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首页> 外文期刊>International Journal of Reproductive Medicine >Menstrual Hygiene Management and School Absenteeism among Adolescents in Ghana: Results from a School-Based Cross-Sectional Study in a Rural Community
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Menstrual Hygiene Management and School Absenteeism among Adolescents in Ghana: Results from a School-Based Cross-Sectional Study in a Rural Community

机译：加纳青少年的月经卫生管理和学校缺勤：来自农村社区的学校横断面研究的结果

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The study aimed to deepen our understanding of the menstrual hygiene management (MHM) of adolescents and the influence of menstruation on school absenteeism. We employed a school-based cross-sectional design in five Junior High Schools combining both quantitative and qualitative data collection methods. A questionnaire was used to collect quantitative data from 250 schoolgirls, and key informant interviews were conducted with a teacher in each of the five schools. We performed logistic regression analysis to provide crude and adjusted effect estimates and 95% confidence intervals. About fifty percent of the girls were engaged in good MHM, and approximately forty percent of them reported menstrual-related school absenteeism. We did not find evidence (p=0.858) of association between MHM and menstrual-related school absenteeism. However, after controlling for the effect of other factors, we found evidence that the age of the schoolgirls, their father’s occupation, and the receipt of allowance for menstrual care products were associated with MHM. When compared to those aged 17 to 19, those aged 10 to 13 years had 0.72 (95% CI 0.21, 2.44) decreased odds of poor MHM while those aged 14 to 16 had almost 3-fold increased odds (95% CI 1.49, 4.55) of poor MHM. The adolescents whose fathers were farmers had 0.42 (95% CI 0.21, 0.82) decreased odds of poor MHM while those whose fathers were unemployed had 0.24 (95% CI 0.10, 0.61) decreased odds of poor MHM. We found that girls who did not receive regular allowance for menstrual care products had nearly 2-fold increased odds (95% CI 1.06, 3.09) of poor MHM compared to those who received allowance for menstrual care products. Menstrual pain (82.2%), fear of staining clothing (70.3%), fear of being teased (70.3%), nonavailability of sanitary pad (63.4%), and lack of private place to manage period at school (60.4%) were the common reasons cited for menstrual-related school absenteeism.
机译：该研究旨在深化我们对青少年月经卫生管理（MHM）的理解及月经对学校旷工的影响。在五个初中，我们雇用了一个基于学校的横截面设计，结合了定量和定性数据收集方法。调查问卷用于收集来自250名女学生的数量数据，并在五所学校中的每一所教师进行关键的信息面试。我们进行了逻辑回归分析，以提供原油和调整后的效果估计和95％的置信区间。大约五十个女孩从事良好的MHM，大约四十个百分之大部分报告月经相关的学校缺勤。我们没有发现MHM和月经相关学校之间的关联的证据（p = 0.858）。然而，在控制其他因素的效果之后，我们发现证据表明，女学生的年龄，父亲的职业以及收到月经保健产品的津贴与MHM有关。与17〜19岁的人相比，10至13岁的人具有0.72〜13岁（95％CI 0.21,2.44）的差距下降，而14至16岁的差异几乎增加了几率（95％CI 1.49,4.55 ）糟糕的MHM。父亲是农民的青少年有0.42（95％CI 0.21，0.82），减少了贫困MHM的差异，而失业者的父亲有0.24（95％CI 0.10,0.61），减少了差MHM的几率。我们发现没有收到月经保健产品的常规津贴的女孩差距差约2倍（95％CI 1.06，3.09），而差的MHM相比，接受了月经保健产品的津贴。月经疼痛（82.2％），恐惧染色衣服（70.3％），害怕被戏弄（70.3％），卫生垫的不可用性（63.4％），缺乏在学校管理期间的私人地方（60.4％）是有关月经相关学校缺勤的常见原因。

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