title: Urban rural comparisons of polycystic ovary syndrome burden among adolescent girls in a hospital setting in India.
abstract: BACKGROUND
  Polycystic ovarian syndrome (PCOS) is a multifaceted disorder characterized by varying clinical presentations.
  
  
  OBJECTIVE
  The aim of this study was to determine urban and rural differences in the burden of polycystic ovarian syndrome among Indian adolescent females aged 12 to 19 years.
  
  
  METHODS
  A pilot cross-sectional study was conducted for a period of one month (August-September 2013) at Balaji Hospital, Vellore, Tamil Nadu, India. The final sample included 126 study participants located in various urban (50%, n = 63) and rural (50%, n = 63) settings. Information was gathered on sociodemographic and anthropometric characteristics, clinical history, occurrence of acne and hirsutism, serum testosterone levels, obstetric history, family history of chronic diseases, menstrual history, physical activity, and dietary intake.
  
  
  RESULTS
  Eighteen percent of the participants were confirmed of having PCOS by recent guidelines of Rotterdam Consensus for adolescent diagnosis of PCOS (presence of all three elements). Majority of the individuals with PCOS had an average age of 16 (SD = 2) (P = .02) years with an average age of menarche 12 years (SD = 1).
  
  
  CONCLUSIONS
  The proportion of participants diagnosed with PCOS was higher among urban participants in comparison to rural participants.
authors: Saveetha Young Medical Researchers Group (SYMRG), Saveetha Medical College & Hospital, Faculty of Medicine, Saveetha University, Saveetha Nagar, Chennai 602105, Tamil Nadu, India ; Foundation of Healthcare Technologies Society, New Delhi 110088, India.
authors: Swetha
authors: S
authors: Balaji
authors: Foundation of Healthcare Technologies Society, New Delhi 110088, India.
authors: Chioma
authors: 0000-0003-3143-8091
authors: C
authors: Amadi
authors: Foundation of Healthcare Technologies Society, New Delhi 110088, India.
authors: Satish
authors: S
authors: Prasad
authors: Foundation of Healthcare Technologies Society, New Delhi 110088, India.
authors: Jyoti
authors: J
authors: Bala Kasav
authors: Foundation of Healthcare Technologies Society, New Delhi 110088, India.
authors: Vandana
authors: V
authors: Upadhyay
authors: Foundation of Healthcare Technologies Society, New Delhi 110088, India.
authors: Awnish K
authors: AK
authors: Singh
authors: Foundation of Healthcare Technologies Society, New Delhi 110088, India ; Department of Biochemistry, Saveetha Medical College & Hospital, Faculty of Medicine, Saveetha University, Saveetha Nagar, Thandalam, Chennai, Tamil Nadu 602105, India.
authors: Krishna Mohan
authors: 0000-0002-5204-5708
authors: KM
authors: Surapaneni
authors: CUNY School of Public Health, New York, NY 10035, USA.
authors: Ashish
authors: A
authors: Joshi
mesh_terms: D000293:Adolescent; D017281:Cost of Illness; D003710:Demography; D004032:Diet; D005260:Female; D006628:Hirsutism / Q000150:complications; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D007194:India / Q000453:epidemiology; D008598:Menstruation; D009043:Motor Activity; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology*; D012424:Rural Population / Q000706:statistics & numerical data*; D014463:Ultrasonography; D014505:Urban Population / Q000706:statistics & numerical data*; D016387:Women's Health
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