Mustafa Tözün

Prevalence of dysmenorrhea and its effect on quality of life among a group of female university students

Abstract The objective was to evaluate the prevalence of dysmenorrhea and determine its effect on health-related quality of life (HRQoL) among a group of female university students. This cross-sectional study was conducted between 15 March and 15 April 2009 at Dumlupinar University, Kutahya, Health High School, Western Turkey. The study group included 623 female students. The severity of dysmenorrhea was determined with a 10-point visual analog scale. The Short Form-36 (SF-36) form was used to determinate HRQoL. Chi-square test, Students t test, and logistic regression and variance analyses (ANOVA) were used for statistical analyses. The average age of the study group was 20.8 ± 1.8 years (range 17–30). Prevalence of dysmenorrhea was found to be 72.7% and was significantly higher in coffee consumers, females with menstrual bleeding duration ≥7 days, and those who had a positive family history of dysmenorrhea when compared to the others (P < 0.05, for each one). By multivariate analysis, coffee consumption (OR 2.084), menstrual bleeding duration ≥7 days (OR 1.590), and positive family history of dysmenorrhea (OR 3.043) were important risk factors for dysmenorrhea. Except for social functioning, role–emotional, and mental health domains, the SF-36 points received from the other domains were higher in females with dysmenorrhea (for each one P < 0.05). With the exception of the scores received from physical functioning and role–emotional domains, the scores received from the other domains of the SF-36 scale showed a decrease with increasing severity of dysmenorrhea (P < 0.05, for each one). Dysmenorrhea is a common health problem, having negative effects on the HRQoL among university female students.

Prevalence of Urinary Incontinence among Women and Its Impact on Quality of Life in a Semirural Area of Western Turkey

Background/Aims: Urinary incontinence (UI) is a very common and bothersome condition among women, affecting up to 50% of women during their lifetime. Older women are disproportionately affected and often view UI as a normal part of aging, thus precluding contact with medical professionals. The aim of this study was to determine the frequency and risk factors of UI in women aged 20 years or older, as well as to examine its effects on women’s quality of life (QOL). Methods: The study was conducted on 1,585 women aged 20 years and over between January and March 2007. Data were obtained by a face-to-face interview, using a questionnaire consisting of questions pertaining to the women’s demographic characteristics, medical and obstetric history and UI. The Short Form-36 (SF-36) scale was used to assess the QOL of the women. Results: The prevalence of UI in this group of women was 49.5%. UI was significantly associated with advanced age (p < 0.05), lower education level (p ≤ 0.001), recurrent urinary tract infection (p < 0.001), chronic obstructive pulmonary disease (p < 0.001), diabetes mellitus (p ≤ 0.001), a history of nocturnal enuresis in childhood (p < 0.001), taking diuretics (p < 0.05) and body mass index (p < 0.001). When the QOL of the women with and without UI were evaluated, the scores for women without UI were higher than those with mild, moderate or severe UI (p < 0.001 for each). Women with UI of varying severity had lower mean domain scores on the SF-36 than women without UI (p < 0.001 for each). As the severity of UI increased, it was seen that the mean domain scores according to the scale showed a decrease (p < 0.001). Conclusion: It is concluded that UI is a common disorder among women in this region of Turkey and that it also negatively affects these women’s QOL, suggesting the need for more social and medical study in this area.

Prevalence of disordered eating and its impact on quality of life among a group of college students in a province of west Turkey

OBJECTIVE To determine the prevalence of disordered eating (DE) among a group of college students and assess its impact on quality of life. MATERIAL AND METHODS This study was conducted between December 15th, 2008 and January 15th, 2009 at a Turkish University. Eating Attitudes Test-40 (EAT-40) was used to identify DE. Health Related Quality of Life (HRQoL) was assessed by Medical Outcomes Study Short Form-36. RESULTS The prevalence of DE was 6.8%. Presence of any physical defect (OR: 2.657), parents living separately (OR: 3.114), mothers having an education level of secondary school and over (OR: 2.583), and families not having social health insurance (OR: 2.603) were important risk factors (f<0.05). CONCLUSIONS The HRQoL of those with DE was worse than those without it. Periodic screenings should be done to determine DE cases.

Headache and its effects on health-related quality of life among adults.

AIM This study was conducted with aim of determining prevalence of headache and evaluating its effects on health-related quality of life (HRQoL) in Beylikova town of Eskisehir city in the west of Turkey. MATERIAL AND METHODS This study was conducted on adults aged 20 years and over aged between May 11 and June 04 2009 in Beylikova town of Eskisehir city in the west of Turkey. A total of 587 people were selected by simple randomized method. The International Headache Society criteria were used for the determination of severity of headache. The 36-item short-form (SF-36) was used for the assessment of healthrelated quality of life. RESULTS The number of men and women was 302 (51.4%), and 285 (48.6%), respectively. The mean age was 46.70 ± 15.26 years (range, 20-87 years). Headache prevalence was found to be 78.2% (n=459). Decreased headache prevalence was found in the ages older than 30-44 age group (p < 0.05). All domains of SF-36, the mean scores were higher in individuals without headache than those with headache (for each, p < 0.05). Migraine prevalence was found to be 7.2% (n=33). CONCLUSION In accordance with the literature, this study found the presence of headache in adults at high frequency (78.2%). Particularly the presence of migraine and increased severity of headache were found to decrease the quality of life.

Urinary Incontinence, Related Factors and Depression among 20 Aged and Over Women in Beylikova District Centre in Eskişehir -

Aim: To determination of prevalence of Urinary incontinence (UI), and to evaluation of relationship between UI and depression in women. Material and methods: This study is a cross-sectional type research, was realized between 05 July 2011 to 25 August 2011, among 20 and over aged women that living in Beylikova district centre. The study group was occurred 500 women. The presence of UI, its type and severity were evaluated according to criteria recommended by the International Continence Society. For the purpose of the questionnaire form prepared by the study, households were visited one by one, filled with face to face method. Beck Depression Inventory (BDI) was used for evaluation of depression. Chi-square test and Logistic Regression Analyses were used in statistical analyses. For statistical significance, p

Contents Vol. 67, 2009

M.A. Belfort, Provo, Utah J. Bornstein, Nahariya H.L. Brown, Durham, N.C. C. Chapron, Paris J. de Haan, Maastricht G.A. Dekker, Adelaide J.A. Deprest, Leuven K. Hecher, Hamburg S. Kahhale, São Paulo H. Kliman, New Haven, Conn. T.F. Kruger, Tygerberg J.A. Kuller, Raleigh, N.C. M.J. Kupferminc, Tel Aviv H. Minkoff , Brooklyn, N.Y. J. Moodley, Congella J.M. Mwenda, Nairobi H. Odendaal, Tygerberg J.T. Repke, Hershey, Pa. Founded 1895 as ‘Monatsschrift für Geburtshilfe und Gynäkologie’, continued 1946–1969 as ‘Gynaecologia’ and 1970–1977 as ‘Gynecologic Investigation’