title: Awareness of menstrual abnormality amongst college students in urban area of ile-ife, osun state, Nigeria.
abstract: BACKGROUND
  Disturbances of menstrual bleeding are major social and medical problem for women and account for high percentage of gynecological visit.
  
  
  OBJECTIVE
  The objective of the study was to document menstrual abnormalities experienced by female college students, their awareness and health seeking behavior.
  
  
  METHODS
  A cross-sectional survey was undertaken, 400 students were selected using stratified sampling technique and interviewed using semi-structured self-administered questionnaire. Inferential statistical analysis such as Chi-square test and logistic regressions were carried out.
  
  
  RESULTS
  The mean age at menarche was 14.18 years. Irregular menstrual cycles were reported in 9.0%. Dysmenorrhea was present in 62.5%, and 12.5% reported school absenteeism. Students' awareness of menstrual abnormalities was poor (29%). A few of them (10.5%) decided to seek help for menstrual abnormalities. The awareness of students on menstrual abnormalities was significantly influenced by their age (OR = 2.33, P = 0.03); however, age at menarche and level of study did not influence their awareness (OR = 0.45, P = 0.24 and OR = 1.42, P = 0.12). History of dysmenorrheal (OR = 10.2, P = 0.001) and academic disturbance (OR = 5.45, P = 0.001) had significant influence on the health seeking behavior of the students.
  
  
  CONCLUSIONS
  There was a general lack of information about menstrual issues and when to seek help. There is a need to educate female college students about menstrual issues in order to improve their health seeking behavior as regards menstrual abnormalities.
authors.affiliation: Department of Community Medicine, Obafemi Awolowo University ILE-IFE, Osun State, Nigeria.
authors.forename: Oa
authors.initials: O
authors.lastname: Esimai
authors.forename: Go Omoniyi
authors.initials: GO
authors.lastname: Esan