BİOPSYCHOSOCİAL DETERMİNANTS OF THE MENSTRUAL EXPERİENCE: A CROSS-GENERATİONAL COMPARATİVE STUDY

BİOPSYCHOSOCİAL DETERMİNANTS OF THE MENSTRUAL EXPERİENCE: A CROSS-GENERATİONAL COMPARATİVE STUDY | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 12 May 2026 V1 Latest version Share on BİOPSYCHOSOCİAL DETERMİNANTS OF THE MENSTRUAL EXPERİENCE: A CROSS-GENERATİONAL COMPARATİVE STUDY Authors : Buse SERT 0000-0001-6612-8443 [email protected] and * Merve Yiğit Kocamer [email protected] Authors Info & Affiliations https://doi.org/10.22541/authorea.15003106/v1 14 views 5 downloads Contents Abstract Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: The aim of this study was to compare menstrual pain levels, attitudes toward menstruation, health literacy, and physical activity levels among women from different generations. Methods: This cross-sectional and comparative study included a total of 1,220 women aged between 18 and 55 years. Participants were categorized into three groups according to their birth years: Generation Z (n=380), Generation Y (n=440), and Generation X (n=400). Menstrual pain levels were assessed using the Visual Analog Scale (VAS), while attitudes toward menstruation were evaluated using the Menstrual Attitude Scale (MAS). Health literacy was measured with the Turkish Health Literacy Scale (TSOY-12), and physical activity level was determined based on daily step counts obtained via a smartphone-based pedometer application. Data were analyzed using the Kruskal–Wallis test, Dwass–Steel–Critchlow–Fligner post-hoc test, Spearman correlation analysis, and linear regression analysis. Results: Menstrual pain levels differed significantly across generations (p<0.001), with the highest levels observed in Generation Z. Attitudes toward menstruation also varied between generations, with Generation Z demonstrating significantly higher MAS scores compared to the other groups (p=0.003). In terms of health literacy, Generation X had significantly lower scores than Generations Z and Y (p0.05). Correlation analyses revealed a weak positive relationship between step count and menstrual pain across all generations. Additionally, the relationship between attitudes toward menstruation and menstrual pain was significant only in Generation Y. Conclusion: The findings suggest that menstrual pain, attitudes toward menstruation, and health literacy may vary across generations. Menstrual health should be considered a multidimensional process influenced not only by biological factors but also by generational characteristics and psychosocial factors. Information & Authors Information Version history V1 Version 1 12 May 2026 Keywords GYNAECOLOGICAL SURGERY: GYNAECOLOGICAL CANCER CARCINOMA OF THE CERVIX: DIAGNOSIS CARCINOMA OF THE ENDOMETRIUM: DIAGNOSIS CARCINOMA OF THE OVARY: DIAGNOSIS CIN: DIAGNOSIS CYTOLOGY: ENDOMETRIAL EPIDEMIOLOGY: GYNAECOLOGICAL CANCER PREMENSTRUAL SYNDROME: CLINICAL RESEARCH ADOLESCENT GYNAECOLOGY DEVELOPING COUNTRIES: OBSTETRICS AND GYNAECOLOGY ADENOMYOSIS: BASIC SCIENCE GYNAECOLOGICAL SURGERY: GYNAECOLOGICAL CANCER CARCINOMA OF THE CERVIX: DIAGNOSIS CARCINOMA OF THE ENDOMETRIUM: DIAGNOSIS CARCINOMA OF THE OVARY: DIAGNOSIS CIN: DIAGNOSIS CYTOLOGY: ENDOMETRIAL EPIDEMIOLOGY: GYNAECOLOGICAL CANCER Authors Affiliations Buse SERT 0000-0001-6612-8443 [email protected] TC Istanbul Gedik Universitesi, Istanbul, Turkey, 34876 View all articles by this author * Merve Yiğit Kocamer [email protected] TC Istanbul Gedik Universitesi, Istanbul, Turkey, 34876 View all articles by this author Metrics & Citations Metrics Article Usage 14 views 5 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Buse SERT, * Merve Yiğit Kocamer. BİOPSYCHOSOCİAL DETERMİNANTS OF THE MENSTRUAL EXPERİENCE: A CROSS-GENERATİONAL COMPARATİVE STUDY. Authorea . 12 May 2026. DOI: https://doi.org/10.22541/authorea.15003106/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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