<![CDATA[Background: All women menstruate every month. There are some disorders suffered by women associated with menstruation, dysmenorrhea is among them. It interferes the women activities, even often requires the sufferers to take a rest and leave classes. The research was purposed to analyze the factors associated with dysmenorrhea.Subjects and Method: This research is an analytical research with cross-sectional approach. The research was conducted on February 23 to March 23, 2016 at Senior High School of Pare, Kediri district. The population study were 452 senior high school students in the Pare who had dysmenorrhea. The samples of research were 198 students by using proportional random sampling technique. The technique for collecting the data was questionnaires. The data were analyzed using path analysis of IBM SPSS AMOS 22.Results: The results showed that the fit model with CMIN = 0.77 (p= 0258); GFI= 0.99; NFI= 0.95; CFI= 0.99; RMSEA= 0.038. The five variables were associated by dysmenorrhea obtained three variables associated indirectly with dysmenorrheal, i.e. physical activity/exercise, BMI and family support and two variables associated with dysmenorrheal directly, i.e. psychological stress (b= 0:36; p <0.001) and the coping mechanisms (b= -0.39; p= 0.002). Obtained of relationships, i.e; family support with coping mechanisms (b= 0:31; p= 0.008); coping mechanisms with psychological stress (b= - 0:13; p= 0.007); BMI with psychological stress (b= -0.43; p= 0.025).Conclusion: Dysmenorrhea is directly related to coping mechanisms and psychological stress. Physical activity / exercise, BMI and family support are related indirectly. It is expected to improve the coping mechanisms and family support so that the sufferers can avoid the stress that can reduce the occurrence of dysmenorrhea. It is expected to improve the coping mechanisms and family support so the sufferers can avoid the stress that can reduce the occurrence of dysmenorrhea.Keywords: path analysis, dysmenorrhea, coping mechanisms, psychological stressCorrespondence:ÃÂ Dwi Ertiana. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal of Medicine (2016), 1 (2): 136-145https://doi.org/10.26911/theijmed.2016.01.02.08]]>
