Chuemchit Montakarn
College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Excellent Center for Health and Social Sciences and Addiction Research, Chulalongkorn University, Bangkok, Thailand.
Int J Womens Health. 2023 Jun 8;15:943-954. doi: 10.2147/IJWH.S400224. eCollection 2023.
The aim of this study was to determine the prevalence of menstrual hygiene management (MHM) and its associated factors among adolescent girls in Tangerang District, Indonesia.
This study was a cross-sectional study of 409 female students aged 12-15 years old from 3 junior high schools selected using multistage sampling. The data were collected through a self-reported questionnaire both online and offline that was administered from April to May 2022. Bivariate and multivariable analysis using binary logistic regression were performed to determine the factors and predictors between sociodemographic characteristics, menstruation variables, knowledge, attitude, enabling environment, and the practice on MHM.
Our study revealed a prevalence of good MHM practices among 52.3% of students, as well as moderate knowledge (48.9%) and neutral attitudes (70.4%). With regard to water, sanitation, and hygiene (WASH) facilities at school, most girls reported access to hand washing soap, a hook, a mirror, and a covered bin, but at home, the least available facilities were a mirror and a covered bin. Significant predictors of healthy MHM practices were having reached grade 8 (AOR = 1.80, 95% CI = 1.10-2.95), having ever received information about menstruation at school (AOR = 1.95, 95% CI = 1.19-3.18), having a positive attitude (AOR = 4.21, 95% CI = 1.78-9.96), having access to a private home toilet (AOR = 2.71, 95% CI = 1.36-5.42), and having a home toilet with a covered bin (AOR = 2.15, 95% CI = 1.38-3.37).
The girls in this study showed a high prevalence of good MHM practices, but access to WASH facilities at school and at home was still a challenge. Positive attitude was the most significant factor associated with good MHM among female students. Therefore, we suggest establishing menstruation-focused education related to attitudes, particularly sociocultural norms, myths, and misconceptions and WASH facilities provided at home.
本研究旨在确定印度尼西亚坦格朗区青春期女孩的月经卫生管理（MHM）患病率及其相关因素。
本研究是一项横断面研究，采用多阶段抽样从3所初中选取了409名12至15岁的女学生。数据通过2022年4月至5月在线和线下发放的自填问卷收集。使用二元逻辑回归进行双变量和多变量分析，以确定社会人口学特征、月经变量、知识、态度、有利环境和MHM实践之间的因素和预测因素。
我们的研究显示，52.3%的学生有良好的MHM实践，知识水平中等（48.9%），态度中立（70.4%）。关于学校的水、环境卫生和个人卫生（WASH）设施，大多数女孩报告可以使用洗手皂、挂钩、镜子和带盖垃圾桶，但在家里，最缺乏的设施是镜子和带盖垃圾桶。健康MHM实践的显著预测因素包括达到八年级（调整后比值比[AOR]=1.80，95%置信区间[CI]=1.10-2.95）、曾在学校接受过月经相关信息（AOR=1.95，95%CI=1.19-3.18）、态度积极（AOR=4.21，95%CI=1.78-9.96）、可以使用家中的私人厕所（AOR=2.71，95%CI=1.36-5.42）以及家中厕所配有带盖垃圾桶（AOR=2.15，95%CI=1.38-3.37）。
本研究中的女孩显示出良好MHM实践的高患病率，但学校和家中获得WASH设施仍然是一个挑战。积极态度是女学生中与良好MHM相关的最显著因素。因此，我们建议开展以月经为重点的教育，内容涉及态度，特别是社会文化规范、神话和误解以及家中提供的WASH设施。
