Comparing reproductive health communication with mothers between urban and rural adolescent girls

Background: Reproductive health (RH) communication between mothers and adolescent girls is critical for fostering knowledge and healthy behaviors. This communication varies significantly between urban and rural settings due to different socio-cultural contexts and access to information. The aim of this study was to compare RH communication with mothers between urban and rural adolescent girls. Methods: This cross-sectional comparative study was conducted from January to December 2020 in Mithapukur upazila (rural) and Rangpur city (urban) in Bangladesh. A total of 112 adolescent girls aged 14 to 17 from class 9 and 10 were interviewed, with 56 girls from each area. Results: Socio-demographic characteristics were similar in both groups. In both urban and rural areas, 67.9% of respondents communicated with their mothers about RH, while 32.1% did not. In the past six months, 58.9% of urban and 57.1% of rural girls had no RH discussions. Menstruation and pubertal changes were the most common topics in both areas, while other RH topics were less frequently discussed. Discussions often began at the onset of menstruation or between ages 9-12, with some starting during high school entry or initiated by the girls themselves, though 32.1% in both areas had not started discussions. The majority were only informed about necessary RH parts. Conclusions: The results of this study demonstrate that RH communication among urban adolescent girls was higher as compared to the rural adolescent girls.

An exploratory study on perception of adolescent girls towards early menarche in a union territory of India

Background: Early menarche is always a challenging one for adolescent girls since it is often associated with inadequate knowledge regarding puberty, adverse reproductive health outcomes and mental health problems. The objective of this study was to explore the perception and attitude of adolescent girls towards early menarche. Methods: A qualitative study was conducted in the rural field practice area of a Medical College in Puducherry during January to March 2022. The study participants (adolescent girls) were selected by means of purposive sampling. Four Focus Group Discussions were conducted among adolescent girls using an interview guide. The contents were transcribed and codes were derived. The codes were combined to form categories and finally, themes were generated and were interpreted. Results: Menarche was a shocking experience for the adolescent girls and there was no mental preparedness for accepting it and attaining menarche even earlier, made it still worse. They felt that they lost their childhood identity at a younger age as they looked more matured compared to their peers. They were unable to adjust themselves and it affected their psychosocial state. According to them, factors such as obesity, improper dietary habits, physical inactivity, and also mothers with early age of menarche were the causes of early menarche. Conclusions: The study participants felt that they had an inadequate knowledge about early menarche and they also found it difficult to cope up with ‘sudden changes into womanhood’. Assuming gender specific roles in their families made them stressed and feels helpless.

Unveiling menarche: insights into the knowledge, attitudes, and practices of adolescent girls in Dhangadhi sub-metropolitan city

Background: Menarche refers to the onset of first menstruation. Despite being a normal, physiological process, menarche is still regarded as a taboo topic in some communities and ethnic groups. This situation makes many adolescent females vulnerable because of lack of knowledge, products, and infrastructure to deal with menarche. This study aims to assess the knowledge, attitude, and practices on menarche among adolescent girls in government schools of Dhangadhi sub-metropolitan city, a region where menstrual taboos are highly prevalent.Methods: A descriptive cross-sectional study was conducted among 383 adolescent school girls in Dhangadhi through a pre-tested semi structured questionnaire. Quantitative research method was applied through a self-administered questionnaire.Results: The study showed that the median age of menarche was 13 years. The main source of information about menarche was mother or grandmother (58.2%). Approximately, three fourth (71.4%) of the respondents had adequate knowledge, less than two third (61.6%) had positive attitude and nearly half (51.7%) of them had good practices on menarche. Factors like parents education and occupation, mother抯 age, age at menarche, grade and family type were found to be significantly associated with knowledge, attitude and practices on menarche.Conclusions: Despite the fact that the majority of respondents had an adequate level of knowledge on menarche, the level of practices on menarche was still poor. This study highlights the need for policy makers to focus on implementing knowledge and awareness programs in government schools to educate students and their parents about menarche and menstrual hygiene.

Socio-cultural factors influencing utilization of contraceptives among girls aged 15 to 19 years in Kuria West Subcounty, Migori County

Background: Insufficient contraceptive use among 15–25-year-olds leads to unwanted pregnancies, unsafe abortions, disabilities, infant mortality, and high teen pregnancy rates, with Kenya's high rate of teen pregnancies despite efforts. Methods: Analytical cross-sectional study design was used and 361 teenage girls between 15-19 years in the selected electoral wards at Kuria West Sub County in Migori County, Kenya. Data was collected using administered structured questionnaire, and key informant interview. Quantitative data analysis was conducted using statistical package for the social sciences (SPSS) version 26.0 and involved univariate and bivariate analysis. Bivariate analysis was done through logistic regression was used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis. Results: More than two third 249 (69.0%) of respondents had utilized contraceptives such as condoms (33.3%), injection (25.3%), implants (22.9%), and pills (15.7%). Religious affiliation (?2=5.576, df=1, p=0.018) was significantly associated with utilization of the contraceptives. Additionally, religion supports the use of contraceptives (?2=0.061, df=1, p=0.804), culture prohibits the use of contraceptives (?2=1.496, df=2, p=0.473), discuss contraceptive methods with family (?2=1.423, df=2, p=0.491), and difficult to engage in sexual discussions with my parents/guardian (?2=2.707, df=2, p=0.258) had no statistical relationship with utilization of the contraceptives. Conclusions: Central and county government, stakeholders and NGOs should organize health education targeting parents, community and the society which should include, schedules and benefits/importance of utilization of FP services to counter the cultural beliefs.

Autopercepción corporal y su impacto en la función sexual orgásmica en estudiantes mujeres de educación superior / Body self-perception and its impact on orgasmic sexual function in female higher education students, Chillán, 2021

Objetivo: Analizar la percepción de la imagen corporal y su impacto en la función sexual orgásmica en mujeres estudiantes de la educación superior de Chillán, 2021. Métodos: Estudio cuantitativo, analítico, de corte transversal. Se evaluaron cuatro variables: datos demográficos, imagen corporal, orgasmo y función sexual. Se utilizó un Google Formulario a mujeres estudiantes entre 18 y 44 años de edad, de la educación superior en la ciudad de Chillán. Posterior a ello, los datos obtenidos se recopilaron y tabularon en el programa estadísticos SPSS 23. Resultados: Las dimensiones del índice de función sexual femenino alteradas con mayor frecuencia fueron: satisfacción (80,6 %), excitación (73,8 %) y orgasmo (51,5 %). El 99,0 % de las encuestadas presentaron disfunción sexual. Con respecto a la relación entre la dimensión de excitación y la pobre imagen corporal producida por el propio cuerpo (p = 0,019 r = -0,223) presentó correlación estadísticamente significativa, no así entre los puntajes totales de ambos instrumentos (p = 0,34; r = 0,09). Finalmente, las correlaciones entre la dimensión de dolor al momento de tener relaciones sexuales y la autodesvalorización por la apariencia física correlacionaron positivamente (p = 0,049; r = 0,196). Conclusión: Se observó alterado el orgasmo por la percepción de cómo se sienten con su propio cuerpo las encuestadas, lo que crearía una imagen corporal negativa llevando a una insatisfacción corporal(AU)

Objective: Analyze the perception of body image and its impact on orgasmic sexual function in female higher education students in Chillán, 2021. Methods: Quantitative, analytical, cross-sectional study. Four variables were evaluated: demographic data, body image, orgasm and sexual function. A Google Form was used for female students between 18 and 44 years of age, from higher education in the city of Chillán. Subsequently, the data obtained were compiled and tabulated in the statistical program SPSS 23. Results: The most frequently altered dimensions of the female sexual function index were: satisfaction (80.6%), arousal (73.8%), and orgasm (51.5%). 99.0% of the respondents had sexual dysfunction. Regarding the relationship between the arousal dimension and the poor body image produced by one's own body (p = 0.019; r = -0.223), there was a statistically significant correlation, but not between the total scores of both instruments (p = 0.34; r = 0.09). Finally, the correlations between the dimension of pain at the time of sexual intercourse and self-depreciation due to physical appearance were positively correlated (p = 0.049; r = 0.196). Conclusion: The orgasm was observed to be altered by the perception of how the respondents felt about their own body, which would create a negative body image leading to body dissatisfaction(AU)

Impact of pelvic rocking exercise on dysmenorrhea among adolescent girls

Background: Pelvic rocking exercise is an exercise which contracts deep abdominal muscles and buttocks by taking deep breath, so that a small movement takes place inside the uterus. It is an exercise which strengthens the muscles of lower abdomen and back by taking deep breath. So that the pressure on blood vessels in the area around uterus is relieved. It helps to relieve menstrual discomfort through increased vasodilatation and subsequent decreased ischemia, release of endogenous opiates and suppression of prostaglandins. It is a non-pharmacological management of dysmenorrhea. It increases endorphin release which decreases pain perception and to suppress prostaglandin release. It is found to be effective in managing stress and is easy to practice. Present study aimed to evaluated the effectiveness of pelvic rocking exercise on dysmenorrhea.Methods: Pre- experimental one group pre-test post-test design has been used to attain the objectives of the present study. 60 adolescent girls were selected by non- probability purposive sampling technique. Sociodemographic variables, menstrual history related data was collected and standardized Numerical Pain Rating Scale was used to assess the level of dysmenorrhoea among adolescent girls. Pelvic rocking exercise was the intervention done to evaluate its effect on the level of dysmenorrhea.Results: Out of total adolescent girls, majority had moderate level of dysmenorrhea. There was a significant difference between the pre and post- intervention level of dysmenorrhoea.Conclusions: Study concluded that the intervention of pelvic rocking exercise was significantly effective in reduction of dysmenorrhoea among the adolescent girls.

Comprehensive assessment of the psychological well-being of school going adolescent girls in Chandigarh, India

Background: Adolescence, a crucial stage in human development, involves significant physical and psychological changes. Unfortunately, these transformations often go unnoticed, leading to an increase in psychological issues among adolescents. Objective of the study was to have a comprehensive assessment of the reasons due to which the adolescents are suffering from high psychological distress in school-going adolescent girls in Chandigarh. Methods: A cross-sectional study was conducted in Chandigarh schools included 168 adolescent females aged 13 to 19. The data collection utilized a multi-stage random sampling approach. Results: The research revealed that academic pressure 147 (87.5%), financial concerns of the family 77 (45.8%), difficulties in communication with family and peers 86 (51.2%) and the negative thinking pattern (83.4%, n=140) are affecting the adolescent girls' mental well-being. The study revealed that a significant number of participants frequently experienced emotions such as nervousness, guilt, social anxiety, insecurity, discrimination, and difficulty concentrating. Additionally, a substantial portion of the group reported instances of sleeplessness 92 (54.8%) and feelings of loneliness 136 (81%). Participants also indicated engaging in coping mechanisms like over thinking, procrastination, and overeating when facing stress. Alarmingly, some individuals turned to smoking, alcohol consumption, and drug abuse as stress-relief strategies, raising concerns for the community. Conclusions: The study highlighted the fact that supportive environment at home and in schools, with open communication and counseling to address these issues. Work should be done to reduce the stigma associated with mental health issue and encourage open conversations about mental health to help adolescents feel more comfortable seeking support.

Study on the Distribution Characteristics of Traditional Chinese Medicine Syndrome Types in Girls with Idiopathic Central Precocious Puberty from Hainan Province / 广州中医药大学学报

Objective To investigate the distribution characteristics of traditional Chinese medicine(TCM)syndromes in girls with idiopathic central precocious puberty(ICPP)from Hainan province.Methods A total of 216 cases of ICPP girls admitted to Hainan Women and Children's Medical Centre from January 2019 to December 2021 were retrospectively collected.The frequency statistics and grading of TCM syndromes in the included ICPP girls were carried out,and the distribution characteristics of TCM syndromes were discussed on the basis of the analysis of the three TCM syndrome types of yin deficiency and fire exuberance syndrome,qi and blood insufficiency syndrome and incoordination between heart and kidney syndrome.Results(1)The age of ICPP onset in 216 girls were between 4 and 10 years old,with an average onset age of(7.15±1.06)years.The highest incidence rate of ICPP was found in the girls aged over 7 years old while less than 8 years old,which was 49.54%.(2)Of the three TCM syndrome types,yin deficiency and fire exuberance syndrome accounted for the highest proportion(147 cases,68.06%),followed by the qi and blood insufficiency syndrome(41 cases,18.98%)and the incoordination between heart and kidney syndrome(28 cases,12.96%).(3)The common 16 TCM symptoms(frequency＞25.0%)in descending order of frequency were aversion to heat and night sweating,feverish sensation in soles and palms,breast distension and pain,irritability,thready and rapid pulse,dry stools,dry throat and mouth,hot flushes,excessive intake of fat and sweet food,red tongue with less fur,depression,mental weakness,flushed cheeks,insomnia and dreaminess,red tongue with yellow fur,and bitterness and dryness in the mouth.(4)The distribution of the age in ICPP girls with various syndromes was as follows:yin deficiency and fire exuberance syndrome and qi and blood insufficiency syndrome were more common in the ICPP girls aged over 7 years old while less than 8 years old(accounting for 58.50%and 51.22%),and incoordination between heart and kidney syndrome was more common in ICPP girls aged over 8 years old while less than 9 years old(accounting for 89.29%).Conclusion Yin deficiency and fire exuberance syndrome is the common TCM syndrome that accounts for the highest proportion in ICPP girls from Hainan province.The study of the distribution of TCM syndromes in girls with precocious puberty will be helpful for the observation of the early clinical symptoms of precocious puberty and early diagnosis of the disease,and can provide clues and evidence for the clinical diagnosis and medication for girls with ICPP.

Body mass index and body fat rate evaluation of girls aged 6 - 8 years / 中国儿童保健杂志

【Objective】 To analyze the measurement of body mass index (BMI) and body fat percentage in girls aged 6 to 8 years, in order to provide a scientific basis for the prevention and treatment of childhood obesity. 【Methods】 The medical examination data of 968 girls with bone age of 6 - 8 years who underwent obesity screening in General Hospital of Northern Quarter Command from January 2022 to July 2022 were retrospectively analyzed. BMI, body fat percentage, nutritional indicators, and obesity rate of girls with bone age of 6 - 8 years were analyzed.Multivariate Logistic regression analysis was used to identify the risk factors for obesity in girls with bone age of 6 - 8 years old. 【Results】 BMI, body fat percentage and visceral fat grade of girls aged 6 - 8 years followed an increasing trend with age: 6 years old 3times/week (OR=1.432, 95%CI: 1.172 - 1.749),frequency of sweet food >3times/week (OR=2.670, 95%CI:1.170 - 6.093), eating speed < 15min/meal (OR=1.366, 95%CI:1.108 - 1.685), outdoor activity frequency <30min/day (OR=2.083, 95%CI:1.162 - 3.736), and parents lack of knowledge or with limited understanding of nutrition (OR=1.721, 95%CI:1.129 - 2.623) were independent risk factors for obesity in girls aged 6 - 8 years old (P<0.05). 【Conclusion】 The obesity rate of girls with bone age of 6 - 8 years old is high and should be addressed through a scientific diet, reasonable exercise, and educating parents to improve their knowledge of nutrition.

Correlation between body mass index and haemoglobin level of adolescent girls in a stunting locus area at Tangerang, Indonesia

@#Introduction: In Indonesia, anaemia is known to be extremely common in female adolescents. In addition, the problem of overweight/obesity in teenagers is becoming more prevalent, even in stunting locus areas. This study aimed to examine the correlation between body mass index (BMI) and haemoglobin levels among adolescent girls in Tangerang’s stunting locus area. Methods: This crosssectional study included 171 adolescent girls attending four junior and senior high schools in Tangerang’s stunting locus area. Adolescents who matched the inclusion criteria— healthy, having lived in Sukamantri for more than six months, and willing to participate were chosen by a multistage cluster sampling procedure. Body weight and fat were measured, and Z-score for BMI-for-age was determined. Haemoglobin levels were measured by the Mission Hb Testing System. Multiple linear regression test was applied for the analysis. Results: The prevalences of thinness/severe thinness, normal, and overweight/obesity were 5.3%, 70.8%, and 23.9%, respectively. There were 20% of anaemic girls. Among anaemic girls, there were 26% overweight/obese and no thin/very thin girls. A weak, negative correlation between BMI with haemoglobin levels was observed (R2=0.054, p<0.001). Conclusion: The correlation between BMI and haemoglobin level was weak in our sample of adolescent girls in the stunting locus area. The current study emphasised the importance of additional research that includes several haematological and inflammatory biomarkers to better understand the complex relationship between nutritional status and haemoglobin level.

Violencia contra niños, niñas y adolescentes: actuación del odontólogo y nivel de conocimiento para la detección y atención de casos / Violence against children and adolescents: dentist´s performance and knowledge levels for case detection and care

Objetivo: Analizar el nivel de conocimiento del pro-fesional odontólogo sobre la violencia ejercida en niños, niñas y adolescentes, poniendo énfasis en la importancia de su actuación para la detección, aten-ción y derivación de potenciales casos que posibi-liten, dentro de un contexto multidisciplinario, una intervención oportuna y efectiva. Materiales y méto-dos: Se realizó una encuesta a 132 odontólogos, 123 mujeres y 9 hombres, con experiencia profesional de 2 a 43 años, profesores universitarios especialistas en odontopediatría, cursantes de carreras de espe-cialización y posgrados afines o aquellos que desa-rrollan sus actividades laborales en 2 hospitales pú-blicos de la Ciudad Autónoma de Buenos Aires aten-diendo a menores de edad. La encuesta totalizó 15 preguntas distribuidas en 3 categorías cuyos ejes te-máticos ahondaron respecto al conocimiento sobre violencia ejercida contra menores (Categoría 1), sos-pecha de un presunto maltrato infantil en la consulta (Categoría 2) y factores que condicionan la eventual derivación del caso (Categoría 3). Cada pregunta in-cluida en las 3 categorías se direccionó conforme a si el ámbito profesional del sujeto encuestado era es-pecialista/cursante de posgrado (Grupo 1) u hospi-talario (Grupo 2). Resultados: En la primera categoría se observó una significativa carencia de formación específica en la etapa de grado con un 89% para el grupo 1 y 93,75% para el grupo 2, aunque éstos úl-timos han accedido a cursos de perfeccionamiento y actividades tendientes a incrementar destrezas y aptitudes en un 71,87%, contrastando con el 24% del otro grupo. Asimismo, el 29% del grupo 1 y un 50% del grupo 2 conocían los protocolos establecidos en sus entornos profesionales. Ambos consideraron que el odontólogo no está capacitado para detectar conductas orientativas hacia posibles casos (89%, grupo 1; 87,5%, grupo 2). Para la segunda categoría, el grupo 1 respondió positivamente en un 73%, en tanto que el grupo 2 lo hizo en un 84,38%. En la ter-cera categoría se destacó para el grupo 1 un elevado porcentaje en las preguntas relacionadas al temor por parte del odontólogo de agravar las acciones Objetivo: Analizar el nivel de conocimiento del pro-fesional odontólogo sobre la violencia ejercida en niños, niñas y adolescentes, poniendo énfasis en la importancia de su actuación para la detección, aten-ción y derivación de potenciales casos que posibi-liten, dentro de un contexto multidisciplinario, una intervención oportuna y efectiva. Materiales y méto-dos: Se realizó una encuesta a 132 odontólogos, 123 mujeres y 9 hombres, con experiencia profesional de 2 a 43 años, profesores universitarios especialistas en odontopediatría, cursantes de carreras de espe-cialización y posgrados afines o aquellos que desa-rrollan sus actividades laborales en 2 hospitales pú-blicos de la Ciudad Autónoma de Buenos Aires aten-diendo a menores de edad. La encuesta totalizó 15 preguntas distribuidas en 3 categorías cuyos ejes te-máticos ahondaron respecto al conocimiento sobre violencia ejercida contra menores (Categoría 1), sos-pecha de un presunto maltrato infantil en la consulta (Categoría 2) y factores que condicionan la eventual derivación del caso (Categoría 3). Cada pregunta in-cluida en las 3 categorías se direccionó conforme a si el ámbito profesional del sujeto encuestado era es-pecialista/cursante de posgrado (Grupo 1) u hospi-talario (Grupo 2). Resultados: En la primera categoría se observó una significativa carencia de formación específica en la etapa de grado con un 89% para el grupo 1 y 93,75% para el grupo 2, aunque éstos úl-timos han accedido a cursos de perfeccionamiento y actividades tendientes a incrementar destrezas y aptitudes en un 71,87%, contrastando con el 24% del otro grupo. Asimismo, el 29% del grupo 1 y un 50% del grupo 2 conocían los protocolos establecidos en sus entornos profesionales. Ambos consideraron que el odontólogo no está capacitado para detectar conductas orientativas hacia posibles casos (89%, grupo 1; 87,5%, grupo 2). Para la segunda categoría, el grupo 1 respondió positivamente en un 73%, en tanto que el grupo 2 lo hizo en un 84,38%. En la ter-cera categoría se destacó para el grupo 1 un elevado porcentaje en las preguntas relacionadas al temor por parte del odontólogo de agravar las acciones de violencia familiar (64%) o represalias (55%) contra el niño si efectuaran la derivación. En los mismos ítems, el grupo 2 respondió con porcentajes disímiles (28,13% y 31,25%, respectivamente). Finalmente, se diferenciaron claramente los resultados en cuanto al desconocimiento de los procedimientos a seguir si amerita derivar un caso, con un 71% para el grupo 1 y un 34,38% para el grupo 2. Conclusión: Se hace imperioso instruir y capacitar al profesional odontólogo, concientizándolo sobre la necesidad de conocer la legislación vigente y los mecanismos de detección y ulterior derivación. Si bien aquellos que desempeñan su labor a nivel hospitalario aparecen como mejor preparados para actuar, existe un evidente desconocimiento general que conlleva el riesgo de no advertir o proceder inadecuadamente en casos de violencia que atenta contra la seguridad de niños, niñas y adolescentes (AU)

Objective: To analyze the level of knowledge of the dental professional about violence committed in children and adolescents, emphasizing the importance of their actions for the detection, care and referral of potential cases that allow, within a multidisciplinary context, an intervention timely and effective. Materials and methods: A survey was carried out with 132 dentists, 123 women and 9 men, with professional experience of 2 to 43 years, university professors in the specialty of pediatric dentistry, students of specialization course and related postgraduate courses or those who carry out their work activities in 2 public hospitals in the Autonomous City of Buenos Aires that care for minors. The survey included 15 questions distributed in 3 categories whose thematic axes delved into knowledge about violence committed against minors (Category 1), suspicion of alleged child abuses in the consultation (Category 2) and factors that condition the eventual referral of the case (Category 3). Each question included in the 3 categories is addressed according to whether the professional field of the surveyed subject was a specialist/graduate student (Group 1) or a hospitalist (Group 2). Results: In the first category, a significant lack of specific training is observed in the undergraduate stage with 89% for group 1 and 93.75% for group 2, although the latter have accessed courses and improvement activities aimed at to increase skills and abilities by 71.87%, in contrast to 24% in the other group. Likewise, 29% of group 1 and 50% of group 2 knew the protocols established in their professional environments. Both considered that the dentist is not trained to detect guiding behaviors towards possible cases (89%, group 1; 87.5%, group 2). For the second category, group 1 responded positively by 73%, while group 2 did so by 84.38%. In the third category, a high percentage stood out for group 1 in the questions related to the dentist's fear of aggravating the actions of family violence (64%) or retaliation (55%) against the child if he made the referral. In the same items, group 2 responded with dissimilar percentages (28.13% and 31.25%, respectively). Finally, the results were clearly differentiated in terms of lack of knowledge of the procedures to follow if a case warrants referral, with 71% for group 1 and 34.38% for group 2. Conclusion: It is imperative to instruct and train the professional dentist, raising awareness about the need to know current legislation and the detection and subsequent referral mechanisms. Although those who carry out their work at the hospital level seem to be better prepared to act, there is an evident widespread lack of knowledge that entails the risk of not announcing or acting inappropriately in cases of violence that threaten the safety of children and adolescents (AU)

Understanding menstrual health and related health-seeking behavior in adolescent girls at a tribal welfare school in Vikarabad: a cross-sectional analysis

Background: Adolescent girls often lack adequate knowledge and comfort when accessing reproductive health care and information. A woman’s health at different stages in her life is interconnected, such that the state of her menstrual health at present can influence her reproductive, sexual, and maternal health in the future. Therefore, possessing adequate understanding and awareness regarding menstruation and recognizing the significance of seeking healthcare will help in managing menstruation hygienically and with dignity. Methods: A school-based cross-sectional study was conducted in a tribal welfare residential school in a rural setting among female adolescent girls in classes 6th, 7th, 8th, 9th, 10th, during September 2022 for 10 days, with objectives to assess knowledge about menstruation and to determine the health-seeking behaviour for menstrual health among them. Results: In our study of 73 adolescent tribal girls (mean age: 13.86±1.33), 73.9% had a high knowledge level about menstruation. Self-medication was reported by 26%, while only 9.6% consulted a doctor. Higher menstrual pain was linked to a 3.25 times higher likelihood of consulting a doctor and a 5.5 times higher likelihood of self-medication. Conclusions: While a majority of tribal adolescent girls demonstrated a good level of knowledge regarding menstruation, only 9.6% of them sought medical consultation from a doctor. A comprehensive approach that combines health education, challenging cultural taboos, and improving access to healthcare services is necessary to promote better healthcare-seeking behaviour among adolescent girls regarding menstruation.

Prevalence of anemia among school going adolescents in Thiruvallur district, Tamil Nadu

Background: Nutritional anemia, with iron-deficiency anemia as the most prevalent type, is a pressing global health concern, impacting two billion people worldwide. Among vulnerable groups, school-going adolescents aged 10 to 17 years require special attention due to the critical phase of growth and development during this period. This study aims to assess the prevalence of anemia and its association with sociodemographic factors among adolescents in Thiruvallur district, Tamil Nadu. Methods: A cross-sectional study was conducted among 900 adolescent girls, utilizing a multistage sampling technique. Hemoglobin levels were measured using one-touch blood sampling, and physical examinations were performed by trained healthcare professionals. A structured questionnaire collected sociodemographic information, dietary habits, and lifestyle factors. Results: The study revealed a concerning prevalence of anemia, with 60% of the participants affected. Among these, 41.3% experienced moderate anemia, while 18.4% had mild anemia, and 0.4% had severe anemia. A significant correlation was observed between anemia prevalence and low socio-economic status among the participants. Conclusions: The high prevalence of anemia among adolescent girls in Thiruvallur district underscores the urgency of targeted interventions and public health initiatives to address this critical health issue. Improving nutrition, healthcare access, and socio-economic conditions are crucial steps in combating anemia's impact on school-going adolescents. Collaborative efforts from policymakers, healthcare providers, and community organizations are essential in eradicating nutritional anemia and enhancing the health and prospects of adolescents in the studied region.

Prevalence and predictors of iron deficiency anaemia in adolescent girls in India

Background: In India, iron deficiency anaemia is highly prevalent, particularly among women of reproductive age group. Following early childhood, during adolescence, the risk of iron deficiency and anaemia reappears for both boys and girls, but remains more susceptible to girls because of menstrual loss. The aim of this study was to find the prevalence and predictors of iron deficiency anaemia in adolescent girls in India. Methods: This study was a descriptive form of review of literature on data from comprehensive national nutrition survey (CNNS 2016-2018). CNNS was conducted to collect data on the nutritional status of Indian children from 0-19 years of age. The data collection period was from 26 February 2016 to 24 October 2018 and data was collected using individual and household questionnaires. Results: In the study, prevalence of various levels of anaemia (mild, moderate and severe) was higher in adolescent girls as compared to adolescent boys. Adolescent girls had 31.3% iron deficiency whereas adolescent boys had 11.5% iron deficiency. Anaemia prevalence was also higher in the age group 15-19 years as compared to 10-14 years. Conclusions: It was concluded that iron deficiency anaemia was more prevalent in adolescent girls than boys. Inadequate intake of iron rich foods and vitamin C, less knowledge about anaemia, low socio economic conditions along with poor hygiene and sanitation practices are the major factors that contribute to iron deficiency anaemia.

Determinants of anaemia among adolescent girls in rural Varanasi, Uttar Pradesh

Background: India is home to 253 million adolescents 10-19 years of age, among the largest cohorts globally. This age group comprises of individuals in a transient phase of life requiring nutrition, education, counselling and guidance to ensure their development into healthy adults. Adolescent girls are the most vulnerable group of population due to different reasons especially anaemia. Anaemia is a major public health problem worldwide. The aim of this study was to assess the prevalence of anaemia and associated factors among adolescent girls (10-19 years) in rural Varanasi, Uttar Pradesh. Methods: The present study was a community-based cross-sectional study conducted among 369 adolescent girls in rural Varanasi with a semi-structured and pretested questionnaire. Results: Study shows that the overall prevalence of anaemia among adolescent girls was 67.8% out of which 41.5% and 24.4% were mild and moderately anaemic respectively. Anaemia was significantly associated with age groups, birth order, menarche status, no. of days of menstruation, gap between two cycles, use of clothes/sanitary pads and no. of pads used during menstrual cycle. Conclusions: Study found some preliminary factors significantly associated with anaemia like low socio-economic status, higher birth order, and knowledge about menstrual hygiene practices. Anaemia continues to be a major public health problem in India despite multiple initiatives to address it among adolescent girls.

Narrativas escolares de las estudiantes desplazadas por el conflicto armado en Colombia / School narratives of students displaced by the armed conflict in Colombia

(analítico) El desplazamiento forzado en Colombia ha sido una realidad compleja que ha generado la vulneración sistemática de los derechos de niños, niñas y adolescentes. Este estudio, enmarcado en el paradigma cualitativo, analizó el currículo vivenciado a partir de las narrativas construidas con 14 estudiantes desplazadas por el conflicto armado, pertenecientes a una institución educativa de Medellín (Colombia). Los métodos de recolección empleados fueron entrevistas semi-estructuradas, diarios personales y fotografías. Se presentan las inter-secciones que se establecen con la escuela, entendida como escenario de y para la construcción de paz, concluyendo en la pertinencia de las propuestas educativas flexibles. Este análisis, hilado desde una perspectiva de género, visibiliza otros modos de existir en la escuela, contribuyendo a la resignificación del currículo para la permanencia de las estudiantes que fueron desplazadas.

(analytical) Forced displacement in Colombia has been a complex reality that has led to the systematic violation of the rights of children and adolescents. This is a qualitative study that analyzed the curriculum in school in Medellin (Colombia) through the narratives constructed with 14 female students displaced by the armed conflict. Semi-structured interviews, personal diaries and photographs were used to gather data. The intersections established with the school as a scenario of and for peace building are presented and the relevance of flexible educational proposals is highlighted. This analysis, carried out using a gender perspective, highlights other modes of existence in the school and also contributes to the re-definition of the school curriculum as a determinant in the permanence of displaced students.

(analítico) A deslocação forçada na Colômbia tem sido uma realidade complexa que tem conduzido à violação sistemática dos direitos das crianças e dos adolescentes. Este estudo, estruturado no paradigma qualitativo, analisou o currículo vivido a partir das narrativas construídas com 14 estudantes desloca-das pelo conflito armado, pertencentes a uma instituição educacional em Medellín (Colômbia). Os métodos de coleta utilizados foram entrevistas semi-estruturadas, diários pessoais e fotografias. São expostas às interseções estabelecidas com a escola, entendidas como um cenário de e para a cons-trução da paz, concluindo sobre a relevância de propostas educacionais flexíveis. Esta análise, fiada a partir de uma perspectiva de gênero, torna visíveis outras formas de existir na escola, contribuindo para a re-significação do currículo para a permanência das alunas que foram deslocadas.

Factors associated with mental health status among the students living in girls’ hostel of Baneshwor, Kathmandu

Background: The purpose of this study was to identify factors associated with mental health status among students residing in girls' hostels in Baneshwor, Kathmandu. Methods: From June 2022 to November 2022, a cross-sectional survey was carried out among 253 students residing in several girls’ hostels in the Baneshwor, Kathmandu. Face-to-face survey took place amongst them. Results: The study found that 67.2% (n=253), 84.6% (n=253), and 69.2% (n=253) of individuals have (mild/moderate/severe/extremely severe) depression, anxiety, and stress, respectively. Factors such as self-blame were linked to feelings of depression, anxiety, and stress. Other characteristics such as roommate disturbance, abuse, lack of assistance from others, homesickness, and a safe and supportive environment were all linked to one or both depression, anxiety, and stress. Other characteristics, such as the death of a family member in the previous two years and meal satisfaction, were not linked to DAS. Conclusions: Students in female hostels had greater levels of depression, anxiety, and stress. It is vital to assist and offer a necessary environment for female students living in hostels far from home in order to mitigate the severe toll that mental illness impose.

NEED FOR IMPROVING THE KNOWLEDGE AND PRACTICES OF ADOLESCENT GIRLS REGARDING MENSTRUAL HYGIENE AND REPRODUCTIVE HEALTH: A STUDY FROM URBANIZED VILLAGES OF NORTH INDIA

Context: In India nearly 71% of adolescent girls have no knowledge about menstruation until menarche. Menstrual practices still face several social, cultural, and religious restrictions and discouragement of open discussion on the topic acts like a major deterrent in the path of menstrual hygiene management. Moreover, lack of knowledge and incorrect practices during menstruation can sometimes have serious health outcomes. Hence, it becomes imperative to ascertain the knowledge of adolescent girls about menstruation and reproductive health and the practices adopted by them during menstruation so that health education programs can to tailored to address the gaps. The study Aims: aims to assess the knowledge of adolescent girls and their current practices with regard to menstrual hygiene and reproductive health and study the association of these with socio-demographic variables. This cross-sectional community based Methods: descriptive study was conducted among 181 adolescent girls selected from two urbanized villages of Meerut district of India using a semi-structured questionnaire. For assessment of level of knowledge a scoring system was developed. Both descriptive and inferential statistics were used for analysis. Based on the scoring, 77.3% of our study participants had overall poor Results: knowledge about menstruation and reproductive health, nearly 20% had satisfactory knowledge and only 2.2% had good knowledge. Most participants reported using sanitary napkins during menses (80.7%) and the remaining were using clean cloth (19.3%). 100% of the participants whose mothers were illiterate had poor knowledge about menstrual hygiene and reproductive health. Participants whose mothers were engaged in semi-skilled or skilled work were more likely to have satisfactory (39.4%) or good (4.3%) knowledge scores. Overall knowledge of our study participants regarding Conclusion: menstrual hygiene and reproductive health was poor; however the practices adopted by them during menstruation were good. The two main impediments in the path of menstrual hygiene management were lack of knowledge and non availability of services at affordable cost

A hospital-based cross-sectional study on health problems and the factors affecting the health of adolescent girls in rural population

Background: Many adolescent girls die prematurely due to various preventable or treatable reasons, and many more suffer from chronic ill-health and disability. The objective of this study was to assess the nutritional status, gynaecological problems, and psychological problems of adolescent girls attending the Paediatric OPD and ward. The aim was to study the prevalence of malnutrition in adolescent girls attending paediatric OPD and ward.Methods: A cross-sectional hospital-based study was conducted on adolescent girls attending Paediatric OPD and ward of Adichunchanagiri institute of medical sciences and research centre, B. G. Nagara from November 2019 to November 2020. A total of 374 adolescent girls (10-17 years) were enrolled. Clinical examination was done after recording their weight and height. Body Mass Index was computed.Results: Mean age of the study participants was 13.05 years, and majority of them were from low socioeconomic status. Around 41.2% of the fathers had semi-skilled jobs, and 19.3% of the mothers had clerical jobs, shop owners, or farmers. About 71.1% of the adolescents attained menarche with a mean age of 13.2 ± 0.11 years. 62% had normal BMI, followed by 25.1% with underweight, overweight in 9.4%, and obese in 3.5% of the adolescents. Around 62% of the adolescents were normally nourished, and 38% were malnourished.Conclusions: Socioeconomic status, occupation of mothers, family types and diet of the adolescents had a significant association with poor nutritional status. It is important to understand the need for evaluation of malnourished adolescent females and their causes to prevent chronic illness and death among them.

Aspectos bioéticos del aborto terapéutico en niñas y adolescentes menores de 15 años

El objetivo de este trabajo es identificar y discutir los argumentos científicos y bioéticos que justifiquen el aborto terapéutico en niñas y adolescentes menores de 15 años. Para ello se hizo búsqueda bibliográfica no sistemática en fuentes nacionales y extranjeras en las diferentes indexadoras. Se encontró que existe suficiente evidencia de carácter científico que identifica al embarazo no intencional en niñas y adolescentes menores de 15 años como una urgencia médica y de alto riesgo por las diferentes complicaciones severas que se pueden dar y argumentos de carácter bioético en favor del aborto terapéutico. En conclusión, las evidencias científicas y los argumentos bioéticos sustentan suficientemente la atención del aborto terapéutico en niñas y adolescentes menores de 15 años.

The objective of this paper is to identify and discuss the scientific and bioethical arguments that justify therapeutic abortion in girls and adolescents under 15 years of age. For this purpose, a non-systematic bibliographic search was made in national and foreign sources in the different indexers. It was found that there is sufficient scientific evidence that identifies unintended pregnancy in girls and adolescents under 15 years of age as a medical emergency and of high risk due to the different severe complications that can occur and bioethical arguments in favor of therapeutic abortion. In conclusion, scientific evidence and bioethical arguments sufficiently support therapeutic abortion care for girls and adolescents under 15 years of age.