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Journal : Health Dynamics

The Relationship Between Stress Levels and Physical Activity and the Incidence of Primary Dysmenorrhea in Female Students Styaningrum, Khoirunnisa' Ayu; Alfitri, Rosyidah; Purwati, Anik
Health Dynamics Vol 2, No 7 (2025): July 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20701

Abstract

Background: The presence of abdominal cramps during menstruation defines dysmenorrhea. Dysmenorrhea is caused by increased levels of prostaglandin (PG) F2-α, which belongs to the category of cyclooxygenase (COX-2) enzymes. Dysmenorrhea causes psychological impact in the form of anxiety and stress and physical impact in the form of impaired physical activity. To reduce these negative effects, the role of midwives as educators is very important. The objective of this study was to evaluate the association between reported stress levels, physical activity engagement, and the incidence of primary dysmenorrhea among female students at Sunan Kalijogo High School in the Jabung District of Malang Regency. Methods: The method used by researchers is quantitative with a correlational analysis design. This research design uses cross-sectional approach and bivariate analysis with the Spearman Rank test. This study employed probability sampling, specifically using the cluster sampling technique. Results: The analysis yielded a p-value (Sig. 2-Tailed) of 0.012 for stress levels in relation to the incidence of primary dysmenorrhea, indicating a highly statistically significant relationship. The analysis produced a two-tailed p-value of 0.025 for physical activity and dysmenorrhea, indicating a statistically significant association between these variables, as this value is below the 0.05 threshold. Conclusion: Dysmenorrhea will increase pain because a lack of physical activity can inhibit blood and oxygen circulation, which can inhibit the production of endorphins. This can cause stress, which has an impact on increasing the incidence of primary dysmenorrhea. When stressed, the body produces excessive estrogen and prostaglandin hormones that cause an excessive increase in uterine contractions, leading to pain during menstruation.
Co-Authors Adinda Raudita Aldina Kurniatie Anik Sri Purwanti Anik Sri Purwanti Arie Diana Badjo, Febria Dewi Wulandari Dwizen, Handayani Dyah Ayu Anggraeni Dyah Lestari, Aisyah Fauziyah, Iin Fidha Fuadi Wardatun, Indy Fidha FW, Indy Fifin Diah Oktaviani Fitri, Riza Arista HIDAYATI, KIKI Hikmah, Ismiatul Ijawati S. Dimara, Rahelina Indradewi Mokoginta Intan Silfiyatul Millati iqnatia, edyth Jannah, Nurul Junita IIolu, Selfia Mika Kamrori Kamrori Keswara, Nila Keswara, Nila Widya Lailatul Badriyah Lailatul Fitriyah Lede, Bernadete Nida Lestiya, Dita Listiawati, Anni Maria Maria Maria Veronika Widiatrilupi Maulina, Rifzul Mayka, Lina Miftahul Jannah Mualimah, Sa'iratul Mutia Annisa Putri Na’ifah, Sinta Lailatul Ni Kadek Karmini Ninik Rahayu , Wela Novi Ariance Pinoke, Irene Prisusanti, Retno Raden Maria Veronika Widiatrilupi Rahantan, Andria Permata Rahmawati, Rida Raina Sri Milda Rani Safitri Rani Safitri raudatul jannah Rensiwati Ampulembang Reny Retnaningsih Riarisi Fatrichia Hassa Ributu, Dorsiana Rizka Adenanthera Putri Sugianto Rosida, Septianti Rostina Rosyidah Alfitri Ruri Lufitasari Safitri , Rani Safra Fadel Salfa Nihe Samsudin, Fahima sanif, dharmawati Sari Narulita, Retno Sasmita Bangga Septa Ariani Sherly Manopo Shinta Ayu Pitaloka Sinta Lailatul Na’ifah Siti Nur Azizah, Siti Stery Sindy Pelealu Styaningrum, Khoirunnisa' Ayu Susilawati, Inyke Tri Tambuna, Lasro Mauli M Titik Anifah Tumangen, Yachika Tut Rayani Aksohini Wijayanti Umyana . Victoria Tara Tatuil Vina Fisilmi Widiatrilupi, Maria Wijayanti, Diah Wulandari, Lusia Yunita, Ike