• Women's Health Nursing
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• v.20 no.3
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• pp.215-224
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• 2014

Purpose: The study was to survey personal hygiene practice related to genito-urinary tract and menstrual hygiene management in female adolescents in order to obtain basic information for health education. Methods: With a descriptive survey design, 389 adolescents were recruited via convenience sampling in Korea. Survey instrument was the feminine and menstrual hygiene practice and perception of vaginal douching. Data were collected from a self-administered structured questionnaire. Results: Mean age of adolescents was 16.09 and menarche was at 13.21. While washing hands after urination/defecation was highly performed, wipe front to back and wash with soap and water were reported as being not well done. Twenty-eight percent reported douching habit. More positive beliefs about douching were reported by adolescents who practiced douching. Menstrual hygiene management was very appropriate with changing sanitary pads regularly with hand washing; but less performed for limiting bathing activity during menstrual periods and washing hands after activity of genito-urinary area. Conclusion: Some adolescents practiced inadequate hygiene practices especially for body cleansing during menstrual period and vaginal douching. It is important to develop and implement school health education programs on feminine and personal hygiene for adolescents to help them perform adequate health behaviors.

• Journal of the Korean Dietetic Association
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• v.12 no.3
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• pp.225-234
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• 2006

The purpose of this study was to identify the factors that related to obesity among 6th grade elementary school girls. The study subjects were 337 girls residing in Seoul. Not only variables of nutritional environment such as eating habits, health related behavioral variables, nutritional feeding methods during infancy, and genetic factors but also sexual maturity had been included as a obesity related factors. Association between obesity and related variables were analyzed by $x^2$(Chi-square) test. The obesity prevalence of the study subjects were 16% based on Röhrer Index(RI). Fifty-three percent of the study subjects experienced menarche at the time of data collection. Result of analysis showed that not only the nutritional enviromental variables such as eating habits, specific food preferences, and habit of exercise but also genetic factors did not show any statistically significant association with obesity. Above finding may imply that more variables other than the variables included in this study might have influenced on the obesity of the children. However sexual maturity in term of breast development showed significant association with obesity.

• Journal of the East Asian Society of Dietary Life
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• v.16 no.5
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• pp.533-541
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• 2006

The purpose of this study was to investigate the relation between climacteric symptoms and intakes of various nutrients, phytoestrogens and foods in postmenopausal women. We conducted anthropometric measurements, questionnaire interview and 24hr dietary recall for 3 days in 128 postmenopausal women aged $49{\sim}64$. The subjects were divided into the two groups, NCMS(non climacteric symptoms group) and CMS(climacteric symptoms group), according to the severity of the climacteric symptoms. There were no significant difference in anthropometric measurements, maternal factors(menarche age, menopause age), subjective health status, frequency of exercise, smoking and drinking status between the two groups. The Mg and lignan precusor intakes of the NCMS group were significantly higher than those of the CMS group. Mg, lignan precusor, pulse and seed intakes had negative correlations with the severity of climacteric symptoms. From this study results, Mg, phytoestrogen(especially some lignan) and some food groups like as pulse and seeds may prevent and reduce climacteric symptoms in postmenopausal women.

• Journal of Genetic Medicine
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• v.17 no.1
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• pp.47-50
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• 2020

In Turner syndrome (TS), 45,X/47,XXX mosaicism is a rare genotype. Due to its low frequency, the clinical features and prognosis are not clearly known. A 10-year-old girl was diagnosed with 45,X/47,XXX mosaicism TS and presented with short stature. She did not show any other TS phenotypic features, except for short stature, and developed spontaneous puberty and menarche, although she had unilateral ovarian agenesis. She achieved a significant growth improvement following growth hormone treatment. Since 45,X/47,XXX mosaic TS shows different gonadal function from that of classic TS, it is necessary to conduct surveillance for premature ovarian insufficiency.

• Journal of Korean Public Health Nursing
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• v.35 no.1
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• pp.120-134
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• 2021

Purpose: The reproductive health of women in early adulthood can affect pregnancy, childbirth, and menopause in later life. Menstrual symptoms not only affect daily life, but are also a reflection of a woman's reproductive health. This study was conducted to explore the factors affecting menstrual symptoms among university students. Methods: The general characteristics, life style, menstrual characteristics, stress, and menstrual symptom of 177 female students were assessed through an online survey at one university. An independent sample t-test, one-way variance analysis, correlation analysis, and multiple regression analysis were performed using the SPSS 22.0 program. Results: The menstrual symptom score was 91.68±32.11 points, and the score of 'mood change' was the highest. Stress (��=.38, p<.001), amount of menstruation (��=.20, p=.001), menarche age (��=-.18, p=.003), health problems (��=.16, p=.010), and age (��=.15, p=.016) were found to have a significant effect on menstrual symptom, and the explanatory power of the regression model was 40%. Conclusion: This study investigated the degree and influencing factors of menstrual symptom using the Korean Menstrual Symptom Scale (KMSS) developed for Korean university students. Among the factors influencing menstrual symptom, stress appeared to play a significant role. Stress management, observation of menstrual characteristics, and general health care are necessary to maintain a woman's reproductive health.

• Women's Health Nursing
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• v.24 no.4
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• pp.392-403
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• 2018

Purpose: To identify factors associated with menstrual distress and characterize the relationship between menstrual distress and sleep disturbance in middle-school girls. Methods: Participants in this correlational study were 117 middle-school girls who were recruited through convenience sampling. Data were collected from March 2018 to April 2018 using self-reported structured questionnaires and analyzed using IBM SPSS Statistics 23.0. Factors associated with menstrual distress included physiological, psychological, and situational factors based on the theory of unpleasant symptoms. Results: Age of menarche (${\beta}=-.28$, p<.001), amount of menstruation (${\beta}=.23$, p=.004), lifestyle-related exposure to endocrine-disrupting chemicals (${\beta}=.21$, p=.027), and academic and peer-relationship stress (${\beta}=.19$, p=.025) influenced menstrual distress, explaining 47.4% of the variance in this regression model. The relationship between menstrual distress and sleep disturbance was statistically significant. Sleep disturbance was increased 1.26 folds when dysmenorrhea score increased by one unit (OR=1.26, 95% CI: 1.01~1.58). However, parental support was not a significant moderating factor of sleep disturbance. Conclusion: This study provides basis to develop an intervention strategy to alleviate menstrual discomfort in adolescents and improve their quality of sleep.

• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.4
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• pp.135-148
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• 2009

Purpose: The purpose of this study is to recognize correlation between stress and menstrual pattern among low-income women. Methods: From 5th October to 24th October 2009 we researched 14 low-income mothers by questionnaires to investigate their stress and menstrual patterns. Results: The mean level of their stress was $6.71{\pm}2.92$. The less the income was, the higher the stress was. Among the women, the stress of those who do not had husbands was also high. Most of the women's menarche came late and their menstrual cycle was long. The menstrual color was a little dark and they had blood clots and pain during menstruation. Their mental states also often changed over the period and they had pattern of blood stasis. The study observed that the higher the stress was, the worse the menstrual pain was. Conclusion: Low-income women are under stress by their socioeconomic status and their menstrual patterns often change. Stress has correlation with menstruation.

• Korean Journal of Adult Nursing
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• v.18 no.1
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• pp.146-156
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• 2006

Purpose: 1) to construct cohorts according to risk scores calculated with the Gail Breast Cancer Risk Assessment Tool (Gail et al., 1989) (Gail) and the Breast Cancer Risk Appraisal (Lee et al,. 2003) (Lee) 2) to identify the distribution of risk factors and preventive behavior stages between the cohorts 3) to identify abnormal breast conditions in risk cohort. Method: Using convenience sampling, 775 rural women were selected. Risk appraisal was scored using Gail and Lee. Preventive behavior stages for BSE (Breast self examination) and mammography were measured using 4 stages of the Transtheoretical Model (Prochaska & DiClemente, 1983). Results: 1) The risk cohort according to Gail was 12.3% (n=95), and Lee, 3.1% (n=24). 2) There were significant differences in the distribution of risk factors (age, family history, age at 1st live birth, age at menarche, number of breast biopsy, history of breast disease, and breast-feeding) between cohorts. 3) There was a significant difference in the distribution of the stage of BSE according to Lee. 4) Six women in the risk group detected masses or nodules and physician consultation and ultrasonography were recommended. Conclusion: On the basis of the constructed cohorts, further longitudinal studies of cohorts are recommended with interventions according to characteristics of cohorts.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.19
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• pp.8499-8502
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• 2014

The incidence rate of breast cancer in developed countries is almost three-fold higher than in developing countries. Iran has had one of the lowest incidence rates for breast cancer in the world, but during the recent decades a marked increase has been seen. The purpose of this study was to investigate some established risk factors of breast cancer in Iranian women. A study of 11,850 women participating in abreast screening program was conducted. The 197 women diagnosed with breast cancer and 11,653 healthy women were compared. Logistic regression was performed to investigate associations of reproductive and anthropometric factors with breast cancer risk. Family history of breast cancer (OR=1.94, 95%CI=1.35-2.78), occupation (OR= 1.65,95%CI=1.20-2.25), education level (OR=0.50,95%CI=0.28-0.91), parity (OR=0.27, 95%CI=0.12-0.59), menopausal status (OR=3.15, 95%CI=2.35-4.21), age at menarche (OR=0.33, 95%CI=0.15-0.70), and age at the first pregnancy (OR=4.10, 95%CI=1.13-14.77) were related to the risk of breast cancer. Decrease in parity may to some extent explain the rising trend of incidence of breast cancer incidence in Iranian women.

• Korean Journal of Adult Nursing
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• v.14 no.1
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• pp.144-153
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• 2002

Purpose: The purpose of this study was to describe the premenstrual syndrome and the relationships among premenstrual syndrome, automatic thought, and perfectionism. Methods: The 164 subjects were selected from a nursing college in Tae-Jeon. The data were collected using the PAF, ATQ-N, and MPS from April 10th to May 10th, 2001. Results: The results of this study were as follows : 1. There was no significant difference in premenstrual syndrome due to menarche, duration of menstruation, and menstrual cycle, but significant difference in premenstrual syndrome due to amount of menstruation and regularity of menstrual cycle. 2. The subjects experienced mild premenstrual syndrome. The severe premenstrual syndromes above the mean were who subjects reported general physical discomfort, fatigue, low mood and loss of pleasure, lability and atypical depressive features, et. al., and those below the mean experienced hostility/anger, increased well-being, miscellaneous mood/behavior change, impulsive syndrome and miscellaneous physical changes, et. al. 3. The score of mean premenstrual syndrome was 236.55, that of automatic thought was 31.41 and that of perfectionism was 185.97. The premenstrual syndrome score was similar to those of other studies and subjects had low automatic thought and moderate perfectionism. 4. There were significant correlations among premenstrual syndrome, automatic thought, and perfectionism (P <. 001). 5. Automatic thought and perfectionism accounted for 17 percent of premenstrual syndrome. Conclusions: For future research, it was recommended that the study to identify major factors affecting premenstrual syndrome and the relationships between them with various subjects should be done and effective nursing intervention for premenstrual syndrome should be developed.