{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:42Z","timestamp":1786649322910,"version":"build-2736575974"},"reference-count":47,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Regular menstruation in females serves as a critical indicator of reproductive health. Adolescent ages 10\u201319 years are vital for development, but irregular menstruation can disrupt healthy growth and well-being, negatively impacting reproductive life. This study examined the prevalence of irregular menstruation, and its associated factors among adolescent girls in rural Bangladesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This school-based cross-sectional study was conducted from January to April 2022 in Chandpur district, Bangladesh. We recruited 328 adolescent participants whose menstruation had begun. A stratified sampling technique was used to enroll the participants. Through a structured questionnaire, sociodemographic information, menstruation history, and anthropometric data were collected. Regression analyses were performed to determine the associations between outcome and exposure variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The prevalence of irregular menstruation among school-going adolescents was 22.3%, with anemia at 38.7%. Among those with irregular menstruation, 34.2% had anemia. In univariate analysis, abdominal obesity was significantly associated with irregular menstruation (odds ratio [OR] = 2.56; 95% confidence interval [CI]: 1.41\u20134.62;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), whereas having a father with primary education showed a protective association (OR = 0.48; 95% CI: 0.25\u20130.93;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.029). In multivariable logistic regression, abdominal obesity remained independently associated with irregular menstruation (adjusted OR [aOR] = 2.22; 95% CI: 1.01\u20134.88;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.046).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In rural Bangladesh, irregular menstruation prevalence among adolescent girls was high, with abdominal obesity as a risk factor and fathers\u2019 education as protective. These findings highlight that integration of menstrual health education into rural school health programs is recommended, along with health and nutritional guidance, especially for adolescent girls in remote regions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1864_25","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:00:24Z","timestamp":1776679224000},"page":"1284-1293","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["School-based assessment of menstrual irregularities and their predictors among adolescent girls in rural Bangladesh: A cross-sectional study"],"prefix":"10.4103","volume":"15","author":[{"given":"Md Jiaur","family":"Rahman","sequence":"first","affiliation":[{"name":"Department of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, 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Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zarin","family":"Tasnim","sequence":"additional","affiliation":[{"name":"Department of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israth Jahan","family":"Tama","sequence":"additional","affiliation":[{"name":"Department of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesmin Ara","family":"Bubly","sequence":"additional","affiliation":[{"name":"Global Health and Medical Science, Graduate School of Innovation and Practice for Smart Society, Hiroshima University, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taiyaba Tabassum","family":"Ananta","sequence":"additional","affiliation":[{"name":"Global Health and Medical Science, Graduate School of Innovation and Practice for Smart Society, Hiroshima University, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bilkis","family":"Banu","sequence":"additional","affiliation":[{"name":"Department of Public Health, Independent University Bangladesh, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Delwer Hossain","family":"Hawlader","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Health and Life Sciences, North South University, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoko","family":"Shimpuku","sequence":"additional","affiliation":[{"name":"Department of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, 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