Primary dysmenorrhea: Prevalence in adolescent population of Tbilisi,Georgia and risk factors [Primer dismenore: Tiflis,Gürcistan'i{dotless}n adolesan populasyonunda prevalans ve risk faktörleri]

Objective: the study aimed to determine the prevalence of dysmenorrhea in female adolescents living in tbilisi,georgia; find possible risk factors and establish an association,if any,with nutrition and sleep hygiene. material and methods: a cross-sectional study was used. a retrospective case control study was used to identify risk factors. participants: a total of 2561 women consented to participate in the research. 431 participants were included in the case-control study. interventions: detailed questionnaire included: reproductive history,demographic features,menstrual pattern,severity of dysmenorrhea and associated symptoms; information about nutrition and sleep hygiene. results: the prevalence of dysmenorrhea was 52.07%. due to pain,69.78% reported frequent school absenteeism. the risk of dysmenorrhea in students who had a family history of dysmenorrhea was approximately 6 times higher than in students with no prior history. the prevalence of dysmenorrhea was significantly higher among smokers compared with non-smokers 3.99% vs. 0.68% (p=.0.05 or:6.102). those women reporting an increased intake of sugar reported a marked increase of dysmenorrhea compared to women reporting no daily sugar intake (55.61% vs. 44.39%,p=.0023 lr:0.0002). however,alcohol,family atmosphere and nationality showed no correlation with dysmenorrhea. our study revealed two most important risk factors of dysmenorrhea: meal skipping 59.78% vs. 27.03%,p=.00000 lr: 0.00000 or:4.014 and sleep hygiene-receiving less sleep 38.77% vs. 19.59%,p=0.000055 lr: 0.000036 or:2.598. conclusion: primary dysmenorrhea is a common problem in the adolescent population of tbilisi geogia. it adversely affects their educational performance. meal skipping and sleep quantity are associated with dysmenorrhea and may cause other reproductive dysfunctions. © 2012 by the turkish-german gynecological education and research foundation.