Evidence map›Paper›PMID 40756581›Full record

ArticleFrontiers in reproductive health2025

Academic stress and irregular menstruation influence the dysmenorrhea, school absenteeism and healthcare seeking among adolescent girls in junior high school in Shanghai: a cross-sectional study.

Tiantian Liu, Deyun Qi, Li Zhang, Jun Hou, Jing Zhao, Yuan Zhou, Bingbing Sun, Fei Wang, Hui Tan, Ruiping Wang

Abstract read
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In one paragraph

Article in Frontiers in reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tiantian Liu *Department of Children's Eye Disease Prevention, Hongkou Center for Disease Control and Prevention, Shanghai, China.
Deyun Qi *Department of Children's Eye Disease Prevention, Hongkou Center for Disease Control and Prevention, Shanghai, China.
Li Zhang *Center of Disease Prevention and Control for Mental Disorders, Jing'an District Mental Health Center, Shanghai, China.
Jun HouHongkou District Guangzhong Road Street Community Health Service Center, Shanghai, China.
Jing ZhaoHongkou Center for Disease Control and Prevention, Shanghai, China.
Yuan ZhouDepartment of Children's Eye Disease Prevention, Hongkou Center for Disease Control and Prevention, Shanghai, China.
Bingbing SunKey Laboratory of Public Health Safety, Ministry of Education, School of Public Health, Fudan University, Shanghai, China.
Fei WangDepartment of Children's Eye Disease Prevention, Hongkou Center for Disease Control and Prevention, Shanghai, China.
Hui TanDepartment of Children's Eye Disease Prevention, Hongkou Center for Disease Control and Prevention, Shanghai, China.
Ruiping WangClinical Research Center, Shanghai Skin Diseases Hospital, School of Medicine, Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dysmenorrhea is a cramping pain during menstrual period and the leading cause for recurrent short-term school absenteeism among adolescent girls. However, evidence on the factors associated with the occurrence of dysmenorrhea, school absenteeism and health care seeking behavior among adolescent girls is still limited, especially in China. This study aim to understand the prevalence of dysmenorrhea and to explore factors associated with the school absenteeism and healthcare seeking habit among adolescent girls with dysmenorrhea. Methods: This cross-sectional,questionnaire-based study included 1,243 participants recruited from five junior high schools using cluster sampling method. Data were collected through a structured questionnaire interviews and SPSS 22.0 was used for data analysis. Results: The prevalence of dysmenorrhea was 67.2%. Logistic regression analysis indicated that adolescent girls in grade 8 (OR = 1.98, 95% CI: 1.32-2.97) and grade 9 (OR = 2.32, 95% CI: 1.54-3.48), whose mothers had a college and above education (OR = 1.85; 95% CI: 1.12-3.07), those with controllable learning burden (OR = 1.69, 95% CI: 1.10-2.60) and uncontrollable learning burden (OR = 2.04, 95% CI: 1.10-3.80) had higher prevalence of dysmenorrhea. Logistic regression indicated that adolescent girls with normal weight (OR = 0.60, 95% CI: 0.43-0.83) had lower proportion of school absenteeism, and adolescent girls with uncontrollable learning burden (OR = 2.73, 95% CI: 1.29-5.75) and with irregular menstruation (OR = 1.74, 95% CI: 1.26-2.39) had higher proportion of school absenteeism. Moreover, underweight adolescent girls, adolescent girls whose mother had senior high education and those with irregular menstruation had a higher proportion of healthcare seeking experience. Conclusions: Dysmenorrhea was common among adolescent girls in junior high schools in Shanghai, and academic stress as well as irregular menstruation was positively associated with dysmenorrhea and school absenteeism. More attention and intervention measures focusing on menstrual health problems should be implemented directly among adolescent girls in junior high school, especially among those with low body weight, irregular menstruation, and academic stress. Most importantly, this study provides scientific evidence on adolescent dysmenorrhea issues, offering targeted recommendations for policymakers to advance the refinement and implementation of public health policies.

Indexed as

academic stressadolescent girlsdysmenorrheahealthcare seeking behaviorjunior high schoolschool absenteeism

Identifiers

PMID40756581
PMCPMC12313701

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.