[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 10, Issue 4 (1-2023) ::
Iran J Health Educ Health Promot 2023, 10(4): 385-398 Back to browse issues page
Predictors of lifestyle related to reducing the premenstrual syndrome symptoms based on the Health Belief Model constructs among the first-grade high school female students in Urmia
Parisa Khalilzadeh , Jamileh Amirzadeh-iranagh , Hamid Reza Khalkhali , Mina Maheri *
Abstract:   (352 Views)
Background and Objective: Identifying the factors affecting the lifestyle related to reducing PMS symptoms can help to reduce the health problems of women and girls. Therefore, the aim of this study was to determine the "predictors of lifestyle related to reducing the premenstrual syndrome (PMS) symptoms  based on the Health Belief Model (HBM) constructs  among the first-grade high school female students in Urmia".

Materials and Methods:This cross-sectional study was conducted on 410 first-grade high school female students in Urmia who were selected by multi-stage cluster sampling in 2021. The data collection tools included demographic characteristics, Premenstrual Symptoms Screening Tool (PSST), and a researcher-made questionnaire based on HBM constructs and knowledge. Face validity and Content validiyt methods were used for determine validity and Cronbach’s alpha was used for determine reliability. Data analysis was performed in SPSS 16 using Kolmogorov–Smirnov, Spearman correlation, and Multiple linear regression. The results were considered statistically significant at the level of p <0.05

Results: Perceived self-efficacy (P <0.001, β = 0.250), perceived barriers (p <0.001, β = -0.162), perceived severity (p <0.05, β = 0.155), and perceived benefits (p = 0.019, β = 0.130), were significant predictors of lifestyle related to reducing PMS symptoms. HBM constructs and knowledg explained about 28.2% of the variance of lifestyle related to reducing PMS symptoms among the studied students.

Conclusion: HBM constructs are valuable and appropriate to identify the factors affecting the lifestyle related to reducing PMS symptoms among high school female students and to design and implement educational interventions in this field.
Article number: 6
Keywords: Lifestyle, premenstrual syndrome, Health Belief Model, students, first-grade high school
Full-Text [PDF 569 kb]   (166 Downloads)    
Type of Study: Research | Subject: Health Education & Health Promotion
Received: 2022/01/9 | Accepted: 2022/06/8
1. Hashim MS, Obaideen AA, Jahrami HA, Radwan H, Hamad HJ, Owais AA, et al. Premenstrual syndrome is associated with dietary and lifestyle behaviors among university students: A cross-sectional study from Sharjah, UAE. Nutrients. 2019;11(8):1-18. [DOI:10.3390/nu11081939] [PMID] [PMCID]
2. Geta TG, Woldeamanuel GG, Dassa TT. Prevalence and associated factors of premenstrual syndrome among women of the reproductive age group in Ethiopia: Systematic review and meta-analysis. PloS one. 2020;15(11):1-12. [DOI:10.1371/journal.pone.0241702] [PMID] [PMCID]
3. Steiner M, Macdougall M, Brown E. The premenstrual symptoms screening tool (PSST) for clinicians. Archives of Women's Mental Health. 2003;6(3):203-209. [DOI:10.1007/s00737-003-0018-4] [PMID]
4. Matsumoto T, Egawa M, Kimura T, Hayashi T. A potential relation between premenstrual symptoms and subjective perception of health and stress among college students: a cross-sectional study. BioPsychoSocial medicine. 2019; 13(26):1-9. [DOI:10.1186/s13030-019-0167-y] [PMID] [PMCID]
5. Chumpalova P, Iakimova R, Stoimenova-Popova M, Aptalidis D, Pandova M, Stoyanova M, et al. Prevalence and clinical picture of premenstrual syndrome in females from Bulgaria. Annals of General Psychiatry. 2020;19(1):1-7. [DOI:10.1186/s12991-019-0255-1] [PMID] [PMCID]
6. Naeimi N. The prevalence and symptoms of premenstrual syndrome under examination. Journal of Biosciences and Medicines. 2015;3:1-8. [DOI:10.4236/jbm.2015.31001]
7. Khalilipour M, Panahi R. Effect of education on promoting preventive behaviors of premenstrual syndrome in female adolecents: Health belief model application. Journal of Education and Community Health. 2017 ;4(2):44-54. [DOI:10.21859/jech.4.2.44]
8. Abay H, Kaplan S. Current approaches in premenstrual syndrome management. Bezmialem Science. 2019;7(2):150-156. [DOI:10.14235/bas.galenos.2018.2358]
9. Ramya S, Rupavani K, Bupathy A. Effect of educational program on premenstrual syndrome in adolescent school girls. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2014;3(1):168-172. [DOI:10.5455/2320-1770.ijrcog20140333]
10. Sharma M. Theoretical foundations of health education and health promotion.3th ed. Jones & Bartlett Learning; 2021.
11. Patil SN, Wasnik V, Wadke R. Health problems amongst adolescent girls in rural areas of Ratnagiri district of Maharashtra, India. Journal of Clinical and Diagnostic Research. 2009;3(5):1784-1790.
12. Siahbaz SH, Hariri FZ, Montazeri A, Moghaddam Banaem L. Translation and psychometric properties of the Iranian version of the Premenstrual Symptoms Screening Tool (PSST). Payesh. 2011; 10(4) :421-427.
13. Vakili MM, Jahangiri N. Content validity and reliability of the measurement tools in educational, behavioral, and health sciences research. Journal of Medical Education Development. 2018;10(28):106-118. [DOI:10.29252/edcj.10.28.106]
14. Ali A, Angelene PS. Self-reported association and determinants of KAP on food safety and hygiene among Private University Students in Kedah state, Malaysia. MOJ Bioequiv Availab. 2018;5(5):256-262. [DOI:10.15406/mojbb.2018.05.00111]
15. Rapkin AJ, Lewis EI. Treatment of premenstrual dysphoric disorder. Women's Health. 2013;9(6):537-556. [DOI:10.2217/WHE.13.62] [PMID]
16. Negi P, Mishra A, Lakhera P. Menstrual abnormalities and their association with lifestyle pattern in adolescent girls of Garhwal, India. Journal of family medicine and primary care. 2018;7(4):804-808. [DOI:10.4103/jfmpc.jfmpc_159_17] [PMID] [PMCID]
17. Bektas İ, Kudubeş AA, Ayar D, Bektas M. Predicting the healthy lifestyle behaviors of Turkish adolescents based on their health literacy and self-efficacy levels. Journal of Pediatric Nursing. 2021;59: 20-25. [DOI:10.1016/j.pedn.2021.01.016] [PMID]
18. Dehjan Z, Mahmoodi M, Javadzade H, Reisi M. Comparison of Health Promoting Lifestyle Predictors in High School Students with and without Overweight and Obesity: An Application of Health Promotion. International Journal of Pediatrics. 2020;8(5):11297-1309.
19. Tschannen-Moran M, McMaster P. Sources of self-efficacy: Four professional development formats and their relationship to self-efficacy and implementation of a new teaching strategy. The Elementary School Journal. 2009; 110(2):228-245. [DOI:10.1086/605771]
20. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008.
21. Jones CJ, Smith H, Llewellyn C. Evaluating the effectiveness of health belief model interventions in improving adherence: a systematic review. Health psychology review. 2014;8(3):253-269. [DOI:10.1080/17437199.2013.802623] [PMID]
22. Rahmati-Najarkolaei F, Tavafian SS, Fesharaki MG, Jafari MR. Factors predicting nutrition and physical activity behaviors due to cardiovascular disease in tehran university students: application of health belief model. Iranian Red Crescent Medical Journal. 2015;17(3):1-6. [DOI:10.5812/ircmj.18879] [PMID] [PMCID]
23. Jorvand R, Sadeghirad K, Haeri Mehrizi AA, Ghofranipour F, Tavousi M. Determinants of daily exercises among employees with overweight or obesity: the application of health belief model. Journal of Research and Health. 2019;9(5):387-393. [DOI:10.29252/jrh.9.5.387]
24. Salahshoori A, Sharifirad G, Hassanzadeh A, Mostafavi F. An assessment of the role of perceived benefits, barriers and self-efficacy in predicting dietary behavior in male and female high school students in the city of Izeh, Iran. Journal of education and health promotion. 2014;3:42-47. [DOI:10.4103/2277-9531.127558] [PMID] [PMCID]
25. Cohen J. Statistical power analysis for the behavioral sciences. 2th ed. Hillsdale, New Jersey: Lawrence Erlbaum Associates; 1988.
26. Samad S. Examining the effects of environmental strategy and competitive advantage on business performance. Management Science Letters. 2018;8(9):891-902. [DOI:10.5267/j.msl.2018.6.012]
Send email to the article author

Add your comments about this article
Your username or Email:


Ethics code: IR.UMSU.REC.1400.072

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Khalilzadeh P, Amirzadeh-iranagh J, Khalkhali H R, Maheri M. Predictors of lifestyle related to reducing the premenstrual syndrome symptoms based on the Health Belief Model constructs among the first-grade high school female students in Urmia. Iran J Health Educ Health Promot 2023; 10 (4) :385-398
URL: http://journal.ihepsa.ir/article-1-2030-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 10, Issue 4 (1-2023) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
Persian site map - English site map - Created in 0.05 seconds with 30 queries by YEKTAWEB 4549