Burden of Menstrual Disorders in Adolescent Girls: A Comparative StudyAmong Rural and Urban Population
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 6
Abstract
Abstract: Boys and girls in Indian scenario have different experience during growing years including adolescence due to vast social and cultural differences in their conduct. The present study is aimed to compare the growth standard parameters, among rural and urban adolescent girls and its relationship to various menstrual burdens in term of irregularities, hygiene, awareness to contraception and diseases etc. In the study 500 adolescent girls with age range from10 yrs to 19 years were taken (250 from rural and 250 from urban population). It is seen that most of the urban girls belong to high socioeconomic category with high growth parameter ascompared to rural girls. Asper the BMI the urban girls are little high overweight than rural girls.The urbangirls show early development of secondary sexual character compared to ruralgirls. It is observed that early menarche is seen in highSES, while late menarche is seen in low SES.In urban population there is high burden of menstrual abnormalities,accounting to 45%, but in rural it is only 30%. Allmost all types of menstrual disorderpattern is seen in both groups. Dysmenorrhea is the leading disorder in both groups,accounting from 28% to 36% of girls, but it is high in urban girls. In urban, usually hyper menorrhea (20%), oligomenorrhea(19%) and no hypo menorrhea is seen. But in rural it is oligomenorrhea (20%), Hyper menorrhea( 17%) andhypomenorrhea (10%).PCOD pattern is high in urban(3%) vs. in rural (1%).The cycle length pattern was almost same in both the groups (rural 88%) vs.(urban 85%). The average duration of flow pattern is almost same in both groups 93%(rural) and 92% (urban). But the amount of flow pattern (by considering the no. of padused) is seen to be high in urban (90%), than rural (79%).There was a great difference in menstrual hygiene practice in both groups. Vaginal infection is also high inrural (17%) as compared to urban i.e. 5%. Gynecological health consciousness and accessibility to health also vary ingroups. Consultation with health personnel is18% in urban and 2% in rural adolescentgirls.Menstrual abnormality is seen to be associated with regular exercise. But it is statisticallyinsignificant.Extensive study taking large population is neededto establish further the relationship of various factors to menstrual disorders. Keywords:Menstrual disorders, Adolescent girls, rural, urban.
Authors and Affiliations
Jagadish Chandra Behera, Umakant Sathpathy, Lucy Das
Keywords
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