Objective: This study examines the prevalence of premenstraal symptoms among a large, population-based sample of reproductive-age, active-duty women. Method:A multivariate approach is used to evaluate the relative importance of psychosocial and lifestyle predictors of premenstrual symptoms or pain after controlling for demographic differences in cases and controls.Results: Premenstrual symptoms were reported by nearly 2 out of every 3 reproductiveage women. Women reporting premenstrual symptoms were more likely to report other symptoms of menstrual dysfunction, 2 or more current medical conditions, migraines, and health care provider visits in the past year. After controlling for the protective effects of taking DepoProvera'™ and never being pregnant, younger age, trying to lose weight, heavier drinking, poorer self-perceived health, and overall job stress were the most significant predictors of premenstrual symptoms. The greatest risk factor was a high level of job stress, with an almost 3-fold increase in risk relative to those without symptoms. Conclusions:Work stress may mediate the relationship between depression and premenstrual symptoms. Further research is needed to elucidate the biological interrelationships between work stress, hormonal function, and premenstrual symptomatology.
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