Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Exploring Factors Influencing Menstrual Symptom: Focus on University Students

월경 증상 영향요인 탐색: 일 대학 대학생을 중심으로

  • Received : 2021.02.08
  • Accepted : 2021.04.13
  • Published : 2021.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The reproductive health of women in early adulthood can affect pregnancy, childbirth, and menopause in later life. Menstrual symptoms not only affect daily life, but are also a reflection of a woman's reproductive health. This study was conducted to explore the factors affecting menstrual symptoms among university students. Methods: The general characteristics, life style, menstrual characteristics, stress, and menstrual symptom of 177 female students were assessed through an online survey at one university. An independent sample t-test, one-way variance analysis, correlation analysis, and multiple regression analysis were performed using the SPSS 22.0 program. Results: The menstrual symptom score was 91.68±32.11 points, and the score of 'mood change' was the highest. Stress (��=.38, p<.001), amount of menstruation (��=.20, p=.001), menarche age (��=-.18, p=.003), health problems (��=.16, p=.010), and age (��=.15, p=.016) were found to have a significant effect on menstrual symptom, and the explanatory power of the regression model was 40%. Conclusion: This study investigated the degree and influencing factors of menstrual symptom using the Korean Menstrual Symptom Scale (KMSS) developed for Korean university students. Among the factors influencing menstrual symptom, stress appeared to play a significant role. Stress management, observation of menstrual characteristics, and general health care are necessary to maintain a woman's reproductive health.

Keywords

References

  1. Acikgoz, A., Dayi, A., & Binbay, T. (2017). Prevalence of premenstrual syndrome and its relationship to depressive symptoms in first-year university students. Saudi Medical Journal, 38(11), 1125-1131. https://doi.org/10.15537/smj.2017.11.20526
  2. Bae, J., Park, S., & Kwon, J. W. (2018). Factors associated with menstrual cycle irregularity and menopause. BMC Womens Health, 18(1), 1-11. https://doi.org/10.1186/s12905-018-0528-x
  3. Bahrami, A., Gonoodi, K., Khayyatzadeh, S. S., Tayefi, M., Darroudi, S., Bahrami-Taghanaki, H., Eslami, S., Jaberi, N., Ferns, G. A., Farahmand, K., Ghyour-Mobarhan, M., & Ghyour-Mobarhan, M. (2019). The association of trace elements with premenstrual syndrome, dysmenorrhea and irritable bowel syndrome in adolescents. European Journal of Obstetrics & Gynecology and Reproductive Biology, 233, 114-119. https://doi.org/10.1016/j.ejogrb.2018.12.017
  4. Beal, S. J., Dorn, L. D., Sucharew, H. J., Sontag-Padilla, L., Pabst, S., & Hillman, J. (2014). Characterizing the longitudinal relations between depressive and menstrual symptoms in adolescent girls. Psychosomatic Medicine, 76(7), 547-554. https://doi.org/10.1097/PSY.0000000000000099
  5. Bushnell, D. M., Martin, M. L., Moore, K. A., Richter, H. E., Rubin, A., & Patrick, D. L. (2010). Menorrhagia Impact Questionnaire: assessing the influence of heavy menstrual bleeding on quality of life. Current Medical Research and Opinion, 26(12), 2745-2755. https://doi.org/10.1185/03007995.2010.532200
  6. Chae, M. O., Jeon, H. O., & Kim, A. (2017). A structural model for premenstrual coping in university students: based on biopsychosocial model. Journal of Korean Academy of Nursing, 47(2), 257-266. https://doi.org/10.4040/jkan.2017.47.2.257
  7. Chin, L. N., & Nambiar, S. (2017). Management of premenstrual syndrome. Obstetrics, Gynaecology & Reproductive Medicine, 27(1), 1-6. https://doi.org/10.1016/j.ogrm.2016.11.003
  8. Chon, K. K., Kim, K. H., & Yi, J. S. (2000). Development of the revised life stress scale for college students. The Korean Journal of Health Psychology, 5(2), 316-335.
  9. Del Mar Fernandez, M., Regueira-Mendez, C., & Takkouche, B. (2019). Psychological factors and premenstrual syndrome: A Spanish case-control study. PLoS ONE, 14(3), e0212557. https://doi.org/10.1371/journal.pone.0212557
  10. Jeon, J. H., & Hwang, S. K. (2014). A structural equation modeling on premenstrual syndrome in adolescent girls. Journal of Korean Academy of Nursing, 44(6), 660-671. http://dx.doi.org/10.4040/jkan.2014.44.6.660
  11. Kilic, S. C., Sarper, N., Zengin, E., & Gelen, S. A. (2013). Screening bleeding disorders in adolescents and young women with menorrhagia. Turkish Journal of Hematology, 30(2), 168-176. https://doi.org/10.4274/Tjh.2011.0048
  12. Kim, A., Chae, M. O., & Jeon, H. O. (2017). Testing the validity and reliability of the Korean version of the premenstrual coping measure among young adult women. Journal of Korean Public Health Nursing, 31(2), 296-310. http://dx.doi.org/10.5932/JKPHN.2017.31.2.296
  13. Kim, G. S., Lee, C. Y., Kim, I. S., Lee, T. H., Cho, E., Lee, H., & Kim, S. H. (2013). Assessing correlates of physical activity levels in female university students. Journal of Korean Public Health Nursing, 27(3), 466-479. http://dx.doi.org/10.5932/JKPHN.2013.27.3.466
  14. Kim, M. J., Nam, Y. S., Oh, K. S., & Lee, C. M. (2003). Some important factors associated with premenstrual syndrome influence of excercise, menarche, and age on PMS. The Korean Journal of Growth and Development, 11(2), 13-26.
  15. Kim, T. H., Park, H. S., Lee, H. H., & Chung, S. H. (2011). Premenstrual syndrome and dysmenorrhea in the career women at Bucheon city. Obstetrics & Gynecology Science, 54(9), 523-528. http://dx.doi.org/10.5468/KJOG.2011.54.9.523
  16. Lee, K., Cheon, S., Kim, M., Lee, E. H., Lee, S. B., Jeong, G. H., & Kang, N. M. (2018). Development of Korean menstrual symptom scale for university students. Korean Journal of Women Health Nursing, 24(4), 414-422. https://doi.org/10.4069/kjwhn.2018.24.4.414
  17. Liu, Q., Wang, Y., Van Heck, C. H., & Qiao, W. (2017). Stress reactivity and emotion in premenstrual syndrome. Neuropsychiatric Disease and Treatment, 13, 1597-1602. https://doi.org/10.2147/NDT.S132001
  18. Lu, D., Aleknaviciute, J., Bjarnason, R., Tamimi, R. M., Valdimarsdottir, U. A., & Bertone-Johnson, E. R. (2021). Pubertal development and risk of premenstrual disorders in young adulthood. Human Reproduction, 36(2), 455-464. https://doi.org/10.1093/humrep/deaa309
  19. Nam, K. H., & Lee, Y. H. (2014). Difference in premenstrual syndrome by physical activity level in high school girls. Journal of Korean Public Health Nursing, 28(2), 320-332. http://dx.doi.org/10.5932/JKPHN.2014.28.2.320
  20. Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J. H. (2007). Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine, 28(7), 532-541.
  21. Olson, K. C., Carroll, H. A., & Lustyk, M. K. B. (2015). Psychophysiological stress reactivity relationships across the menstrual cycle. Journal of Hormones, 2015, Article ID 631250. https://doi.org/10.1155/2015/631250
  22. Park, S. M., Yoon, T. W., Kang, D. R., & Chung, C. W. (2020). Prevalence of menstrual disorders according to body mass index and lifestyle factors: The national health insurance service-national health screening cohort in Korea, 2009-2016. Journal of Korean Academy of Nursing, 50(3), 401-410. https://doi.org/10.4040/jkan.20054
  23. Saglam, H. Y., & Orsal, O. (2020). Effect of exercise on premenstrual symptoms: A systematic review. Complementary Therapies in Medicine, 48, 102272. https://doi.org/10.1016/j.ctim.2019.102272
  24. Schoep, M. E., Nieboer, T. E., van der Zanden, M., Braat, D. D., & Nap, A. W. (2019). The impact of menstrual symptoms on everyday life: A survey among 42,879 women. American Journal of Obstetrics and Gynecology, 220(6), 569.e1-569.e2. https://doi.org/10.1016/j.ajog.2019.02.048
  25. Tanaka, E., Momoeda, M., Osuga, Y., Rossi, B., Nomoto, K., Hayakawa, M., ... & Wang, E. C. (2013). Burden of menstrual symptoms in Japanese women: Results from a survey-based study. Journal of Medical Economics, 16(11), 1255-1266. https://doi.org/10.3111/13696998.2013.830974
  26. Tschudin, S., Bertea, P. C., & Zemp, E. (2010). Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample. Archives of Women's Mental Health, 13(6), 485-494. https://doi.org/10.1007/s00737-010-0165-3
  27. Wang, H. J., Kang, M. S., & Oh, S. M. (2018). Influential factors on premenstrual syndrome in female college students. Korean Parent-Child Health Journal, 21(1), 1-10.
  28. Watanabe, K., & Shirakawa, T. (2015). Characteristics of perceived stress and salivary levels of secretory immunoglobulin A and cortisol in Japanese women with premenstrual syndrome. Nursing and Midwifery Studies, 4(2), e24795. https://doi.org/10.17795/nmsjournal24795
  29. Yonkers, K. A., O'Brien, P. S., & Eriksson, E. (2008). Premenstrual syndrome. The Lancet, 371(9619), 1200-1210. https://doi.org/10.1016/S0140-6736(08)60527-9
  30. Yoshimi, K., Shiina, M., & Takeda, T. (2019). Lifestyle factors associated with premenstrual syndrome: a cross-sectional study of Japanese high school students. Journal of Pediatric and Adolescent Gynecology, 32(6), 590-595. https://doi.org/10.1016/j.jpag.2019.09.001