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The Prevalence and Educational Impact of Pelvic and Menstrual Pain in Australia: A National Online Survey of 4202 Young Women Aged 13-25 Years - 24/09/20

Doi : 10.1016/j.jpag.2020.06.007 
Mike Armour, PhD 1, 2, , Tania Ferfolja, PhD 3, Christina Curry, PhD 3, Mikayla S. Hyman, BA 1, 4, Kelly Parry, BSc 1, K. Jane Chalmers, PhD 5, 6, Caroline A. Smith, PhD 1, 2, Freya MacMillan, PhD 2, 5, Kathryn Holmes, PhD 3
1 NICM Health Research Institute, Western Sydney University, Penrith, NSW, Australia 
2 Translational Health Research Institute, Western Sydney University, Penrith, NSW, Australia 
3 Centre for Educational Research, Western Sydney University, Penrith, NSW, Australia 
4 Department of Sociology/Anthropology, Middlebury College, Middlebury, VT, USA 
5 School of Health Sciences, Western Sydney University, Penrith, NSW, Australia 
6 IIMPACT in Health, University of South Australia, SA, Australia 

Address correspondence to: Mike Armour, PhD, Senior Research Fellow, NICM Health Research Institute, Western Sydney University, Locked Bag 1797, Penrith NSW 2751, AustraliaSenior Research FellowNICM Health Research InstituteWestern Sydney UniversityLocked Bag 1797PenrithNSW2751Australia

Abstract

Study Objective

To explore the prevalence and impact of dysmenorrhea, pelvic pain and menstrual symptoms on young women at school or in tertiary education.

Design and Setting

Cross-sectional online survey in Australia.

Participants

A total of 4202 adolescent and young women (13-25 years of age; median age 17 years), having reached menarche, living in Australia and currently attending school (n = 2421) or tertiary education (n = 1781).

Interventions

Online survey hosted by Qualtrics between November 2017 to January 2018. Data were collected on sociodemographic data, menstrual cycle characteristics, dysmenorrhea, pelvic pain, and educational and social impact.

Main Outcome Measures

Information on menstrual and pelvic pain impact, academic absenteeism and presenteeism, impact on non-academic activities and interactions with teaching staff.

Results and Conclusions

Dysmenorrhea was reported by 92% of respondents. Dysmenorrhea was moderate (median 6.0 on a 0-10 numeric rating scale) and pain severity stayed relatively constant with age [rs(3804) = 0.012, P = .477]. Noncyclical pelvic pain at least once a month was reported by 55%. Both absenteeism and presenteeism related to menstruation were common. Just under half of women reported missing at least one class/lecture in the previous three menstrual cycles. The majority of young women at school (77%) and in tertiary education (70%) reported problems with classroom concentration during menstruation. Higher menstrual pain scores were strongly correlated with increased absenteeism and reduced classroom performance at both school and in tertiary education. Despite the negative impact on academic performance the majority of young women at school (60%) or tertiary education (83%) would not speak to teaching staff about menstruation.

Le texte complet de cet article est disponible en PDF.

Key Words : Dysmenorrhea, Absenteeism, Presenteeism, Education, Pelvic pain


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 Conflict of interest: MA, CS, KP, MSH: As a medical research institute, NICM Health Research Institute receives research grants and donations from foundations, universities, government agencies and industry. Sponsors and donors provide untied and tied funding for work to advance the vision and mission of the Institute. This study was not specifically supported by donor or sponsor funding to NICM.


© 2020  North American Society for Pediatric and Adolescent Gynecology. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 33 - N° 5

P. 511-518 - octobre 2020 Retour au numéro
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