• 제목/요약/키워드: Menarche experience

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한국 여자 청소년의 조기초경이 성경험에 미치는 영향 (Effect of Early Menarche on Sexual Experience among Korean High School Girls)

  • 이재영
    • Child Health Nursing Research
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    • 제23권2호
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    • pp.137-146
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    • 2017
  • Purpose: The purpose of this study was to identify the influence of early menarche on sexual experience among high school girls in South Korea. Methods: The study sample was comprised of 16,286 high school girls. Using statistics from the 11th (2015) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. Results: Among the girls, 5.8% reported early menarche. Early menarche was associated with sexual experience (Odds Ratio (OR), 5.27; 95% Confidence Interval (CI), 4.11-6.77). Controlled for sociodemographic, emotional and health behavior characteristics, early menarche was associated with sexual experience (OR, 3.98; 95% CI, 3.04-5.21). Conclusion: The results indicate that early menarche predicts an increase in sexual experience among female adolescents. Therefore, health education programs and health policy for interventions to improve sexual health are required for girls who are expected to experience early menarche.

우리나라 초경발현시기의 추이에 관한 연구 (The study on the Secular Trends of Menarcheal Age in Korea)

  • 박상화;임달오;조진만
    • 한국학교보건학회지
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    • 제5권2호
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    • pp.66-73
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    • 1992
  • The objective of the study is to review the research materials for menarche including general characteristics of target population surveyed, mean age of subject, menarche experience rates of the subject and mean age at menarche, and to analyze secular trends of age at menarche in Korea from 1935 to 1992. The results of the study summarized as follows; 1. The range of age in the target pulation for menarcheal research was mainly 10-29 age groups, and most of them were middle, high school girls and college students. 2. There was positive relationship among mean age at menarche, level of menarche experiences rates and mean age of the subject(P<0.01). 3. In the relationship between the mean age at menarche and the level of menarche experience rate of the subject, the subject of study with higher menarche experience were more likely to be higher mean age at menarche than those with lower menarche experience rates. In case of menarcheal experience rates at 75-90 percent among the subject, the values of more and median were more close to the actual mean age at menarche under the assumption that all of the subject had experience menarche. 4. The trends of age at menarche during 1935-92 were linear decrement: Y = 85.93-0.036X in the whole country and Y = 91.35-0.039X in Seoul. The rates of secular diminution in age at menarche calculated to be about 4.3 months per decade in the nation-wide, and 4.6 months in Seoul during the periods. 5. To analyze the secular trends in menarcheal age, the researcher should set up criterians including the range of age in target population, the level of menarcheal experience rate and the regional characteristics.

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여중생의 초경경험과 정신건강의 연관성 연구 (The association between menarche experience and mental health in middle school girls)

  • 안경민;홍경희
    • 한국산학기술학회논문지
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    • 제14권11호
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    • pp.5737-5744
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    • 2013
  • 이 연구는 14세의 여중학생의 초경 경험과 정신건강과의 연관성을 파악하고자 수행되었다. 연구 대상으로 제 8차 (2012년) 청소년건강행태 온라인 조사에 참여한 여중생 1학년 5,991명을 선별하였다. 데이터는 spss프로그램을 사용하여 빈도분석, t-test, chi-square, 로지스틱 회귀분석을 통하여 분석하였다. 대상자중 4,473명의 초경경험 여학생군(여학생의 평균 초경연령은 12.8세)과 1,518명의 비 초경경험 여학생군을 확인하였다. 초경경험과 정신건강의 로지스틱 분석결과, 지각 스트레스(OR=1.39, 1.20-1.62, p<0.001), 인지 우울증(OR=1.25, 1.10-1.42, p<0.05), 자살 생각(6OR=1.60, 1.38-1.87, <0.001), 자살 계획(OR=1.66, 1.33-2.81, p<0.001)과 자살 시도 (OR=1.42, 1.09-1.86, p<0.05)에 대한 위험 비 (OR)[95% confidence interval (CI)]는 초경 경험군에서 초경 비 경험군보다 높았다, 이러한 결과는 초경의 경험이 여중생의 정신건강에 연관성이 있음을 보여주고 있으며, 초경의 경험이 여자 청소년의 정신건강에 영향을 주는 중요한 요인이었음을 시사한다.

성인의 초경경험분석에 따른 국민학생을 위한 초경교육의 필요성 제기 (Analysis of Menarche Experience and Raising of Need of Menarche Education)

  • 김정은
    • 여성건강간호학회지
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    • 제1권2호
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    • pp.222-243
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    • 1995
  • The purpose of this study was to develop concrete and in-depth knowledge about menarche and to raise the need of menstrual education. The data were collected from purposively sample 34 women from twenties to forties from April 27 to October 10, 1994. Semi-structured intensive interviews were done and these qualitative data were analysed with "Ethnograph" computer program. The results of the study were as follows : 1. The experience of menarche could be classified into two main groups, which were positive and negative response to menarche. The negative experiences were to be shameful, tearful, scared of the phenomena and thought as a kind of punishment for guilt or confused menarche with other symptoms of diseases. On the contrary, the positive experiences were to be proud of physical maturity and to think that is was wonderful, miraculous and to perceive it as a warm experience. 2. The experience of menarche was influenced by various factors. They were the knowledge about menstruation, the quality and amount of informations, the time of menarche, the environmental factors, the response of significant others toward menarche. The experience of menarche could be positive or negative according to these factors. 3. The previous information sources about menstruation could be significant others, school education and mass-media. The significant others were mothers, sisters, friends and the person in charge of school sex education such as school nurses, home economics, military drill and athletics of teachers. And mass-media included sex education booklets, nursery tales, TV programs, and publicity activities of sanitary napkin companies. 4. The opinions of the subjects about the proper time of menarcheal education could be grossly classified into two groups. The first was active approach toward children when they were in elementary school. The second was passive approach which postponed the time until the child ask about it, because it would be awkward for them to discuss about the topic. 5. The participants thought that the ideal methods of menarche education would be systematic school education programs, open discussion with daughters, audio-visual teachings, or practical education in everyday life. 6. The contents of the menarche education based on the participants' opinions, would be positive details about meanings and functions of menstruation. And it would be desirable if the attitudes of the person in charge of education could be positive, open-hearted, and favorable toward menstruation.

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일 지역 여중생의 월경에 대한 조사연구 (A Study of Menstruation of Middle School Students)

  • 김혜원;권미경
    • 여성건강간호학회지
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    • 제11권2호
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    • pp.148-155
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    • 2005
  • Purpose: This study was to provide preliminary data for menstrual education and research for the early adolescents. Methods: Participants were 320 middle school students in Gangreung city. Data collection was done from May 1 to May 30, 2004 by self administered questionnaires. Results: In recollecting of menarche experiences, students felt more negative (happy 18.5%, confused 72.6%, embarrassed 82.2%, angry 38.1%, proud 26.2%, excited 15.6%, surprised 54.7%). For menarche preparation, there was a low level of explanations & knowledge of menstruation, and preparedness for menarche. Key informants regarding menstruation experiences were the mother and school teacher. The mean age of menarche was 12.3years old. 66.6% had premenstrual symptoms, and the mean score of VAS for dysmennorrhea was 4.50. Significant variables related to the VAS score were embarrassed of menarche experience(F=3.38, p=.019), preparedness for menarche(F=2.86, p=.038), and premenstrual symptoms(t=63.36, p.000), Conclusion: Preparation for a positive menarche experience prior to menarche is necessary. More active menstrual education should be given for early adolescents in the school and family setting. Replication studies in other regions and developing a menstrual education program is recommended. Systematic examinations of perimenstrual discomforts for early adolescents should be followed.

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사춘기 여성들의 월경경험 (Menstrual Experience of Adolescent Girls)

  • 정현숙
    • 대한간호학회지
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    • 제26권2호
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    • pp.257-270
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    • 1996
  • Studies on menstruation have focused only on menstruation itself and menstrual disorders. The menstruating girls or women have been neglected. So, the purpose of this study was to understand menstrual experience of adolescent girls in their perspective and build a theory on it, The specific purpose of this study were to find initial reaction of the girls, their strategies to adapt to menstruation. consequences of their efforts, influencing factor, and patterns of experience. The subjects of this study were eleven adolescent girls who experienced menarche three months to twenty-six months before the interview time. They were selected purposively. Their ages were in range of twelve and sixteen. One of them was a elementary school girl, three high school girls, and seven middle school girls. Two girls were handicapped because of cerebral palsy. All of them had some knowledge about menstrual physiology and hygiene during menstruation. Data were collected from September, 1994 to July, 1995. Data collection & analysis were done according to the grounded theory methodology by Strauss & Corbin(1990). Data collecting method was the long interviews and observation. Each interview took from 1 hour to 2 hours. Interview were tape-recorded and transcribed later by author. Data were analyzed immediately after interviews. Based on the results of previous interview, next interview were planned until gathered data reached the saturation point. Results were as follows. One hundred and six concepts were found. Those concepts were grouped into twenty eight categories and then fourteen higher categories. Twenty eight categories were as follows. “want to hide”, “bewildered”, “sense of burden”, “sense of heterogeneity”. “gladness”. “sense of superiority”, “negative empathy”, “positive empathy”, “limited hygenic control”, “sense of timing”, “lack of knowledge”, “lack of support”, “advance knowledge”, “informational support”, “emotional support”, “endurance”, “prayer”, “disclosing”, “avoidance”, “diversion”, “sense of powerlessness”, “discovery of sex identity”, “sense of maturation”, “sense of stability”, “acceptance of menstruation ”. fourteen higher categories were as follows. “negative feeling”, “posive feeling”, “exchange of feeling”, “limited hygenic control”, “sense of timing”, “accumulated experience”, “dysmenorrhea”, “level of knowledge”, “need for support”, “perceived support”, “sharing of feeling”, “self-control”, “passive acceptance”, “active acceptance”. The core category was “emotional shaking”, which consisted of “positive feeling” and “negative feeling”. “Emotional shaking”comes up to every adolescent girls experiencing menarche, independently of any contextual conditions, and its dimension has two directions : positive one and negative one. Its influencing factors were time of menarche, advance knowledge, support from the significant persons, expression and self-regulation. Even if they showed different process of adaptation to menstruation, general process of adaptation were as follows : 1. stage of emotional shaking 2. stage of acceptance 3. stage of internalization of the menstrual experience. Seven patterns existed on the process of adaptation to menstruation after menarche. Those are as follows. 1. If girls thought their menarche came too early and they had not much knowledge on menstruation, they had a kind of negative feeling. If they did not get enough support and dysmenorrhea superimposed, they came to accept menstruation passively. 2. If girls had menarche too early. they had negative feeling, even though they had enough advance knowledge. But support helped them accept menstruation easily. 3. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. But by experiencing subsequent menstruations and disclosing feeling, they began to accept menstruation. 4. If girls had menarche too lately and they had enough advance knowledge on menstruation. they had positive feeling. If dysmenorrhea superimposed later, their feeling turned in to negative one. But they came to accept menstruation positively by disclosing feeling and getting support. 5. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. In addition to this. if dysmenorrhes superimposed while they did not get enough support, they felt powerless and came to accept menstruation passively. 6. If girls had menarche too early and did not get enough advance knowledge, they had negative feeling. But disclosing feeling and support made them get sense of homogeneity and began to accept menstruation. 7. If girls had handicap, they had negative feeling, even though they had enough advance knowledge and menarche was late. But Menarche made them get feel sexual identity. Their limited hygenic control and negative empathy from their mothers made them accept menstruation passively. To let adolescent girls take their menstrual experience as a part of their lives forming a positive sense of feminine identity, it needs qualified teaching and, support and deep concern of the significant others. Nurses including school nurses should try to develop an educational program, which include menstrual physiology. hygiene during menstrual period, meaning of menstruation and impact of menstruation on the development of female sexual identity.

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초경유무에 따른 초등학생의 월경태도 관련요인 (Factors Influencing Attitude to Menstruation in Elementary School Girls according to the Presence of Menarche)

  • 조헌하;문소현
    • 여성건강간호학회지
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    • 제18권4호
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    • pp.302-311
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    • 2012
  • Purpose: The purpose of this study was to examine factors related to attitudes to menstruation in elementary school girls according to menarche experience. Methods: Data were collected using a structured questionnaire from 208 girls in 5th or 6th grade (90 who were menarche and 118 who were not). The study was a cross-sectional study. Data were analyzed using SPSS/WIN 18.0 program for descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression. Results: There were significant differences in body image, menstrual knowledge and attitude between the two groups of students. Results from the multiple regression analysis revealed difference in related factors and in the magnitude of the relationship evaluated by standardized beta coefficients. Significant factors, listed by the magnitude of beta coefficients, among students in menarche were positive affect of menarche, self-oriented perfectionism-critical, negative affect of menarche. Significant factors among non-menarche students were menstrual knowledge and self-oriented perfectionism-critical. Conclusion: There are differences between menarche and non-menarche girls in attitude to menstruation and related factors. Based on the results of the present study, systemic health education according to differences between the two groups should be developed to foster positive attitudes to menstruation.

Early menarche and its consequence in Korean female: reducing fructose intake could be one solution

  • Kim, Ji Hyun;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • 제64권1호
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    • pp.12-20
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    • 2021
  • The mean age at menarche (AAM) of Korean females has been rapidly decreasing over the last 50 years; currently, the prevalence of early menarche (<12 years) is 22.3%. Female adolescents who experience early menarche are known to be at greater risk of psychosocial and behavioral problems along with several physical health problems such as menstrual problems. They also tend to achieve a shorter final height and develop obesity. Population-based Korean studies have shown a strong association between early menarche and the risk of obesity, insulin resistance, metabolic syndrome, nonalcoholic fatty liver disease, diabetes, breast cancer, and cardiovascular disease in adulthood. Although the exact mechanism of how early menarche causes cardiometabolic derangement in later adulthood is unknown, childhood obesity and insulin resistance might be major contributors. Recent studies demonstrated that an excessive consumption of fructose might underlie the development of obesity and insulin resistance along with an earlier AAM. A positive association was observed between sugar-sweetened beverages (a major source of fructose) intake and obesity, metabolic syndrome, insulin resistance, and cardiometabolic risk in Korean females. In pediatrics, establishing risk factors is important in preventing disease in later life. In this regard, early menarche is a simple and good marker for the management of cardiometabolic diseases in adulthood. Decreasing one's fructose intake might prevent early menarche as well as the development of obesity, insulin resistance, and cardiometabolic diseases.

자녀의 초경 경험을 통한 어머니의 초경 경험 재구성 : Parse의 연구방법 적용 (Understanding the reconstruction experiences of mothers through their child's menarcheal experiences by using Parse's human becoming theory)

  • 권진숙;박시현;함옥경;손민;이은진;이재연
    • 한국보건간호학회지
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    • 제35권2호
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    • pp.211-223
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    • 2021
  • Purpose: The purpose of this study was to understand the reconstruction experience of mothers who had recently experienced a late-school age daughter's menarche by utilizing a hermeneutic phenomenological research methodology based on Parse's human becoming theory. Data were collected using purposive and snowball sampling methods to recruit the mothers of elementary fifth- and sixth-grade girls recently experiencing menarche. The data were analyzed using Parse's research methodology. As a result, the mothers' experiences appeared as "the process of reconstructing the menarche-related values created by themselves by facing the child's menarche experiences and related responses along with the change of era." The key concepts of there construction experiences of the mothers were "experiencing an ambivalent feeling of pity and pride," "celebrating her instead of expressing concerns," "giving a traditional lesson of protecting oneself to a new generation," and "feeling empathy as a woman and also alienation due to the generational gap." These findings reveal the important roles and competencies of community and school nurses in terms of achieving a healthy and positive reconstruction experience for mothers and their daughters. Also, it is necessary to develop educational programs for mothers who are about to encounter their daughters' menarche.

일부 도시지역에 있어서 중, 고교생의 월경에 관한 조사연구 (Survey on Menstruation of Middle & High School Girls in an Urban Area)

  • 김명엽;강현숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.63-72
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    • 1971
  • The conclusions were obtained from the detailed survey of 1,285 students experiencing menstruation, who were chosen among 1,717 students in middle & high school girls in Seoul. The survey was conducted during July 20-July 24, 1971. 1. Age of Menarche An average age of menarche was 13.3$\pm$1.07. The earliest age of menarche was 9 and the latest age 18. Ages of menarche were between 12 and 14 in 84.3 percent of the students surveyed. a. By present age distribution, the aged students were lower, than younger students in the average age of menarche. b. By father′s educational levels, among the students whose fathers were graduated from high schools, college & ever the earliest average age of menarche was found with 13.2, and among the students whose fathers were graduated from primary schools that wag latest with 13.6. c. By father′s occupations, among the students whose fathom engaged in "workers not classifiable"the earliest age of menarche was found with 12.5$\pm$0.27, among the students whose fathers were in "service business"the second was 12.9$\pm$1.07, and among the students whose fathers were in "miners, quarrymen and related workers"that was latest with 13.8$\pm$1.14. d. By economic status, among the students of "wealthy"families the age of menarche was 13.1$\pm$0.25, the among the students of "ordinary"families the lags of menarche 13.3$\pm$1.06. and the among the students of "poor" families that was 13.8$\pm$0.31. e. By home discipline, among the students being treated "rigid" the age of menarche was 13.5$\pm$1.13, among the students being treated "moderate"the age of menarche was 13.3$\pm$0.22, and those being treated "indifferent" that was 13.0$\pm$0.26. f. By students physical condition, among the students of "good" condition the average of menarche was 13.3$\pm$0.16, and among the students "poor" that was 13.5$\pm$0.31. 2. Menstruation a. For the six months after the average of menarche 39.0 percent of the students had normal menstruations, and 61.3 percent of them had abnormal ones. Of the students with abnormal menstruation 21.7 percent had abnormal menstruation from time to time, 25.4 percent had no menstruation for one month to three months, 7.2 percent had menstruation for four to six months and 6.7 per cent had no menstruation for more than sin months. Most students became to have normal menstruations a few months later the age of menarche. b. At the time interviewed, the percentile of cycle of menstruation as following: 23 days types: 46.8 percent 30 days types: 40.6 percent others : 12.6 percent The average cycle of menstruation was every 28.9 days. c. The average duration of menstruation is 4.69 days. d. The subjective symptoms during menstruation period: Out of the total 89.7 per cent had some pains, while 10.3 percent had no symptom. Among the symptoms, abdominal pain occupied 29.9 percent, neurotic symptoms 19.0 percent and lumbago 15.1 percent. e. By attitude or Action at first physical change, "Treated it by own experience" : 30.0 percent "Don′t know what to do because of ignorance" : 20.1 percent "Asked others about it" : 43.0 percent

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