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制定月经公平议程:来自尼泊尔中西部地区混合方法研究的见解。

Developing the menstrual justice agenda: insights from a mixed method study in the mid-western region of Nepal.

机构信息

Senior Lecturer, Politics, University of Bath, Bath, UK.

Reader, Social Policy, University of Bath, Bath, UK.

出版信息

Sex Reprod Health Matters. 2023 Dec;31(1):2204025. doi: 10.1080/26410397.2023.2204025.

DOI:10.1080/26410397.2023.2204025
PMID:37294332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10259305/
Abstract

This article develops the concept of "menstrual justice". The legal scholar Margaret E. Johnson has developed an expansive approach to menstrual justice incorporating rights, justice, and a framework for intersectional analysis, with a focus on the US. This framework provides a welcome alternative to the constrictive and medicalised approaches often taken towards menstruation. However, the framework is silent on several issues pertaining to menstruation in Global South contexts. This article therefore develops the concept of menstrual justice in order to extend its relevance beyond the Global North. It presents the findings of mixed-methods research conducted in April 2019 in the mid-western region of Nepal, particularly concerning the practice of , an extreme form of menstrual restriction. We conducted a quantitative survey of 400 adolescent girls and eight focus group discussions, four with adolescent girls and four with adult women. Our findings confirm that dignity in menstruation requires addressing pain management, security issues, and mental health, plus structural issues including economic disadvantage, environmental issues, criminal law, and education.

摘要

本文提出了“月经正义”的概念。法律学者玛格丽特·E·约翰逊(Margaret E. Johnson)提出了一种广泛的月经正义方法,将权利、正义和交叉分析框架结合起来,重点关注美国。该框架为经常针对月经的狭隘和医学化方法提供了一个受欢迎的替代方案。然而,该框架对全球南方背景下与月经有关的几个问题保持沉默。因此,本文旨在通过在全球范围内扩展其相关性来发展月经正义的概念。本文介绍了 2019 年 4 月在尼泊尔中西部地区进行的混合方法研究的结果,特别是关于 的做法,这是一种极端的月经限制形式。我们对 400 名青春期少女进行了定量调查,并进行了八次焦点小组讨论,其中四次是与青春期少女进行的,四次是与成年妇女进行的。我们的研究结果证实,月经期间的尊严需要解决疼痛管理、安全问题和心理健康问题,以及包括经济劣势、环境问题、刑法和教育在内的结构性问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/10259305/ca7361417501/ZRHM_A_2204025_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/10259305/6fc1996be3cb/ZRHM_A_2204025_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/10259305/ca7361417501/ZRHM_A_2204025_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/10259305/6fc1996be3cb/ZRHM_A_2204025_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b7e/10259305/ca7361417501/ZRHM_A_2204025_F0002_OC.jpg

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本文引用的文献

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Improving menstrual equity in the USA: perspectives from trans and non-binary people assigned female at birth and health care providers.改善美国女性生理期权益:跨性别者和出生时被指定为女性的非二元性别者及医疗保健提供者的观点。
Cult Health Sex. 2022 Oct;24(10):1408-1422. doi: 10.1080/13691058.2021.1957151. Epub 2021 Aug 8.
2
Menstrual health: a definition for policy, practice, and research.月经健康:政策、实践和研究的定义。
Sex Reprod Health Matters. 2021 Dec;29(1):1911618. doi: 10.1080/26410397.2021.1911618.
3
Rethinking period poverty.重新审视经期贫困问题。
Lancet. 2020 Mar 14;395(10227):857-858. doi: 10.1016/S0140-6736(20)30605-X.
4
What's missing in MHM? Moving beyond hygiene in menstrual hygiene management.全面性月经健康管理中缺失了什么?超越月经卫生管理中的卫生范畴。
Sex Reprod Health Matters. 2019 Dec;27(1):1684231. doi: 10.1080/26410397.2019.1684231.
5
Taking leave to bleed: Perceptions and attitudes toward menstrual leave policy.请假去流血:对经期休假政策的认知与态度。
Health Care Women Int. 2019 Dec;40(12):1355-1373. doi: 10.1080/07399332.2019.1639709. Epub 2019 Aug 6.
6
Women's and girls' experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis.中低收入国家女性和少女的月经经历:系统评价和定性荟萃分析。
PLoS Med. 2019 May 16;16(5):e1002803. doi: 10.1371/journal.pmed.1002803. eCollection 2019 May.
7
Practice and lived experience of menstrual exiles (Chhaupadi) among adolescent girls in far-western Nepal.尼泊尔远西部青少年女性经期流亡(Chhaupadi)的实践和生活经历。
PLoS One. 2018 Dec 10;13(12):e0208260. doi: 10.1371/journal.pone.0208260. eCollection 2018.
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Menstrual Hygiene Management and Waste Disposal in Low and Middle Income Countries-A Review of the Literature.中低收入国家的经期卫生管理与废物处置:文献综述
Int J Environ Res Public Health. 2018 Nov 15;15(11):2562. doi: 10.3390/ijerph15112562.
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Cult Health Sex. 2016 Nov;18(11):1238-50. doi: 10.1080/13691058.2016.1182645. Epub 2016 May 23.
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Menstrual hygiene management among adolescent girls in India: a systematic review and meta-analysis.印度青春期女孩的月经卫生管理:一项系统综述与荟萃分析
BMJ Open. 2016 Mar 2;6(3):e010290. doi: 10.1136/bmjopen-2015-010290.