8-89.5%, with higher prevalence rates reported among adolescent female. This study aimed to assess the prevalence of dysmenorrhea and its associated factors among adolescent girls studying in Council for Technical Education and Vocational Training (CTEVT) at Ghorahi Sub-metro Politian Dang, Nepal.
Methods: Institutional based cross-sectional analytical study was carried out from February, 2019 to August, 2019 among adolescent girls in technical schools of Dang, Nepal. Self-administered questionnaire was used to collect data from 452 adolescent girls and only 375 adolescent girls were included in the study. Census method was adopted. Data were checked, coded and entered into Epi-data (version 3.1) and transferred to SPSS (version 20) for analysis. Univariate, bivariate and multi variable analyses were carried out. Binary logistic regression model were computed and P value < 0.05 was considered as significant. All ethical procedures were considered.
Results: The prevalence of dysmenorrhea was 75.2%, among them half of the respondents experienced moderate pain (50.7%), followed by mild (26.6%) and severe (22.7%). Family history of dysmenorrhea, AOR (95% CI) = 7.657 (4.036, 14.528), early menarche AOR (95% CI) = 15.662 (7.583, 32.351), underweight AOR (95% CI) = 0.361 (0.149, 0.874) had statistically significant association with the dysmenorrhea.
Conclusion: Three-quarters of the adolescent girls experienced dysmenorrhea. Dysmenorrhea among adolescent girls is associated with family history, early menarche, whereas underweight was found to be protective factors for the occurrence of dysmenorrhea. All girls entering into menarchhe should be oriented with dysmenorrhea management practices to maintain physical, physiological and psycho- social health.