加纳育龄妇女中可重复使用的经期管理用品的使用情况及相关因素：2017/18 年多指标类集调查分析。
Use of reusable menstrual management materials and associated factors among women of reproductive age in Ghana: analysis of the 2017/18 Multiple Indicator Cluster Survey.
机构信息
Department of Population, Family and Reproductive Health, School of Public Health, College of Health Sciences, University of Ghana, Accra, Ghana.
Department of Community Health, College of Health Sciences, University of Ghana Medical School, University of Ghana, Accra, Ghana.
出版信息
BMC Womens Health. 2022 Mar 26;22(1):92. doi: 10.1186/s12905-022-01670-9.
BACKGROUND
The use of unsafe materials to collect menstrual blood predisposes women and girls to infections. There is a paucity of literature on the utilization of reusable menstrual materials in sub-Saharan Africa. This study examined factors associated with the use of reusable menstrual management materials among women of reproductive age in Ghana. Findings from this study can inform menstrual health programmes and reproductive health policy to address menstrual hygiene and specific areas of emphasis.
METHODS
We analysed secondary data from the 2017/18 Ghana Multiple Indicator Cluster Survey. Descriptive statistics were employed to compute frequencies and percentages, while Chi-square and complex sample Binomial Logistic Regression was conducted to identify factors associated with the use of reusable menstrual materials.
RESULTS
Half (52%) of the respondents were below 30 years old; mean (± sd) = 30.7(9.0). Thirteen percent used reusable materials to collect menstrual blood during their last period. Women aged 45-49 years (AOR = 5.34; 95% CI 3.47-8.19) were 5 times more likely to manage menstruation with reusable materials compared with those aged 15-19 years (p < 0.05). Women classified in the middle wealth quintile (AOR = 0.66; 95% CI 0.50-0.88) were 34% less likely to use reusable materials to collect menstrual blood compared with women in the poorest wealth quintile (p < 0.05). Also, women who were exposed to television (AOR = 0.78; 95% CI 0.61-0.99) had less odds of using reusable materials compared with women who were not exposed to television (p < 0.05).
CONCLUSION
This study showed that the use of reusable menstrual materials was influenced by socio-demographic factors, economic factors and exposure to mass media. Therefore, policies and programmes aimed at promoting menstrual health should focus on less privileged women. The mass media presents an opportunity for communicating menstrual hygiene.
背景
使用不安全的材料收集月经血会使妇女和女孩容易感染。撒哈拉以南非洲地区关于可重复使用的月经材料的利用情况文献很少。本研究调查了加纳育龄妇女使用可重复使用的月经管理材料的相关因素。本研究的结果可以为月经健康计划和生殖健康政策提供信息，以解决月经卫生和具体重点领域的问题。
方法
我们分析了 2017/18 年加纳多指标类集调查的二级数据。使用描述性统计计算频率和百分比，同时进行卡方检验和复杂样本二项逻辑回归，以确定与使用可重复使用的月经材料相关的因素。
结果
一半（52%）的受访者年龄在 30 岁以下；平均值（±标准差）= 30.7(9.0)。13%的人在上次月经期间使用可重复使用的材料收集经血。与 15-19 岁的人相比，45-49 岁的女性（优势比[OR] = 5.34；95%置信区间[CI] 3.47-8.19）更有可能使用可重复使用的材料来管理月经（p<0.05）。与最贫困的财富五分位数（OR = 0.66；95% CI 0.50-0.88）的女性相比，中等财富五分位数的女性（OR = 0.34；95% CI 0.50-0.88）使用可重复使用的材料收集月经血的可能性降低了 34%（p<0.05）。此外，与未接触电视的女性相比，接触电视的女性（OR = 0.78；95% CI 0.61-0.99）使用可重复使用材料的可能性较低（p<0.05）。
结论
本研究表明，可重复使用的月经材料的使用受到社会人口因素、经济因素和大众媒体接触的影响。因此，旨在促进月经健康的政策和计划应侧重于处于不利地位的妇女。大众媒体为传播月经卫生知识提供了机会。
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