The objective of this study is to determine the prevalence of dysmenorrhoea, its associated factors and its effects on school activities among adolescent girls in a secondary school in a rural district of Selangor, Malaysia. This is a cross-sectional study conducted in a public secondary school. A stratified random sampling of 300 female students (12 to 17 years old) from Form one to Form five classes were selected. A self-administered questionnaire consisting of 20-items was used to collect sociodemographic and menstrual data. Pain intensity for dysmenorrhoea was measured by numerical rating scale. The prevalence of dysmenorrhoea was 62.3%. It was significantly higher in the middle adolescence (15 to 17 years old) age group (p=0.003), girls with regular menstrual cycle (p=0.007) and a positive family history (p<0.05). There was no significant association with mean age of menarche and duration of menstruation. The number of school and class absences increased with increasing severity of dysmenorrhoea (p<0.05). The mean pain score was significantly higher in girls who reported to be unable to participate in sports (p=0.008) and with poor concentration in class (p<0.05). Dysmenorrhoea among the adolescent girls was common in this rural school. It had significant negative impact in their school performance and activities.
Dysmenorrhoea and its Effects on School Activities Among Adolescent Girls in a Rural School in Selangor, Malaysia
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Abstrak
Objektif kajian ini adalah untuk menentukan prevalens senggugut dan kesannya terhadap aktiviti sekolah di kalangan remaja perempuan di sebuah sekolah menengah luar bandar di Daerah Hulu Langat, Selangor. Kajian rentas telah dijalankan di sebuah sekolah kerajaan. Responden kajian dipilih melalui kaedah persampelan rawak stratum dan terdiri daripada pelajar-pelajar Tingkatan 1 hingga 5. Mereka diberi borang soal-selidik yang mengandungi 20 soalan mengenai haid dan sosio-demografi. Tahap kesakitan senggugut diukur menggunakan skala numerikal. Seramai 300 pelajar terpilih untuk kajian ini dan prevalens senggugut dikalangan mereka ialah 62.3%. Penyakit senggugut mempunyai kaitan yang bermakna dengan kumpulan remaja pertengahan umur (15-17 tahun) (p=0.007), mereka yang mempunyai kitaran haid yang tetap (p=0.007) dan mempunyai sejarah keluarga yang positif (p=0.0001), tetapi tidak dengan umur bermulanya haid dan jangkamasa haid. Tahap kesakitan senggugut yang lebih tinggi pada seseorang pelajar mempengaruhi kadar keciciran sekolah (p=0.0005), daya tumpuan di dalam kelas (p=0.0005) dan penglibatan dalam sukan (p=0.008). Kajian ini menunjukkan prevalens yang tinggi di kalangan remaja perempuan dan memberi kesan negatif terhadap aktiviti sekolah mereka.
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Related Images
 table1.jpg "Table I: Sociodemographic characteristic of the adolescent girls")
 table2.jpg "Table II: Association between dysmenorrhoea with socio-demographic and menstrual characteristics")
 table3.jpg "Table III: Severity of dysmenorrhoeic pain with school and class absences")
 table4.jpg "Table IV: Mean pain score with perceived concentration and sports participation among adolescents with dysmenorrhoea")
