Prevalence of premenstrual syndrome and its associated factors in Africa: a systematic review and meta-analysis.

Journal: Frontiers in psychiatry

Volume: 15

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Psychiatry College of Medicine and Health Science, Wollo University, Dessie, Ethiopia. Department of General Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Department of Internal Medicine, University of Gondar College of Medicine and Health Science, Comprehensive Specialized Hospital, Gondar, Ethiopia.

Abstract summary 

Clinical research and epidemiological studies have shown that many women experience physical and behavioral symptoms that begin during the luteal phase of the menstrual cycle and terminate around the onset of menses; this is called premenstrual syndrome. The reviews stated that the pooled prevalence of premenstrual syndrome was around 50 percent. However, there has been no review done on premenstrual syndrome in Africa. Therefore, the aim of this systematic review and meta-analysis was to summarize the most recent data evidence on the pooled prevalence of premenstrual syndrome and its pooled effect of associated factors in Africa.We used an appropriate guideline for systematic reviews and meta-analyses reports, which is the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). This review protocol was registered in PROSPERO (CRD42023414021). The publications were identified from PubMed/Medline, EMBASE, Scopus databases, and other grey searches. The included papers were the original data that reported the prevalence of premenstrual syndrome and associated factors published, in English, and papers available online from January 1, 2000, to May 30, 2023. The data was extracted in Microsoft Excel, and then it would be imported into STATA 11.0 for analysis.We have included 16 studies conducted in African countries with 6530 study participants. In this meta-analysis, the pooled prevalence of premenstrual syndrome among the reproductive-age participants in Africa was 46.98 (95% CI: 28.9-65.06%). Further, in subgroup analysis, the pooled prevalence of premenstrual syndrome was 57.32% in Nigeria, 43.8% in Ethiopia, and 38.6% among university students and 66.04% among secondary school students. Among associated factors, the early age of menarche was significantly related to premenstrual syndrome.In this review, the pooled prevalence of premenstrual syndrome in Africa was high. Among factors, the early age of menarche was a risk factor for premenstrual syndrome. This finding might help the stakeholders (mental health policy makers, administrators, and mental health professionals) to address prevention, early screening, and management of PMS among reproductive-age women, and to give attention to more vulnerable bodies.https://www.crd.york.ac.uk/PROSPERO, identifier CRD42023414021.

Authors & Co-authors:  Andualem Fantahun F Melkam Mamaru M Takelle Girmaw Medfu GM Nakie Girum G Tinsae Techilo T Fentahun Setegn S Rtbey Gidey G Seid Jemal J Gedef Getachew Muluye GM Bitew Desalegn Anmut DA Godana Tilahun Nega TN

Study Outcome 

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Statistics
Citations :  Cowen P, Harrison P, Burns T. Shorter Oxford textbook of psychiatry. USA: Oxford University Press; (2012).
Authors :  11
Identifiers
Doi : 1338304
SSN : 1664-0640
Study Population
Women
Mesh Terms
Other Terms
Africa;PMS;meta-analysis;premenstrual syndrome;prevalence;systematic review
Study Design
Cross Sectional Study
Study Approach
Systemic Review
Country of Study
Niger
Publication Country
Switzerland