Abstract：
OBJECTIVE: What is the contribution of sociodemographic, psychosocial, lifestyle and reproductive factors up to the age of 11-12 years to the occurrence of dysmenorrhoea at age 15-16 years within the Amsterdam Born Children and their Development (ABCD) study?
METHODS: Data of 1038 female adolescents were used. Participants\' baseline characteristics were obtained using self-reported questionnaires up to the age of 11-12 years, as well as the obstetric information of their mothers during pregnancy. Dysmenorrhoea was assessed at the age of 15-16 years, and was deemed to be present if an adolescent reported menstrual abdominal and/or back pain and therefore took medication and/or hormonal contraception. Using a backward selection approach, potential determinants of dysmenorrhoea were selected and multivariable associations were determined.
RESULTS: The overall prevalence of dysmenorrhoea was 49.5% among the participants. Intake of 3-4.5 sugar-sweetened beverages/day (P = 0.035) and higher gynaecological age (i.e. years since menarche) (P < 0.001) were significantly associated with higher occurrence of dysmenorrhoea in the final model, which explained 8.1% of the total variance in the occurrence of dysmenorrhoea. No significant associations were found between the occurrence of dysmenorrhoea and sociodemographic or psychosocial factors.
CONCLUSIONS: This investigation of various potential risk factors for dysmenorrhoea suggests that diet and reproductive factors are particularly important predictors of the occurrence of dysmenorrhoea among young adolescents. Specifically, intake of sugar-sweetened beverages and higher gynaecological age were predictive of the occurrence of dysmenorrhoea. Other lifestyle factors were also identified as possible risk factors. Using this knowledge, effective strategies can be developed to reduce the burden of dysmenorrhoea among adolescents, and to provide appropriate care for those suffering from the condition.
METHODS: Data of 1038 female adolescents were used. Participants\' baseline characteristics were obtained using self-reported questionnaires up to the age of 11-12 years, as well as the obstetric information of their mothers during pregnancy. Dysmenorrhoea was assessed at the age of 15-16 years, and was deemed to be present if an adolescent reported menstrual abdominal and/or back pain and therefore took medication and/or hormonal contraception. Using a backward selection approach, potential determinants of dysmenorrhoea were selected and multivariable associations were determined.
RESULTS: The overall prevalence of dysmenorrhoea was 49.5% among the participants. Intake of 3-4.5 sugar-sweetened beverages/day (P = 0.035) and higher gynaecological age (i.e. years since menarche) (P < 0.001) were significantly associated with higher occurrence of dysmenorrhoea in the final model, which explained 8.1% of the total variance in the occurrence of dysmenorrhoea. No significant associations were found between the occurrence of dysmenorrhoea and sociodemographic or psychosocial factors.
CONCLUSIONS: This investigation of various potential risk factors for dysmenorrhoea suggests that diet and reproductive factors are particularly important predictors of the occurrence of dysmenorrhoea among young adolescents. Specifically, intake of sugar-sweetened beverages and higher gynaecological age were predictive of the occurrence of dysmenorrhoea. Other lifestyle factors were also identified as possible risk factors. Using this knowledge, effective strategies can be developed to reduce the burden of dysmenorrhoea among adolescents, and to provide appropriate care for those suffering from the condition.
摘要：
目标：社会人口统计学的贡献是什么，社会心理,在阿姆斯特丹出生的儿童及其发育（ABCD）研究中，生活方式和生殖因素一直到11-12岁，直到15-16岁的痛经发生？
方法：使用了1038名女性青少年的数据。参与者的基线特征是使用自我报告问卷获得的，直到11-12岁，以及母亲在怀孕期间的产科信息。痛经评估年龄为15-16岁，如果青少年报告月经腹部和/或背部疼痛，因此服用药物和/或激素避孕，则认为存在。使用反向选择方法，选择痛经的潜在决定因素,并确定多变量关联.
结果：参与者中痛经的总体患病率为49.5%。每天摄入3-4.5含糖饮料（P=0.035）和较高的妇科年龄（即月经初潮以来的年数）（P<0.001）与最终模型中痛经的发生率显着相关，这解释了痛经发生总方差的8.1%。痛经的发生与社会人口统计学或社会心理因素之间没有显着关联。
结论：这项对痛经各种潜在危险因素的调查表明，饮食和生殖因素是青少年痛经发生的特别重要的预测因素。具体来说,含糖饮料的摄入和较高的妇科年龄是痛经发生的预测因素。其他生活方式因素也被确定为可能的危险因素。利用这些知识，可以制定有效的策略来减轻青少年痛经的负担，并为患有这种疾病的人提供适当的护理。
方法：使用了1038名女性青少年的数据。参与者的基线特征是使用自我报告问卷获得的，直到11-12岁，以及母亲在怀孕期间的产科信息。痛经评估年龄为15-16岁，如果青少年报告月经腹部和/或背部疼痛，因此服用药物和/或激素避孕，则认为存在。使用反向选择方法，选择痛经的潜在决定因素,并确定多变量关联.
结果：参与者中痛经的总体患病率为49.5%。每天摄入3-4.5含糖饮料（P=0.035）和较高的妇科年龄（即月经初潮以来的年数）（P<0.001）与最终模型中痛经的发生率显着相关，这解释了痛经发生总方差的8.1%。痛经的发生与社会人口统计学或社会心理因素之间没有显着关联。
结论：这项对痛经各种潜在危险因素的调查表明，饮食和生殖因素是青少年痛经发生的特别重要的预测因素。具体来说,含糖饮料的摄入和较高的妇科年龄是痛经发生的预测因素。其他生活方式因素也被确定为可能的危险因素。利用这些知识，可以制定有效的策略来减轻青少年痛经的负担，并为患有这种疾病的人提供适当的护理。
