top of page
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

Screen Shot 2018-08-12 at 1.24.09 AM.png
Screen Shot 2018-08-12 at 1.24.02 AM.png
Screen Shot 2018-08-12 at 1.23.57 AM.png
Screen Shot 2018-08-12 at 1.23.52 AM.png
open access

Published: 10 March 2020

A Family History as Dominant Factors Associated with Dysmenorrhea Among Adolescents

Wiam Rifati, Trini Sudiarti

Universitas Indonesia, Indonesia

journal of social and political sciences
pdf download

Download Full-Text Pdf



Pages: 90-97

Keywords: Adolescents, Breakfast Habits, Dysmenorrhea, Family History


Menstrual pain that can be felt like cramps in the lower middle abdomen, pelvic pain, bloated, and nausea. This study aims to determine the dominant factors associated with dysmenorrhea in adolescents. A cross-sectional study was conducted among 177 female students in High School 5 Bekasi, West Java, Indonesia. The multistage sampling method was used to select the subject. Data is collected by anthropometry measurement for weight and height. A self-administered questionnaire for age, physical activity, breakfast habits, family history of dysmenorrhea, menstrual duration, and stress data. Data were analyzed using Chi-square, two-mean difference, correlation, and multiple logistic regression analysis. The result showed that 85.9% of respondents had dysmenorrhea. Significant associations were found between dysmenorrhea and breakfast habits (p = 0.044, OR = 1.3), and family history of dysmenorrhea (p = <0.001, OR = 6.8). The conclusion of this study family history of dysmenorrhea was the dominant determinant for dysmenorrhea among adolescents (OR=6.80) after controlling age of menarche and brekfast habits.


  1. Abd El-Mawgod MM, Alshaibany AS, Al-Anazi AM. (2016). Epidemiology of dysmenorrhea among Secondary School students in Northern Saudi Arabia. Journal of the Egyptian Public Health Association 91(3): 115-119.
  2. Aher JY, Rajole KM. A cross-sectional study of prevalence of dysmenorrhea among adolescent girls. (2016).Sch J App Med Sci 4(9D): 3421-3423.
  3. Al-Jefout M, Seham A, Jameel H, Randa A, Ola A, Oday A et al. (2015). Dysmenorrhea: Prevalence and Impact on Quality of Life among Young Adult Jordanian Females. Journal of Pediatric and Adolescent Gynecology 28(3):173-185.
  4. Amaliah N, Sari K, Rosha BC.(2015). Status tinggi badan pendek berisiko terhadap keterlambatan usia menarche pada perempuan remaja usia 10-15tahun. Penel Gizi Makanan 35(2) :150-158.
  5. Austin MP, Leader L. (2000). Maternal stress and obstetric and infant outcomes: epidemiological findings and neuroendocrine mechanisms. Aust N Z J Obstet  Gynaecol 2000; 40: 331–337.
  6. Batubara JRL, Soesanti F, van de Waal HD. Age at menarche in Indonesian girls: a national survey. Acta Med Indones-Indones J Intern Med 42(2): 78-81.
  7. Charu S, Amita R, Sujoy R, Thomas G. (2012). Menstrual characteristics and prevalence and effect of dysmenorrhea on quality of life of medical students. J Collaborat Res Intern Med Public Health4(4): 276–94
  8. Chauhan M, Kala J. (2012). Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation. J Obstet Gynaecol India 62(4): 442-445.
  9. Cohen s, Kamarck T, mermelsteinR. A Global measure perceived stress. (2003). Journal of Health and Behavior 24, 386-396.
  10. Dawood MY. Dysmenorrhea. (1990). Clin Obstet Gynecol 33:168-178.
  11. Derseh BT, Afessa N, Temesgen M, Semaya YW, Kassaye M. (2017). Prevalence of dysmenorrhea and its effects on school performance: A cross-sectional study. Journal of Womens Health Care 6(2).
  12. Faramarzi M, Salmalian H. (2014). Association of psychologic and non-psychologic factors with Primary-dysmenorrhea. Iranian Red Crescent Medical Journal 16(8).
  13. Filho DBF, Paranhos R, da Rocha EC, Batista M, da Silva Jr, JA, Santos MLWD Marino C. (2013). When is statistical significance not significant? Brazilian Political Science Review 7(1): 31-55.
  14. Fujiwara, T. Skipping breakfast is associated with dysmenorrhea young women in Japan. (2003) International Journal of Food Sciences and Nutrition 54(6): 505-509.
  15. Fujiwara T, Sato N, Awaji H, Sakamoto H, Nakata R. (2009). Skipping breakfast adversely affects menstrual disorder in young college students. International Journal of Food Sciences and Nutrition 6 (sup 6) :23-31.
  16. Girod I, de la Loge C, Keininger D, Hunter MS. (2006). Development of a revised version of the Women ‘s Health Questionnaire. Climateric 9(1): 4-12.
  17. Jones A, Hockley J, Hyde C, Gorman D, Sredic-Rhodes A, Bilsland J, et al. (2016). Genome-wide association analysis of pain severity in dysmenorrhea identifies association at chromosome 1p13.2, near the nerve growth factor locus. PAIN 157(11): 2571-2581.
  18. Ju H, Jones M, Mishr G. (2015). A u-shaped relationship between body mass index and dysmenorrhea: A longitudinal study. PLOS ONE 10(7): 134.
  19. Ju H, Jones M, Mishra G. (2014). The prevalence and risk factors of dysmenorrhea. Epidemiol Rev 36: 104 -113.
  20. Kamel, Tantawy S, Abdelsamea G.(2017). Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study. Journal of Pain Research10:1079-1085.
  21. Kantero R, Widholm O. (1971). Correlations of menstrual traits between adolescent girls and their mothers. Acta Obstetricia et Gynecologica Scandinavica 50 (s14): 30-37.
  22. Karoly P, Jensen MP. Multimethod Assessment of Chronic Pain. New York: 1987.
  23. Kazama M, Maruyama K, Nakamura K.(2015). Prevalence of dysmenorrhea and its correlating lifestyle factors in Japanese female junior high school student. Tohoku J. Exp. Med 236:107-113
  24. Kharaghani R, Damghanian M.(2016). The prevalence of dysmenorrhea in Iran: a systematic review and meta-analysis. Iranian Red Crescent Medical Journal 19(3).
  25. Khodakarami B, Masoumi SZ, Faradmal J, Nazari M, Saadati M, Sharifi F, Shakhbabaei M. (2015).The Severity of Dysmenorrhea and its Relationship with Body Mass Index among Female Adolescents in Hamadan,Iran. Journal of Midwifery and Reproductive Health 3(4): 444-450.
  26. Kordi M, Mohamadirizi S, Shakeri MT. (2013). The relationship between occupational stress and dysmenorrhea in midwives employed at public and private hospitals and health care centers in Iran (Mashhad) in the years 2010 and 2011. Iran J Nurs Midwifery Res 18(4): 316-322.
  27. Kural M, Noor NN, Pandit D, Joshi T, Patil, A. (2015). Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care2015; 4(3): 426-431.
  28. Kowalski KC, Crocker PR, Donen RM. The Physical Activity Questionnaire for Older Children (PAQ-C) and Adolescents (PAQ-A) Manual 2004; 2:13-15.
  29. Latthe M, Say L, Gulmezoglu M, Khan KS.(2006). WHO systematic review of prevalence of chronic pelvic pain: Neglected reproductive health morbidity. BMC Public Health 6:177.
  30. Lemeshow S,Hosmer DW, Klar J, Lwanga SK, WHO. 1997. Adequacy of sample size in health studies. Enggland . John Wiley and Sons.
  31. Mahmudiono T.(2011). Fiber, PUFA and Calcium intake is associated with the degree of primary dysmenorrhea in adolescent girl Surabaya, Indonesia. Journal Obstetrics and Gynecology.
  32. Mahvash N, Eidy A, Mehdi K, Zahra MT, Mani M, Shahla H. (2012). The effect of physical activity on primary dysmenorrhea of female university students. World Appl. Sci. J 17(10) :1246-1252.
  33. Maryam, Ritonga MA, Istriati.(2016). Relationship between menstrual profile and psychologicalstress with dysmenorrhea. Althea Medical Journal 3(3): 382-87.
  34. Nagata C, Hirokawa K, Shimizu N, Shimizu, H. (2005). Associations of menstrual pain with intakes of soy, fat, and dietary fiber in Japanese women. European Journal of Clinical Nutrition 59(1): 88–92
  35. Pejcic A, Jankovic S.(2016). Risk factors for dysmenorrhea among young adult female university students. Ann Ist Super Sanità 52(1): 98-103.
  36. Proverawati A. (2009). Menarche: Menstruasi Pertama Penuh Makna (The First Menstruation is Full Meaning) Yogyakarta: Nuha Medika.
  37. Right Diagnosis by Health Grades. Dysmenorrhea Assessment Questionnaire (online). (2015). Retrieved from on March 2018
  38. Sanctis VD, Soliman AT, Elsedfy H, Soliman NA, Elalaily R, Kholy ME. (2016). Dysmenorrhea in adolescents and young adults: a review in different countries. Acta Biomed  87(3): 232-246.
  39. Silberg J, Martin N, Heath A.(1987). Genetic and environmental factors in primary dysmenorrhea and its relationship to anxiety, depression, and neuroticism. Behavior Genetics 17(4): 363-383.
  40. Sohn K. (2015). The trend in age at menarche in Indonesia: birth cohorts 1944-1988. J BiosocSci. 47(3): 407-412.
  41. Unsal A, Ayranci U, Tozun M, Arslan G, Calik E. (2010). Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students. Upsala Journal of Medical Sciences 115(2):138-145.
  42. Wadhwa PD, Dunkel-Schetter C, Chicz-De Met A, et al.(1996). Prenatal psychosocial factors and the neuroendocrine axis in human pregnancy. Psychosom Med 58: 432-46.
  43. Wang L.(2004). Stress dysmenorrhea: a population based prospective study. Occupational and Environmental Medicine 61(12):1021-1026.
  44. Wong LP, Kho EM. (2010). Dysmenorrhea in a multi ethnic population of adolescent Asian Girls. Int J Gynaecol Obstet108(2): 139-142.
bottom of page