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ORIGINAL ARTICLE
Year : 2020  |  Volume : 3  |  Issue : 3  |  Page : 117-123

Social determinants of menstrual hygiene among school-going girls in a rural area of Southern Haryana, India


1 Additional Health Director, Infantry Division, 14 Coprs, Bareilly, India
2 Department of Forensic Medicine, Indira Gandhi Medical College, Puducherry, India
3 Department of Internal Medicine, SHKM Government Medical College, Nalhar, Haryana, India
4 Department of Community Medicine, SHKM Government Medical College, Nalhar, Haryana, India
5 Department of Community Medicine, Government Medical College, Shahdol, Madhya Pradesh, India
6 Department of Community Medicine, Santosh Medical College, Ghaziabad, Uttar Pradesh, India
7 Department of Forensic Medicine, Santosh Medical College, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Vikas Gupta
Department of Community Medicine, Government Medical College, Shahdol, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/SHB.SHB_33_20

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Introduction: Several factors associated with menstrual hygiene are modifiable and if such factors are identified and addressed, it can go a long way in promoting good menstrual hygiene practice among adolescent girls. The present study was conducted with an aim to investigate the social determinants for menstrual hygiene-related knowledge and practices among rural school-going girls. Methods: This cross-sectional study included 649 school-going girls (12–19 years) from two government schools. A pretested, predesigned, standardized questionnaire was prepared which included demographic details such as age, sociodemographic characteristics, knowledge regarding menstruation, restrictions practiced, absenteeism during menstruation, the practice of menstrual hygiene. Multiple logistic regression model at a significant level of 0.05 was used. Results: The mean age of menarche in the study population was 12.8 ± 1.73 years. Mother's education and family socioeconomic status showed a trend with poor menstrual hygiene. The study participants belonging to the age group of 12–14 years were nearly 2.3 times more likely to have poor hygiene practices than the study participants belonging to the age group of 18 years or more. Absence of sanitary latrines (adjusted odds ratio [OR]: 2.34, 95% confidence interval [CI]: 1.65–3.31, P = 0.000), lower class in school (adjusted OR: 11.65, 95% CI: 7.19–18.86, P = 0.010), and joint families (adjusted OR: 2.19, 95% CI: 1.42–3.32, P = 0.022) also showed a high positive association with the odds of practicing poor menstrual hygiene. Conclusion: This study reveals that adolescent girls in rural area had ignorance, false perceptions, and unsafe practices regarding menstruation. Thus, the above findings reinforce the need to encourage safe and hygienic practices among the adolescent girls and bring them out of the traditional beliefs, misconceptions, and restrictions regarding menstruation.


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