Survey study, 2025
How common are PMS and PMDD among female university students in Afghanistan?
Very common. 88.8% of students screened positive for either moderate to severe PMS (27.1%) or PMDD (61.7%).
What they did
Cross-sectional study from April to October 2021 at four universities in Kabul. 310 female students aged 15-35 were enrolled; after data cleaning, 266 remained. Researchers used a validated screening tool for PMS and PMDD.
What they found
88.8% screened positive for moderate to severe PMS or PMDD. Specifically, 27.1% had moderate to severe PMS and 61.7% had PMDD. Lower educational attainment was associated with higher rates of PMS/PMDD.
What it means for you
PMS and PMDD are highly prevalent among young Afghan women. These are screening results rather than clinical diagnoses. The study is limited to university students in one city.
88.8%
Screened positive for PMS or PMDD
27.1%
Moderate to severe PMS
61.7%
PMDD
About the study
- Original title
- Prevalence and Associated Factors of Premenstrual Syndrome Among Female University Students of the Reproductive Age Group in Kabul, Afghanistan: A Cross-Sectional Study
- Authors
- Ezadi Z, Ramozi M, Barati H et al.
- Journal
- Women's health reports (New Rochelle, N.Y.)
- Year
- 2025
- Study design
- Survey study
- Participants
- 310
- What was tested
- None
- Open access
- Yes
- Read the paper
- doi.org/10.1089/whr.2024.0106
Original abstract
Background: Premenstrual syndrome (PMS) is a common menstrual disorder that can significantly impact the physical, emotional, and social well-being of affected women. However, PMS remains a neglected problem in Afghanistan, with limited data on its prevalence and impact. This study aimed to determine the prevalence of PMS and the more severe premenstrual dysphoric disorder (PMDD) among female university students in Kabul, Afghanistan. Methods: Researchers conducted a cross-sectional study from April to October 2021 at four universities in Kabul. They included a total of 310 female students aged 15-35 years. After data cleaning, 44 participants were removed and 266 participants remained. Data were collected using a validated screening tool for PMS and PMDD, along with information on participants' sociodemographic and lifestyle factors. Statistical analysis was performed to assess the findings. Results: The study found that 88.8% of participants screened positive for either moderate to severe PMS (27.1%) or PMDD (61.7%). There was a significant association between lower educational attainment and higher rates of PMS/PMDD. Conclusion: This study uncovered a high prevalence of PMS and PMDD among female university students in Kabul. These conditions significantly impact young Afghan women's health and well-being, but remain a neglected issue. Urgent action is needed to improve awareness, screening, and treatment access for premenstrual issues in Afghanistan.
Reproduced under CC-BY.
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