{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:47Z","timestamp":1781812547549,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the present study was to investigate the relationship between dysmenorrhea and rational drug use (RDU), health literacy (HL), and emotional symptoms among university students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, the population consisted of 8524 female students studying at a university. The sample size was calculated using the known population sampling formula, and the study was completed with 646 students. Data were collected using the Descriptive Information Form, numerical rating scale (NRS), RDU scale, adolescent e\u2010Health Literacy Scale (eHEALS), and the Depression, Anxiety and Stress Scale\u201021 (DASS\u201021). Data collection took place between April and June 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of the participants was 21.5\u2009\u00b1\u20093.1\u2009years. A low positive correlation was found between eHEALS and RDU scores, a low negative correlation between the depression subscale and eHEALS, and a low positive correlation between the anxiety subscale and NRS scores. The structural equation model for the scales was found to be statistically significant (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.05). The fit indices obtained (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200916.7, df\u2009=\u20096) indicate an acceptable model fit (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/df\u2009=\u20092.8).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results regarding changes in HL, rational drug use behaviors, and bidirectionally influential emotional states\u2014factors that may be associated with the management of dysmenorrhea\u2010related pain\u2014offer valuable contributions to the literature when supported by theoretical modeling and empirical data.<\/jats:p>\n                  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