Effects of dysmenorrhea on work productivity and quality of life in Japanese women: A large-scale web-based cross-sectional study

Maika Nariai, Osamu Wada-Hiraike, Eri Maeda, Masayo Matsuzaki, Mayuyo Mori-Uchino, Maho Furukawa, Yuki Enomoto, Hiromi Ga, Risa Takai, Miyuki Harada, Yutaka Osuga and Yasushi Hirota

PLOS ONE, 2025, vol. 20, issue 11, 1-13

Abstract: Research question: How significant is the impact of dysmenorrhea on work productivity and quality of life (QoL) among Japanese women?. Methods: This large-scale cross-sectional study was conducted using a web-based self-report questionnaire administered via a smartphone application (LunaLuna). The Work Productivity and Activity Impairment Questionnaire: General Health (WPAI-GH) and the SF-36v2 health survey were used to assess work productivity and health-related QoL, respectively. Work productivity and health-related QoL were compared between the severe and non-severe groups as defined by the dysmenorrhea score, which assesses the severity of menstrual pain, its impact on daily activities, and medication use. A multiple regression analysis was performed to estimate the magnitude of the effect of dysmenorrhea on work productivity and health-related QoL after adjusting for confounding factors. Results: In total, 2,555 women were included in the analysis. Among them, 2064 women completed the dysmenorrhea score questionnaire, and 902 (43.7%) participants with a dysmenorrhea score of ≥3 were categorized as the severe group. The median overall work impairment was 16% higher in the severe dysmenorrhea group than in the non-severe dysmenorrhea group. In the multiple regression analysis, despite adjusting for confounding factors, the severity of dysmenorrhea remained a significant predictor of impaired absenteeism; presenteeism; overall work impairment; activity impairment; and reduced physical, mental, and social QoL. Additionally, low annual household income (

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0329154

DOI: 10.1371/journal.pone.0329154

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