Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana

Background. Dysmenorrhea has been the most common gynecological problem worldwide. Reports of dysmenorrhea are greatest among individuals in their late teens and 20s and usually declining with age. It has also been reported that dysmenorrhea affects more than 80% of women in the reproductive age. Th...

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Main Authors: Kwabena Acheampong, Dorothy Baffour-Awuah, Daniel Ganu, Stalla Appiah, Xionfeng Pan, Atipatsa Kaminga, Aizhong Liu
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2019/5834159
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author Kwabena Acheampong
Dorothy Baffour-Awuah
Daniel Ganu
Stalla Appiah
Xionfeng Pan
Atipatsa Kaminga
Aizhong Liu
author_facet Kwabena Acheampong
Dorothy Baffour-Awuah
Daniel Ganu
Stalla Appiah
Xionfeng Pan
Atipatsa Kaminga
Aizhong Liu
author_sort Kwabena Acheampong
collection DOAJ
description Background. Dysmenorrhea has been the most common gynecological problem worldwide. Reports of dysmenorrhea are greatest among individuals in their late teens and 20s and usually declining with age. It has also been reported that dysmenorrhea affects more than 80% of women in the reproductive age. The study objective was to examine the predictors of dysmenorrhea, its effect, and coping mechanisms among adolescents in Shai Osudoku District, Ghana. Methods. We conducted a cross-sectional study in September and November 2017 in selected schools in Shai Osudoku District, Ghana. We employed self-administered questionnaire to obtain data from adolescents volunteered to participate in the study. We analyzed the data using the SPSS programme IBM version 20. We used the Pearson chi-square test and multiple logistic regression analysis to assess the association between exposure variables and the outcome variable. The odds ratio was reported to establish the risk of dysmenorrhea at a confidence interval of 95%, and statistical significance was assumed at p<0.05. Results. The prevalence of dysmenorrhea was 68.1% (95% CI, 65.0–72.0) with one-third recounting their pain as severe. The pain during menstruation negatively influences the daily physical activities (22.5%), school attendance (6.9%), concentration during classes’ hours (27.9%), and academic performance (31.1%) of the respondents. Besides, adolescents who do not live with their parent experienced a 53.1% increase in odds of self-reporting dysmenorrhea (AOR, 1.53 (95% CI, 1.02–2.23)). Similarly, respondents who had irregular menstrual cycle experienced a 72.5% increase in odds of self-reporting dysmenorrhea (AOR, 1.73 (95% CI, 1.16–2.57)). Finally, a significant association between irregular menstrual cycle (p<0.01), not lived with their parent (p<0.04), and self-reported dysmenorrhea was found. Conclusion. This study establishes that dysmenorrhea is high among adolescents in Shai Osudoku District which negatively affects the daily activity of majority of them.
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spelling doaj-art-8564dcf0df084946badcfda015ac804c2025-08-20T03:37:47ZengWileyObstetrics and Gynecology International1687-95891687-95972019-01-01201910.1155/2019/58341595834159Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, GhanaKwabena Acheampong0Dorothy Baffour-Awuah1Daniel Ganu2Stalla Appiah3Xionfeng Pan4Atipatsa Kaminga5Aizhong Liu6Department of Epidemiology and Health Statistics, Xiangya School of Public Central South University, Changsha, Hunan 410078, ChinaDepartments of Nursing, Valley View University, Oyibi, Accra 00233, GhanaDepartment of Public Health, Adventist University of Africa, Ongata Rongai 00503, KenyaDepartments of Nursing, Valley View University, Oyibi, Accra 00233, GhanaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Central South University, Changsha, Hunan 410078, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Central South University, Changsha, Hunan 410078, ChinaDepartment of Epidemiology and Health Statistics, Xiangya School of Public Central South University, Changsha, Hunan 410078, ChinaBackground. Dysmenorrhea has been the most common gynecological problem worldwide. Reports of dysmenorrhea are greatest among individuals in their late teens and 20s and usually declining with age. It has also been reported that dysmenorrhea affects more than 80% of women in the reproductive age. The study objective was to examine the predictors of dysmenorrhea, its effect, and coping mechanisms among adolescents in Shai Osudoku District, Ghana. Methods. We conducted a cross-sectional study in September and November 2017 in selected schools in Shai Osudoku District, Ghana. We employed self-administered questionnaire to obtain data from adolescents volunteered to participate in the study. We analyzed the data using the SPSS programme IBM version 20. We used the Pearson chi-square test and multiple logistic regression analysis to assess the association between exposure variables and the outcome variable. The odds ratio was reported to establish the risk of dysmenorrhea at a confidence interval of 95%, and statistical significance was assumed at p<0.05. Results. The prevalence of dysmenorrhea was 68.1% (95% CI, 65.0–72.0) with one-third recounting their pain as severe. The pain during menstruation negatively influences the daily physical activities (22.5%), school attendance (6.9%), concentration during classes’ hours (27.9%), and academic performance (31.1%) of the respondents. Besides, adolescents who do not live with their parent experienced a 53.1% increase in odds of self-reporting dysmenorrhea (AOR, 1.53 (95% CI, 1.02–2.23)). Similarly, respondents who had irregular menstrual cycle experienced a 72.5% increase in odds of self-reporting dysmenorrhea (AOR, 1.73 (95% CI, 1.16–2.57)). Finally, a significant association between irregular menstrual cycle (p<0.01), not lived with their parent (p<0.04), and self-reported dysmenorrhea was found. Conclusion. This study establishes that dysmenorrhea is high among adolescents in Shai Osudoku District which negatively affects the daily activity of majority of them.http://dx.doi.org/10.1155/2019/5834159
spellingShingle Kwabena Acheampong
Dorothy Baffour-Awuah
Daniel Ganu
Stalla Appiah
Xionfeng Pan
Atipatsa Kaminga
Aizhong Liu
Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana
Obstetrics and Gynecology International
title Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana
title_full Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana
title_fullStr Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana
title_full_unstemmed Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana
title_short Prevalence and Predictors of Dysmenorrhea, Its Effect, and Coping Mechanisms among Adolescents in Shai Osudoku District, Ghana
title_sort prevalence and predictors of dysmenorrhea its effect and coping mechanisms among adolescents in shai osudoku district ghana
url http://dx.doi.org/10.1155/2019/5834159
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