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Changes in menstrual symptoms and work productivity after checklist-based education for premenstrual syndrome: an 8-month follow-up of a single-arm study in Japan.
Ozeki, Chihiro; Maeda, Eri; Hiraike, Osamu; Nomura, Kyoko; Osuga, Yutaka.
Afiliación
  • Ozeki C; Department of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Akita, Japan.
  • Maeda E; Department of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Akita, Japan. erimaeda@med.hokudai.ac.jp.
  • Hiraike O; Department of Public Health, Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-Ku, Sapporo, 060-8638, Japan. erimaeda@med.hokudai.ac.jp.
  • Nomura K; Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Osuga Y; Department of Environmental Health Science and Public Health, Akita University Graduate School of Medicine, Akita, Japan.
BMC Womens Health ; 24(1): 242, 2024 Apr 15.
Article en En | MEDLINE | ID: mdl-38622575
ABSTRACT

BACKGROUND:

Premenstrual syndrome (PMS) is prevalent among women of reproductive age, but most do not seek medical advice. We hypothesized that building PMS awareness could promote medical help-seeking for PMS and thus reduce menstrual symptoms and improve work productivity.

METHODS:

In January 2020, women aged between 25 and 44 years, having paid work, and not currently consulting with an obstetrics and gynecology doctor (n = 3090) responded to the Menstrual Distress Questionnaire (MDQ), the Premenstrual Symptoms screening tool, and the World Health Organisation Health and Work Performance Questionnaire. In addition, they received checklist-based online education for PMS. Of 3090 participants, 2487 (80.5%) participated in a follow-up survey in September 2020. We conducted multiple logistic regression analyses and text analyses to explore factors that encouraged and discouraged medical help-seeking. We also evaluated changes in menstrual symptoms and work productivity, using generalized estimating equations with interactions between the severity of PMS, help-seeking, and time.

RESULTS:

During the follow-up period, 4.9% of the participants (121/2487) sought medical help. Those having high annual income (adjusted odds ratio [aOR] = 2.07, 95% confidence interval [CI] 1.21-3.53) and moderate-to-severe PMS (aOR = 2.27, 95% CI 1.49-3.46) were more likely to have sought medical help. Those who did not seek medical help despite their moderate-to-severe PMS reported normalization of their symptoms (36%), time constraints (33%), and other reasons for not seeking medical help. Participants with moderate-to-severe PMS who had sought medical help showed a significant improvement of - 8.44 points (95% CI - 14.73 to - 2.15 points) in intermenstrual MDQ scores during the follow-up period. However, there were no significant improvements in premenstrual and menstrual MDQ scores or absolute presenteeism.

CONCLUSION:

Medical help-seeking alleviated intermenstrual symptoms in women with moderate-to-severe PMS, but only a small proportion of them sought medical help after PMS education. Further research should be conducted to benefit the majority of women who are reluctant to seek medical help, including the provision of self-care information. TRIAL REGISTRATION UMIN Clinical Trials Registry number UMIN000038917.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome Premenstrual / Rendimiento Laboral Límite: Adult / Female / Humans País/Región como asunto: Asia Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Síndrome Premenstrual / Rendimiento Laboral Límite: Adult / Female / Humans País/Región como asunto: Asia Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Japón
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