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Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: evidence from a cross-sectional school-based survey.
Davis, Jessica; Macintyre, Alison; Odagiri, Mitsunori; Suriastini, Wayan; Cordova, Andreina; Huggett, Chelsea; Agius, Paul A; Budiyani, Anissa Elok; Quillet, Claire; Cronin, Aidan A; Diah, Ni Made; Triwahyunto, Agung; Luchters, Stanley; Kennedy, Elissa.
Afiliação
  • Davis J; Maternal and Child Health Program, Burnet Institute, Melbourne, Vic, Australia.
  • Macintyre A; WaterAid Australia, Melbourne, Vic, Australia.
  • Odagiri M; UNICEF, Jakarta, Indonesia.
  • Suriastini W; SurveyMETER, Sleman Yogyakarta, Indonesia.
  • Cordova A; UNICEF, Jakarta, Indonesia.
  • Huggett C; WaterAid Australia, Melbourne, Vic, Australia.
  • Agius PA; Maternal and Child Health Program, Burnet Institute, Melbourne, Vic, Australia.
  • Faiqoh; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Vic, Australia.
  • Budiyani AE; Judith Lumley Centre, La Trobe University, Melbourne, Vic, Australia.
  • Quillet C; Aliansi Remaja Independen, Jakarta, Indonesia.
  • Cronin AA; UNICEF, Jakarta, Indonesia.
  • Diah NM; UNICEF, Jakarta, Indonesia.
  • Triwahyunto A; P.T Towards Sustainable Businesses, Jakarta, Indonesia.
  • Luchters S; UNICEF, Jakarta, Indonesia.
  • Kennedy E; Ministry of Health, Government of Indonesia, Jakarta, Indonesia.
Trop Med Int Health ; 23(12): 1350-1363, 2018 12.
Article em En | MEDLINE | ID: mdl-30286270
ABSTRACT

OBJECTIVE:

To assess the prevalence of menstrual hygiene management (MHM) knowledge and practices among adolescent schoolgirls in Indonesia, and assess factors associated with poor MHM and school absenteeism due to menstruation.

METHODS:

A cross-sectional survey enrolled a representative sample of urban and rural school-going girls aged 12-19 years in four provinces of Indonesia. A semi-structured, self-administered questionnaire obtained socio-demographic characteristics, knowledge, practices and attitudes related to menstruation, MHM and school absenteeism. School water, sanitation and hygiene (WASH) facilities were also assessed. Univariate weighted population prevalence was estimated and multivariable logit regression analyses applied to explore associations.

RESULTS:

A total of 1159 adolescent girls with a mean age of 15 years (SD = 1.8) participated. Most girls (90.8%, 95% confidence interval (95% CI) = 79.7-96.1) had reached menarche. Over half (64.1%, 95% CI = 49.9-76.2) reported poor MHM practices, and 11.1% (95% CI = 8.1-15.2) had missed one or more days of school during their most recent menstrual period. Poor MHM practices were associated with rural residence (Adjusted odds ratio (AOR) = 1.73, 95% CI = 1.13-2.64), province (various AOR), lower school grade (AOR = 1.69, 95% CI = 1.05-2.74) and low knowledge of menstruation (AOR = 3.49, 95% CI = 1.61-7.58). Absenteeism was associated with living in rural areas (AOR = 3.96, 95% CI = 3.02-5.18), province (various AOR), higher school grade (AOR = 3.02, 95% CI = 2.08-4.38), believing menstruation should be kept secret (AOR = 1.47, 95% CI = 1.03-2.11), experiencing serious menstrual pain (AOR = 1.68, 95% CI = 1.06-2.68) and showed mixed associations with school WASH facilities.

CONCLUSIONS:

High prevalence of poor MHM and considerable school absenteeism due to menstruation among Indonesian girls highlight the need for improved interventions that reach girls at a young age and address knowledge, shame and secrecy, acceptability of WASH infrastructure and menstrual pain management.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Higiene / Inquéritos Epidemiológicos / Comportamento do Adolescente / Absenteísmo / Menstruação Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Conhecimentos, Atitudes e Prática em Saúde / Higiene / Inquéritos Epidemiológicos / Comportamento do Adolescente / Absenteísmo / Menstruação Idioma: En Ano de publicação: 2018 Tipo de documento: Article