Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank

Objectives Dysmenorrhoea, characterised by severe menstrual cramps, affects between 50% and 90% of women of reproductive age and considerably lowers their quality of life.Design Cross-sectional study.Setting This study explored the influence of tobacco smoking and alcohol consumption on dysmenorrhoe...

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Main Authors: Cheng-Shing Kuo, Kuang-Te Wang, Jerry Cheng-Yen Lai, Shaw-Ji Chen
Format: Article
Language:English
Published: BMJ Publishing Group 2025-02-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/2/e088537.full
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author Cheng-Shing Kuo
Kuang-Te Wang
Jerry Cheng-Yen Lai
Shaw-Ji Chen
author_facet Cheng-Shing Kuo
Kuang-Te Wang
Jerry Cheng-Yen Lai
Shaw-Ji Chen
author_sort Cheng-Shing Kuo
collection DOAJ
description Objectives Dysmenorrhoea, characterised by severe menstrual cramps, affects between 50% and 90% of women of reproductive age and considerably lowers their quality of life.Design Cross-sectional study.Setting This study explored the influence of tobacco smoking and alcohol consumption on dysmenorrhoea, using data from the Taiwan Biobank.Participants Our analysis involved 8567 individuals and examined the associations between dysmenorrhoea and variables such as alcohol consumption, tobacco smoking, demographic characteristics and lifestyle behaviours through multivariable logistic regression.Results The findings reveal a significant association between concurrent alcohol and tobacco use and increased dysmenorrhoea risk, with adjusted ORs suggesting higher risk levels for dual users compared with those who only smoke or drink (adjusted OR (95% CI) both alcohol and tobacco: 3.19 (1.51 to 6.72); only tobacco: 1.21 (0.89 to 1.63); only alcohol: 1.06 (0.53 to 2.13)). Additionally, factors such as higher education level and early menarche were associated with increased dysmenorrhoea risk, whereas regular exercise and multiparity exerted a protective effect against the condition (adjusted OR (95% CI) higher education: 1.43 (1.19 to 1.71); early menarche: 1.37 (1.14 to 1.64); regular exercise: 0.77 (0.64 to 0.93); multiparity: 0.64 (0.52 to 0.77)).Conclusions Our study also highlights the complex interactions between lifestyle factors and dysmenorrhoea, underscoring the need for targeted interventions and lifestyle modifications to mitigate the condition’s effects. Future research should employ longitudinal designs for causal inference and to explore the mechanisms underlying the associations observed in this study.
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spelling doaj-art-90cd5ab21b44488ea13fc43665a7d3a72025-08-20T02:45:42ZengBMJ Publishing GroupBMJ Open2044-60552025-02-0115210.1136/bmjopen-2024-088537Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan BiobankCheng-Shing Kuo0Kuang-Te Wang1Jerry Cheng-Yen Lai2Shaw-Ji Chen31 Department of Obstetrics and Gynecology, Taitung Christian Hospital, Taitung, Taiwan3 Division of Cardiology, Department of Internal Medicine, Taitung MacKay Memorial Hospital, Taitung, Taiwan2 Master Program in Biomedicine, College of Science and Engineering, National Taitung University, Taitung, Taiwan5 Department of Psychiatry, Taitung Mackay Memorial Hospital, Taitung, TaiwanObjectives Dysmenorrhoea, characterised by severe menstrual cramps, affects between 50% and 90% of women of reproductive age and considerably lowers their quality of life.Design Cross-sectional study.Setting This study explored the influence of tobacco smoking and alcohol consumption on dysmenorrhoea, using data from the Taiwan Biobank.Participants Our analysis involved 8567 individuals and examined the associations between dysmenorrhoea and variables such as alcohol consumption, tobacco smoking, demographic characteristics and lifestyle behaviours through multivariable logistic regression.Results The findings reveal a significant association between concurrent alcohol and tobacco use and increased dysmenorrhoea risk, with adjusted ORs suggesting higher risk levels for dual users compared with those who only smoke or drink (adjusted OR (95% CI) both alcohol and tobacco: 3.19 (1.51 to 6.72); only tobacco: 1.21 (0.89 to 1.63); only alcohol: 1.06 (0.53 to 2.13)). Additionally, factors such as higher education level and early menarche were associated with increased dysmenorrhoea risk, whereas regular exercise and multiparity exerted a protective effect against the condition (adjusted OR (95% CI) higher education: 1.43 (1.19 to 1.71); early menarche: 1.37 (1.14 to 1.64); regular exercise: 0.77 (0.64 to 0.93); multiparity: 0.64 (0.52 to 0.77)).Conclusions Our study also highlights the complex interactions between lifestyle factors and dysmenorrhoea, underscoring the need for targeted interventions and lifestyle modifications to mitigate the condition’s effects. Future research should employ longitudinal designs for causal inference and to explore the mechanisms underlying the associations observed in this study.https://bmjopen.bmj.com/content/15/2/e088537.full
spellingShingle Cheng-Shing Kuo
Kuang-Te Wang
Jerry Cheng-Yen Lai
Shaw-Ji Chen
Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank
BMJ Open
title Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank
title_full Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank
title_fullStr Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank
title_full_unstemmed Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank
title_short Influence of tobacco smoking and alcohol drinking on dysmenorrhoea: a cross-sectional analysis of data from the Taiwan Biobank
title_sort influence of tobacco smoking and alcohol drinking on dysmenorrhoea a cross sectional analysis of data from the taiwan biobank
url https://bmjopen.bmj.com/content/15/2/e088537.full
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