Table 1. List of Items Used in the Questionnaire Survey.

From: Survey on the Awareness of Menstruation and Menstruation-Related Problems in Athletes among Public High School Physical Education Teachers

Questionnaire Answer
Information on respondents
 Sex Male/Female
 Age Years old
 Club activities you are leading Male/Female, Free to write
 Coaching history Years
 Athletic experience in the club you are coaching Yes/No
 Other athletic experience Yes/No
Questions
 Q1: Have you ever talked about menstrual status or physical condition? Yes/No
 Q2: Do you understand the athlete's menstrual cycle and menstrual symptoms? Yes/No
 Q3: Is it used for practice planning and conditioning? Yes/No
 Q4: What do you do if a player complains of poor health? Reduce practice/Another menu/Let the practice rest/ Let the person choose
 Q5: What are your thoughts on the use of analgesics for menstrual cramps? Actively use/Better to use/Don’t use/Other
Free description of the reason
 Q6: What are your thoughts on athletes with menstrual problems moving their menstruation for games? Actively use/ Unavoidable/Don’t use
Free description of the reason
 Q7: Do you know that the menstrual cycle changes your physical condition and performance? Know/Do not know
 Q8: Do you know about premenstrual syndrome, a condition that makes you feel sick during the period before the start of menstruation? Know/Do not know
 Q9: Do you know that weight loss can lead to amenorrhea? Know/Do not know
 Q10: Do you know that menstruation stopped for a long period of time is a problem? Know/Do not know
 Q11: Do you know that there is a relationship between stopped menstruation and osteoporosis? Know/Do not know
 Q12: Do you know what is the Female Athlete Triad? Know/Do not know
Table 2. Characteristics of Study Participants (n = 221).

From: Survey on the Awareness of Menstruation and Menstruation-Related Problems in Athletes among Public High School Physical Education Teachers

Characteristics Total sample (n = 221) Group 1 (n = 72) Group 2 (n = 110) Group 3 (n =39 ) p-value
Age (years), mean±SD 40.6 ± 11.0 39.8 ± 10.0 42.5 ± 11.5 37.1 ± 11.0 0.02
Years of instruction, mean±SD 12.9 ± 11.1 13.0 ± 10.1 14.5 ± 12.1 8.1 ± 8.6 0.002
Type of sport, n (%)
Athletics 34 (15.4) 1 (1.4) 28 (25.5) 5 (12.8)
Baseball 31 (14.0) 31 (43.1) 0 (0) 0 (0)
Basketball 26 (11.8) 6 (8.3) 12 (10.9) 8 (20.5)
Kendo 17 (7.7) 1 (1.4) 16 (14.5) 0 (0)
Volleyball 16 (7.2) 4 (5.5) 7 (6.4) 5 (12.8)
Badminton 12 (5.4) 1 (1.4) 7 (6.4) 4 (10.3)
Football 11 (5.0) 10 (13.9) 1 (0.9) 0 (0)
Others 74 (33.5) 18 (25.0) 39 (35.4) 17 (43.6)
Table 3. Response to Athletes’ Menstruation.

From: Survey on the Awareness of Menstruation and Menstruation-Related Problems in Athletes among Public High School Physical Education Teachers

Q1: Have you ever talked about menstrual status or physical condition? n (%)
  Group 2 (n = 110) Group 3 (n = 39)
Yes 68 (61.8) 37 (94.9) p = 0.000035
No 42 (38.2) 2 (5.1)
No response 0 (0) 0 (0)
Q2: Do you understand the athlete's menstrual cycle and menstrual symptoms? n (%)
  Group 2 (n = 110) Group 3 (n = 39)
Grasp everyone 0 (0) 0 (0) p = 0.041
Partially grasped 26 (23.6) 10 (25.7)
Inferred from the state of the players 48 (43.7) 24 (61.5)
Do not know 36 (32.7) 5 (12.8)
No response 0 (0) 0 (0)
Q3: Is it used for practice planning and conditioning? n (%)
  Group 2 (n = 110) Group 3 (n = 39)
Yes 26 (23.6) 8 (20.5) p = 0.82
No 58 (52.7) 21 (53.9)
No response 26 (23.6) 10 (25.6)
Q4: What do you do if a player complains of poor health? n (%)*
  Group 2 (n = 117) Group 3 (n = 42)
Reduce practice 5 (4.2) 2 (4.7) p = 0.32
Another menu 15 (12.5) 3 (7.0)
Let the person rest 52 (43.3) 15 (34.9)
Let the person choose 45 (37.5) 22 (51.1)
No response 0 (0) 0 (0)
Table 4. Menstruation-Related Knowledge.

From: Survey on the Awareness of Menstruation and Menstruation-Related Problems in Athletes among Public High School Physical Education Teachers

Q5: About the use of painkillers n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Actively use 5 (6.9) 7 (6.4) 7 (18.0) p = 0.17
Better to use 49 (68.1) 72 (65.5) 27 (69.2)
Don’t use 4 (5.6) 2 (1.8) 0 (0)
Other 11 (15.3) 26 (23.6) 5 (12.8)
No response 3 (4.1) 3 (2.7) 0 (0)
Q6: About menstrual movement n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Actively use 9 (12.5) 22 (20.0) 5 (12.8) p = 0.28
Unavoidable 55 (76.4) 75 (68.2) 33 (84.6)
Don’t use 7 (9.7) 12 (10.9) 1 (2.6)
No response 1 (1.4) 1 (0.9) 0 (0)
Q7: Changes in physical condition due to the menstrual cycle n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Know 63 (87.5) 101 (91.8) 39 (100) p = 0.081
Not known 8 (11.1) 9 (8.2) 0 (0)
No response 1 (1.4) 0 (0) 0 (0)
Q8: Premenstrual syndrome n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Known 48 (66.7) 77 (70.0) 36 (92.3) p = 0.0074
Not known 22 (30.5) 33 (30.0) 3 (7.7)
No response 2 (2.8) 0 (0) 0 (0)
Q9: Weight loss amenorrhea n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Know 55 (76.4) 91 (82.7) 37 (94.9) p = 0.052
Not known 16 (22.2) 37 (94.9) 2 (5.1)
No response 1 (1.4) 0 (0) 0 (0)
Q10: Long-term amenorrhea is a problem n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Know 69 (95.8) 108 (98.2) 39 (100) p = 0.66
Not known 2 (2.8) 2 (1.8) 0 (0)
No response 1 (1.4) 0 (0) 0 (0)
Q11: Relationship between amenorrhea and osteoporosis n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Know 33 (45.8) 64 (58.2) 28 (71.8) p = 0.034
Not known 38 (52.8) 46 (41.8) 11 (28.2)
No response 1 (1.4) 0 (0) 0 (0)
Q12: About female athlete triad n (%)
  Group 1 (n = 72) Group 2 (n = 110) Group 3 (n = 39)
Know 9 (12.5) 27 (24.5) 17 (43.6) p = 0.0017
Not known 59 (81.9) 82 (74.6) 21 (53.8)
No response 4 (5.6) 1 (0.9) 1 (2.6)
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