University of Leeds, Leeds, West Yorkshire, United Kingdom.
The University of Western Australia, Crawley, Western Australia, Australia.
PLoS One. 2021 Dec 3;16(12):e0260472. doi: 10.1371/journal.pone.0260472. eCollection 2021.
Disposal and washing facilities and services for menstrual materials are often designed based upon technical specifications rather than an in-depth understanding of what drives peoples' choices of practices.
This systematic review identified and summarised the main behavioural drivers pertaining to the choice of disposal and washing practices of menstrual materials through the thematic content analysis and study appraisal of 82 publications (80 studies) on menstrual health and hygiene published since 1999, reporting the outcomes of primary research across 26 countries.
Disposal and washing behaviours are primarily driven by the physical state of sanitation facilities; however, this is intrinsically linked to taboos surrounding and knowledge of menstruation.
Using reasons given for disposal and washing practices by menstruators or those who know them well, or inferred by authors of the reviewed studies, we identify the key considerations needed to design facilities and services which best suit the desired behaviours of both planners and those who menstruate.
The term menstruators is used throughout to encompass all those mentioned in the studies reviewed (girls and women); although no studies explicitly stated including non-binary or transgender participants, this review uses inclusive language that represents the spectrum of genders that may experience menstruation.
The review protocol is registered on PROSPERO: 42019140029.
经期卫生用品的处理和清洗设施及服务通常是根据技术规范设计的，而不是基于对驱动人们选择实践的因素的深入了解。
本系统评价通过对 1999 年以来发表的 82 篇关于经期健康和卫生的出版物（80 项研究）的主题内容分析和研究评估，确定并总结了与经期卫生用品处理和清洗实践选择相关的主要行为驱动因素，这些出版物报告了来自 26 个国家的主要研究结果。
处理和清洗行为主要由卫生设施的物理状态驱动；然而，这与围绕月经的禁忌和相关知识密切相关。
通过使用经期女性或了解她们的人给出的处理和清洗实践的原因，或者通过对所审查研究的作者进行推断，我们确定了设计设施和服务所需的关键考虑因素，这些设施和服务最适合规划者和经期女性的期望行为。
整篇文章使用“经期使用者”一词来涵盖审查研究中提到的所有人群（女孩和妇女）；尽管没有研究明确表示包括非二元或跨性别参与者，但本评论使用包容性语言来代表可能经历经期的各种性别。
本综述的方案已在 PROSPERO 上注册：42019140029。
