Understanding of Menstruation on Anxiety in Facing Menarche Among 4th–6th Grade Students at SDN Tebon, Barat District, Magetan Regency
DOI:
https://doi.org/10.71435/738224Keywords:
Anxiety, Elementary School Students, Knowledge, Menarche, MenstruationAbstract
Menarche is a major developmental event for girls because it marks the beginning of reproductive maturity and requires both physical and psychological adjustment. Limited knowledge about menstruation may cause fear, confusion, and anxiety, especially among elementary school students who have not yet experienced their first menstruation. This study aimed to determine the relationship between knowledge about menstruation and anxiety in facing menarche among female students in grades 4 to 6 at SDN Tebon, Barat District, Magetan Regency. This study used a quantitative correlational design with an analytical survey and a cross-sectional approach. The sample consisted of 32 female students who had not experienced menarche and met the study criteria. Data were collected using a menstruation knowledge questionnaire and the Zung Self-Rating Anxiety Scale. Data were analyzed using descriptive statistics and the Spearman Rank correlation test with a significance level of 0.05. The results showed that most respondents had moderate knowledge about menstruation, accounting for 14 students or 43.8%. Anxiety in facing menarche was mostly in the moderate category, with 12 students or 37.5%. The Spearman Rank test showed a significant relationship between knowledge about menstruation and anxiety in facing menarche, with a p-value of <0.001 and a correlation coefficient of 0.873. These findings indicate a very strong relationship, where better menstrual knowledge is associated with lower anxiety. The study concludes that early menstrual education is needed at the elementary school level to improve readiness, reduce fear, and support girls in facing menarche more confidently.
References
Afriani, S., & Fitriani, E. (2019). Tingkat pengetahuan remaja putri tentang menarche di SMP Negeri 3 Lembah Melintang. Jurnal Kesehatan Masyarakat, 7(2), 113–120.
Agustina, R., & Prasetyowati, A. (2020). Hubungan pengetahuan dengan sikap remaja putri dalam menghadapi menarche. Jurnal Kebidanan, 8(1), 1–8.
Ariyanti, A. R. (2021). Pendidikan kesehatan reproduksi. Deepublish.
Atikah, & Siti. (2020). Menarche dan perubahan remaja perempuan. Penerbit Kesehatan Remaja.
Baker, J., Smith, A., & Lee, C. (2020). The psychological and physical impacts of menarche in adolescents. Journal of Adolescent Health, 66(2), 123–130. https://doi.org/10.1016/j.jadohealth.2020.01.012
Bjorklund, D. F. (2022). Children’s evolved learning abilities and their implications for education. Educational Psychology Review, 34(4), 2243-2273. https://doi.org/10.1007/s10648-022-09688-z
Bunga, S., & Zela, T. (2022). Dampak psikologis menarche terhadap remaja. Jurnal Psikologi Remaja, 14(1), 45–55.
Departemen Kesehatan RI. (2018). Profil kesehatan Indonesia tahun 2018. Kementerian Kesehatan Republik Indonesia.
Erickson, M., Thomas, H., & Nguyen, P. (2020). Developmental milestones of puberty: A global perspective. International Journal of Pediatrics and Adolescent Medicine, 7(3), 134–142. https://doi.org/10.1016/j.ijpam.2020.03.004
Esterley, M., Krach, L. E., Pederson, K., Tierney, S. C., Wandersee, N. G., Boyer, E. R., & Cerebral Palsy Research Network. (2026). Fall experiences of ambulatory children and adults with cerebral palsy: A qualitative study using thematic content analysis. Developmental Medicine & Child Neurology, 68(5), 673-680. https://doi.org/10.1111/dmcn.16474
Fitri, R. P., Syafriani, S., & Oktaviani, Y. (2025). The Role of Adolescent Health Services in Promoting Sexual Health in Indonesia. Journal of Health and Nutrition Research, 4(1), 301-309. https://doi.org/10.4103/jehp.jehp_318_25
Fitriani, S. (2020). Pengaruh pendidikan kesehatan terhadap kesiapan remaja menghadapi menarche. Jurnal Kebidanan dan Kesehatan Tradisional, 5(1), 24–30.
Gajalakshmi, G., & Meenakshi, S. (2024). Understanding the psycho-social problems of vulnerable adolescent girls and effect of intervention through life skill training. Journal of education and health promotion, 12, 429. https://doi.org/10.4103/jehp.jehp_612_23
Gao, Y., Wang, J., He, M., Jiang, R., Du, Y., & Chen, Q. (2025). Menarche education and emotional preparedness: A cross-sectional survey study of Chinese adolescent girls. Heliyon, 11(4). https://doi.org/10.1016/j.heliyon.2025.e42904
Ghandour, R., Hammoudeh, W., Giacaman, R., Holmboe-Ottesen, G., & Fjeld, H. E. (2022). Coming of age: a qualitative study of adolescent girls’ menstrual preparedness in Palestinian refugee camps in the West Bank and Jordan. Sexual and Reproductive Health Matters, 30(1), 2111793. https://doi.org/10.1080/26410397.2022.2111793
Gualtieri, S., & Finn, A. S. (2022). The sweet spot: When children’s developing abilities, brains, and knowledge make them better learners than adults. Perspectives on Psychological Science, 17(5), 1322-1338. https://doi.org/10.1177/17456916211045971
Harjana, N. P. A., Kowara, M., & Januraga, P. P. (2026). Knowledge, awareness, support networks, and service utilization of sexual and reproductive health and rights among Indonesian adolescents. Journal of Education and Health Promotion, 15(1), 33.
Hawari, D. (2019). Manajemen stres, cemas, dan depresi. Fakultas Kedokteran Universitas Indonesia.
Kementerian Kesehatan RI. (2019). Data kesehatan remaja Indonesia. Kementerian Kesehatan Republik Indonesia.
Larivière‐Bastien, D., Aubuchon, O., Blondin, A., Dupont, D., Libenstein, J., Séguin, F., ... & Beauchamp, M. H. (2022). Children's perspectives on friendships and socialization during the COVID‐19 pandemic: A qualitative approach. Child: care, health and development, 48(6), 1017-1030. https://doi.org/10.1111/cch.12998
Long, J. L., Haver, J., Mendoza, P., & Vargas Kotasek, S. M. (2022). The more you know, the less you stress: menstrual health literacy in schools reduces menstruation-related stress and increases self-efficacy for very young adolescent girls in Mexico. Frontiers in Global Women's Health, 3, 859797. https://doi.org/10.3389/fgwh.2022.859797
Long, J. L., Haver, J., Mendoza, P., & Vargas Kotasek, S. M. (2022). The more you know, the less you stress: menstrual health literacy in schools reduces menstruation-related stress and increases self-efficacy for very young adolescent girls in Mexico. Frontiers in Global Women's Health, 3, 859797. https://doi.org/10.3389/fgwh.2022.859797
Maharani, T., & Rahayu, D. (2017). Pengaruh pengetahuan terhadap kesiapan menstruasi pada remaja putri. Jurnal Ilmu Keperawatan, 6(2), 35–42.
Maqbool, R., Maqbool, M., Zehravi, M., & Ara, I. (2022). Menstrual distress in females of reproductive age: a literature review. International journal of adolescent medicine and health, 34(2), 11-17. https://doi.org/10.1515/ijamh-2021-0081
Mascia, M. L., Langiu, G., Bonfiglio, N. S., Penna, M. P., & Cataudella, S. (2023). Challenges of preadolescence in the school context: A systematic review of protective/risk factors and intervention programmes. Education Sciences, 13(2), 130. https://doi.org/10.3390/educsci13020130
Mataraarachchi, D., Buddhika Mahesh, P. K., Pathirana, T. E. A., Ariyadasa, G., Wijemanne, C., Gunatilake, I., ... & Vithana, P. V. S. C. (2023). Mother’s perceptions and concerns over sharing sexual and reproductive health information with their adolescent daughters-A qualitative study among mothers of adolescent girls aged 14–19 years in the developing world, Sri Lanka. BMC women's health, 23(1), 223. https://doi.org/10.1186/s12905-023-02369-1
Notoatmodjo, S. (2012). Promosi kesehatan dan perilaku kesehatan. Rineka Cipta.
Nurjanah, S. (2019). Kesiapan remaja menghadapi menarche ditinjau dari pengetahuan dan sumber informasi. Jurnal Ilmiah Kesehatan, 7(1), 45–51.
Piaget, J. (1972). The psychology of the child. Basic Books.
Proverawati, A., & Misaroh, S. (2020). Menarche: Menstruasi pertama penuh makna. Mulia Medika.
Rahmadani, S. A., & İstiqomah, İ. (2025). The relationship between menarche knowledge and anxiety of school-age children in facing pre-menarche. Psychology Research on Education and Social Sciences, 6(1), 21-30. https://doi.org/10.37899/journallamedihealtico.v7i1.3128
Sholicha, R. (2020). Faktor yang memengaruhi pengetahuan remaja tentang menarche. Jurnal Ilmu Keperawatan Indonesia, 8(1), 10–17.
Siti Nazarina. (2017). Hubungan antara pengetahuan mengenai menstruasi dengan kecemasan remaja dalam menghadapi menstruasi pertama (menarche) (Unpublished undergraduate thesis).
Srivastava, V. N., Kishore, J., & Srivastava, N. S. S. (2025). Emotions and Moods during Menstruation as Predictors of Adaptability, Resilience, and Mental Wellness of Young Women. Int. J. Preven. Curat. Comm. Med, 11(3&4), 3-4. https://doi.org/10.24321/2349.2880.2024010
Stuart, G. W., & Laraia, M. T. (2005). Principles and practice of psychiatric nursing (8th ed.). Mosby.
Sundari, T., George, A. J., & Sinu, E. (2022). Psychosocial problems of adolescent girls during menstruation. Journal of mental health education, 3(2), 47.
Tarwoto. (2003). Dasar-dasar ilmu keperawatan jiwa. Salemba Medika.
Tian, L., Huang, J., & Huebner, E. S. (2023). Profiles and transitions of cyberbullying perpetration and victimization from childhood to early adolescence: Multi-contextual risk and protective factors. Journal of youth and adolescence, 52(2), 434-448. https://doi.org/10.1007/s10964-022-01633-1
Varcarolis, E. M., & Halter, M. J. (2010). Foundations of psychiatric mental health nursing: A clinical approach (6th ed.). Saunders Elsevier.
Vasilenko, S. A., Lefkowitz, E. S., & Welsh, D. P. (2021). Puberty and psychosocial development in girls: Implications of early menarche. Developmental Review, 59, 100–115. https://doi.org/10.1016/j.dr.2020.100915
Vidya, R. (2018). Psikologi pendidikan: Teori dan implementasi dalam proses belajar mengajar. Deepublish.
Yanti, A., & Sari, M. (2016). Pengetahuan remaja tentang perubahan fisik saat menarche. Jurnal Keperawatan, 8(2), 56–63.
Zheng, H., Zhou, Y., Fu, L., Eli, B., Han, R., & Liu, Z. (2024). A latent transition analysis of aggression victimization patterns during the transition from primary to middle school. Journal of youth and adolescence, 53(7), 1564-1578. https://doi.org/10.1007/s10964-023-01931-2
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