Effects of Menstrual Health and Hygiene on School Absenteeism and Drop-Out among Adolescent Girls in Rural Gambia.
Effects of Menstrual Health and Hygiene on School Absenteeism and Drop-Out among Adolescent Girls in Rural Gambia.
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DOI：
10.3390/ijerph19063337
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发表时间：
2022-03-11
影响因子：
--
通讯作者：
Torondel B
中科院分区：
文献类型：
--
作者：
Shah V;Nabwera H;Sonko B;Bajo F;Faal F;Saidykhan M;Jallow Y;Keita O;Schmidt WP;Torondel B
对月经的知识和管理不足影响了女孩的上学和学习成绩。本文旨在探讨如何月经卫生管理的做法和相关因素的影响，在冈比亚农村中小学女生旷课和辍学。从2015年7月至2017年12月，在19所学校的学生和主要知情人中进行了混合方法研究。焦点小组讨论，深入访谈，横断面调查，月经日记，和学校的水，环境卫生和个人卫生（WASH）设施的观察。访谈的主要结果是，月经疼痛、文化信仰、害怕同龄人知道月经状况以及学校饮水、环卫和讲卫生设施差导致缺课，但对辍学没有影响。在接受调查的561名女孩中，27%的人报告说，由于月经，每月至少有一天没有上学。最近一次月经期间缺课与月经痛密切相关（极端疼痛调整的比值比（AOR）= 16.8（95%CI：7.29-38.74）），至少有一种提示尿路感染的症状（AOR = 1.71（95% CI：1.16-2.52））或生殖道感染（AOR = 1.99（95% CI：1.34-2.94））。干净的厕所（AOR = 0.44（95% CI：0.26-75）），在厕所时使用学校厕所（AOR = 0.59（95% CI：0.37-0.93））和肥皂可用性（AOR = 0.46（95% CI：0.3-0.73））与学校缺勤率降低有关。这项研究表明，月经疼痛，学校WASH设施，泌尿生殖器感染和文化信仰影响了冈比亚农村贫困女孩的入学率。
Poor knowledge and management of menstruation impacts girls’ school attendance and academic performance. This paper aims to explore how menstrual hygiene management practices and related factors influence school absenteeism and drop-out among primary and secondary school girls in rural Gambia. Mixed-method studies were conducted among students and key informants from 19 schools from July 2015–December 2017. Focus group discussions, in-depth interviews, cross-sectional surveys, menstrual diaries, and school water, sanitation and hygiene (WASH) facility observations were used. Key findings from the interviews were that menstrual pain, cultural beliefs, fear of peers knowing menstrual status, and poor school WASH facilities led to school absenteeism, however, they had no impact on school drop-out. Of the 561 girls surveyed, 27% reported missing at least one school day per month due to menses. Missing school during the most recent menstrual period was strongly associated with menstrual pain (extreme pain adjusted odds ratio (AOR) = 16.8 (95% CI: 7.29–38.74)), as was having at least one symptom suggestive of urinary tract infection (AOR = 1.71 (95% CI: 1.16–2.52)) or reproductive tract infection (AOR = 1.99 (95% CI: 1.34–2.94)). Clean toilets (AOR = 0.44 (95% CI: 0.26–75)), being happy using school latrines while menstruating (AOR = 0.59 (95% CI: 0.37–0.93)), and soap availability (AOR = 0.46 (95% CI: 0.3–0.73)) were associated with reduced odds of school absenteeism. This study suggests menstrual pain, school WASH facilities, urogenital infections, and cultural beliefs affected school attendance among menstruating girls in rural Gambia.
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影响因子：
2.9
作者：
Hennegan J;Dolan C;Wu M;Scott L;Montgomery P
通讯作者：
Montgomery P
影响因子：
2.9
作者：
Alam, Mahbub-Ul;Luby, Stephen P.;Unicomb, Leanne
通讯作者：
Unicomb, Leanne
影响因子：
3.4
作者：
Hennegan J;Dolan C;Steinfield L;Montgomery P
通讯作者：
Montgomery P
影响因子：
--
作者：
El-Gilany, AH;Badawi, K;El-Fedawy, S
通讯作者：
El-Fedawy, S
影响因子：
3.8
作者：
Elo, Satu;Kyngaes, Helvi
通讯作者：
Kyngaes, Helvi