Understanding Knowledge, Attitude, and Practices Regarding Menstruation among Educated Young Adult Females in Urban and Rural Areas of Pakistan

Keywords: urban and rural females, menstruation, young adult females, knowledge of menstruation, attitude and practices of menstruation

Abstract

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The primary objective of this research is to investigate the knowledge, attitudes, and practices regarding menstruation among educated young adult females in urban and rural settings of Lahore (Pakistan). In pursuit of our research objectives, a total of six in-depth interviews were conducted with young adult females enrolled in both undergraduate and postgraduate programs within a public sector university in Lahore (Pakistan). The collected data underwent meticulous analysis utilizing a thematic approach. The study's findings highlighted the lack of sufficient knowledge among females upon the onset of menarche. Primary sources of information included mothers and elderly sisters; however, open discussions are frequently evaded or postponed on maintaining hygiene during the monthly cycles. Further, cultural, societal norms and religious considerations significantly influenced the imposition of restrictions and practices related to menstruation among females. The research elucidated the experiences of young females as they reflected on their initial encounters, and highlighted the challenges faced including religious and social constraints during menstruation in local settings. The study strongly advocated for the compulsory integration of sex education for both girls and boys at the adolescence stage in Pakistan, based on the identified gaps in knowledge and practices.

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References

Anbesu, E. W., & Asgedom, D. K. (2023). Menstrual hygiene practice and associated factors among adolescent girls in sub-Saharan Africa: A systematic review and meta-analysis. BMC Public Health, 23(1), 1–14. https://doi.org/10.1186/s12889-022-14942-8

Andani, P. R. (2020). Knowledge, attitude and practice of menstrual hygiene among primary school adolescents in Surabaya, Indonesia. Indian Journal of Forensic Medicine & Toxicology, 14(3), 1109–1114.

Atari, D. O., Tariquzzaman, S. K., & Nancy, A. (2021). Knowledge and perceptions on menstrual hygiene management among school-going adolescent girls in South Sudan. Journal of Adolescent Research, 39(2), 361–386. https://doi.org/10.1177/07435584211043293

Bhusal, C. K. (2020). Practice of menstrual hygiene and associated factors among adolescent school girls in Dang district, Nepal. Advances in Preventive Medicine, 2020, Article e1292070. https://doi.org/10.1155/2020/1292070

Borjigen, A., Huang, C., Liu, M., Lu, J., Peng, H., Sapkota, C., & Sheng, J. (2019). Status and factors of menstrual knowledge, attitudes, behaviors and their correlation with psychological stress in adolescent girls. Journal of Pediatric and Adolescent Gynecology, 32(6), 584–589. https://doi.org/10.1016/j.jpag.2019.08.007

Chew, K. S., Wong, S. S. L., Hassan, A. K., Po, K. E., Zulkhairi, N., & Yusman, N. A. L. (2021). Development of a validated instrument on socio-cultural and religious influences during menstruation in Malaysia. Medical Journal of Malaysia, 76(6), 814–819.

Dhar, S., Mondal, K. K., & Bhattacharjee, P. (2023). Influence of lifestyle factors with the outcome of menstrual disorders among adolescents and young women in West Bengal, India. Scientific Reports, 13(1), Article e12476. https://doi.org/10.1038/s41598-023-35858-2

Ghandour, R., Hammoudeh, W., Giacaman, R., Holmboe-Ottesen, G., & Fjeld, H. E. (2022). Coming of age: A qualitative study of adolescent girls’ menstrual preparedness in Palestinian refugee camps in the West Bank and Jordan. Sexual and Reproductive Health Matters, 30(1), Article e2111793. https://doi.org/10.1080/26410397.2022.2111793

Gold-Watts, A., Hovdenak, M., Daniel, M., Gandhimathi, S., Sudha, R., & Bastien, S. (2020). A qualitative study of adolescent girls’ experiences of menarche and menstruation in rural Tamil Nadu, India. International Journal of Qualitative Studies on Health and Well-Being, 15(1), Article e1845924. https://doi.org/10.1080/17482631.2020.1845924

Hennegan, J., Shannon, A. K., Rubli, J., Schwab, K. J., & Melendez-Torres, G. J. (2019). Women’s and girls’ experiences of menstruation in low-and middle-income countries: A systematic review and qualitative metasynthesis. PLoS Medicine, 16(5), Article e1002803. https://doi.org/10.1371/journal.pmed.1002803

Hennink, M., Hutter, I., & Bailey, A. (2020). Qualitative research methods. Sage Publication.

Kaur, R., Kaur, K., & Kaur, R. (2018). Menstrual hygiene, management, and waste disposal: Practices and challenges faced by girls/women of developing countries. Journal of Environmental and Public Health, 2018, Article e1730964. https://doi.org/10.1155/2018/1730964

Maguire, M., & Delahunt, B. (2017). Doing a thematic analysis: A practical, step-by-step guide for learning and teaching scholars. All Ireland Journal of Higher Education, 8(3), 3351–3363.

Maqbool, R., Maqbool, M., Zehravi, M., & Ara, I. (2021). Menstrual distress in females of reproductive age: a literature review. International Journal of Adolescent Medicine and Health, 34(2), 11–17. https://doi.org/10.1515/ijamh-2021-0081

Marván, M. L., & Trujillo, P. (2009). Menstrual socialization, beliefs, and attitudes concerning menstruation in rural and urban Mexican women. Health Care for Women International, 31(1), 53–67. https://doi.org/10.1080/07399330902833362

Mathiyalagen, P., Peramasamy, B., Vasudevan, K., Basu, M., Cherian, J., & Sundar, B. (2017). A descriptive cross-sectional study on menstrual hygiene and perceived reproductive morbidity among adolescent girls in a union territory, India. Journal Of Family Medicine and Primary Care, 6(2), 360–365. https://doi.org/10.4103/2249-4863.220031

McCammon, E., Bansal, S., Hebert, L. E., Yan, S., Menendez, A., & Gilliam, M. (2020). Exploring young women’s menstruation-related challenges in Uttar Pradesh, India, using the socio-ecological framework. Sexual and Reproductive Health Matters, 28(1), Article e1749342. https://doi.org/10.1080/26410397.2020.1749342

Michael, J., Iqbal, Q., Haider, S., Khalid, A., Haque, N., Ishaq, R., Saleem, F., Hassali, M. A., & Bashaar, M. (2020). Knowledge and practice of adolescent females about menstruation and menstruation hygiene visiting a public healthcare institute of Quetta, Pakistan. BMC Women’s Health, 20, Article e4. https://doi.org/10.1186/s12905-019-0874-3

Mohammed, S., & Larsen-Reindorf, R. E. (2020). Menstrual knowledge, sociocultural restrictions, and barriers to menstrual hygiene management in Ghana: Evidence from a multi-method survey among adolescent schoolgirls and schoolboys. PLOS ONE, 15(10), Article e0241106. https://doi.org/10.1371/journal.pone.0241106

Mulazimah, M., Nurahmawati, D., & Trishastuti, I. H. (2022). The correlation of knowledge and the attitudes of class VII teenage girls in readiness to face menarche. Jurnal Ners dan Kebidanan, 9(2), 232–240.

Mumtaz, Z., Sivananthajothy, P., Bhatti, A., & Sommer, M. (2019). “How can we leave the traditions of our Baab Daada” socio-cultural structures and values driving menstrual hygiene management challenges in schools in Pakistan. Journal of Adolescence, 76, 152–161. https://doi.org/10.1016/j.adolescence.2019.07.008

Neyazi, A., Faizi, G., Afzali, H., Ahmadi, M., Razaqi, N., Frough, Z., & Bhattacharya, S. (2021). Assessment of knowledge, attitude and practice about the menstruation among secondary school girls in Herat, Afghanistan-A cross sectional study. Research Square. https://doi.org/10.21203/rs.3.rs-847912/v1

Patel, S., Vernekar, S. P., & Desai, A. M. (2019). A study on the knowledge, attitude and practices regarding menstrual hygiene among adolescent girls in schools in a rural area of Goa. Journal of Clinical & Diagnostic Research, 16(2), Article e14.

Proff, A. A., Fatima, S., & Limón, M. L. S. (2023). Becoming women: Period. Perceptions of barriers and facilitators to menstrual hygiene management programs for Pakistani girls. Frontiers in Public Health, 11, Article e1083688. https://doi.org/10.3389/fpubh.2023.1083688

Ray, S., & Dasgupta, A. (2012). Determinants of menstrual hygiene among adolescent girls: A multivariate analysis. National Journal of Community Medicine, 3(2), 294–301.

Reid, A. M., Brown, J. M., Smith, J. M., Cope, A. C., & Jamieson, S. (2018). Ethical dilemmas and reflexivity in qualitative research. Perspectives on Medical Education, 7, 69–75. https://doi.org/10.1007/s40037-018-0412-2

Reñosa, M. D. C., Mwamba, C., Meghani, A., West, N., Hariyani, S., Ddaaki, W., Sharma, A., Beres, L. K., & McMahon, S. A. (2021). Selfie consents, remote rapport, and Zoom debriefings: Collecting qualitative data amid a pandemic in four resource-constrained settings. BMJ Global Health, 6(1), Article e004193. https://doi.org/10.1136/bmjgh-2020-004193

Rizvi, N., & Ali, T. S. (2016). Misconceptions and mismanagement of menstruation among adolescents girls who do not attend school in Pakistan. Journal of Asian Midwives, 3(1), 46–62.

Sultan, S., & Sahu, D. S. (2017). Knowledge, attitude and practices about menstruation and related problems in adolescent girls. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 6(12), 5235–5240. http://dx.doi.org/10.18203/2320-1770.ijrcog20175088

Usman, G., Abbas, K., Arshad, R., Muneer, A., Syed, H. S., Iqbal, A., Dar, F. N., Anum, U., Ahmed, M., Tehreem, K., Zulfi, M. H., & Khan, J. (2020). Knowledge and practice of menstrual hygiene management among women living in a low-income neighbourhood, Karachi, Pakistan. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 9(10), 3953–3959. https://doi.org/10.18203/2320-1770.ijrcog20204277

Wasan, Y., Baxter, J. B., Rizvi, A., Shaheen, F., Junejo, Q., Abro, M. A., Hussain, A., Ahmed, I., Soofi, S. B., & Bhutta, Z. A. (2022). Practices and predictors of menstrual hygiene management material use among adolescent and young women in rural Pakistan: A cross-sectional assessment. Journal of Global Health, 12, Article e0405. https://doi.org/10.7189/jogh.12.04059

Zakaria, M., Xu, J., Karim, F., & Cheng, F. (2019). Reproductive health communication between mother and adolescent daughter in Bangladesh: A cross-sectional study. Reproductive Health, 16, Article e114. https://doi.org/10.1186/s12978-019-0778-6

Published
2023-12-11
How to Cite
Tiwana, P. S., & Raheel, S. (2023). Understanding Knowledge, Attitude, and Practices Regarding Menstruation among Educated Young Adult Females in Urban and Rural Areas of Pakistan. Sociological Research And Innovation, 1(2), 20–36. https://doi.org/10.32350/sri.12.02
Section
Articles