Knowledge, Attitude and Practices on Menstrual Hygiene Management among Female Students in Pahang Public Universities
Keywords:
Period, menstrual hygiene management, female students, Pahang public universitiesAbstract
Menstrual hygiene management (MHM) is fundamental in women's reproductive life and must be well-maintained to prevent unwanted diseases or infections. Proper hygienic practices such as using sanitary pads and frequently changing pads during heavy flow are essential during menstruation. Objective: To assess the level of knowledge, attitude, practices, and period poverty of MHM among female students in Pahang public universities and the association with selected socio-demographic characteristics. Method: A cross-sectional study was conducted among 286 female students across three Pahang public universities: the International Islamic University Malaysia (Kuantan), Universiti Malaysia Pahang (Kuantan) and Universiti Teknologi MARA (Jengka). The questionnaires distributed consisted mainly of five parts: i) socio-demographic data, ii) level of knowledge, iii) attitude, iv) practice, and v) period poverty. Results: Most of the students have good knowledge (97.3%, 278), attitude (69.5%, 198) and practice (82.5%, 236) of MHM. Only 14.6% of students scored high on period poverty, indicating a low level of period poverty among these female students. In addition, it was indicated that the majority (85.4%, 244) of the female students did not struggle to afford menstrual products. Finally, there was a significant association between field of study (<0.001), race (0.020), and type of university (0.405), with knowledge and practice of MHM respectively. Conclusion: The knowledge, attitude, and practice of MHM among female students are adequate, although their attitude and practice on menstrual hygiene management need improvement in all aspects of menstrual hygiene for their future reproductive health. A minority of female students in the Pahang public universities struggled with period poverty and may need attention from the respective universities to overcome it
References
Zamri N, Zaw CC@Raheema. Knowledge and Practices of Menstrual Hygiene among Nursing Students in IIUM Kuantan. Sch J App Med Sci, 2021;9(9):pp.1411–1417.
Kaur R, Kaur K, Kaur R. Menstrual hygiene, management, and waste disposal: Practices and challenges faced by girls/women of developing countries. J Environ Public Health, 2018;pp.1–9.
Carneiro MM. Menstrual poverty: Enough is enough. Women & Health, 2021;61(8):pp.721–722.
Opeyemi O, Emmanuel-Ufuah A, Okenwe G, Adedoyin VA, Ofieh CO et al. Factors influencing period poverty among female adolescent students in public secondary schools in EDE North, Osun State. J Gynecol Res and Obstet, 2022;8(2):pp. 014–021.
Critchley HOD, Babayev E, Bulun SE, Clark S, Garcia-Grau I et al. Menstruation: Science and Society. Am J Obstet Gynecol, 2022;223(5):pp.624–664.
Asumah MN, Abubakari A, Aninanya GA, Salisu WJ. Menstrual hygiene management among adolescents: a qualitative study in the West Gonja municipality of the Savannah Region, Ghana. Pan Afr Med J, 2022;41:pp.146.
Rossouw L, Ross H. Understanding Period Poverty: Socio-Economic inequalities in menstrual hygiene management in eight Low- and Middle-Income countries. Int. J. Environ. Res. Public Health, 2021;4(5):pp.2571.
Krejcie RV, Morgan, DW. Determining Sample Size for Research Activities. Educ Psychol Meas, 1970;30(3):pp.607-19.
Andani, PR. Knowledge, attitude and practice of menstrual hygiene among primary school adolescents in Surabaya, Indonesia. Indian J Forensic Med Toxicol, 2020;14:pp.1109-1114.
Cardoso, L, Scolese, A, Hamidaddin A, Gupta J. Period poverty and mental health implications among college-aged women in the United States. BMC Women’s Health. 2021;21(1):pp.14.
Tshomo, T, Gurung MS, Shah, S, Cuesta JG, Maes P, et al. Menstrual Hygiene Management—Knowledge, Attitudes, and Practices Among Female College Students in Bhutan. Front Reprod Health, 3, 2021;3:pp. 703978
Bolarinwa OA. Principles and methods of validity and reliability testing of questionnaires used in social and health science research. Niger Postgrad Med J, 2021;22(4):pp.195–201.
Tavakol M, Dennick R. Making sense of Cronbach's alpha. Int J Med Educ, 2011;2:pp.53–55.
IBM Corp. IBM SPSS Statistics for Windows (Version 26.0),
Ameade EP, Garti HA. Relationship between female university students' knowledge on menstruation and their menstrual hygiene practices: A study in Tamale, Ghana. Adv Prev Med, 2016, 2016:pp.1-10.
Kim KM, Choi JS. Female university students’ menstrual-hygiene management and factors associated with genitourinary-tract infections in Korea. Women & Health, 2019;60(5):pp.559–569.
Poly LN, Zaman A, Eyemoon EJ. TV Advertisement and Menstrual Hygiene Management. Int J Soc Sc Res, 2020;8(1):pp.38.
Sharma N, Sharma P, Sharma N, Wavare R, Gautam B, et al. A cross sectional study of knowledge, attitude and practices of menstrual hygiene among medical students in north India. J
Phytopharm, 2013;2(5):pp.28– 37.
Sumpter C, Torondel B. A Systematic Review of the Health and Social Effects of Menstrual Hygiene Management. PLoS ONE, 2013;8(4),pp.e62004.
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