The effect of gynecologic age, body mass index and psychosocial environment on menstrual regularity among teenaged females

被引:14
作者
Järvelaid, M [1 ]
机构
[1] Univ Tartu, Dept Policlin & Family Med, EE-10128 Tallinn, Estonia
关键词
menarche; adolescents; gynecologic age; menstrual regularity; body mass index;
D O I
10.1111/j.0001-6349.2005.00372.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background. The aim was to study the prevalence of menstrual irregularity at an early postmenarcheal age and various biopsychosocial factors associated with menstrual irregularity. Methods. The study was conducted in Tartu, Estonia. The 70-item questionnaire and the 21-item Beck Depression Inventory (BDI) were completed by 580 female students of grades 9-12 in four high schools. Their height and weight were measured and body mass index (BMI) calculated. The effects associated with regularity of the menstrual cycle were studied. Results. Irregularity of the menstrual cycle was reported by 40% of respondents at an early postmenarcheal age. The risks for irregular menstrual cycles (IRM) were BMI < 17.5 kg/m(2)[odds ratio (OR) 2.06; 95% confidence interval (95% CI) 1.06-4.00], low economic status IRM [OR 1.77 (95% CI 1.41-2.20)], insufficient communication with parents [OR 1.46 (95% CI 1.02-2.09)], and never pleased to go to school [OR 1.27 (95% CI 1.03-1.56)]. Comparison of the answers to the BDI with the regularity of periods revealed a difference in the total score [OR 1.54 (95% CI 1.21-1.97)], with a mean score of 8.3 +/- 0.4 for the respondents with regular menstrual cycles (RM) vs. 10.6 +/- 0.5 for the respondents with IRM. Conclusion. Menstrual irregularity at an early postmenarcheal age can be considered as an indicator of difficulties in psychosocial adaptability of teenaged females.
引用
收藏
页码:645 / 649
页数:5
相关论文
共 17 条
  • [1] [Anonymous], 1971, Acta Obstet Gynecol Scand
  • [2] Relationship of Beck Depression Inventory factors to depression among adolescents
    Bennett, DS
    Ambrosini, PJ
    Bianchi, M
    Barnett, D
    Metz, C
    Rabinovich, H
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 1997, 45 (03) : 127 - 134
  • [3] CAMPBELL H, 1986, Journal of Adolescent Health Care, V7, P236
  • [4] CARPENTER SE, 1994, CURR OPIN OBSTET GYN, V6, P536
  • [5] Exercise and reproductive dysfunction
    Chen, EC
    Brzyski, RG
    [J]. FERTILITY AND STERILITY, 1999, 71 (01) : 1 - 6
  • [6] A 21-year-old woman with menstrual irregularity
    Davis, A
    Daley, J
    Hartman, EE
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1997, 277 (16): : 1308 - 1314
  • [7] MENSTRUAL CYCLES - FATNESS AS A DETERMINANT OF MINIMUM WEIGHT FOR HEIGHT NECESSARY FOR THEIR MAINTENANCE OR ONSET
    FRISCH, RE
    MCARTHUR, JW
    [J]. SCIENCE, 1974, 185 (4155) : 949 - 951
  • [8] GRUNBERG H, 1998, KASVAMINE KASVUHAIRE
  • [9] He Q, 2000, ACTA PAEDIATR, V89, P582, DOI 10.1080/080352500750027907
  • [10] JARVELAID M, 2001, PAP ANTHR, V110, P60