Knowledge and awareness of polycystic ovarian syndrome and Its determinants among undergraduates aged 18–45 at the Maldives National University

Abstract

Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder affecting 1 in 7 women of reproductive age. Despite its prevalence, there is a notable lack of knowledge about PCOS globally, underscoring the need for greater awareness to support informed decision-making. This study aimed to evaluate the knowledge and awareness of PCOS and its determinants among undergraduates aged 18-45 at the Maldives National University (MNU). A descriptive cross-sectional survey was conducted among students, with 305 participants responding to the survey, achieving an 85% response rate. Stratified probability sampling was employed to recruit eligible participants. Data were collected via Google Forms from May to August 2024. Participants were predominantly aged 18-24 (56.4%), with females comprising 72.9% of respondents. Among female participants, 33.9% had been medically diagnosed with PCOS, while 78% knew someone with the condition. Social media (65.4%) and healthcare professionals (64.9%) were the primary sources of information. Recognised symptoms included irregular periods (95.4%), while family history (83.0%) was the most commonly identified risk factor. Stress (92.8%) and infertility (88.5%) were highlighted as significant psychological impacts and long-term complications, respectively. Blood tests (80.3%) and medical history (78.3%) were frequently cited diagnostic tools, while exercise (91.8%) and a balanced diet (88.9%) were emphasised as key treatment strategies. Knowledge was highest for symptoms (67.8%) and lowest for risk factors (58.7%) and long-term complications (50.7%). Significant associations were found between PCOS awareness and both field of study and marital status (p<0.001), while age (p=0.806) and educational status (p=0.76) showed no significant impact. With an overall knowledge score of 62.3%, the findings indicate a moderate yet insufficient understanding of PCOS among MNU undergraduates, highlighting the need for targeted educational interventions.