Department of International Development, London School of Economics and Political Science, London, UK.
Department of Social Policy, London School of Economics and Political Science, London, UK.
Int J Public Health. 2019 Mar;64(2):293-304. doi: 10.1007/s00038-019-01209-0. Epub 2019 Feb 10.
This study presents a scoping review of evidence relating to knowledge and experiences of puberty and menstruation among females aged 10-14 years in low- and middle-income countries.
Forty-four items from 12 countries were identified from a systematic scoping review and screening of 8083 items. Included studies were quality assessed.
A majority (40/44) of studies used school-based samples, and fifteen studies reported on interventions. Girls had inadequate knowledge about menstruation; menarche as a trigger for girls learning about menstruation was common. Adolescents struggled with menstrual hygiene. Negative emotions were associated with menarche and menstrual management. A minority of studies dealt explicitly with puberty. Most girls obtained information about menstruation and/or puberty from their mothers, although mothers were not necessarily girls' preferred source for learning about these topics.
Young adolescent girls are under-prepared for puberty and menstruation. Predominantly school-based studies mean we know little about young out-of-school adolescents. The evidence base lags behind the rise in interest from practitioners as well as the development (and evaluation) of puberty and/or menstruation interventions.
本研究对来自低收入和中等收入国家的 10-14 岁女性青春期和月经知识和经验相关证据进行了范围综述。
从系统范围综述和 8083 项筛选中确定了来自 12 个国家的 44 项内容。纳入的研究进行了质量评估。
大多数（40/44）研究采用了基于学校的样本，有 15 项研究报告了干预措施。女孩对月经知识不足；月经初潮是女孩了解月经的常见触发因素。青少年在月经卫生方面存在困难。负面情绪与初潮和月经管理有关。少数研究明确涉及青春期。大多数女孩从母亲那里获得有关月经和/或青春期的信息，尽管母亲不一定是女孩学习这些主题的首选来源。
青春期和月经初潮让年轻的少女准备不足。以学校为基础的研究居多，这意味着我们对校外年轻青少年的了解甚少。实践人员对青春期和/或月经干预措施的兴趣日益浓厚，而相关证据基础却远远落后于这种发展（以及评估）。
