Department of Midwifery, College of Medicine and Health Sciences, Debre-Markos University, Debre-Markos, Ethiopia.
School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
BMC Womens Health. 2024 Jul 25;24(1):420. doi: 10.1186/s12905-024-03265-y.
Despite being a normal occurrence, menstruation requires hygienic care and is associated with a number of myths and wrongdoings. Menstrual hygiene issues have been linked to major health issues, such as urinary tract and reproductive tract infections. Consequently, the purpose of this study was to evaluate the management of menstrual hygiene and related aspects among teenage students in Debre Markos town, North West, Ethiopia.
From March 15 to April 15, 2019, teenage pupils in Debre Markos town participated in a cross-sectional mixed study. An in-depth interview and a self-administered structured questionnaire were used to gather data. Quantitative information was imported into Epi Data and then exported to SPSS for examination. A 95% Confidence Interval of p-value ≤ 0.05 was used to declare significance. The method of thematic content analysis was used to examine the qualitative data.
This study comprised 531 individuals in total, with a 96.2% response rate. Approximately 260 adolescent females (49%, 95% CI: 39.2, 59.2) had good management practices for menstrual hygiene. Girls whose mothers were private employees (AOR: 0.3, 95% CI: 0.09, 0.99), self-employed (AOR: 0.52, 95% CI: 0.28, 0.98) and housewives (AOR: 0.53, 95% CI: 0.29, 0.98), and parent-adolescent discussions about menstruation (AOR: 1.62, 95% CI: 1.40, 3.34) were significantly associated with good menstrual hygiene management. Adolescence aged 17 years or older (AOR: 2.13, 95% CI: 1.32, 3.44) were found to have good knowledge regarding menstrual hygiene (AOR: 1.59, 95% CI: 1.43, 2.94). The qualitative study found that ignorance, an unfavorable school climate, and cultural and economic factors were the main causes of teenagers' poor menstrual hygiene.
Nearly half of adolescent girls had good menstrual hygiene practice. Menstrual hygiene practice was associated with adolescent age, knowledge of menstruation, maternal occupational and discussion with parents. Girls had difficulty to manage menstrual hygiene due to poor knowledge, unsafe school environment, and cultural barriers. Thus, school-based programs aimed at improving knowledge towards menstrual hygiene management are needed.
尽管月经是一种正常现象，但仍需要进行卫生保健，并且存在许多与月经相关的误解和错误做法。月经卫生问题与主要健康问题有关，如尿路感染和生殖道感染。因此，本研究旨在评估埃塞俄比亚西北德布雷马科斯镇青少年学生的月经卫生管理及相关方面。
2019 年 3 月 15 日至 4 月 15 日，德布雷马科斯镇的青少年学生参加了一项横断面混合研究。采用深入访谈和自填式结构化问卷收集数据。定量信息被输入到 EpiData 中，然后导出到 SPSS 进行检查。p 值≤0.05 的 95%置信区间用于宣布显著性。采用主题内容分析法对定性数据进行分析。
本研究共纳入 531 人，应答率为 96.2%。大约 260 名青春期少女（49%，95%CI：39.2，59.2）具有良好的月经卫生管理实践。母亲为私营企业员工（AOR：0.3，95%CI：0.09，0.99）、个体经营者（AOR：0.52，95%CI：0.28，0.98）和家庭主妇（AOR：0.53，95%CI：0.29，0.98）以及与父母讨论月经问题（AOR：1.62，95%CI：1.40，3.34）的女孩，与良好的月经卫生管理显著相关。17 岁及以上的青少年（AOR：2.13，95%CI：1.32，3.44）对月经卫生知识有较好的认识（AOR：1.59，95%CI：1.43，2.94）。定性研究发现，无知、不利的学校氛围以及文化和经济因素是青少年月经卫生状况不佳的主要原因。
近一半的青春期少女具有良好的月经卫生实践。月经卫生实践与青少年年龄、月经知识、母亲职业和与父母的讨论有关。由于知识不足、不安全的学校环境和文化障碍，女孩在管理月经卫生方面存在困难。因此，需要开展以学校为基础的方案，以提高对月经卫生管理的认识。
