Pre-Menstrual Training, Menstrual Hygiene Practices, Attitudes and Disorders among Nigerian Adolescents
Objectives: Menstruation is a normal
physiological process that begins during adolescence and may be associated with
various symptoms occurring before or during the menstrual flow. Normal
menstruation depends on a highly coordinated interaction between the
hypothalamus, pituitary glands, ovaries and endometrium, with all events
usually occurring in a cycle time frame often between 21 to 35 days. This study
is therefore carried out to determine the influence of pre-menarcheal training
on menstrual hygiene practices, the various menstrual disorders among the
girls, as well as, the influence of educational status on menstrual hygiene
practices, with a view to making necessary recommendations that would help
improve such practices.
Methods: This cross sectional study was
carried out in Lagos Nigeria. The target population was adolescent girls in
this city. A multi-stage sampling technique was used to select the respondent.
All data were statistically analysed, using statistical package for the social
sciences (SPSS) and statistical test of significance was performed with
Chi-Square test. Results: A total of
526 consenting respondents participated in the
study with a mean age ± SD of 14.09 ± 2.21 years. Most of the
respondents had their menarche (first menstruation) around 12 to 13 years of
age, with the mean age ± SD being 12.51 ± 1.44
years. 184 (35.0%) experienced dysmenorrhoea (painful menstruation) during
their last menstrual period and menorrhagia by 34 (6.5%) of the respondent.
Also, 142 (27.0%) of the respondents have had a cycle < 21 days or >35
days within their last three menstrual cycles.
Conclusion: Pre-menstrual training is common
among these adolescent girls as it is evident in their menstrual hygiene
practices. However, dysmenorrhoea and menorrhagia are common problems among
adolescent girls thus health education & health promotion are the best ways
to deal with menstrual hygiene & disorder issues effectively.
Training, menstrual, hygiene, adolescent, Nigeria.
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