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巴塞罗那地区(西班牙)在新冠-大流期间的月经健康和管理:一项定性研究。

Menstrual health and management during the COVID-19 syndemic in the Barcelona area (Spain): A qualitative study.

机构信息

Fundació Institut Universitari per a la Recerca a L'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.

Universitat Pompeu Fabra, Barcelona, Spain.

出版信息

Womens Health (Lond). 2023 Jan-Dec;19:17455057231166644. doi: 10.1177/17455057231166644.

Abstract

BACKGROUND

Available evidence suggests that menstrual health and management have been impaired during the COVID-19 syndemic. However, research in this area is scarce, and it is failing to voice the experiences of women and people who menstruate regarding their menstrual experiences.

OBJECTIVES

This study aimed to explore the experiences of menstrual health and menstrual management among women and people who menstruate in the Barcelona area (Spain) during the COVID-19 syndemic.

DESIGN

This is a qualitative study, conducted taking a critical feminist approach, is embedded in the 'Equity and Menstrual Health in Spain' project.

METHODS

It includes photo-elicitation individual interviews with 34 women and people who menstruate in the area of Barcelona (Spain). Data were collected in person and through telephone calls between December 2020 and February 2021. Analyses were performed using Thematic Analysis.

RESULTS

Main findings navigated through the menstrual changes experienced by some participants, especially women living with long COVID-19, and the barriers to access healthcare and menstrual products during COVID-19. While some participants experienced menstrual poverty, this did not appear to be exacerbated during COVID-19. Instead, access to menstrual products was compromised based on products' availability and mobility restrictions. Menstrual management and self-care were generally easier, given that menstrual experiences were almost exclusively relegated to private spaces during lockdown periods.

CONCLUSIONS

Our findings highlight the need to further research and policy efforts towards promoting menstrual health and equity, considering social determinants of health, and taking intersectional and gender-based approaches. These strategies should be further encouraged in social and health crises such as the COVID-19 syndemic.

摘要

背景

现有证据表明,在新冠疫情大流行期间,女性的月经健康和管理受到了影响。然而,该领域的研究还很匮乏,未能反映女性和经期女性对其月经经历的看法。

目的

本研究旨在探索新冠疫情大流行期间巴塞罗那地区(西班牙)女性和经期女性的月经健康和管理经验。

设计

这是一项定性研究,采用批判女性主义方法,嵌入“西班牙公平与月经健康”项目中。

方法

研究纳入了 34 名在巴塞罗那地区的女性和经期女性,采用照片诱导个体访谈,于 2020 年 12 月至 2021 年 2 月间进行面对面和电话访谈。采用主题分析方法进行数据分析。

结果

主要发现包括一些参与者经历的月经变化,尤其是患有长期新冠的女性,以及在新冠疫情期间获得医疗保健和月经产品的障碍。尽管一些参与者经历了月经贫困,但这似乎并没有在新冠疫情期间加剧。相反,由于产品的供应和行动限制,月经产品的获取受到了影响。在封锁期间,月经管理和自我护理通常更容易,因为月经经历几乎完全局限于私人空间。

结论

我们的研究结果强调了需要进一步研究和政策努力,以促进月经健康和平等,考虑健康的社会决定因素,并采取交叉和基于性别的方法。在新冠疫情等社会和卫生危机中,应进一步鼓励这些策略。

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