Schoolgirls' experience and appraisal of menstrual absorbents in rural Uganda: a cross-sectional evaluation of reusable sanitary pads.
Schoolgirls' experience and appraisal of menstrual absorbents in rural Uganda: a cross-sectional evaluation of reusable sanitary pads.
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DOI：
10.1186/s12978-016-0260-7
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发表时间：
2016-12-07
影响因子：
3.4
通讯作者：
Montgomery P
中科院分区：
文献类型：
--
作者：
Hennegan J;Dolan C;Wu M;Scott L;Montgomery P
各国政府、跨国组织和慈善机构已开始分发卫生产品，以解决目前女孩月经管理方面的不足。进行的为数不多的有效性研究侧重于健康和教育成果，但未能对女孩的偏好、吸收者的经历和舒适度进行量化评估。研究的目的是，首先，定量描述女孩的经验，并评级的可靠性和可接受性的不同月经吸收剂。第二，比较免费提供的可重复使用的护垫（AFRIpads）与其他现有的月经管理方法的评分。最后，根据月经吸收剂评估月经期间自我报告的活动自由度的差异。对可重复使用卫生垫和青春期教育提供的对照试验的最终调查数据进行了横断面、二级分析。参与者是来自乌干达农村八所学校的205名在校女生。将72名报告使用干预提供的可重复使用垫的女孩与使用现有临时方法（主要是新布或旧布）的女孩进行比较。使用可重复使用的垫的女学生提供了显着更高的收视率的感知吸收可靠性的活动，更少的困难，改变吸收剂，和清洁吸收剂的厌恶。在末次月经期间，外衣弄脏（OR 1.00 95%CI 0.51-1.99）或气味（0.84 95%CI 0.40-1.74）的报告无显著差异。当女孩们被问及月经是否会导致她们错过日常活动时，使用可重复使用的护垫和使用其他现有方法的女孩之间没有差异。然而，当被问及月经期间避免的活动时，那些使用可重复使用的护垫的人较少参加体育运动，在野外工作，取水和烹饪。可重复使用的护垫得到好评。这转化为自我报告参与日常活动的一些好处，尽管由于月经而实际弄脏和缺少活动的报告没有差异。需要更多的研究来比较月经吸收剂对女孩日常活动的影响，并验证月经管理研究的结果。本文的在线版本（doi：10.1186/s12978-016-0260-7）包含补充材料，可供授权用户使用。
Governments, multinational organisations, and charities have commenced the distribution of sanitary products to address current deficits in girls’ menstrual management. The few effectiveness studies conducted have focused on health and education outcomes but have failed to provide quantitative assessment of girls’ preferences, experiences of absorbents, and comfort. Objectives of the study were, first, to quantitatively describe girls’ experiences with, and ratings of reliability and acceptability of different menstrual absorbents. Second, to compare ratings of freely-provided reusable pads (AFRIpads) to other existing methods of menstrual management. Finally, to assess differences in self-reported freedom of activity during menses according to menstrual absorbent. Cross-sectional, secondary analysis of data from the final survey of a controlled trial of reusable sanitary padand puberty education provision was undertaken. Participants were 205 menstruating schoolgirls from eight schools in rural Uganda. 72 girls who reported using the intervention-provided reusable pads were compared to those using existing improvised methods (predominately new or old cloth). Schoolgirls using reusable pads provided significantly higher ratings of perceived absorbent reliability across activities, less difficulties changing absorbents, and less disgust with cleaning absorbents. There were no significant differences in reports of outside garment soiling (OR 1.00 95%CI 0.51–1.99), or odour (0.84 95%CI 0.40–1.74) during the last menstrual period. When girls were asked if menstruation caused them to miss daily activities there were no differences between those using reusable pads and those using other existing methods. However, when asked about activities avoided during menstruation, those using reusable pads participated less in physical sports, working in the field, fetching water, and cooking. Reusable pads were rated favourably. This translated into some benefits for self-reported involvement in daily activities, although reports of actual soiling and missing activities due to menstruation did not differ. More research is needed comparing the impact of menstrual absorbents on girls’ daily activities, and validating outcome measures for menstrual management research. The online version of this article (doi:10.1186/s12978-016-0260-7) contains supplementary material, which is available to authorized users.
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影响因子：
3.7
作者：
Montgomery P;Hennegan J;Dolan C;Wu M;Steinfield L;Scott L
通讯作者：
Scott L
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：
--
作者：
Deepa Joshi, Deepa Joshi;Buit, G.;Joshi, D.
通讯作者：
Joshi, D.
影响因子：
6.2
作者：
Oster, Emily;Thornton, Rebecca
通讯作者：
Thornton, Rebecca
影响因子：
1.4
作者：
Dolan, Catherine S.;Ryus, Caitlin R.;Scott, Linda
通讯作者：
Scott, Linda