ArticleInternational journal of behavioral medicine2022
Puberty- and Menstruation-Related Stressors Are Associated with Depression, Anxiety, and Reproductive Tract Infection Symptoms Among Adolescent Girls in Tanzania.
Article in International journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Prevalence of depressive symptoms among secondary school adolescents in Dodoma and Pwani, Tanzania.PLOS mental health · 2026Article
- Lived experience and clinical need of women of reproductive age with Ureaplasma urealyticum infection: a qualitative study.Annals of medicine · 2025Article
- School absenteeism during menstruation among adolescent girls in Southern Uganda: A multi-level risk factors analysis.Children and youth services review · 2025Article
- Mapping the health outcomes of menstrual inequity: a comprehensive scoping review.Reproductive health · 2025Article
- Growing Up in the Pandemic: Examining Associations Between Reproductive Development and Depressive Symptoms in Pre- and Pandemic Girls.Research on child and adolescent psychopathology · 2025Article
- "Due to These Restrictions, Girls Think of Themselves as Nothing": A Qualitative and Quantitative Description of Menstrual Restrictions and Stigma Among Adolescent Girls Across Religious and Other Sociocultural Contexts.Journal of adolescence · 2025Article
- Global Trends in the Epidemiologic Burden of Anxiety Disorders Among Women of Childbearing Age (1990-2021): Associations with Sociodemographic Index.International journal of women's health · 2025Article
- Unhealthy Lifestyle Contributes to Negative Mental Health and Poor Quality of Life in Young University Students.Healthcare (Basel, Switzerland) · 2024Article
- Understanding menstrual factors associated with poor mental health among female secondary school students in Uganda: a cross-sectional analysis.Child and adolescent psychiatry and mental health · 2024Article
- Adolescent girls' descriptions of dysmenorrhea and barriers to dysmenorrhea management in Moshi, Tanzania: A qualitative study.PLOS global public health · 2023Article
- Adolescent girls' experiences of menstruation and schooling in monastic schools in Magway Region, Myanmar: A mixed-methods exploration.Frontiers in reproductive health · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPuberty and menstruation are significant stressors for adolescent girls and young women in low-resource settings in sub-Saharan Africa. However, little is known about the impact of these stressors on girls' mental health and reproductive health.
methodsIn 2018, a cross-sectional self-report survey was conducted with 581 adolescent girls and young women between 13 to 21 years old who had reached menarche and were attending secondary school in Moshi, Tanzania. Structural equation modeling was used to examine the relationships of puberty-related stressors and menstruation-related stressors (menstrual deficits, movement/activity difficulties, and menstrual symptoms) to depression, anxiety, and the likelihood of reporting reproductive tract infection (RTI) symptoms.
resultsPuberty-specific stressors, menstrual symptoms, and menstrual deficits were associated with depression and anxiety. Movement/activity difficulties were associated with anxiety. Increases in menstrual symptoms, menstrual deficits, puberty stressors, and depression were associated with an increased likelihood of reporting a lifetime RTI. However, the relationship of puberty stressors and depression with RTIs was no longer significant in two of three models after correcting for Type I error.
conclusionsOverall, puberty- and menstruation-related stressors were associated with mental health and symptoms of reproductive tract infections. This suggests there is an important relationship between stressors specific to adolescent girls and young women during puberty, mental health, and reproductive health. There is a need for adolescent-tailored interventions to reduce the negative impact of stressors among girls transitioning through puberty in sub-Saharan Africa.
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