Department of Obstetrics and Gynecology, Saint Peter Specialized Hospital, Addis Ababa, Ethiopia.
Department of Reproductive Health, College of Medicine and Health Science, Mizan-Tepi University, Mizan Aman, Ethiopia.
PLoS One. 2022 Jul 19;17(7):e0271275. doi: 10.1371/journal.pone.0271275. eCollection 2022.
Women in rural settings particularly in schools suffer more from stigma and lack of services and facilities during menstruation. However, the issue has not received proper attention from school water sanitation and hygiene programs. And this study was aimed to identify knowledge and practice of menstrual hygiene, and associated factors.
Institution based cross-sectional study was employed among 441 school girls in Mekidela city. EpiData Version 4.6 and the Statistical Package for the Social Sciences Version 25.0 were used for data entry and analysis, respectively. Bivariable and multivariable logistic regression was employed to identify factors associated with the outcome variables. Variables with a p-value<0.25 in the bivariable analysis were a candidate for multivariable logistic regression and p-value<0.05 in the multivariable analysis was used to declare significant association.
Of the respondents, 64.9% reported good knowledge of menstrual hygiene management. In multivariable analysis; grade level (grade 11 & 12) [adjusted odds ratio (AOR) = 2.23, 95% C.I (1.19-4.16)], age ≥ 19 years [AOR = 3.45, 95% C.I (1.78-6.69)], residence [AOR = 1.90, 95% C.I: (1.12-3.23)], know sanitary pads [AOR = 2.67, 95% CI: (1.19-6.00)] and learned about menstrual hygiene [AOR = 1.71, 95% CI: (1.02-2.87)] found to be associated with knowledge. About 62.4% have good menstrual hygiene practices. Knowledge on menstrual hygiene [AOR = 1.73, 95% C.I (1.07-2.80)], know about reproductive tract/sexually transmitted infections [AOR = 2.46, 95% CI: (1.37-4.43)], having private shower [AOR = 2.04, 95% C.I 2.04(1.24-3.37)] and residence [AOR = 3.76, 95% C.I:(2.18-6.51)] were factors associated with practice.
Overall nearly two-third of respondents had good knowledge and good practice of menstrual hygiene management. Factors significantly associated with their knowledge included age, grade level, residence, learning on menstrual hygiene, and knowledge of sanitary pads. Residence, knowledge on menstrual hygiene, know about sexually transmitted infections and having a private shower were found to be associated with practice of menstrual hygiene management. In general, our finding indicates that menstrual hygiene was unsatisfactory among adolescent school girls and more should be done on the factors identified.
在农村地区，尤其是在学校，女性在月经期间受到的污名化和缺乏服务与设施的影响更为严重。然而，这一问题并未得到学校水环境卫生项目的适当关注。本研究旨在确定月经卫生知识和实践情况，以及相关因素。
在梅基德拉市的 441 名女学生中进行了基于机构的横断面研究。使用 EpiData 版本 4.6 和社会科学统计软件包 25.0 分别进行数据录入和分析。采用单变量和多变量逻辑回归来确定与结局变量相关的因素。在单变量分析中，p 值<0.25 的变量是多变量逻辑回归的候选变量，而多变量分析中 p 值<0.05 的变量被认为与结果显著相关。
在被调查者中，64.9%的人报告说对月经卫生管理有较好的了解。在多变量分析中；年级（11 年级和 12 年级）[调整后的优势比（AOR）=2.23，95%置信区间（CI）（1.19-4.16）]，年龄≥19 岁[AOR=3.45，95%CI（1.78-6.69）]，居住地[AOR=1.90，95%CI（1.12-3.23）]，知道卫生巾[AOR=2.67，95%CI：（1.19-6.00）]和了解月经卫生[AOR=1.71，95%CI：（1.02-2.87）]与知识有关。大约 62.4%的人有良好的月经卫生习惯。对月经卫生的知识[AOR=1.73，95%CI（1.07-2.80）]、对生殖道/性传播感染的了解[AOR=2.46，95%CI：（1.37-4.43）]、拥有私人淋浴[AOR=2.04，95%CI 2.04（1.24-3.37）]和居住地[AOR=3.76，95%CI：（2.18-6.51）]与实践有关。
总体而言，近三分之二的受访者对月经卫生管理有较好的了解和良好的实践。与他们的知识显著相关的因素包括年龄、年级、居住地、月经卫生知识学习和卫生巾知识。居住地、月经卫生知识、了解性传播感染和拥有私人淋浴与月经卫生管理实践有关。总的来说，我们的发现表明，青春期少女的月经卫生状况并不令人满意，应该针对已确定的因素采取更多措施。
