Dysmenorrhea, Absenteeism from School, and Symptoms Suspicious for Endometriosis in Adolescents
| Autor: | Melinda Giorgi, Gioia Villa, Emanuela Spagnolo, Renato Seracchioli, Giulia Montanari, Letizia Zannoni |
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| Přispěvatelé: | Letizia Zannoni, Melinda Giorgi, Emanuela Spagnolo, Giulia Montanari, Gioia Villa, Renato Seracchioli |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Family therapy
Endometriosis diagnosis Pain adolescents medicine.medical_specialty Activities of daily living Adolescent Sexual Behavior Endometriosis Alternative medicine Psychological intervention Disease Young Adult Dysmenorrhea Surveys and Questionnaires Absenteeism Prevalence medicine Humans business.industry Obstetrics and Gynecology General Medicine Odds ratio medicine.disease Cross-Sectional Studies Dyspareunia Family medicine Pediatrics Perinatology and Child Health Physical therapy Female business Adolescents Dysmenorrhea |
| Popis: | Study Objective To quantify in adolescents the prevalence of dysmenorrhea and other symptoms found to be suggestive of future diagnosis of endometriosis, in particular their impact on monthly absenteeism from school/work, activity impairment, and sexual life and to quantify the awareness of endometriosis in adolescents. Design Cross-sectional study. Setting Academic institution. Patients Adolescents (n = 250) aged 14-20 years referring to 3 family Counseling services. Interventions Participants completed an anonymous questionnaire. Main Outcome Measures Prevalence of dysmenorrhea and absenteeism from school/work during menses. Other outcomes were impairment of daily activities, dyspareunia, and awareness of endometriosis as a pathologic condition. Results 68% (170/250) of the participants complain of dysmenorrhea, 12% (30/250) lose days of school/work monthly because of dysmenorrhea, 13% (33/250) complain of intermenstrual pain which limits daily activities, 27% (56/208) of the adolescents who are sexually active complain of dyspareunia, 82% (203/250) have never heard about endometriosis and 80% (200/250) would like to know more about it. A significant association was found between severe dysmenorrhea, absenteeism from school/work, and basic level of education. Absence from school/work during menses showed an adjusted odds ratio for severe dysmenorrhea about 28 times greater than those who did not declare absenteeism (95%CI 7.898-98.920, P Conclusions The rates of dysmenorrhea and school absenteeism caused by dysmenorrhea are high. According to recent studies these patients are at higher risk of further development of endometriosis, whereas the knowledge of the disease is low among the adolescents investigated, so those involved with adolescents both in the health profession and particularly in schools and Family Counseling Services should be educated about endometriosis and its symptoms to reduce the significant lag time between symptoms and diagnosis. |
| Databáze: | OpenAIRE |
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