{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T23:25:07Z","timestamp":1793057107654,"version":"4.5.0"},"reference-count":19,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008994","name":"European Society of Contraception and Reproductive Health","doi-asserted-by":"publisher","award":["P-2018-B-03"],"award-info":[{"award-number":["P-2018-B-03"]}],"id":[{"id":"10.13039\/501100008994","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Dysmenorrhea, characterised by painful menstrual cramps, is a pressing issue among adolescent girls globally. It significantly impacts their quality of life and has been associated with increased mental health issues and engagement in risky behaviours like smoking. In Poland, there is limited research on menstrual health, emphasising the need for a study to understand dysmenorrhea experiences and their impact on young menstruating individuals. Methods: This research project investigated the effects of dysmenorrhea on quality of life and school attendance, as well as its associations with non-communicable diseases, including mental health among adolescent girls in Poland. Additionally, the study examined risk factors for non-communicable disease development, including high-risk health behaviours and exposure to violence. The study utilised a cross-sectional design, administering self-reported questionnaires in high schools and vocational schools in six voivodeships (regions) in Poland. The analysis was performed using the R language in the Rstudio environment. p-value &lt; 0.05 was considered significant. Results: A significant percentage of respondents experienced heavy menstruation, irregularity, and pain. Adolescents with dysmenorrhea reported higher rates of school absenteeism, mental health issues (such as anxiety and panic attacks), and a higher likelihood of engagement in risk behaviours like smoking and illicit drug use. The study also identified associations between dysmenorrhea and experiences of violence, including sexual abuse and intimate partner violence, as well as links to self-harm and suicidal ideation. Conclusions: These findings contribute to understanding dysmenorrhea among Polish adolescent girls, emphasising the need for tailored interventions and support services. The study underscores the necessity of addressing menstrual health comprehensively, considering its impact on various aspects of young women\u2019s lives and promoting their overall well-being.<\/jats:p>","DOI":"10.3390\/jcm13206286","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T10:49:22Z","timestamp":1729507762000},"page":"6286","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Dysmenorrhea in Polish Adolescent Girls: Impact on Physical, Mental, and Social Well-Being\u2014Results from POLKA 18 Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9789-7712","authenticated-orcid":false,"given":"Michalina","family":"Drejza","sequence":"first","affiliation":[{"name":"Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0046-2558","authenticated-orcid":false,"given":"Katarzyna","family":"Rylewicz","sequence":"additional","affiliation":[{"name":"National Medical Institute of the Ministry of the Interior and Administration, 02-507 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5682-2079","authenticated-orcid":false,"given":"Ewa","family":"Majcherek","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0989-1108","authenticated-orcid":false,"given":"Joanna","family":"Barwi\u0144ska","sequence":"additional","affiliation":[{"name":"Murcki Hospital, 40-749 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8831-735X","authenticated-orcid":false,"given":"Grzegorz","family":"\u0141opi\u0144ski","sequence":"additional","affiliation":[{"name":"Samodzielny Publiczny Zak\u0142ad Opieki Zdrowotnej, 08-110 Siedlce, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9533-2950","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Mizgier","sequence":"additional","affiliation":[{"name":"Department of Sports Dietetics, Faculty of Health Sciences, Poznan University of Physical Education, Kr\u00f3lowej Jadwigi 27\/39, 61-871 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7646-7430","authenticated-orcid":false,"given":"Katarzyna","family":"Plagens-Rotman","sequence":"additional","affiliation":[{"name":"Division of Gynaecology, Department of Gynaecology, Poznan University of Medical Sciences, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Pisarska-Krawczyk","sequence":"additional","affiliation":[{"name":"Department of Nursing, The President Stanislaw Wojciechowski Calisia University, 62-800 Kalisz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gra\u017cyna","family":"Jarz\u0105bek-Bielecka","sequence":"additional","affiliation":[{"name":"Division of Gynaecology, Department of Gynaecology, Poznan University of Medical Sciences, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Witold","family":"K\u0119dzia","sequence":"additional","affiliation":[{"name":"Division of Gynaecology, Department of Gynaecology, Poznan University of Medical Sciences, 61-701 Poznan, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"ACOG Committee (2018). ACOG committee opinion No. 760 summary: Dysmenorrhea and endometriosis in the adolescent. Obstet. Gynecol., 132, 1517\u20131518.","DOI":"10.1097\/AOG.0000000000002981"},{"key":"ref_2","first-page":"489","article-title":"Primary dysmenorrhea","volume":"60","author":"Coco","year":"1999","journal-title":"Am. Fam. Physician"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1089\/jwh.2018.7615","article-title":"The prevalence and academic impact of dysmenorrhea in 21,573 young women: A systematic review and meta-analysis","volume":"28","author":"Armour","year":"2019","journal-title":"J. Women Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1111\/j.1471-0528.2009.02407.x","article-title":"The menstrual disorder of teenagers (MDOT) study: Determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers","volume":"117","author":"Parker","year":"2010","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.jpag.2014.07.005","article-title":"Dysmenorrhea: Prevalence and impact on quality of life among young adult Jordanian females","volume":"28","author":"Seham","year":"2015","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.jpag.2012.11.004","article-title":"The quality of life of adolescents with menstrual problems","volume":"26","author":"Azurah","year":"2013","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.jpag.2023.05.005","article-title":"Menstrual Dysfunction in Adolescents with Chronic Illness: A Systematic Review","volume":"36","author":"Hobbs","year":"2023","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.jpag.2019.08.007","article-title":"Status and factors of menstrual knowledge, attitudes, behaviors and their correlation with psychological stress in adolescent girls","volume":"32","author":"Borjigen","year":"2019","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.jpag.2011.06.014","article-title":"Body dissatisfaction on top of depressive mood among adolescents with severe dysmenorrhea","volume":"25","author":"Ambresin","year":"2012","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/s00737-018-0861-y","article-title":"Menarche and menstrual problems are associated with non-suicidal self-injury in adolescent girls","volume":"21","author":"Liu","year":"2018","journal-title":"Arch. Women Ment. Health"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Qin, L.L., Hu, Z., Kaminga, A.C., Luo, B.A., Xu, H.L., Feng, X.L., and Liu, J.H. (2020). Association between cigarette smoking and the risk of dysmenorrhea: A meta-analysis of observational studies. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0231201"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"545","DOI":"10.2147\/IJWH.S338651","article-title":"The influence of lifestyle variables on primary dysmenorrhea: A cross-sectional study","volume":"14","author":"Odeh","year":"2022","journal-title":"Int. J. Women Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"17455057231189549","DOI":"10.1177\/17455057231189549","article-title":"Prevalence of dysmenorrhea and associated risk factors among university students in Zimbabwe","volume":"19","author":"Nyirenda","year":"2023","journal-title":"Women Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1462","DOI":"10.25122\/jml-2023-0247","article-title":"The impact of primary dysmenorrhea on adolescents\u2019 activities and school attendance","volume":"16","author":"Donayeva","year":"2023","journal-title":"J. Med. Life"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.jpag.2013.11.008","article-title":"Dysmenorrhea, absenteeism from school, and symptoms suspicious for endometriosis in adolescents","volume":"27","author":"Zannoni","year":"2014","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.jpag.2012.12.001","article-title":"Menstruation disturbances: Prevalence, characteristics, and effects on the activities of daily living among adolescent girls from Brazil","volume":"26","author":"Pitangui","year":"2013","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Azagew, A.W., Kassie, D.G., and Walle, T.A. (2020). Prevalence of primary dysmenorrhea, its intensity, impact and associated factors among female students\u2019 at Gondar town preparatory school, Northwest Ethiopia. BMC Women Health, 20.","DOI":"10.1186\/s12905-019-0873-4"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.ejogrb.2020.10.038","article-title":"Sexual assault as a risk factor for gynaecological morbidity: An exploratory systematic review and meta-analysis","volume":"255","author":"Hassam","year":"2020","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.jpag.2022.04.010","article-title":"The association between childhood adversity and risk of dysmenorrhea, pelvic pain, and dyspareunia in adolescents and young adults: A systematic review","volume":"35","author":"Moussaoui","year":"2022","journal-title":"J. Pediatr. Adolesc. Gynecol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/20\/6286\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:17:37Z","timestamp":1760113057000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/20\/6286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,21]]},"references-count":19,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["jcm13206286"],"URL":"https:\/\/doi.org\/10.3390\/jcm13206286","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,21]]}}}