花蓮地區國小高年級女生及其母親月經知識、態度及經期不適之調查

Study of Menstrual Knowledge, Attitudes, and Distress among Female Elementary Students and Their Mothers in the Hualien Region

10.6784/FJS.201210.0031

張玉婷(Yu-Ting Chang)

月經 ； 月經知識 ； 月經態度 ； 經期不適 ； menstruation ； menstrual knowledge ； menstrual attitudes ； menstrual distress

台灣性學學刊

18卷2期（2012 / 10 / 01）

31 - 50

繁體中文

本研究之目的在探討花蓮地區國小高年級女生及其母親之月經知識、月經態度及經期不適之相關性。採分層與群集隨機抽樣法，共抽取12所學校，有效樣本共394位母親或女兒。研究工具包括個人基本資料、月經知識量表、月經態度量表及經期不適量表。施測所得資料以描述性統計、配對t檢定及皮爾森積差相關進行分析。研究結果顯示：一、近三分之一女學生初經已來，九成以上女生希望自己的月經知識來自母親；29.4 %母親對孩子現在來經覺得太早了，89.8 %母親在孩子初經來時會告知月經處理的訊息。二、女兒與母親之月經知識答對率為47.99%與70.60%，女兒的月經知識答對率顯著低於母親；女兒與母親之月經態度得分為1.89 ± 0.38與2.17 ± 0.42，兩者之月經態度均偏負向；女兒與母親之經期不適得分為0.94 ± 0.77與1.22 ± 0.80，母親之經期不適得分顯著高於女兒。三、母親與女兒之月經知識、月經態度及經期不適呈顯著正相關；女兒之月經態度與母親之經期不適呈顯著負相關。此結果可提供學校與性教育工作者進行國小性教育或親職性教育之參考。

The purpose of this study was to investigate menstrual knowledge, attitudes toward menstruation and menstrual distress among female elementary students and their mothers in the Hualien region. A stratified cluster random sampling method was adopted. A sample of 394 female elementary students and their mothers from 12 elementary schools in Taiwan's Hualien County participated in this study. The questionnaires consisted of four sections: 1. personal information; 2. menstrual knowledge; 3. menstrual attitude and 4. menstrual distress. Data was analyzed using paired t-test and Pearson's correlation.Study results showed that 33.0% of female elementary students had reached menarche. Most female students (93.4%) preferred receiving menstrual information from their mothers. Some mothers (29 .4%) felt their daughters periods had started early. Most mothers (89.8%) first discussed menstrual management at menarche. The total correct response rates for the menstrual knowledge assessment for daughters and mothers were 47.99% and 70.60%, respectively. The mean scores on the menstrual attitude questionnaire for daughters and mothers were 1.89 ± 0.38 and 2.17 ± 0.42, respectively. Both mothers and daughters scored low on the menstrual attitude parameters. The mean scores on the menstrual distress questionnaire for daughters and mothers were 0.94 ± 0.77 and 1.22 ± 0.80, respectively. Mothers scored higher on menstrual distress than daughters. Mother and daughters exhibited a significant positive correlation of menstrual knowledge, menstrual attitudes, and menstrual distress. Daughters' menstrual attitudes and mothers' menstrual distress were negatively correlated.Based on study results it is recommended that elementary schools and sexual health care providers should offer greater assistance to female elementary students and their mothers to improve their menstrual knowledge, establish positive menstrual attitudes, and deal with menstrual distress.

1. Chang, Y. T.,Chen, Y. C.(2008).Menstrual health care behavior and associated factors among female elementary students in the Hualien region.The Journal of Nursing Research,16(1),8-16.
   連結：
2. Chang, Y. T.,Chen, Y. C.(2009).Study of menstrual attitudes and distress among postmenarcheal female students in Hualien county.The Journal of Nursing Research,17(1),20-29.
   連結：
3. 張玉婷(2012)。國小女生之女性親屬的月經知識、態度、經期不適與經期照護行為之調查。台灣性學學刊，18(1)，25-48。
   連結：
4. 張玉婷(2010)。花蓮地區國小高年級學生月經態度及月經關懷行為之探討。台灣性學學刊，16(1)，17-31。
   連結：
5. 張珣(2007)。文化建構性別、身體與食物：以當歸為例。考古人類學刊，67，71-116。
   連結：
6. 教育部國民教育司（2012）。97年國民中小學九年一貫課程綱要（100學年度實施）。取自http://www.edu.tw/eje/content.aspx?site_content_sn=15326
7. 教育部全球資訊網（2012）。100學年原住民學生概況分析。取自http://www.edu.tw/files/site_content/B0013/100native.pdf
8. Burrows, A.,Johnson, S.(2005).Girls' experiences of menarche and menstruation.Journal of Reproductive and Infant Psychology,23(3),235-249.
9. Campbell, M. A.,McGrath, P. J.(1999).Non-pharmacologic strategies used by adolescents for the management of menstrual discomfort.Clinical Journal of Pain,15(4),313-320.
10. Chang, Y. T.,Chen, Y. C.,Hayter, M.,Lin, M. L.(2009).Menstrual and menarche experience among pubescent female students in Taiwan: Implications for health education and promotion practice.Journal of Clinical Nursing,18(14),2040-2048.
11. Chang, Y. T.,Hayter, M.,Wu, S. C.(2010).A systematic review and meta-ethnography of the qualitative literature: Experiences of the menarche.Journal of Clinical Nursing,19(3-4),447-460.
12. Chen, H. M.,Chen, C. H.(2005).Related factors and consequences of menstrual distress in adolescent girls with dysmenorrhea.Kaohsiung Journal of Medical Sciences,21(3),121-127.
13. Cheng, C. Y.,Yang, K.,Liou, S. R.(2007).Taiwanese adolescents' gender differences in knowledge and attitudes towards menstruation.Nursing & Health Sciences,9(2),127-134.
14. Chrisler, J. C.(Ed.)(2004).From menarche to menopause.New York, NY:The Haworth Press.
15. Cooper, S. C.,Koch, P. B.(2007).Nobody told me nothin:' Communication about menstruation among low-income African-American women.Women and Health,46(1),57-78.
16. Costos, D.,Ackerman, R.,Paradis, L.(2002).Recollections of menarche: Communication between mothers and daughters regarding menstruation.Sex Roles,46(1-2),49-59.
17. Furth, C.,Ch''en, S. Y.(1992).Chinese medicine and the anthropology of menstruation in contemporary Taiwan.Medical Anthropology Quarterly,6(1),27-48.
18. Houston, A. M.,Abraham, A.,Huang, Z.,D''Angelo, L. J.(2006).Knowledge, attitudes, and consequences of menstrual health in urban adolescent females.Journal of Pediatric & Adolescent Gynecology,19(4),271-275.
19. Iliyasu, Z.,Aliyu, M. H.,Abubakar, I. S.,Galadanci, H. S.(2012).Sexual and reproductive health communication between mothers and their adolescent daughters in Northern Nigeria.Health Care for Women International,33(2),138-152.
20. Kissling, E. A.(1996).Bleeding out loud: Communication about menstruation.Feminism & Psychology,6(4),481-504.
21. Koff, E.,Rierdan, J.(1995).Preparing girls for menstruation: Recommendations from adolescent girls.Adolescence,30(120),795-811.
22. Latthe, P.,Latthe, M.,Say, L.,Gulmezoglu, M.,Khan, K. S.(2006).WHO systematic review of prevalence of chronic pelvic pain: A neglected reproductive health morbidity.BMC Public Health,6(1),177-183.
23. Lei, C.,Knight, C.,Llewellyn-Jones, D.,Abraham, S.(1987).Menstruation and the menstrual cycle: Knowledge and attitudes of mothers and daughters.Australian Journal of Sex, Marriage & Family,8(1),33-42.
24. Lu, Z. J.(2001).The relationship between menstrual attitudes and menstrual symptoms among Taiwanese women.Journal of Advanced Nursing,33(5),621-628.
25. Marván, M. L.,Trujillo, P.(2010).Menstrual socialization, beliefs, and attitudes concerning menstruation in rual and urban Mexican women.Health Care for Women International,31(1),53-67.
26. McPherson, M. E.,Korfine, L.(2004).Menstruation across time: Menarche, menstrual attitudes, experiences, and behaviors.Women's Health Issues,14(6),193-200.
27. Moore, S. M.(1995).Girls' understanding and social constructions of menarche.Journal of Adolescence,18(1),87-104.
28. Rembeck, G. I.,Moller, M.,Gunnarsson, R. K.(2006).Attitudes and feelings towards menstruation and womanhood in girls at menarche.Acta Paediatrica,95(6),707-714.
29. Strinic, T.,Bukovic, D.,Pavelic, L.,Fajdic, J.,Herman, I.,Stipic, I.,Palada, I.,Hirs, I.(2003).Anthropological and clinical characteristics in adolescent women with dysmenorrhea.Collegium Antropologicum,27(2),707-711.
30. Teiteman, A. M.(2004).Adolescent girls' perspectives of family interactions related to menarche and sexual health.Qualitative Health Research,14(9),1292-1308.
31. Uskul, A. K.(2004).Women's menarche stories from a multicultural sample.Social Science & Medicine,59(4),667-679.
32. Whitehead, W. E.,Busch, C. M.,Heller, B. R.,Costal, P. T.(1986).Social learning influences on menstrual symptoms and illness behavior.Health Psychology,5(1),13-23.
33. 邱敏惠、王秀紅(2004)。護校女生經痛與月經態度關係之探討。護理雜誌，51(4)，45-52。
34. 張玨(2003)。婦女經期健康與政策。護理雜誌，50(5)，22-28。
35. 趙曲水宴(1992)。碩士論文(碩士論文)。台北市，國立台灣大學。
36. 歐陽美蓉(2004)。碩士論文(碩士論文)。台北市，國立台灣師範大學。