Table 2 Bivariate association between sample characteristics and wellbeing (WHO-5) and Menstrual academic disruption (MAD) among adolescent girls in Palestine refugee camps (N = 2657)

Dysmenorrhea

No

98

71.4

ref

98

0.0

ref

Mild

458

65.0

-6.4

0.019

458

0.5

0.4

0.148

Moderate

1006

60.5

-11.0

< 0.001

1,006

2.3

2.3

< 0.001

Severe

1095

53.2

-18.2

< 0.001

1,095

5.3

5.2

< 0.001

Age (years)

15

851

61.5

ref

851

2.7

ref

16

674

59.1

-2.5

0.058

674

3.2

0.6

0.001

17

668

56.4

-5.1

< 0.001

668

3.3

0.7

< 0.001

18

464

56.0

-5.5

< 0.001

464

3.5

0.8

< 0.001

Country

West Bank

1329

59.5

ref

1,329

2.9

ref

Jordan

1328

57.8

-1.7

0.081

1,328

3.3

0.4

0.003

Type of camp community

Urban

1939

58.0

ref

1,939

3.3

ref

Rural

620

62.1

4.1

< 0.001

620

2.5

-0.8

< 0.001

Bedouin

98

50.2

-7.7

0.003

98

3.4

0.1

0.873

Standard of living score

Low STL 1–30

995

53.5

ref

995

3.7

ref

Middle STL 31–60

1348

61.4

7.9

< 0.001

1,348

3.0

-0.5

0.001

High STL 61–100

314

63.3

9.8

< 0.001

314

2.6

-0.9

< 0.001

Reported economic status

Bad to very bad

329

45.9

ref

329

3.7

ref

Fair

1350

57.6

11.7

< 0.001

1,350

3.7

-0.4

0.055

Good to very good

978

64.4

18.4

< 0.001

978

3.3

-1.0

< 0.001

Dietary adequacy

Adequate

1678

60.0

ref

1,678

3.0

ref

Inadequate

979

56.3

-3.8

< 0.001

979

3.4

0.4

0.001

Skipping breakfast

Never

790

62.4

ref

790

2.7

ref

Rarely

537

60.4

-2.0

0.154

537

3.3

0.6

0.001

Sometimes

313

62.0

-0.4

0.809

313

3.3

0.6

0.01

Always

1009

53.8

-8.6

< 0.001

1,009

3.3

0.6

< 0.001

Number of days of being physically active for more than an hour/day

0 days

177

49.6

ref

177

3.6

ref

1–5 days per week

1598

56.4

6.8

0.001

1,598

3.3

-0.4

0.172

6–7 days per week

882

64.6

15.0

< 0.001

882

2.7

-0.9

0.001

Number of bleeding days

Regular

2496

58.8

ref

2,496

3.1

ref

Short

40

62.2

3.4

0.399

40

3.6

0.5

0.348

Long

114

53.5

-5.3

0.028

117

3.9

0.8

0.01

Heaviness of bleeding

(Blood leaks through clothes)

No, never

1627

59.9

ref

1,627

2.7

ref

Yes, rarely

423

55.7

-4.2

0.002

423

3.2

0.5

0.002

Yes, sometimes

437

57.4

-2.5

0.063

437

3.8

1.1

< 0.001

Yes, most of the time or always

165

56.4

-3.5

0.088

165

5.0

2.3

< 0.001