Menstrual hygiene management practices and associated health outcomes among school-going adolescents in rural Gambia.
Menstrual hygiene management practices and associated health outcomes among school-going adolescents in rural Gambia.
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DOI：
10.1371/journal.pone.0247554
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Torondel B
中科院分区：
文献类型：
--
作者：
Nabwera HM;Shah V;Neville R;Sosseh F;Saidykhan M;Faal F;Sonko B;Keita O;Schmidt WP;Torondel B
经期卫生管理 (MHM) 措施不足与不良健康结果有关。本研究旨在描述冈比亚农村女学生的 MHM 实践，并评估与泌尿生殖感染和抑郁症状相关的危险因素。对冈比亚农村地区十三所学校的青春期女学生进行了一项横断面研究。使用问卷收集有关社会人口统计、MHM 实践以及生殖和尿路感染 (UTI) 临床症状的信息。改良的贝克抑郁量表-II 用于筛查抑郁症状。收集中流尿液样本以评估尿路感染。采用改良泊松回归分析来确定青春期女孩泌尿生殖道感染和抑郁症状的危险因素。招募了三百五十八名女孩。尽管 63% 的女孩就读的学校提供免费的一次性卫生巾，但可重复使用的布/毛巾是最常用的吸收材料。月经过多与抑郁症状（调整后患病率，aPR 1.4 [95% CI 1.0, 1.9]）、极度经痛（aPR 1.3 [95% CI 1.2, 1,4]）、在学校使用卫生巾（aPR 1.4 [95% CI 1.2, 1.5]）以及在学校获得功能性水源较少（aPR 1.4 [95% CI 1.3， 1.6]）与尿路感染症状相关。相反，学校厕所的隐私（aPR 0.6 [95% CI 0.5, 0.7]）对尿路感染症状有保护作用。大量月经出血 (aPR 1.4 [95% CI 1.1, 2.0]) 和在家取水需要不到 30 分钟与 RTI 症状相关 (aPR 1.2 [95% CI 1.0, 1.5])，而学校厕所内有肥皂 (aPR 0.6 [95% CI 0.5, 0.8]) 对 RTI 症状有保护作用。确保女学生能够获得肥皂的干预措施私人卫生设施，提供水和 在学校和家里使用肥皂可以减少尿路感染和呼吸道感染症状。还需要更多关注来支持患有月经大量出血和疼痛症状的女孩。
Inadequate menstrual hygiene management (MHM) practices have been associated with adverse health outcomes. This study aimed to describe MHM practices among schoolgirls from rural Gambia and assess risk factors associated with urogenital infections and depressive symptoms. A cross-sectional study was conducted among adolescent schoolgirls in thirteen schools in rural Gambia. A questionnaire was used to collect information on socio-demographics, MHM practices and clinical symptoms of reproductive and urinary tract infections (UTIs). A modified Beck Depression Inventory-II was used to screen for depressive symptoms. Mid-stream urine samples were collected to assess for UTIs. Modified Poisson regression analysis was used to determine risk factors for symptoms of urogenital infections and depression among adolescent girls. Three hundred and fifty-eight girls were recruited. Although, 63% of the girls attended schools providing free disposable pads, reusable cloths/towels were the commonest absorbent materials used. Heavy menstrual bleeding was associated with depressive symptoms (adjusted prevalence ratio, aPR 1.4 [95% CI 1.0, 1.9]), while extreme menstrual pain (aPR 1.3 [95% CI 1.2, 1,4]), accessing sanitary pads in school (aPR 1.4 [95% CI 1.2, 1.5]) and less access to functional water source at school (aPR 1.4 [95% CI 1.3, 1.6]) were associated with UTI symptoms. Conversely, privacy in school toilets (aPR 0.6 [95% CI 0.5, 0.7]) was protective for UTI symptoms. Heavy menstrual bleeding (aPR 1.4 [95% CI 1.1, 2.0]) and taking <30 minutes to collect water at home were associated with RTI symptoms (aPR 1.2 [95% CI 1.0, 1.5]) while availability of soap in school toilets (aPR 0.6 [95% CI 0.5, 0.8] was protective for RTI symptoms. Interventions to ensure that schoolgirls have access to private sanitation facilities with water and soap both at school and at home could reduce UTI and RTI symptoms. More attention is also needed to support girls with heavy menstrual bleeding and pain symptoms.
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影响因子：
3.6
作者：
Kerubo E;Laserson KF;Otecko N;Odhiambo C;Mason L;Nyothach E;Oruko KO;Bauman A;Vulule J;Zeh C;Phillips-Howard PA
通讯作者：
Phillips-Howard PA
影响因子：
2.9
作者：
Hennegan J;Dolan C;Wu M;Scott L;Montgomery P
通讯作者：
Montgomery P
DOI：
10.3390/ijerph15081682
发表时间：
2018-08-07
影响因子：
--
作者：
Alexander KT;Zulaika G;Nyothach E;Oduor C;Mason L;Obor D;Eleveld A;Laserson KF;Phillips-Howard PA
通讯作者：
Phillips-Howard PA
影响因子：
4.4
作者：
Coleman, Rosalind;Morison, Linda;Walraven, Gijs
通讯作者：
Walraven, Gijs
影响因子：
3.5
作者：
Filmer, D;Pritchett, LH
通讯作者：
Pritchett, LH