일부 고등학교 여학생의 월경전증후군 유병률과 관련요인
The Prevalence of Premenstrual Syndrome and Its Related Factors Among High School Girls
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초록
여고생의 월경전증후군의 유병률을 파악하고, 사회인구학적 특성, 생리관련 특성, 생활습관 관련 특성과 스트레스 등의 특성과 월경전증후군과의 관련성을 알아보기 위하여 본 연구를 시행하였다.연구대상은 서울시 일개 실업계 여자고등학교에 재학중인 여학생 461명을 대상으로 하였으며, 자기기입식 설문지를 이용하여 월경전증후군, 사회인구학적 특성, 생리관련 특성, 생활습관 관련 특성과 스트레스 등을 조사하였다. 월경전증후군과 여러 변수들의 관련성을 알아보기 위하여 카이제곱검정, t-검정과 다중로지스틱 회귀분석 등을 사용하였다. 연구결과, 월경전증후군 유병률은 5.9%이었고, 주로 많이 호소하는 월경전증후군 증상은 스트레스, 갑작스런 성격변화, 우울, 복부통증이나 불편감 등이었다. 단변량 분석에서 월경전증후군과 관련이 있는 변수는 생리주기, 생리통 여부, 진통제 복용, 흡연과 음주, 하루 평균 수분섭취량, 스트레스 등이었고, 다중로지스틱 회귀분석 결과 월경전증후군과는 진통제를 복용하지 않는 경우에 비해서 매달 복용하는 경우, 하루 평균수분섭취량이 많을수록, 스트레스 수준이 높을수록 유의한 관련이 있었다.
Abstract
Objectives: This study was performed to find the prevalence of premenstrual syndrome (PMS) and the relationship between PMS and various factors among high- school girls. Methods: The subject of this study was 461 high school girls in Seoul, who filled out the questionnaire composed of general characteristics, Psychosocial Well-bing Index (PWI) for stress, and short formed Premenstural Assessment form (PAF) and etc. The prevalence rate was calculated by definition of case, and the relationship between PMS and various factors were examined by chi-square test and multiple logistic regression analysis. Results: The prevalence rate of PMS was 5.9%, and the symptoms experienced by most subjects as severe or extreme were feeling under stress, irritability, depression, abdominal pain and bloating. As a results of univariate analysis, the related factors were regularity of menstruation, alcohol drinking, smoking, stress and amounts of daily fluid intake. And the related factors with PMS by multiple logistic regression analysis were intake of monthly pain killer, stress and amounts of daily fluid intake. Conclusions: The related factors with PMS are intake of monthly pain killer, stress and amounts of fluid intake among high school girls in this study. It is important to prepare effective strategies to control PMS of high school girls and further study will be need for different age groups.
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