Puberty- and Menstruation-Related Stressors Are Associated with Depression, Anxiety, and Reproductive Tract Infection Symptoms Among Adolescent Girls in Tanzania.
Background: Puberty and menstruation are significant stressors for adolescent girls and young women in low-resource settings in sub-Saharan Africa. However, little is known about the impact of these stressors on girls' mental health and reproductive health. Methods: In 2018, a cross-sectional self-r...
| Published in: | International Journal of Behavioral Medicine Vol. 29; no. 2; pp. 160 - 175 |
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| Main Authors: | , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Apr2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156244478&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156244478 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Apr2022 vid: 29 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156244478 156244478 156244478 10.1007/s12529-021-10005-1 156244478 ppf: 160 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Puberty- and Menstruation-Related Stressors Are Associated with Depression, Anxiety, and Reproductive Tract Infection Symptoms Among Adolescent Girls in Tanzania. aug: au: Cherenack, Emily M. Sikkema, Kathleen J. affil: Department of Psychology and Neuroscience, Duke Global Health Institute, Duke University, 417 Chapel Drive, 27708, Durham, NC, USA sug: subj: Women In Adolescence Puberty Psychosocial Factors Menstruation Psychosocial Factors Stress, Psychological Complications Depression Risk Factors Anxiety Risk Factors Mental Health Reproductive Health Genital Diseases, Female Symptoms Risk Assessment Human Cross Sectional Studies Descriptive Statistics Data Analysis Software Tanzania Purposive Sample Female Adolescence Confidence Intervals Odds Ratio Adolescent: 13-18 years Female ab: Background: Puberty and menstruation are significant stressors for adolescent girls and young women in low-resource settings in sub-Saharan Africa. However, little is known about the impact of these stressors on girls' mental health and reproductive health. Methods: In 2018, a cross-sectional self-report survey was conducted with 581 adolescent girls and young women between 13 to 21 years old who had reached menarche and were attending secondary school in Moshi, Tanzania. Structural equation modeling was used to examine the relationships of puberty-related stressors and menstruation-related stressors (menstrual deficits, movement/activity difficulties, and menstrual symptoms) to depression, anxiety, and the likelihood of reporting reproductive tract infection (RTI) symptoms. Results: Puberty-specific stressors, menstrual symptoms, and menstrual deficits were associated with depression and anxiety. Movement/activity difficulties were associated with anxiety. Increases in menstrual symptoms, menstrual deficits, puberty stressors, and depression were associated with an increased likelihood of reporting a lifetime RTI. However, the relationship of puberty stressors and depression with RTIs was no longer significant in two of three models after correcting for Type I error. Conclusions: Overall, puberty- and menstruation-related stressors were associated with mental health and symptoms of reproductive tract infections. This suggests there is an important relationship between stressors specific to adolescent girls and young women during puberty, mental health, and reproductive health. There is a need for adolescent-tailored interventions to reduce the negative impact of stressors among girls transitioning through puberty in sub-Saharan Africa. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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