背景:时期贫困是一个重要的问题,它影响着全世界月经者的身心健康,这可能进一步导致不良的心理健康结果。对于住在难民营的经产者来说,获得月经卫生产品通常是有限的或不存在的,导致焦虑加剧,羞耻,和尴尬。因此,这项研究旨在评估时期贫困的患病率,并全面分析时期贫困之间的关系,重复使用月经产品,和生活在约旦难民营的经期患者的抑郁症状。
方法:一项横断面研究调查了生活在约旦难民营中的难民月经来潮,月经初潮到绝经前。数据收集包括社会人口统计学,月经实践,和抑郁症状使用患者健康问卷(PHQ-9)。通过负担能力和与月经产品的斗争频率来评估经期贫困。卡方检验,独立样本t检验,单向方差分析(ANOVA),然后是事后分析,并采用logistic回归模型进行分析。
结果:该研究包括居住在约旦难民营的386名难民月经来潮者的不同样本(平均年龄32.43±9.95,年龄范围13-55)。时期贫困非常普遍,42.0%的人报告每月难以负担得起月经产品,和71.5%重复使用月经产品。单变量分析显示,经历时期贫困与较年轻的结婚年龄显着相关,儿童人数增加,教育水平较低,母亲和父亲的教育水平较低,失业,月收入减少,没有健康保险,较低的重用需求得分,PHQ-9评分增加(p<0.05)。与没有经期贫困的患者相比,经历每月期贫困的患者报告中度至重度抑郁症的可能性是2.224倍(95%CI1.069-4.631,P=0.033)。
结论:这项研究强调了生活在约旦难民营中的难民经期贫困和抑郁症状之间的显著关联,因为高的经期贫困率与报告中度至重度抑郁症的2.2倍增加相关.解决难民环境中的时期贫困对于减轻抑郁症风险和增强整体福祉至关重要。
BACKGROUND: Period
poverty is a significant issue that impacts the physical and psychological well-being of menstruators worldwide which can further contribute to poor mental health outcomes. For menstruators living in refugee camps, access to menstrual hygiene products is often limited or non-existent, leading to increased anxiety, shame, and embarrassment. Therefore, this study aimed to assess the prevalence of the period
poverty and to comprehensively analyze the association between period poverty, reusing menstrual products, and depressive symptoms among menstruators living in refugee camps in Jordan.
METHODS: A cross-sectional study surveyed refugee menstruators living in camps in Jordan, aged post-menarche to pre-menopause. Data collection included socio-demographics, menstrual practices, and depressive symptoms using the Patient Health Questionnaire (PHQ-9). Period
poverty was assessed through affordability and frequency of struggles with menstrual products. Chi-squared test, independent sample t-test, One Way Analysis of variance (ANOVA) followed by Post hoc, and logistic regression models were used in the analysis.
RESULTS: The study included a diverse sample of 386 refugee menstruators living in camps in Jordan (mean age 32.43 ± 9.95, age range 13-55). Period poverty was highly prevalent, with 42.0% reporting monthly struggles to afford menstrual products, and 71.5% reusing menstrual products. Univariate analysis revealed that experiencing period poverty was significantly associated with a younger age of marriage, increased number of children, lower education level, lower mother and father education levels, unemployment, decreased monthly income, absence of health insurance, lower reuse need score, and increased PHQ-9 score (p < 0.05). Menstruators experiencing monthly period poverty were 2.224 times more likely to report moderate to severe depression compared to those without period
poverty (95% CI 1.069-4.631, P = 0.033).
CONCLUSIONS: This study highlights a significant association between period poverty and depressive symptoms among refugee menstruators in living in camps in Jordan, as high rates of period poverty were associated with a 2.2-fold increased likelihood of reporting moderate to severe depression. Addressing period
poverty in refugee settings is crucial for mitigating depression risks and enhancing overall well-being.