Development and validation of a menstruation-related activity restriction questionnaire among adolescent girls in urban resettlement colonies of Delhi

Garg, Suneela; Marimuthu, Yamini; Bhatnagar, Nidhi; Singh, M. M.; Borle, Amod; Basu, Saurav; Azmi, Falak; Dabi, Yomri; Bala, Indu

doi:10.4103/ijcm.ijcm_183_20

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…About twothirds (n=32) of full instruments asked about emotions, either changes during the menstrual cycle or the impact of symptoms-such as in bleeding or pain-on their emotions. A few (n=6) full instruments had items on menstrual hygiene management, most of which were in low-and middle-income country settings [85,[91][92][93][94].…”

Section: How Instruments Measured Perceptionsmentioning

confidence: 99%

Measurement of changes to the menstrual cycle: A transdisciplinary systematic review evaluating measure quality and utility for clinical trials

Mackenzie,

Chung,

Hoppes

et al. 2024

Preprint

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Despite the importance of menstruation and the menstrual cycle to health, human rights, and sociocultural and economic wellbeing, the study of menstrual health suffers from a lack of funding, and research remains fractured across many disciplines. We sought to systematically review approaches to measure four aspects of changes to the menstrual cycle—bleeding, blood, pain, and perceptions— caused by any source and used in any field. We searched MEDLINE, Embase, and four instrument databases and included peer-reviewed articles published between 2006 and 2023 that reported on the development or validation of instruments assessing menstrual changes using quantitative or mixed-methods methodology. We evaluated instruments on measure quality and utility for clinical trials. From a total of 8,490 articles, 8,316 were excluded (i.e., 376 duplicates, 7,704 during title/abstract screening, and 236 during full text review), yielding 94 instruments from 174 included articles. Almost half of articles were from the United States or United Kingdom and over half of instruments were only in English, Spanish, French, or Portuguese. Most instruments measured bleeding, pain, or perceptions, but few assessed blood. Nearly 60% of instruments were developed for populations with menstrual or gynecologic disorders or symptoms. Most instruments had fair or good measure quality and/or clinical trial utility; however, most instruments lacked evidence on responsiveness, question sensitivity and/or transferability, and only three instruments had good scores of both quality and utility. Although we took a novel, broad, and transdisciplinary approach, our systematic review found important gaps in the literature and instrument landscape and a need to examine the menstrual cycle in a more comprehensive, inclusive, and standardized way. Our findings can inform the development of new or modified instruments, which—if used across the many fields that study menstrual health—can contribute to a more systemic and holistic understanding of menstruation and the menstrual cycle.

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Section: How Instruments Measured Perceptionsmentioning

confidence: 99%

Measurement of changes to the menstrual cycle: A transdisciplinary systematic review evaluating measure quality and utility for clinical trials

Mackenzie,

Chung,

Hoppes

et al. 2024

Preprint

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Revalidation and adaptation of the Menstrual Practice Needs Scale (MPNS) in a cross-sectional survey to measure the menstrual experiences of adult women working in Mukono District, Uganda

et al. 2022

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ObjectivesThe Menstrual Practice Needs Scale (MPNS) is a comprehensive measure of menstrual self-care experience including access to sufficient, comfortable materials to catch or absorb bleeding, supportive spaces for managing menstruation and for disposal and laundering of used materials. It addresses a critical measurement gap to improve quantitative menstrual health research and programme evaluation. The scale was validated in a population of adolescent schoolgirls. This study appraises its performance among adult women.DesignCross-sectional survey.Setting and participantsSeven cognitive interviews provided insights into the interpretability of scale items. A survey of 525 working women who had menstruated in the past 6 months (435 working in markets, 45 in schools and 45 working in healthcare facilities) in Mukono District, Uganda was used to test the dimensionality, reliability and validity of the measure.ResultsThe 36 scale items were well understood by the study population. Dimensionality was tested for the 28 items relevant to women disposing of menstrual materials and 32 items relevant to those washing and reusing materials. The original subscale structure fit with the data, however, fell short of recommended thresholds for those disposing of materials (root mean squared error of approximation, RMSEA=0.069; Comparative Fit Index, CFI=0.840; Trucker-Lewis Index, TLI=0.824). An alternative subscale structure was an acceptable fit for those disposing (RMSEA=0.051; CFI=0.911; TLI=0.897) and reusing materials (RMSEA=0.053; CFI=0.915; TLI=0.904). MPNS total and subscale scores demonstrated acceptable internal consistency. Higher scores reflected more positive menstrual experiences and were associated with well-being (total score r=0.24, p<0.001), not missing work due to the last menstrual period (total score OR=2.47 95% CI 1.42 to 4.30) and confidence to manage menstruation.ConclusionsThe MPNS offers a valid and reliable way to assess menstrual health needs. The revised factor structure can be used for samples of adult workers. Findings also highlight challenges in assessing the variety of experiences relevant to managing menstrual bleeding.

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Self-efficacy of Menstrual Hygiene Management and Menstrual Absenteeism Among Students of a College in Kolkata

Datta,

Yasmin,

Guchhait

2024

Journal of Psychosexual Health

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Background: Gender inequality, cultural taboos, poverty and lack of proper information can cause menstrual health needs to go unmet. It restricts mobility, personal choices, work participation and well-being. Nevertheless, self-efficacy in the menstrual hygiene management of college students has been relatively unexplored. Objectives: We aimed to assess the self-efficacy of menstrual hygiene management and its association with college absenteeism, demographic and academic profiles. The study also aimed to explore concerns and beliefs related to menstruation. Materials and methods: A cross-sectional descriptive mixed-method study was conducted to assess the self-efficacy of the menstrual hygiene management (using a novel scale) of students from a general college in Kolkata, West Bengal, India. The study also explored concerns and beliefs related to menstruation among the study subjects. The sample size was calculated to be 96. For the qualitative part, 30 willing students were purposively chosen. Results: The mean age of participants was 19.38 years (SD ± 1.23). Predominantly they belonged to nuclear families (65.6%) with a median family income of ₹12,000. Absenteeism for menstrual reasons was 12 (12.5%). There were 50 (52.1%) participants who reported facing religious restrictions. Self-efficacy had a mean score of 29.90 (standard error of mean = 0.513) and a median score of 31. The presence of religious restrictions, any restrictions and type of family were significantly associated with college absenteeism by the chi-square test ( P < .05). The logistic regression model showed a significant association with religious restriction. Conclusion: The study revealed multiple concerns of college-going students regarding menstrual hygiene despite reported high self-efficacy for menstrual hygiene management.

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Development and validation of a menstruation-related activity restriction questionnaire among adolescent girls in urban resettlement colonies of Delhi

Cited by 5 publications

References 16 publications

Measurement of changes to the menstrual cycle: A transdisciplinary systematic review evaluating measure quality and utility for clinical trials

Measurement of changes to the menstrual cycle: A transdisciplinary systematic review evaluating measure quality and utility for clinical trials

Revalidation and adaptation of the Menstrual Practice Needs Scale (MPNS) in a cross-sectional survey to measure the menstrual experiences of adult women working in Mukono District, Uganda

Self-efficacy of Menstrual Hygiene Management and Menstrual Absenteeism Among Students of a College in Kolkata

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