Assessment of knowledge regarding menstruation and sanitary absorbents among young women of Haryana
Keywords:Adolescent, Knowledge, Menstruation, Menstrual hygiene practices, Sanitary pads
Background: Aim of the study was to access the knowledge regarding menstruation and sanitary products among young women from rural, urban and slum areas of Gurugram and Nuh.
Methods: A comparative cross-sectional study was conducted among 240 young women of Gurugram and Nuh districts of Haryana, India with the help of a pre-designed semi-structured interview schedule. Data were analyzed using MS-Excel. Chi-square test, Pearson’s correlation and two sample t-test were used as statistical tools to analyze the data.
Results: The overall level of knowledge regarding menstruation was found to be poor among 84.2 percent of women from Nuh and 49.2 percent from Gurugram. The findings of the study revealed that education of respondents and their mother, occupation of respondent, socio-economic status, mass media exposure and religion etc. were highly significantly associated with level of knowledge regarding menstruation. Knowledge regarding menstruation was found positively correlated with menstrual hygiene practices (r=0.545** in Gurugram and r=0.270* in Nuh) and with the general perceptions regarding menstruation (r=0.500** in Gurugram and r=0.256* in Nuh) respectively. A significant difference was observed in the knowledge regarding menstruation of women from rural, urban and slum areas of Gurugram and Nuh.
Conclusions: Women still lacked of proper knowledge about this crucial phenomenon of their body which leads to various unhygienic menstrual practices and misconceptions about menstruation. Knowledge of young women can be improved through education interventions on menstruation and its importance in their life.
Matsumoto S. Statistical studies on menstruation; a criticism on the definition of normal menstruation. Gunma J Med Sci.1962;11(4):294-318.
MacGregor E, Chia H, Vohrah R, Wilkinson M. Migraine and menstruation: a pilot study. Cephalalgia. 1990;10(6):305-10.
Ayele E, Berhan Y. Age at menarche among in-school adolescents in Sawla town, South Ethiopia. Ethiopian J Health Sci. 2013;23(3):189-200.
Lee S. Health and sickness: the meaning of menstruation and premenstrual syndrome in women's lives. Sex Roles. 2002;46(1):25-35.
Dasgupta A, Sarkar M. Menstrual hygiene: how hygienic is the adolescent girl? Indian J Community Med. 2008;33(2):77.
Wall LL, Belay S, Bayray A, Salih S, Gabrehiwot M. A community-based study of menstrual beliefs in Tigray, Ethiopia. Int J Gynecol Obst. 2016;135(3):310-3.
Sommer M, Armah AN, Connolly S, Smiles D. A comparison of the menstruation and education experiences of girls in Tanzania, Ghana, Cambodia and Ethiopia. Compare. 2015;45(4):589-609.
Jain RB, Kumar A, Khanna P. Assessment of self-awareness among rural adolescents: a cross-sectional study. Indian J Endocrinol Metab. 2013;17(1):367-72.
Gupta J, Gupta H. Adolescents and menstruation. J Family Welfare. 2001;47(1):1-13.
Adhikari P, Kadel B, Dhungel SI, Mandal A. Knowledge and practice regarding menstrual hygiene in rural adolescent girls of Nepal. Kathmandu University Med J. 2007;5(3):382-6.
Ray S, Aparajita D. Determinants of menstrual hygiene among adolescent girls: a multivariate analysis. National J Community Med. 2012;3(2):294-301.
Thakur H, Aronsson A, Bansode S, Stalsby Lundborg C, Dalvie S, Faxelid E. Knowledge, practices, and restrictions related to menstruation among young women from low socioeconomic community in Mumbai, India. Frontiers Public Health. 2014;2(1):72-9.
Mudey AB Kesharwani N, Mudey GA, Goyal RC. A cross-sectional study on awareness regarding safe and hygienic practices amongst school going adolescent girls in rural area of Wardha District, India. Global J Health Sci. 2010;2(2):225-31.
Chan SS, Yiu KW, Yuen PM, Sahota DS, Chung TK. Menstrual problems and health-seeking behaviour in Hong Kong Chinese girls. Hong Kong Med J. 2009;15(1):18-23.
Chandra MV, Patel SV. Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. BMC Reproductive Health. 2017;14(1):30-46.
Barathalakshmi J, Govindarajan PK, Ethirajan N, Felix AJ. Knowledge and practice of menstrual hygiene among school going adolescent girls. National J Research Community Med. 2014;3(2): 138-142.
Bobhate PS, Shrivastava SR. A cross sectional study of knowledge and practices about reproductive health among female adolescents in an urban slum of Mumbai. J Family Reproductive Health. 2011;5(4)117-124.
Sharma P, Singh N, Tempe A, Sharma S. Knowledge, practices and restrictions related to menstruation in young girls: a study from North India. Int J Community Med Public Health. 2018;5(8):3340-4.
Mahajan A, Kaushal K. A descriptive study to assess the knowledge and practice regarding menstrual hygiene among adolescent girls of Government School of Shimla, Himachal Pradesh. J Health Res. 2017;4(2):99-103.
Sharifa GM, Al-Harbi MF, Yakout SM, Soliman AT. Knowledge, attitude and practice related to reproductive health among female adolescents. J Nursing Edu Practice, 2018;8(8):53-65.
Prajapati J, Patel R. Menstrual hygiene among adolescent girls: A cross sectional study in urban community of Gandhinagar. J Med Research. 2015;1(4):122-5.
Chauhan P, Shaik R.A, Anusha DVB, Sotala, MA. study to assess knowledge, attitude, and practices related to menstrual cycle and management of menstrual hygiene among school-going adolescent girls in a rural area of South India. Int J Med Sci and Public Health.2019; 8(2): 114-119.
Yadanar Y, Win HH. Menstrual hygiene and reproductive tract infections: Do Myanmar adolescent school girls’ response it properly. Int J Infectious Dis, 101(1): 327-337.
Bathija GV, Bant DD, Itagimath SR. Study on usage of woman hygiene kit among menstruating age group in field practice area of Kims, Hubli. Int J Biomed Research.2013;4(2):94-98.
Dhingra R, Kumar A, Kour M. Knowledge and practices related to menstruation among tribal (Gujjar) adolescent girls. Stu on Ethno-Medicine.2009;3(1):43-48.
Oche MO, Umar AS, Gana GJ, Ango JT. Menstrual health: the unmet needs of adolescent girls in Sokoto, Nigeria. Scientific Res Essays. 2012;7(3):410-8.
Bhusal CK. Practice of menstrual hygiene and associated factors among adolescent school girls in Dang district, Nepal. Adv Preventive Med. 2020;20:1-7.
Shanbhag D, Shilpa R, D'Souza N, Josephin P, Singh J, Goud BR. Perceptions regarding menstruation and practices during menstrual cycles among high school going adolescent girls in resource limited settings around Bangalore city, Karnataka, India. Int J Collaborative Research 2012;4(7):1353-62.
Belayneh Z, Mekuriaw B. Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: a cross-sectional study. BMC Public Health.2019;19(1):1-8.
Upashe TT, Mekonnen J. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia. BMC Women's Health.2015;15(1): 1-8.
Lawan UM, Nafisa WY, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. African J Reproductive Health.2010;14(3): 201-7.
Sudeshna R, Aparajita, D. Determinants of menstrual hygiene among adolescent girls: a multivariate analysis. N J Community Med. 2012;3(2): 294-301.
Gultie T, Hailu D, Workineh Y. Age of menarche and knowledge about menstrual hygiene management among adolescent school girls in Amhara province, Ethiopia: implication to health care workers & school teachers. Public Library of Science One.2014;9(9).
Kitesa B, Getahun T, Wako K. Assessment of knowledge and practice of adolescent in-school girls towards menstrual hygiene management and determining factors in Lucy village of Ethiopian great Rift valley. Int J Immunology. 2016;4(6):52-63.
Fehintola FO, Aremu AO, Idowu A, Ogunlaja OA, Ogunlaja IP. Assessment of knowledge, attitude and practice about menstruation and menstrual hygiene among secondary high school girls in Ogbomoso, Oyo state, Nigeria. Int J Reprod Contracep Obst Gynecol. 2017;6(5):1726-32.
Sarkar I, Dobe M, Dasgupta A, Basu R, Shahbabu B. Determinants of menstrual hygiene among school going adolescent girls in a rural area of West Bengal. J Family Med Primary Care. 2017;6(3):583-8.
Parle J, Khatoon Z. Knowledge, attitude, practice and perception about menstruation and menstrual hygiene among adolescent school girls in rural areas of Raigad district. Int J Community Med Public Health. 2019;6(6):2490-7.
Mohammed S, Reindorf RE. Menstrual knowledge, sociocultural restrictions, and barriers to menstrual hygiene management in Ghana: Evidence from a multi-method survey among adolescent schoolgirls and schoolboys. Public Library of Science ONE. 2020;15(10):06-10.
Amoo EO, Igbinoba A, Imhonopi D, Banjo OO, Ajaero CK, Akinyemi JO, et al. Trends, determinants and health risks of adolescent fatherhood in sub-Saharan Africa. Ethiopian J Health Sci. 2018;28(4):433-42.
Bulto GA. Knowledge on menstruation and practice of menstrual hygiene management Among school adolescent girls in central Ethiopia: A cross-sectional study. Risk Management Health care Policy. 2021;14(2):911-23.
Srivastava S, Chandra M. Study on the knowledge of school girls regarding menstrual and reproductive health and their perceptions about family life education program. Int J Reprod Contracep Obst Gynecol. 2017;6(2):688-93.
Juana SMJ, Villasís-Keever MA, Mendoza-Rojas MO, Granados-Canseco F, Zúñiga-Partida EA, Zurita-Cruz JN. Factors that impact on the perception of menstruation among female adolescents. Arch Argent Pediatr. 2020;118(2):77-89.
Moon G, Kim I, Kim H, Choe S, Jeon S, Cho J, et al. How can we improve knowledge and perceptions of menstruation? A mixed-methods research study. BMC Women's Health. 2020;20(1):1-11.
Tshomo T, Gurung MS, Shah S, Cuesta GJ, Maes P, Wangdi R, et al. Menstrual hygiene management–knowledge, attitudes and practices among female college students in Bhutan. Frontiers in Reproductive Health. 2021;54(3):38-50.
Alharbi KK, Alkharan AA, Abukhamseen DA, Altassan MA, Alzahrani W, Fayed A. Knowledge, readiness and myths about menstruation among students at the Princess Noura University. J Family Med Primary Care. 2018;7(6):1197-202.
Jalan A, Baweja H, Bhandari M, Kahmei S, Grover A. A sociological study of the stigma and silences around menstruation. Vantage. J Thematic Analysis. 2020;1(1):47-65.
House S, Mahon T, Cavill S. Menstrual hygiene matters: a resource for improving menstrual hygiene around the world. Reproductive Health Matters. 2012;21(41):257-9.
Morrison LA, Larkspur L, Calibuso MJ, Brown S. Women's attitudes about menstruation and associated health and behavioral characteristics. Am J Health Behavior. 2010;34(1):90-100.
Coast E, Lattof SR, Strong J. Puberty and menstruation knowledge among young adolescents in low-and middle-income countries: a scoping review. Int J Public Health. 2019;64(2):293-304.
Mitra A, Mahajan RG, Rangoonwala M, Kadri AM, Amin C, Gajera K. Awareness and practices on menstrual hygiene amongst adolescent girls in Rajkot district of Gujarat. Healthline J. 2012;6(2):61-7.
Malhotra A, Goli S, Coates S, Mosquera-Vasquez M. Factors associated with knowledge, attitudes, and hygiene practices during menstruation among adolescent girls in Uttar Pradesh. Waterlines. 2016;45:277-305.