Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study.
Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): a feasibility study.
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DOI：
10.1186/s12905-017-0502-z
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发表时间：
2018-01-03
期刊：
影响因子：
--
通讯作者：
Weiss HA
中科院分区：
文献类型：
--
作者：
Miiro G;Rutakumwa R;Nakiyingi-Miiro J;Nakuya K;Musoke S;Namakula J;Francis S;Torondel B;Gibson LJ;Ross DA;Weiss HA
月经的管理可能对低收入环境中的女孩构成重大挑战。在准备月经卫生干预，以减少缺课在乌干达，本研究的目的是调查月经管理的做法，障碍和便利，以及月经对缺课的中学生在乌干达的城郊地区的影响。在乌干达恩德培分区的四所中学中，对同意的14-17岁女孩和男孩进行了定性和定量研究。方法包括与学生的小组和深入访谈，定量横断面问卷，前瞻性自我完成的月经日记，与政策制定者的主要知情人访谈，以及对学校供水，卫生和个人卫生设施的观察。多元逻辑回归分析被用来评估与最近月经期间缺课相关的因素。在定性访谈中，女孩们报告说，她们因月经而感到非常尴尬和害怕被取笑，并说这一点，加上月经疼痛和缺乏有效的经期卫生管理材料，导致她们旷课。所有受访的决策者都报告说，贫穷和月经是与入学率相关的关键因素。有问卷数据的352名女孩的中位年龄为16岁（四分位距（IQR）= 15，16），初潮时的中位年龄为13岁（IQR = 13，14）。其中，64名女孩（18.7%）报告说，在最近一段时间里，她们的衣服被弄脏了，69名女孩（19.7%）报告说，她们至少有一天没有上学。在最近一段时间内缺课与身体症状（头痛（比值比（OR）= 2.15，95%CI：1.20，3.86），胃痛（OR = 1.89，95%CI：0.89，4.04），背痛（OR = 1.75，95%CI：0.97，3.14），以及每24小时更换4次或更多次保护措施（OR = 2.08，95%CI：1.06，4.10）相关。在40名女孩的日记子研究中，28%的月经日报告缺课，而非月经日为7%（调整后的比值比= 5.99，95%CI：4.4，8.2; p < 0.001）。在这个乌干达城郊人口中，月经与上学率密切相关。需要对月经管理干预措施进行评价，这些干预措施既涉及月经的心理社会方面（如自信心、态度），也涉及生理方面（如疼痛管理、使用适当的月经卫生材料、改善水和卫生设施）。
Management of menstruation can present substantial challenges to girls in low-income settings. In preparation for a menstrual hygiene intervention to reduce school absenteeism in Uganda, this study aimed to investigate menstruation management practices, barriers and facilitators, and the influence of menstruation on school absenteeism among secondary school students in a peri-urban district of Uganda. Qualitative and quantitative studies were conducted among consenting girls and boys aged 14–17 years in four secondary schools in Entebbe sub-District, Uganda. Methods included group and in-depth interviews with students, a quantitative cross-sectional questionnaire, a prospectively self-completed menstrual diary, key informant interviews with policy makers, and observations of school water, sanitation and hygiene facilities. Multiple logistic regression was used to assess factors associated with school absenteeism during the most recent menstrual period. Girls reported substantial embarrassment and fear of teasing related to menstruation in the qualitative interviews, and said that this, together with menstrual pain and lack of effective materials for menstrual hygiene management, led to school absenteeism. All policy makers interviewed reported poverty and menstruation as the key factors associated with school attendance. The 352 girls with questionnaire data had a median age of 16 (inter-quartile range (IQR) = 15,16) years, with median age at menarche of 13 (IQR = 13,14) years. Of these, 64 girls (18.7%) reported having stained their clothes and 69 (19.7%) reported missing at least 1 day of school, during their most recent period. Missing school during the most recent period was associated with physical symptoms (headache (odds ratio (OR) = 2.15, 95%CI:1.20, 3.86), stomach pain (OR = 1.89, 95%CI:0.89, 4.04), back pain (OR = 1.75, 95%CI:0.97, 3.14), and with changing protection 4 or more times per 24 h period (OR = 2.08, 95%CI:1.06, 4.10). In the diary sub-study among 40 girls, school absence was reported on 28% of period-days, compared with 7% of non-period days (adjusted odds ratio = 5.99, 95%CI:4.4, 8.2; p < 0.001). In this peri-urban Ugandan population, menstruation was strongly associated with school attendance. Evaluation of a menstrual management intervention that address both psychosocial (e.g. self-confidence, attitudes) and physical (e.g. management of pain, use of adequate menstrual hygiene materials, improved water and sanitation facilities) aspects of menstruation are needed.
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基于社区的参与性研究：从儿童环境健康和疾病预防研究中心汲取的教训。
影响因子：
10.4
作者：
Israel, Barbara A;Parker, Edith A;Rowe, Zachary;Salvatore, Alicia;Minkler, Meredith;Lopez, Jesus;Butz, Arlene;Mosley, Adrian;Coates, Lucretia;Lambert, George;Potito, Paul A;Brenner, Barbara;Rivera, Maribel;Romero, Harry;Thompson, Beti;Coronado, Gloria;Halstead, Sandy
通讯作者：
Halstead, Sandy
影响因子：
3.7
作者：
Miiro G;DeCelles J;Rutakumwa R;Nakiyingi-Miiro J;Muzira P;Ssembajjwe W;Musoke S;Gibson LJ;Hershow RB;Francis S;Torondel B;Ross DA;Weiss HA;MENISCUS project
通讯作者：
MENISCUS project
影响因子：
3.4
作者：
Hennegan J;Dolan C;Steinfield L;Montgomery P
通讯作者：
Montgomery P
DOI：
10.2166/washdev.2012.067
发表时间：
2012-03-01
影响因子：
1.7
作者：
Crofts, Tracey;Fisher, Julie
通讯作者：
Fisher, Julie
影响因子：
6.2
作者：
Oster, Emily;Thornton, Rebecca
通讯作者：
Thornton, Rebecca