Abstract：
The use of unsafe materials to collect menstrual blood predisposes women and girls to infections. There is a paucity of literature on the utilization of reusable menstrual materials in sub-Saharan Africa. This study examined factors associated with the use of reusable menstrual management materials among women of reproductive age in Ghana. Findings from this study can inform menstrual health programmes and reproductive health policy to address menstrual hygiene and specific areas of emphasis.
We analysed secondary data from the 2017/18 Ghana Multiple Indicator Cluster Survey. Descriptive statistics were employed to compute frequencies and percentages, while Chi-square and complex sample Binomial Logistic Regression was conducted to identify factors associated with the use of reusable menstrual materials.
Half (52%) of the respondents were below 30 years old; mean (± sd) = 30.7(9.0). Thirteen percent used reusable materials to collect menstrual blood during their last period. Women aged 45-49 years (AOR = 5.34; 95% CI 3.47-8.19) were 5 times more likely to manage menstruation with reusable materials compared with those aged 15-19 years (p < 0.05). Women classified in the middle wealth quintile (AOR = 0.66; 95% CI 0.50-0.88) were 34% less likely to use reusable materials to collect menstrual blood compared with women in the poorest wealth quintile (p < 0.05). Also, women who were exposed to television (AOR = 0.78; 95% CI 0.61-0.99) had less odds of using reusable materials compared with women who were not exposed to television (p < 0.05).
This study showed that the use of reusable menstrual materials was influenced by socio-demographic factors, economic factors and exposure to mass media. Therefore, policies and programmes aimed at promoting menstrual health should focus on less privileged women. The mass media presents an opportunity for communicating menstrual hygiene.
We analysed secondary data from the 2017/18 Ghana Multiple Indicator Cluster Survey. Descriptive statistics were employed to compute frequencies and percentages, while Chi-square and complex sample Binomial Logistic Regression was conducted to identify factors associated with the use of reusable menstrual materials.
Half (52%) of the respondents were below 30 years old; mean (± sd) = 30.7(9.0). Thirteen percent used reusable materials to collect menstrual blood during their last period. Women aged 45-49 years (AOR = 5.34; 95% CI 3.47-8.19) were 5 times more likely to manage menstruation with reusable materials compared with those aged 15-19 years (p < 0.05). Women classified in the middle wealth quintile (AOR = 0.66; 95% CI 0.50-0.88) were 34% less likely to use reusable materials to collect menstrual blood compared with women in the poorest wealth quintile (p < 0.05). Also, women who were exposed to television (AOR = 0.78; 95% CI 0.61-0.99) had less odds of using reusable materials compared with women who were not exposed to television (p < 0.05).
This study showed that the use of reusable menstrual materials was influenced by socio-demographic factors, economic factors and exposure to mass media. Therefore, policies and programmes aimed at promoting menstrual health should focus on less privileged women. The mass media presents an opportunity for communicating menstrual hygiene.
摘要：
使用不安全材料收集经血使妇女和女孩容易受到感染。关于在撒哈拉以南非洲使用可重复使用的月经材料的文献很少。这项研究调查了加纳育龄妇女使用可重复使用的月经管理材料的相关因素。这项研究的结果可以为月经健康计划和生殖健康政策提供信息，以解决月经卫生和重点领域。
我们分析了2017/18年加纳多指标类集调查的二级数据。描述性统计被用来计算频率和百分比，同时进行卡方和复杂样本二项Logistic回归，以确定与使用可重复使用的月经材料相关的因素。
一半（52％）的受访者年龄在30岁以下；平均值（±sd）=30.7（9.0）。13％的人在最后一个时期使用可重复使用的材料收集月经血。与15-19岁的女性相比，45-49岁的女性（AOR=5.34；95％CI3.47-8.19）使用可重复使用的材料管理月经的可能性要高5倍（p<0.05）。与处于最贫穷财富五分之一的女性相比，处于中等财富五分之一的女性（AOR=0.66；95％CI0.50-0.88）使用可重复使用的材料收集月经血的可能性降低了34％（p<0.05）。此外，与未接触电视的女性相比,接触电视的女性(AOR=0.78;95%CI0.61~0.99)使用可重复使用材料的可能性较小(p<0.05).
这项研究表明，使用可重复使用的月经材料受到社会人口统计学因素的影响，经济因素和对大众媒体的接触。因此,旨在促进月经健康的政策和方案应侧重于弱势妇女。大众媒体为宣传月经卫生提供了机会。
我们分析了2017/18年加纳多指标类集调查的二级数据。描述性统计被用来计算频率和百分比，同时进行卡方和复杂样本二项Logistic回归，以确定与使用可重复使用的月经材料相关的因素。
一半（52％）的受访者年龄在30岁以下；平均值（±sd）=30.7（9.0）。13％的人在最后一个时期使用可重复使用的材料收集月经血。与15-19岁的女性相比，45-49岁的女性（AOR=5.34；95％CI3.47-8.19）使用可重复使用的材料管理月经的可能性要高5倍（p<0.05）。与处于最贫穷财富五分之一的女性相比，处于中等财富五分之一的女性（AOR=0.66；95％CI0.50-0.88）使用可重复使用的材料收集月经血的可能性降低了34％（p<0.05）。此外，与未接触电视的女性相比,接触电视的女性(AOR=0.78;95%CI0.61~0.99)使用可重复使用材料的可能性较小(p<0.05).
这项研究表明，使用可重复使用的月经材料受到社会人口统计学因素的影响，经济因素和对大众媒体的接触。因此,旨在促进月经健康的政策和方案应侧重于弱势妇女。大众媒体为宣传月经卫生提供了机会。
