Health Science Faculty, Public Health Nursing Department, Ondokuz Mayıs University, Samsun, Turkey.
Health Science Faculty, Public Health Nursing Department, Giresun University, Giresun, Turkey.
Women Health. 2024 Jul;64(6):526-536. doi: 10.1080/03630242.2024.2375382. Epub 2024 Jul 2.
The tendency toward poverty in the globalizing world significantly affects women. Unlike men, women have mandatory expenses every month. Especially poor women have difficulty in accessing to the hygienic products they need during the menstrual period. That is why, this study aims to develop a measurement tool that can effectively and widely assess women's menstrual poverty. This study is a methodological study that evaluates the psychometric properties of the scale. The study included 420 women living in a middle-income province in the north of Türkiye between April - July, 2023. The data were collected using the Menstrual Poverty Scale, and the items on the scale were developed based on a review of existing literature and expert opinions (CVI = 0.85-0.95). The sample was divided into two parts. It was made exploratory factor analysis and confirmatory factor analysis. Before conducting the study, an ethics committee decision and informed consent of the women were obtained. The collected data were analyzed using the SPSS 23 and AMOS 23 programs. The EFA revealed a structure consisting of 13 items and four factors. The four factors considered were as follows; access to hygiene products, quality of life, embarrassment, and receiving information, and education about menstruation. The item factor loadings varied from 0.46 to 0.91. The Cronbach's alpha coefficient was determined to be 0.69. The corrected item-total correlations for the scale items ranged from 0.62 to 0.84. According to the confirmatory factor analysis, the structural equation modeling results of the Menstrual Poverty Scale were found to be meaningful ( = .000; RMSEA 0.64; CMIN/Df 1.70). It is suggested to conduct validity and reliability studies in different cultures by applying the scale to women from different cultural backgrounds.
在全球化的世界中，贫困问题对女性的影响尤为显著。与男性不同，女性每月都有强制性的开支。尤其是贫困女性在月经期间很难获得所需的卫生用品。因此，本研究旨在开发一种能够有效广泛评估女性月经贫困的测量工具。本研究是一项方法学研究，评估了该量表的心理测量特性。该研究于 2023 年 4 月至 7 月期间在土耳其北部一个中等收入省份的 420 名女性中进行。使用月经贫困量表收集数据，量表中的项目是基于对现有文献和专家意见的回顾制定的（CVI=0.85-0.95）。样本分为两部分。进行了探索性因素分析和验证性因素分析。在进行研究之前，获得了伦理委员会的决定和女性的知情同意。使用 SPSS 23 和 AMOS 23 程序对收集的数据进行了分析。EFA 显示了一个由 13 个项目和四个因素组成的结构。考虑的四个因素如下：获得卫生产品、生活质量、尴尬和接受有关月经的信息和教育。项目因子负荷值在 0.46 到 0.91 之间。Cronbach's alpha 系数为 0.69。量表项目的校正项目-总分相关度在 0.62 到 0.84 之间。根据验证性因素分析，月经贫困量表的结构方程模型结果具有意义（ = 0.000；RMSEA 0.64；CMIN/Df 1.70）。建议通过对来自不同文化背景的女性应用该量表，在不同文化中进行有效性和可靠性研究。
