DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20193562

Dysmenorrhea among students in Yaounde, Cameroon: associated factors and socio-cultural aspects

Jeanne Hortence Fouedjio, Florent Ymele Fouelifack, Jovanny Tsuala Fouogue, Lionel Etame, Loic Dongmo Fouelifa, Robinson Enow Mbu

Abstract


Background: Dysmenorrhea is very common disorder. It affects the quality of life and is the main cause of school absenteeism’s among teenagers. The goal of this study was to determine socio-cultural aspects of dysmenorrhea among students in Yaounde and factors associated with it.

Methods: Authors carried out a cross sectional analytic study in 2 secondary schools and a higher institute in Yaounde, from December 1, 2017 to June 30, 2018 (7 months). Authors included all students aged at least 15, in form 5 and above. In the higher institute, sampling was consecutive, while it was stratified into 2 clusters in the secondary schools.  Odds ratios were determined to assess association between variables and P-value ˂0.05 was considered significant.

Results: Of the 1059 participants, 800 had dysmenorrhea (prevalence: 75.5%). Mean age was 18.88±3.62 years (range: 15-45 years). Family history of dysmenorrhea (OR: 4.20 (95% CI: 3.02-5.83)) and stress ((OR: 2.16 (95% CI: 1.55 - 3.02)) were significantly associated with dysmenorrhea. A duration of menses ≤3 days was protective ((OR: 0.31 (95% CI: 0.12-0.82)). Dysmenorrhea remains a taboo for 23.6% of participants.

Conclusions: Family history of dysmenorrhea and stress are risk factors for dysmenorrhea which remains a taboo for almost a fourth of affected women. Authors recommend educating women about dysmenorrhea and control psycho-social stress.


Keywords


Cameroon, Cultural, Dysmenorrhea, Epidemiology, Risk factors, Social, Students

Full Text:

PDF

References


Narring F, Yaron M, Ambresin AE. Dysmenorrhea: a problem for the pediatrician?. Arch Pediatrics. 2012;19(2):125-30.

Graz B, Savoy M, Buclin T, Bonvin E. Dysmenorrhea: patience. Rev Med Switzerland. 2014;10:2285-8.

Strinić T, Buković D, Pavelić L, Fajdić J, Herman I, Stipić I, et al. Anthropological and clinical characteristics in adolescent women with dysmenorrhea. Coll Antropol. 2003;27(2):707-11.

Brühwiler H, Sieger D, Lüscher KP. Dysménorrhée primitive. In: Forum Médical Suisse. 2006;6(41):919-22.

Bahmani M, Eftekhari Z, Jelodari M, Saki K, Abdollahi R, Majlesi M, et al. Effect of Iranian herbal medicines in dysmenorrhea phytotherapy. J Chem Pharm Res. 2015;2:519-26.

Ohde S, Tokuda Y, Takahashi O, Yanai H, Hinohara S, Fukui T. Dysmenorrhea among Japanese women. Int J Gynecol Obstet. 2008;100(1):13-7.

Parker MA, Sneddon AE, Arbon P. The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG. 2010;117(2):185-92.

Burnett MA, Antao V, Black A, Feldman K, Grenville A, Lea R, et al. Prevalence of primary dysmenorrhea in Canada. J Obstet Gynaecol Can. 2005;27(8):765-70.

Brito SA, Marques CCC, Alves DS, Da Silva AC. Prevalence of dysmenorrhea in undergraduate health courses at an institution of higher education. Rev Enferm UFPE Line. 2012;6(6):1386-94.

Jeon GE, Cha NH, Sok SR. Factors influencing the dysmenorrhea among Korean adolescents in middle school. J Phys Ther Sci. 2014;26(9):1337-43.

Mohamed EM. Epidemiology of dysmenorrhea among adolescent students in Assiut City, Egypt. Life Sci J. 2012;9(1):348-53.

Gumanga SK, Kwame-Aryee RA. Menstrual characteristics in some adolescent girls in Accra, Ghana. Ghana Med J. 2012;46(1).

Kakoma JB, Gasana GK, Nkurunzinza J, Ngirinshuti JP. Dysmenorrhea and other menstrual characteristics in Rwandan female students at National University of Rwanda and Nyanza schoolgirls (Huye And Nyanza Districts/Southern Province of Rwanda). Rwanda Med J. 2010;68(3):25-31.

Loto OM, Adewumi TA, Adewuya AO. Prevalence and correlates of dysmenorrhea among Nigerian college women. Aust N Z J Obstet Gynaecol. 2008;48(4):442-4.

Gilany AH, Badawi K, El Fedawy S. Epidemiology of dysmenorrhoea among adolescent students in Mansoura, Egypt. East Mediterr Heal J. 2005;11(1-2):155-63.

Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Ups J Med Sci. 2010;115(2):138-45.

Shiferaw MT, Wubshet M, Tegabu D. Menstrual problems and associated factors among students of Bahir Dar University, Amhara National Regional State, Ethiopia: a cross-sectional survey. Pan Afr Med J. 2014;17.

Baker FC, Driver HS, Rogers GG, Paiker J, Mitchell D. High nocturnal body temperatures and disturbed sleep in women with primary dysmenorrhea. Am J Physiol-Endocrinol Metab. 1999;277(6):E1013-E1021.

Ozerdogan N, Sayiner D, Ayranci U, Unsal A, Giray S. Prevalence and predictors of dysmenorrhea among students at a university in Turkey. Int J Gynecol Obstet. 2009;107(1):39-43.

Charandabi SMA, Nashtaei MS, Kamali S, Majlesi R. The effect of acupressure at the Sanyinjiao point (SP6) on primary dysmenorrhea in students resident in dormitories of Tabriz. Iran J Nurs Midwifery Res. 2011;16(4):309.

Habibi N, Huang MSL, Gan WY, Zulida R, Safavi SM. Prevalence of primary dysmenorrhea and factors associated with its intensity among undergraduate students: a cross-sectional study. Pain Man Nurs. 2015;16(6):855-61.

Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol. 1996;87(1):55-8.

Harlow SD, Park M. A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. BJOG. 1996;103(11):1134-42.

Patel V, Tanksale V, Sahasrabhojanee M, Gupte S, Nevrekar P. The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India. BJOG. 2006;113(4):453-63.

Baker FC, Driver HS, Rogers GG, Paiker J, Mitchell D. High nocturnal body temperatures and disturbed sleep in women with primary dysmenorrhea. Am J Physiol-Endocrinol Metab. 1999;277(6):E1013-E1021.

Sun Y, Wang L, Li G. Investigation on influencing factors of primary dysmenorrhea in 1800 female college students (J). Tianjin J Tradit Chin Med. 2009;5:011.

Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2013;36(1):104-13.

Parveen N, Majeed R, Rajar UD. Familial predisposition of dysmenorrhea among the medical students. Pak J Med Sci. 2009;25(5):857-60.

Wang L, Wang X, Wang W, Chen C, Ronnennberg AG, Guang W, et al. Stress and dysmenorrhoea: a population based prospective study. Occup Env Med. 2004;61(12):1021-6.

László KD, GyHorffy Z, Ádám S, Csoboth C, Kopp MS. Work-related stress factors and menstrual pain: a nation-wide representative survey. J Psychosom Obstet Gynecol. 2008;29(2):133-8.

Wildemeersch D. A frameless LNG-IUD may be preferred over framed LNG-IUD for the treatment of primary dysmenorrhea. Hum Reprod Update. 2016;22(3):404-7.