女子大学生の月経に関する身体的精神的ストレインに関する要因 －精神的健康を規定する要因の検討を中心に－

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タイトル別名
  • ジョシ ダイガクセイ ノ ゲッケイ ニ カンスル シンタイテキ セイシンテキ ストレイン ニ カンスル ヨウイン : セイシンテキ ケンコウ オ キテイ スル ヨウイン ノ ケントウ オ チュウシン ニ
  • Study on Physical And Mental Strain Relating to Menstruation in Female University Students

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本研究の目的は，月経の状況や症状，女性性受容度，自己効力感，ストレス対処能力などの要因が，女子大学生の精神的健康にどのような影響を与えているのかを明らかにすることである．九州地方の大学に通う女子学生397名を対象とし，属性，月経に関する項目，月経随伴症状，女性性受容度，ソーシャルサポートの有無，自己効力感，ストレス対処能力SOC，精神的健康等の項目を含む配票調査を行った．重回帰分析の結果，精神的健康は，SOC，月経随伴症状，自己効力感，女性性受容度，月経期間の異常の有無の順で強く規定されていた．この結果から，女子学生の精神的健康度は，月経に伴う精神的身体的現象よりも，月経のとらえ方によって左右されるところが大きいことが考えられた．

Many women suffer from physical and mental strain caused by menstruation. This study aims to clarify the factors that affect mental health with regards to the menstruation of Japanese university students. A questionnaire including; basic demographics of the respondents, physical condition and symptoms of menstruation, social support, degree of gender acceptance, degree of self-efficacy, and abbreviated SOC (Sense of Coherence) scale was used. The CES-D (Center for Epidemiologic Studies - Depression) score was used as a marker of the degree of mental health. The respondents in this study were 397 female Japanese university students. The average age was 20.23 (SD1.56). Seventy-eight percent had their menstrual period in normal time frame (between 25 to 38 days). Nighty-four percent had normal menstruation duration (between 3 to 7 days). Fifty-seven percent answered that they had difficulty in daily life due to the menstruation ‘very much’ or ‘much’. The results indicated that menstruation duration (p=0.041), have regular menstrual period (p=0.022) indicated better mental health, while degree of difficulties in daily life due to menstruation (p<0.001) significantly correlate to poorer mental health. The result of Pearson’s correlation coefficient indicated stronger correlation between SOC (r=-.547, p<0.01), followed by self-efficacy (r=-.367, p<0.01), severity of physical discomfort caused by menstruation (r=.362, p<0.01) and degree of gender acceptance (r=-.196, p<0.01). The result of multiple linear regression analysis indicated that SOC (beta=-.399, p<0.001) is the strongest indicator of better mental health, followed by severity of discomfort (beta=.220, p<0.001), selfefficacy (beta=-.148, p=0.002), degree of gender acceptance (beta=-.099, p=0.018), and menstrual duration (beta=-.095, p=0.025). We can assume that individual social and personal disposition affects the severity of discomfort caused by menstruation, associated with mental health of female students. This is particularly true in the association of SOC to mental health. Since SOC is considered as a measurement of how positively they perceive themselves as females, regardless of the difficulties they experience during their menstruation period.

保健学研究, 26, pp.15-21; 2014

収録刊行物

  • 保健学研究

    保健学研究 26 15-21, 2014-02

    長崎大学大学院医歯薬学総合研究科保健学専攻

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