<![CDATA[Dysmenorrhea, the most commonly experienced menstrual disorder, with a prevalence of 73.27%. There are mild, moderate and severe degrees of dysmenorrhea pain. In Indonesia, the prevalence of dysmenorrhea is 54.89%. Primary dysmenorrhea is menstrual pain without pathology. The study aimed to determine the relationship between sleep quality, nutritional status, and stress level with the degree of primary dysmenorrhea in class X adolescent girls at SMAN 7 Malang. Analytic observational study design, with cross sectional approach. The study population was 202 students of class X SMAN 7 Malang, with a sample of 74 respondents using simple random sampling. The research instruments were primary dysmenorrhea degree questionnaire using Numeric Rating Scale, sleep quality questionnaire using Pitssburgh Sleep Quality Index, stress level questionnaire using Perceived Stress Scale (PSS-10), and measurement of nutritional status using IMT/U calculation. The results of bivariate analysis of the Spearman Rho test, it was found that there was no relationship between sleep quality variables (p = 0.390), nutritional status (p = 0.441), and nutritional status (0.689) with the degree of primary dysmenorrhea.]]>
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