Knowledge Matters: The Relationship Between Menstrual Health Literacy and Dysmenorrhea Management in Indonesian Adolescents
Main Article Content
Abstract
Background: dysmenorrhea is one of the most common menstrual problems among adolescents and frequently associated with diminished quality of life, reduced academic performance, and increased school absenteeism. Despite its high prevalence, adolescents often demonstrate insufficient knowledge and rely on suboptimal strategies to manage menstrual pain. Strengthening understanding of the link between knowledge and behaviour is essential for developing effective school based interventions.
Purpose: this study aimed to examine the association between knowledge of dysmenorrhea and pain management behaviour among adolescent girls at SMAN 28 Tangerang, Indonesia.
Methods: a cross sectional analytic design was applied, involving 157 female students who had experienced dysmenorrhea. Data were collected using a structured questionnaire. Data were collected using a structured questionnaire, and the Kolmogorov Smirnov test indicated that the data were not normally distributed. Variables were categorized based on median values, and analysis was conducted using the chi square test.
Results: results showed that 53.5% of respondents had good knowledge, while 63.1% demonstrated good management behaviour. A statistically significant association was identified between knowledge and management behaviour (p=0.013). Adolescents with good knowledge were more than twice as likely to engage in effective dysmenorrhea management practices compared with those with poor knowledge (OR=2.443; 95% CI: 1.258-4.745).
Conclusion: these findings emphasize the importance of targeted educational interventions and supportive school environments to improve menstrual health management among adolescents.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
Articles and files in this journal are licensed under a Creative Commons Attribution 4.0 International License.
References
Albarracín, D., Fayaz-Farkhad, B., & Samayoa, J. A. G. (2025). Determinants of Behaviour and Their Efficacy as Targets of Behavioural Change Interventions. HHS Public Access, 3(6), 377–392. https://doi.org/10.1038/s44159-024-00305-0.Determinants
Amza, M., Findeklee, S., Hamoud, B. H., & Sima, R. (2024). Dysmenorrhea and Its Impact on Patients’ Quality of Life-A Cross-Sectional Study. Journal of Clinical Medicine, 1–13. https://pmc.ncbi.nlm.nih.gov/articles/PMC11477228/pdf/jcm-13-05660.pdf
Andriani, L., Kartikaningtias, C., & Irawati. (2025). Perbedaan Penurunan Skala Nyeri Dismenore Sebelum Dan Sesudah diberikan Terapi Musik Klasik di Rumah Sakit Prima Husada Sukorejo. Journal of Scientific Mandalika, 6(6), 1592–1597. file:///C:/Users/User/Downloads/4612-Article Text-17617-1-10-20250318.pdf
Anthon, C., Steinmann, M., Vidal, A., & Dhakal, C. (2024). Menstrual Disorders in Adolescence?: Diagnostic and Therapeutic Challenges. Journal of Clinical Medicine, 1–17. https://pmc.ncbi.nlm.nih.gov/articles/PMC11678717/pdf/jcm-13-07668.pdf
Ayunda, C. P., Handayani, Y., & Gunardi, S. (2024). Faktor-Faktor Yang Berhubungan Dengan Kejadian Dismenore Primer Pada Mahasiswi Prodi Keperawatan Angkatan 2020 Di Universitas Indonesia Maju Jakarta Selatan Tahun 2023. Inovasi Kesehatan Global, 1(2). https://journal.lpkd.or.id/index.php/IKG/article/view/155/162
Aziza, A. F., Angraini, D. I., Komala, R., & Lisiswanti, R. (2024). Primary Dysmenorrhea?: A Literature Review. Jurnal Medula, 14(November), 2161–2164. https://www.journalofmedula.com/index.php/medula/article/view/1330/1079
Carlson, K., Nagy, H., & Khan, M. A. (2026). Dysmenorrhea. https://www.ncbi.nlm.nih.gov/books/NBK560834/
Cherenack, E. M., Rubli, J., Melara, A., Ezaldein, N., King, A., Alcaide, M. L., Raccamarich, P., Fein, L. A., & Sikkema, K. J. (2023). Adolescent Girls’ Descriptions of Dysmenorrhea and Barriers to Dysmenorrhea Management in Moshi, Tanzania?: A Qualitative Study. Plos Global Public Health, 1–19. https://doi.org/10.1371/journal.pgph.0001544
Fitriahadi, E., & Nerawati, Y. (2024). Correlation Between Level of Knowledge About Dysmenorrhea with Dysmenorrhea Management Behaviour in Sleman. Journal of Health Technology Assessment in Midwifery, 7(1), 56–62. https://ejournal.unisayogya.ac.id/index.php/JHTAM/article/view/3235/1310
Fredelika, L., Oktaviani, N. P., & Suniyadewi, N. W. (2021). Perilaku Penanganan Nyeri Dismenore Dysmenorrhea Pain Management Behavior In Adolescents In SMP PGRI 5 Denpasar. Bali Medika Jurnal, 7(1), 105–115. https://doi.org/https://doi.org/10.36376/bmj.v7i1
Komalasari, T., & Bernica, V. (2024). The Effect of Health Education on the Knowledge of Class XI Adolescent Girls About Dysmenorrhea at SMAN 2 Cimalaka Sumedang Regency. Jurnal Eduhealth, 15(04), 1461–1467. https://doi.org/10.54209/eduhealth.v15i04
Mahwish, N., Dube, R., Kar, S. S., Santhosh, M., Kidwai, A., & Mary, J. (2024). Prevalence and Impact of Dysmenorrhea on the Academic Performance of Students at Medical and Health Sciences University. New Emirates Medical Journal, 5, 1–10. https://doi.org/10.2174/0102506882288695240221071629
Mardiyah, M. S., & Rizal, A. (2024). Hubungan Pengetahuan Remaja dengan Perilaku Penanganan Dismenore. Jurnal Kesehatan Tambusai, 5(2), 5722–5729. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/28560/20849
Molla, A., Duko, B., Girma, B., Madoro, D., Nigussie, J., Belayneh, Z., Mengistu, N., & Mekuriaw, B. (2022). Prevalence of Dysmenorrhea and Associated Factors Among Students in Ethiopia?: A Systematic Review and Meta-Analysis. Women’s Health, 18, 1–11. https://doi.org/10.1177/17455057221079443
Natalia, V., Safitri, N., Lestari, R. M., & Novia, D. (2022). The Effect Of Health Education On Students ’ Knowledge Level Level I Nursing S1 Study Program Regarding Compressing Warm In Management Pain ( Dysmenore ) At Eka Harap Stikes Palangka Raya. Jurnal Surya Medika (JSM), 8(22), 133–138. file:///C:/Users/User/Downloads/3863-Article Text-15101-1-10-20220818.pdf
Nur, A. Z., & Samaria, D. (2021). Hubungan Pengetahuan dengan Sikap dalam Menangani Nyeri Haid di Ghama D’Leader School. Nursing Current Jurnal Keperawatan, 8(2), 178–193. https://ojs.uph.edu/index.php/NCJK/article/view/3103/1271
Safira, E. M., Pangkerego, S., & Walanda, I. (2024). Hubungan Tingkat Pengetahuan dengan Sikap Siswi Kelas XI dalam Penanganan Dismenorea di SMK Negeri 1 Tondano. Jurnal Dharma Medika, 20(20), 1–10. file:///C:/Users/User/Downloads/Jurnal+Eka+Safira.doc+PUBLISHED+DES+24.pdf
Susilawati, R., Pratiwi, F., & Adhisty, Y. (2022). Pengaruh Pendidikan Kesehatan Tentang Dismenorhoe Terhadap Tingkat Pengetahuan Remaja Putri Mengenai Dismenorhoe di Kelas XI SMA N 2 Banguntapan. Jurnal Ilmu Kesehatan Mulia Madani Yogyakarta, 3(2). file:///C:/Users/User/Downloads/Pengaruh+Pendidikan+Kesehatan+Tentang+Dismenorhoe+Terhadap+Tingkat+Pengetahuan+Remaja+Putri+Mengenai+Disminorhoe.pdf
Tuladhar, J. B., Barakoti, Y., Sakha, R., Khanal, A., & Khanal, P. (2026). Knowledge and Attitude Regarding Reproductive Health and Sex Education Among School Teachers of Dhading , Nepal. Journal of Chitwan Medical College, 2889(57), 59–72. https://doi.org/10.54530/jcmc.1830
Wang, L., Yan, Y., Qiu, H., Xu, D., Zhu, J., Liu, J., & Li, H. (2022). Prevalence and Risk Factors of Primary Dysmenorrhea in Students: A Meta-Analysis. Value in Health, 25(10), 1678–1684. https://doi.org/10.1016/j.jval.2022.03.023
WHO. (2023). Adolescent Health. https://www.who.int/health-topics/adolescent-health