Department of Biosciences, Rice University, Houston, Texas.
Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida.
J Pediatr Adolesc Gynecol. 2024 Oct;37(5):465-476. doi: 10.1016/j.jpag.2024.06.004. Epub 2024 Jun 17.
According to the American Medical Women's Association, period poverty refers to "inadequate access to menstrual hygiene tools and education, including but not limited to sanitary products, washing facilities, and waste management." A component of period poverty in the US can be attributed to the neglect of menstrual education and lack of menstrual health and hygiene tools in schools. This scoping review aims to examine the educational methods employed to improve menstrual knowledge in middle and high school menstruating students in both school and clinical settings. It also highlights gaps and barriers in equitable access to menstrual hygiene products. The five-stage framework by Arksey and O'Malley (2005) and the updated Joanna Briggs Institute (JBI) guide were used to guide the review. Six studies were retained for analysis. Two-thirds of menstruating students reported using at least one of the school's resources to obtain period products, and one-third of the participants reported missing school due to a lack of period products. Nearly half of the students needed period products at least once in the past school year but lacked the financial resources to purchase such products. Menstruating students reported embarrassment and a need for secrecy when accessing school bathrooms since the social and physical environments of school bathrooms heightened their discomfort while menstruating. Although a majority of adolescent students had basic knowledge of menstrual periods prior to menarche, the depth of their understanding of menstruation was limited. Findings from this review can inform the future development of evidence-based educational interventions to improve the overall menstruation experience for US menstruating adolescents.
根据美国医学妇女协会的说法，经期贫困是指“无法获得经期卫生用品和教育，包括但不限于卫生用品、洗涤设施和废物管理”。美国经期贫困的一个组成部分可以归因于对经期教育的忽视以及学校缺乏经期健康和卫生用品。本范围综述旨在考察在学校和临床环境中提高中学和高中经期学生经期知识的教育方法，并强调公平获得经期卫生用品方面的差距和障碍。本综述采用了 Arksey 和 O'Malley（2005 年）的五阶段框架和更新的 Joanna Briggs 研究所（JBI）指南进行指导。保留了 6 项研究进行分析。三分之二的经期学生报告至少使用了学校的一种资源来获得经期产品，三分之一的参与者报告因缺乏经期产品而缺课。近一半的学生在过去一学年至少有一次需要经期产品，但缺乏购买这些产品的经济资源。经期学生在使用学校浴室时报告感到尴尬和需要保密，因为学校浴室的社会和物理环境加剧了她们在经期时的不适。尽管大多数青春期学生在初潮前就已经有了基本的经期知识，但她们对经期的理解深度有限。本综述的结果可以为未来制定基于证据的教育干预措施提供信息，以改善美国经期青少年的整体经期体验。
