Use of complementary and alternative therapies for the treatment of dysmenorrhea among undergraduate pharmacy students in Malaysia: a cross sectional study

Usman Abubakar, Amni Izzati Zulkarnain, Fatihah Samri, Sabrina Ros Hisham, Anis Alias, Muhammad Ishak, Hajarah Sugiman, Taufik Ghozali, Usman Abubakar, Amni Izzati Zulkarnain, Fatihah Samri, Sabrina Ros Hisham, Anis Alias, Muhammad Ishak, Hajarah Sugiman, Taufik Ghozali

Abstract

Background: Dysmenorrhea is a common problem that affects female students' quality of life and academic activities. Complementary and alternative therapies (CATs) are used for the treatment of dysmenorrhea. This study investigated the practices and perceptions of female undergraduate students with dysmenorrhea towards CATs.

Methods: This was a cross-sectional study conducted among undergraduate pharmacy students in a public university in Malaysia using a validated and pre-tested self-administered questionnaire. The study was conducted in November and December 2019. The data was analysed using descriptive and inferential statistical tests.

Results: Of the 318 female undergraduate students invited, 219 completed the questionnaire (response rate: 68.9%) with 52% aged between 21 and 23 years. The prevalence of dysmenorrhea was 72.1%, and the prevalence of ever-use and current use of CATs was 70.3 and 54.4%, respectively. Bed rest (71.5%), hot compress/heating pad (47.5%) and massage (43.0%) were the most common CATs used by the respondents. The most common reasons for using CAT were to reduce the need for analgesics (61.4%), efficacy (37.3%) and recommendation by others (32.9%). About 23 and 9% of the respondents believed that CATs were equally "effective" and "more effective" than analgesics, respectively. Reducing the need for analgesics (AOR: 4.066, 95% CI: 2.136-7.739) and those who agreed that CATs are effective (AOR: 2.701, 95% CI: 1.337-5.457) were independently associated with the current use CATs for the treatment of menstrual pain.

Conclusion: The prevalence of ever-use and current use of CATs is high among female undergraduate pharmacy students. Bed rest and heat applications are the most common CATs used. Reducing the need for analgesics and efficacy are the factors associated with the current use of CATs. Students should be educated about the safe and effective use of CATs to reduce adverse effects and improve their quality of life.

Keywords: Complementary and alternative therapy; Dysmenorrhea; Malaysia; Perception; Pharmacy students; Predictors.

Conflict of interest statement

The authors declare that there is no competing interests.

References

    1. De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Elalaily R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different countries. Acta Biomed. 2016;87(3):233–246.
    1. Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762–778.
    1. Helwa HA, Mitaeb AA, Al-Hamshri S, Sweileh WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students. BMC Womens Health. 2018;18(1):18.
    1. Ameade EP, Amalba A, Mohammed BS. Prevalence of dysmenorrhea among university students in northern Ghana; its impact and management strategies. BMC Womens Health. 2018;18(1):39.
    1. Najafi N, Khalkhali H, Tabrizi FM, Zarrin R. Major dietary patterns in relation to menstrual pain: a nested case control study. BMC Womens Health. 2018;18(1):69.
    1. Alsaleem MA. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: an exploratory study. J Family Med Prim Care. 2018;7(4):769.
    1. Banikarim C, Chacko MR, Kelder SH. Prevalence and impact of dysmenorrhea on Hispanic female adolescents. Arch Pediatr Adolesc Med. 2000;154(12):1226–1229.
    1. Schoep ME, Adang EM, Maas JW, De Bie B, Aarts JW, Nieboer TE. Productivity loss due to menstruation-related symptoms: a nationwide cross-sectional survey among 32 748 women. BMJ Open. 2019;9(6):e026186.
    1. Armour M, Parry K, Al-Dabbas MA, Curry C, Holmes K, MacMillan F, et al. Self-care strategies and sources of knowledge on menstruation in 12,526 young women with dysmenorrhea: a systematic review and meta-analysis. PLoS One. 2019;14(7):e0220103.
    1. Yu A. Complementary and alternative treatments for primary dysmenorrhea in adolescents. Nurse Pract. 2014;39(11):1–2.
    1. Gebeyehu MB, Mekuria AB, Tefera YG, Andarge DA, Debay YB, Bejiga GS, et al. Prevalence, impact, and management practice of dysmenorrhea among University of Gondar Students, northwestern Ethiopia: a cross-sectional study. Int J Reprod Med. 2017;2017:3208276.
    1. Samba Conney C, Akwo Kretchy I, Asiedu-Danso M, Allotey-Babington GL. Complementary and alternative medicine use for primary dysmenorrhea among senior high school students in the Western region of Ghana. Obstet Gynecol Int. 2019;2019:8059471.
    1. Yesuf TA, Eshete NA, Sisay EA. Dysmenorrhea among university health science students, northern Ethiopia: impact and associated factors. Int J Reprod Med. 2018;2018:9730328.
    1. Yusof J, Mahdy ZA, Noor RM. Use of complementary and alternative medicine in pregnancy and its impact on obstetric outcome. Complement Ther Clin Pract. 2016;25:155–163.
    1. Mohamad TA, Islahudin F, Jasamai M, Jamal JA. Preference, perception and predictors of herbal medicine use among Malay women in Malaysia. Patient Prefer Adherence. 2019;13:1829.
    1. Kartal YA. Complementary and alternative medicine therapy use of Western Turkish students for menstrual symptoms. Int J Caring Sci. 2019;12(2):1097.
    1. Parker MA, Sneddon AE, Arbon P. The menstrual disorder of teenagers (MDOT) study: determining typical menstrual patterns and menstrual disturbance in a large population-based study of Australian teenagers. BJOG. 2010;117(2):185–192.
    1. Kural M, Noor NN, Pandit D, Joshi T, Patil A. Menstrual characteristics and prevalence of dysmenorrhea in college going girls. J Family Med Prim Care. 2015;4(3):426.
    1. Oksuz E, Sozen F, Kavas E, Arik EP, Akgun Y, Bingol P, et al. Usage of analgesics among young girls and dysmenorrhea. Konuralp Tıp Dergisi. 2017;9(3):213–221.
    1. Teherán AA, Piñeros LG, Pulido F, Guatibonza MC. WalIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students. Int J Womens Health. 2018;10:35.
    1. Potur DC, Bilgin NC, Komurcu N. Prevalence of dysmenorrhea in university students in Turkey: effect on daily activities and evaluation of different pain management methods. Pain Manag Nurs. 2014;15(4):768–777.
    1. Al-Jefout M, Seham AF, Jameel H, Randa AQ, Luscombe G. Dysmenorrhea: prevalence and impact on quality of life among young adult Jordanian females. J Pediatr Adolesc Gynecol. 2015;28(3):173–185.
    1. Aktaş D. Prevalence and factors affecting dysmenorrhea in female university students: effect on general comfort level. Pain Manag Nurs. 2015;16(4):534–543.
    1. Fernández-Martínez E, Onieva-Zafra MD, Parra-Fernández ML. Lifestyle and prevalence of dysmenorrhea among Spanish female university students. PLoS One. 2018;13(8):e0201894.
    1. Osayande AS, Mehulic S. Diagnosis and initial management of dysmenorrhea. Am Fam Physician. 2014;89(5):341–346.
    1. Sukalingam K, Ganesan K. Health-related quality of life in young adult girls with dysmenorrhea among university medical students in Shah Alam, Malaysia: a cross-sectional study. Recent Adv Biol Med. 2016;2(2016):968.
    1. Jaiprakash H, Myint KK, Chai LY, Nasir BM. Prevalence of dysmenorrhea and its sequel among medical students in a Malaysian University. J Adv Med Medical Res. 2016;4:1–8.
    1. Ortiz MI. Primary dysmenorrhea among Mexican university students: prevalence, impact and treatment. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):73–77.
    1. Kim SD. Yoga for menstrual pain in primary dysmenorrhea: a meta-analysis of randomized controlled trials. Complement Ther Clin Pract. 2019;36:94–99.
    1. Chen CX, Barrett B, Kwekkeboom KL. Efficacy of oral ginger (zingiber officinale) for dysmenorrhea: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2016;2016:6295737.
    1. Armour M, Smith CA, Steel KA, Macmillan F. The effectiveness of self-care and lifestyle interventions in primary dysmenorrhea: a systematic review and meta-analysis. BMC Complement Altern Med. 2019;19(1):22.
    1. Fisher C, Adams J, Hickman L, Sibbritt D. The use of complementary and alternative medicine by 7427 Australian women with cyclic perimenstrual pain and discomfort: a cross-sectional study. BMC Complement Altern Med. 2016;16(1):129.
    1. Jo J, Lee SH. Heat therapy for primary dysmenorrhea: a systematic review and meta-analysis of its effects on pain relief and quality of life. Sci Rep. 2018;8(1):1–8.
    1. Shah M, Monga A, Patel S, Shah M, Bakshi H. The effect of hypnosis on dysmenorrhea. Int J Clin Exp Hypn. 2014;62(2):164–178.
    1. Shirvani MA, Motahari-Tabari N, Alipour A. The effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: a randomized clinical trial. Arch Gynecol Obstet. 2015;291(6):1277–1281.
    1. Salmalian H, Saghebi R, Moghadamnia AA, Bijani A, Faramarzi M, Amiri FN, et al. Comparative effect of thymus vulgaris and ibuprofen on primary dysmenorrhea: a triple-blind clinical study. Caspian J Intern Med. 2014;5(2):82.

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