ArticleMalawi medical journal : the journal of Medical Association of Malawi2025
Impact of Dysmenorrhea on Participation in Academic Activities by Female Undergraduate Pharmacy Students in Nigerian Universities: A Nationwide Cross-Sectional Assessment.
Article in Malawi medical journal : the journal of Medical Association of Malawi, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Dysmenorrhea is a gynecological condition with symptoms ranging from mild pain to severe pain. In students especially those enrolled in rigorous academic programs like pharmacy, the condition may disrupt their academic participation and performance. However, there have been limited evidence on how it impedes this population's academic activities. Objectives: To assess the impact of dysmenorrhea on participation in academic activities among pharmacy students in Nigerian universities. Methods: This study was conducted using a cross-sectional self-administered questionnaire-based design among pharmacy students in Nigeria universities. Cluster random sampling technique (one school of pharmacy per each of the six geopolitical zones) was employed in selecting the participating pharmacy schools. Descriptive analysis was done to summarize the data. Chi-square test was performed to identify the relationships between various study variables across the universities. Binary logistic regression was used to determine predictors of the impact of dysmenorrhea on the respondents' participation in academic activities. Results: Out of 1387 respondents, the majority [972(70.08%)] were aged 20-25 years. Almost all respondents [1311(90.52%)] were single. Most of them [975 (70.30%)] saw their menses for the first time at ages 12-15 years. Among the respondents, 1220(87.96%) reported experiencing dysmenorrhea (p=0.017). Of these, 669(54.84%) had their onset of pain on the first day of their menses (p=0.017). Moderate [587(48.11%)] and severe [432(35.41%)] pain were reported. The reported impacts of dysmenorrhea included decrease in physical activities [1151(94.34%)], decreased concentration during lectures [1079(88.44%)], decrease in studying time [1011(82.87%)], absence from classes [643(52.70%)], and poor examination performance [299(24.51%)]. Predictors of the impact of dysmenorrhea were age, institution, level of study and pain intensity. Conclusion: The study revealed a high prevalence of primary dysmenorrhea, characterized by predominantly moderate pain lasting 1-2 days. The impacts included decreased physical activities, reduced concentration in lectures, decreased study time, class absenteeism, and poor examination performance.
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