Ahmed Tamima, Hasan Md Khalid, Aunto Tanjin Kabir, Ahmed Taufique, Zahid Dilara
Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka, 1000, Bangladesh.
Department of Human Development and Family Sciences, Texas Tech University, Lubbock, TX, 79415, USA.
Reprod Health. 2025 May 20;22(1):87. doi: 10.1186/s12978-025-02041-x.
This study aimed to evaluate the level of knowledge and practices related to menstrual hygiene among adolescent schoolgirls in a flood-affected rural area of Bangladesh and identify the factors influencing their menstrual hygiene knowledge and practices.
A cross-sectional study was conducted in northern Bangladesh between May 25 and June 1, 2023, involving 448 adolescent girls in the flood-affected region. Data was collected through a self-administered descriptive questionnaire. The collected data was entered and analyzed using SPSS 26.0 (IBM SPSS, Chicago, IL, USA). Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used to determine significant variables through multivariate binary logistic regression models.
The study found that more than half (69%) of the in-school adolescent girls had good knowledge about menstrual hygiene, while only one-fourth (28.6%) demonstrated good menstrual hygiene practices. Remarkably, only 1.6% of the girls disposed of their used sanitary napkins in dustbins. The results also indicated that girls aged 17 to 19 [AOR = 7.78, 95% CI: 1.83-32.99] and those from middle-class families [AOR = 0.51, 95% CI: 0.31-0.85] showed a significant positive association with menstrual hygiene knowledge. Additionally, the study revealed that the respondents' mothers' education level, particularly having secondary or higher education [AOR = 1.69, 95% CI: 1.04-2.77], was significantly associated with better menstrual hygiene practices.
The findings underscore the low level of menstrual hygiene practices among the respondents, emphasizing the urgent need for action. This highlights the urgency of enhancing awareness about the significance of adopting good menstrual hygiene practices. Therefore, it is imperative to incorporate menstrual hygiene knowledge and practices into school curricula and to organize meetings and sessions with schoolgirls' parents, stressing the importance of community support in addressing this issue.
本研究旨在评估孟加拉国受洪水影响的农村地区青春期女学生与月经卫生相关的知识水平和实践情况，并确定影响她们月经卫生知识和实践的因素。
2023年5月25日至6月1日在孟加拉国北部进行了一项横断面研究，涉及受洪水影响地区的448名青春期女孩。通过自填式描述性问卷收集数据。收集到的数据使用SPSS 26.0（美国伊利诺伊州芝加哥市IBM SPSS公司）录入并分析。通过多变量二元逻辑回归模型，使用95%置信区间（CI）的调整优势比（AOR）来确定显著变量。
研究发现，超过一半（69%）的在校青春期女孩对月经卫生有良好的了解，而只有四分之一（28.6%）的女孩有良好的月经卫生实践。值得注意的是，只有1.6%的女孩将用过的卫生巾扔到垃圾桶里。结果还表明，17至19岁的女孩[AOR = 7.78，95% CI：1.83 - 32.99]和来自中产阶级家庭的女孩[AOR = 0.51，95% CI：0.31 - 0.85]与月经卫生知识呈显著正相关。此外，研究表明，受访者母亲的教育水平，特别是具有中学或更高教育水平[AOR = 1.69，95% CI：1.04 - 2.77]，与更好的月经卫生实践显著相关。
研究结果强调了受访者月经卫生实践水平较低，强调了采取行动的迫切需要。这突出了提高对采用良好月经卫生实践重要性的认识的紧迫性。因此，必须将月经卫生知识和实践纳入学校课程，并与女学生的家长组织会议和活动，强调社区支持在解决这一问题中的重要性。
