350 Moronkola, O.A and Aladesanyi, O.A Discussion The overall response rate <strong>of</strong> 80.6% was considered good for this study. The use <strong>of</strong> female research assistants (fellow students) made it possible to attain the responses got in this study. Majority <strong>of</strong> study participants 73.0% recalled that they had menarche between 11-15 years which is consistent with literature. 13, 14, 15 More than 50.0% <strong>of</strong> the study participants experienced one form <strong>of</strong> symptom premenstrual syndrome or the other. Among Afrikaans speaking university students in USA, premenstrual symptoms or sign experienced were irritability 87.0%, depression 87.0%, moodiness 77.0%, anxiousness 31.0%, headache 47.0%, breast tenderness 71.0%, fatigue 77.0%. 5 Generally, depressive mood, irritability, increase tendency to accidents and criminal behaviour, headache, abdominal pain, nausea and vomiting are found in literature as premenstrual syndrome.8 Depending on the methodology used by the researchers, it has been shown that between 30.0% and 90.0% <strong>of</strong> women reported some physical or emotional premenstrual symptomalogy. 9 The full range <strong>of</strong> premenstrual syndrome includes: confusion, disorientation, intemperate judgments and decision making, moods swings, body aches, anger and verbal abuse, lethargy alternating with increased energy, alienation, guilt (at having abused friends), lack <strong>of</strong> self-esteem, craving for sweet especially chocolate. People experiencing PMS may have degrees <strong>of</strong> severity, from mild to overwhelming. 16 Recent studies shows that as many as 80.0% American women have PMS at sometime during the average 400 menstrual cycles occurring between menarche and menopause or the time between when the menstrual period start at puberty and when it ceases after menopause. 17 In London, out <strong>of</strong> 79.0% <strong>of</strong> women who participated in a study had the responses as premenstrual syndrome symptoms experienced thus; irritability 38.0%, swelling 24.0%, headache/depression/moods/weight gain 19.0%, fatigue 18.0%, tender breasts 14.0%, pain 13.0% and anxiety 11.0%. 18 It is a well known fact that breast symptoms are associated with PMS. 19 In a study among Nigerian schools, in general, about 10.0%-22.0% <strong>of</strong> the school girls reported severe premenstrual symptoms in all symptom-complex categories the proportion being highest for behavioural change 22.0%, arousal 20.6%, physical symptoms 18.7% and concentration 16.7%. 20 Many social, cultural, economic and individual factors contribute to increase risk and vulnerability among young people. Knowledge about habits and practices prevalent among adolescents and young adults is important from the public health point <strong>of</strong> view, since it provides a solid basis for structuring preventive strategies, evaluating ongoing interventions and undertaking epidemiologic surveillance. 21 A study among university <strong>of</strong> Ibadan students found 46.1% drinking alcohol, 28.6% reported no day exercise per week. 12 Alcohol consumption affect the body in several ways including dilation <strong>of</strong> blood vessels, affect negatively body organs, increases urine production, leads to damage to brain tissue, leads to cirrhosis <strong>of</strong> the liver, increases the amount <strong>of</strong> sugar in the blood stream as well as nutritional deficiencies. 3 Physical activity is fundamental to daily life, 22 and participation in physical activities/exercises improve physical, mental and social health. Nevertheless, many people especially female students who are not athletes <strong>of</strong>ten times do not engage in physical activities intentionally. The major reason for non participation in sports or physical activities by people may be time availability. 23,24 Though tertiary education is demanding to students, there is the need to relax against stress. Premarital sex with its attendant health consequences are common among young people, especially with the scourge <strong>of</strong> sexually transmitted infections including HIV/AIDS. 25,26,27 C<strong>of</strong>fee intake <strong>of</strong>ten leads to insomnia and there is the need for caution against its use. 28,29 In vast majority <strong>of</strong> African countries, abortion remains both unauthorized and unsafe. 10 In countries where access to safe abortion is restricted, the situation is notably precarious for unmarried women especially adolescents who have little or no access to reproductive information and counselling and are frequently excluded from contraceptive services. 27 . Limited information available to adolescents may indicate that conservative values may not be protecting them from sexual experimentation. 30 There is an urgent need for health education intervention programme against health
Age at Menarche, Current Premenstrual Syndrome and Health Risk Behaviour <strong>of</strong> Young People in Ibadan, Nigeria 351 consequences <strong>of</strong> premarital sex, abortion as well as how to manage premenstrual syndrome for the students through the effort <strong>of</strong> the school health centre, NGOs focusing on reproductive health in Ibadan, Nigeria. A concerted effort must be made by tertiary institutions administrators in Nigeria and elsewhere in Africa to initiate or improve on a general course for all students to empower them to be able to make healthy decisions related to their current and future health status.
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