"I stretch them out as long as possible:" U.S. women's experiences of menstrual product insecurity during the COVID-19 pandemic.
"I stretch them out as long as possible:" U.S. women's experiences of menstrual product insecurity during the COVID-19 pandemic.
复制标题
DOI：
10.1186/s12905-023-02333-z
复制
发表时间：
2023-04-15
影响因子：
2.5
通讯作者：
Sommer, Marni
中科院分区：
文献类型：
--
作者：
Schmitt, Margaret L.;Dimond, Katie;Maroko, Andrew R.;Phillips-Howard, Penelope A.;Gruer, Caitlin;Berry, Amanda;Nash, Denis;Kochhar, Shivani;Sommer, Marni
越来越多的证据凸显了COVID-19大流行如何加剧了美国的性别不平等。这导致妇女更容易受到经济不安全的影响，总体福祉下降。一个较少探讨的相关问题是妇女的月经健康经历，包括月经产品的不一致性如何可能对她们的日常生活产生负面影响。这项定性研究于2021年3月至5月进行，利用了嵌套在国家前瞻性队列研究中的深入访谈。访谈（n = 25）是对生活在美国各地的顺性别妇女进行的，这些妇女报告说，在大流行的第一年里，她们在获得产品方面遇到了困难。访谈旨在了解导致月经产品不安全的障碍以及相关的应对机制。Malterud的“系统文本浓缩”，一种归纳的主位分析方法，被用来分析定性成绩单。受访者来自美国17个不同的州，确定了三个关键主题：持续获得月经产品存在财务和物理障碍;应对月经产品不安全的一系列应对策略，包括依赖临时和质量较差的材料;以及与婚姻有关的焦虑和羞耻感的加剧，特别是关于由于月经泄漏保护不足而向他人披露她们的怀孕状况。解决月经产品不安全问题是确保所有月经患者都能满足最基本的月经健康需求的关键一步。减轻月经产品不安全影响的关键建议需要国家和州一级的政策改革，例如将月经产品纳入现有的安全网基本需求计划，并将月经产品重新定义为必需品。需要改善教育和宣传，以消除经期耻辱感。
A growing body of evidence highlights how the COVID-19 pandemic has exacerbated gender inequalities in the US. This resulted in women being more vulnerable to economic insecurity and decreases in their overall well-being. One relevant issue that has been less explored is that of women’s menstrual health experiences, including how inconsistent access to menstrual products may negatively impact their daily lives. This qualitative study, conducted from March through May 2021, utilized in-depth interviews that were nested within a national prospective cohort study. The interviews (n = 25) were conducted with a sub-sample of cis-gender women living across the US who had reported challenges accessing products during the first year of the pandemic. The interviews sought to understand the barriers that contributed to experiencing menstrual product insecurity, and related coping mechanisms. Malterud’s ‘systematic text condensation’, an inductive thematic analysis method, was utilized to analyze the qualitative transcripts. Respondents came from 17 different states across the U.S. Three key themes were identified: financial and physical barriers existed to consistent menstrual product access; a range of coping strategies in response to menstrual product insecurity, including dependence on makeshift and poorer quality materials; and heightened experiences of menstrual-related anxiety and shame, especially regarding the disclosure of their menstruating status to others as a result of inadequate menstrual leak protection. Addressing menstrual product insecurity is a critical step for ensuring that all people who menstruate can attain their most basic menstrual health needs. Key recommendations for mitigating the impact of menstrual product insecurity require national and state-level policy reform, such as the inclusion of menstrual products in existing safety net basic needs programs, and the reframing of menstrual products as essential items. Improved education and advocacy are needed to combat menstrual stigma.
登录
查看更多内容
影响因子：
1.6
作者：
Cooper, Spring Chenoa;Koch, Patricia Barthalow
通讯作者：
Koch, Patricia Barthalow
影响因子：
7.2
作者：
Kuhlmann, Anne Sebert;Bergquist, Eleanor Peters;Wall, L. Lewis
通讯作者：
Wall, L. Lewis
影响因子：
5.9
作者：
Niles, Meredith T.;Bertmann, Farryl;Neff, Roni
通讯作者：
Neff, Roni
影响因子：
5.4
作者：
Jackson, Theresa E.;Falmagne, Rachel Joffe
通讯作者：
Falmagne, Rachel Joffe
影响因子：
1.4
作者：
Liu, Danting;Schmitt, Margaret;Sommer, Marni
通讯作者：
Sommer, Marni