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Relationship Between Menstrual Distress and Occupational Risk Factors Among Nurses: A Survey in a Public Hospital
Majid Parsarad1, Somayeh Farhang Dehghan2, Afsaneh Azimian1
1Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iranian Journal of Nursing and Midwifery Research
|July 17, 2026
Summary
Occupational hazards, anxiety, and poor sleep quality significantly worsen menstrual distress in nurses. Addressing these workplace factors is crucial for improving nurses
Area of Science:
- Occupational Health
- Women's Health
- Psychosomatic Medicine
Background:
- Menstrual distress significantly impacts women's quality of life.
- Nurses face unique occupational hazards that may influence their health.
- Understanding factors contributing to menstrual distress in nurses is vital.
Purpose of the Study:
- To investigate the influence of occupational hazards, anxiety, and sleep quality on menstrual distress among nurses.
- To analyze the relationships among demographic factors, anxiety, sleep quality, and menstrual distress using structural equation modeling.
Main Methods:
- A case-control study design was employed.
- Data collected via demographic questionnaire, Spielberger State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, and occupational hazards assessment worksheet.
- Modified Moos Menstrual Distress Questionnaire used to measure menstrual distress.
Main Results:
- Significant associations found between menstrual distress and miscarriage history, smoking, noise, vibration, cold environments, rotating shifts, and patient handling.
- State and trait anxiety (r=0.612, p<0.001) and sleep quality (r=0.518, p<0.001) were strongly linked to menstrual distress.
- Occupational hazards and psychological factors significantly correlate with increased menstrual distress.
Conclusions:
- Adverse working conditions and occupational stress negatively impact nurses' physical and mental health, diminishing quality of life.
- Interventions targeting occupational hazards, anxiety, and sleep quality are needed to alleviate menstrual distress in nurses.
- Further research into biological mechanisms is recommended.
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