Parasuraman Gomathy, Vijay Vinodhini, Balaji S, Nisha B, Dutta Ruma, Jain Timsi, Eshwar P Anantha
Department of Community Medicine, Saveetha Medical College, Tamil Nadu, India.
Department of Community Medicine, Sri Balaji Medical College, Tamil Nadu, India.
J Family Med Prim Care. 2022 Sep;11(9):5271-5276. doi: 10.4103/jfmpc.jfmpc_46_22. Epub 2022 Oct 14.
Adolescent girls require specific and special attention since they are the most vulnerable group not only in terms of their social status but also their health. Poor menstrual hygiene can lead to developing infections and other complications. Therefore, this study was conducted with the aim of assessing the impact of health education on menstrual hygiene among urban school-going adolescent girls.
A quasi-experimental, pre and post-test study was conducted among adolescent girls aged between 11 to 17 years from two public schools in the urban field practice area of tertiary care medical college in Thiruvallur district of Tamilnadu. A pre-interventional survey was done using a pretested validated questionnaire. Multipronged health education intervention was administered, and its effectiveness was measured after four months using the same tool. Frequencies, percentages, median, and range were used to describe variables. 'Wilcoxon signed-rank test' and the "Mann-Whitney U-" test were used for inferential statistics.
There was a statistically significant ( = 0.0001) improvement in the knowledge of menstruation, perceived attitude, and practice of good menstrual hygiene from pre to post-test after the intervention. Demographic factors such as age, mother's education, and socio-economic status, and Menstrual characteristics such as age at menarche, regular menstrual flow, absence of dysmenorrhea, and getting menstruation advice before menarche were found to be significantly associated with the post-test median scores.
A planned and structured health education program should be addressed to adolescent girls both at schools and community settings for improving menstruation-related knowledge and practices.
青春期女孩需要特别关注，因为她们不仅在社会地位方面，而且在健康方面都是最脆弱的群体。月经卫生不良会导致感染和其他并发症。因此，本研究旨在评估健康教育对城市上学青春期女孩月经卫生的影响。
在泰米尔纳德邦蒂鲁瓦勒尔区三级医疗学院城市实地实习区域的两所公立学校中，对11至17岁的青春期女孩进行了一项准实验性的前后测试研究。使用预先测试验证过的问卷进行干预前调查。实施了多方面的健康教育干预，并在四个月后使用相同工具测量其效果。使用频率、百分比、中位数和范围来描述变量。“威尔科克森符号秩检验”和“曼-惠特尼U检验”用于推断统计。
干预后，从测试前到测试后，在月经知识、感知态度和良好月经卫生习惯方面有统计学显著改善（=0.0001）。发现年龄、母亲教育程度和社会经济地位等人口统计学因素，以及初潮年龄、月经规律、无痛经和初潮前获得月经建议等月经特征与测试后中位数得分显著相关。
应在学校和社区环境中为青春期女孩制定有计划、有组织的健康教育计划，以提高与月经相关的知识和实践。
