{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:32:58Z","timestamp":1791325978678,"version":"4.3.1"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,6]],"date-time":"2018-11-06T00:00:00Z","timestamp":1541462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003514","name":"Kommunfullm\u00e4ktige, Stockholms Stad","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003514","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The objective of this study was to estimate the prevalence of dysmenorrhea among adolescents and its effect on daily life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>A web\u2010based questionnaire with questions regarding menstrual symptoms was distributed to all girls born in 2000 and residing in Stockholm City (n\u00a0=\u00a03998). Questions regarding pain severity, other menstrual\u2010related symptoms, medical treatment, healthcare visits, and social and academic absenteeism were included in the questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1785 (45%) young women responded to the questionnaire. Of these, 1580 (89%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      87\u201090) stated that they had dysmenorrhea. Severe dysmenorrhea, scores 8\u201010 on the numeric rating scale for pain, was reported by 574 of 1580 women (36%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      34\u201039). Fatigue was reported by 1314 of 1580 women (83%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      81\u201085), headache by 1296 (82%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ; 80\u201084), dyschezia by 578 (37%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      34\u201039) and dysuria by 560 (35%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      33\u201038). A suboptimal use of analgesics was reported. Hormonal therapy as pain treatment was used by 10% (157\/1580, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      9\u201012). Healthcare facilities, including school nurses, had been visited by 525 of 1580 women (33%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ; 31\u201036). Doctors had been consulted by 7% (116\/1580, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      6\u20109). Fifty\u2010nine percent (930\/1580, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      56\u201061) reported refraining from social activities due to dysmenorrhea. Absenteeism from school was reported to occur monthly by 228 of 1580 women (14%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      13\u201016), and several times per year by 716 (45%, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      43\u201048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings demonstrate that menstrual pain is prevalent among teenagers in Stockholm. The results indicate that many women are disabled in their daily life and that only a small number of women seek medical attention, although possible selection bias might have affected the results. Information and education are needed to optimize the use of existing treatment options and more awareness is needed to reduce normalization of disabling dysmenorrhea.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.13480","type":"journal-article","created":{"date-parts":[[2018,10,12]],"date-time":"2018-10-12T15:38:59Z","timestamp":1539358739000},"page":"215-221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Prevalence and impact of dysmenorrhea in Swedish adolescents"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4616-5022","authenticated-orcid":false,"given":"Lisa","family":"S\u00f6derman","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical Science and Education S\u00f6dersjukhuset University Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e5ns","family":"Edlund","sequence":"additional","affiliation":[{"name":"ViforPharma Nordiska AB Kista Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5930-4485","authenticated-orcid":false,"given":"Lena","family":"Marions","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Clinical Science and Education S\u00f6dersjukhuset University Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00360-6"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7550.1134"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2006.09.001"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(82)90433-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2015.07.001"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.154.12.1226"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000230214.26638.0c"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(81)90576-3"},{"issue":"1","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/S0002-9378(79)80026-5","article-title":"Relief of dysmenorrhea with the prostaglandin synthetase inhibitor ibuprofen: effect on prostaglandin levels in menstrual fluid","volume":"135","author":"Chan WY","year":"1979","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.03.029"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2013.04.010"},{"key":"e_1_2_9_13_1","unstructured":"Classification of Chronic Pain International Association for the Study of Pain available onlie at:http:\/\/www.iasp-pain.org\/PublicationsNews\/Content.aspx?ItemNumber=1673(Accessed October 4 2018)."},{"issue":"5","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1542\/peds.68.5.661","article-title":"Epidemiology of adolescent dysmenorrhea","volume":"68","author":"Klein JR","year":"1981","journal-title":"Pediatrics"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-0070(88)90036-8"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1997.02170460043007"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3283628092"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-3188(97)70085-8"},{"key":"e_1_2_9_19_1","first-page":"CD000400","article-title":"Non\u2010steroidal anti\u2010inflammatory drugs for heavy menstrual bleeding","volume":"1","author":"Lethaby A","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02407.x"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13319"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.07.004"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faogs.13480","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.13480","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T08:28:23Z","timestamp":1694680103000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.13480"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,6]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1111\/aogs.13480"],"URL":"https:\/\/doi.org\/10.1111\/aogs.13480","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,6]]},"assertion":[{"value":"2018-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}