Abstract
Objective: The aim of the study is to examine the unmet healthcare needs of adolescents during menstruation and related factors.
Methods: The type of the study is a cross-sectional. The targeted population consisted of female adolescents between the ages of 12-19 living in different regions of Turkey. The sample of the study was calculated as 0.2 effect size, 80% power and 95% confidence level in the computer as 202. The data were collected with a questionnaire prepared using the literature. The data were collected via the link sent via social media accounts between 27 October-6 November 2021.
Results: 16.3% of adolescents have at least one unmet health care need during menstruation. Adolescents could not access health services in emergencies the most, almost one out of five could not access sanitary pads. The most common reasons for unmet healthcare need are the lack of the health insurance and the fear of the doctor. The unmet health care needs were higher in those who lived in extended families, had a low frequency of changing pads, made pads by themselves at home, and were absent from school due to menstruation (p<0.05).
Conclusion: The unmet healthcare services and necessary hygienic products during menstruation is an important adolescent health problem. It is recommended to conduct public health studies in which interventions are planned to facilitate the menstrual period.
Keywords
References
- Belayneh Z, Mekuriaw B. (2019). Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: A cross-sectional study. BMC Public Health, 19, 1-8.
- Crankshaw TL, Strauss M, Gumede B. (2020). Menstrual health management and schooling experience amongst female learners in Gauteng, South Africa: A mixed method study. Reproductive Health, 17, 2-15.
- Davis J, Macintyre A, Odagiri M, Suriastini W, Cordova A, Huggett C ve ark. (2018). Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: Evidence from a cross‐sectional school‐based survey. Tropical Medicine & International Health, 23, 1350-1363.
- Esen İ, Oğuz B, Serin HM. (2016). Menstrual characteristics of pubertal girls: A questionnaire-based study in Turkey. Journal of Clinical Research and Pediatric Endocrinology, 8, 192-196.
- Hardin HK, Alchami H, Lee D, Jones MS. (2021). Unmet health need and perceived barriers to health care among adolescents living in a rural area. Child Health Care, 50, 108-123.
- Hwang J. (2018). Understanding reasons for unmet health care needs in Korea: What are health policy implications? BMC Health Services Research, 18, 2-9.
- Kuhlmann AS, Henry K, Wall L. (2017). Menstrual hygiene management in resource-poor countries. Obstetrical & Gynecological Survey, 72, 356-376.
- Kuhlmann AS, Bergquist EP, Danjoint D, Wall LL. (2019). Unmet menstrual hygiene needs among low-income women. Obstetrics & Gynecology, 133, 238-244.
- Marshall E. (2011). Do young adults have unmet healthcare needs? Journal of Adolescent Health, 49, 490-497.
- Miiro G, Rutakumwa R, Nakiyingi-Miiro J, Nakuya K, Musoke S, Namakula J ve ark. (2018). Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): A feasibility study. BMC Women's Health, 18, 2-9.
- OECD. (2019). Health for Everyone? Social Inequalities in Health and Health Systems, Paris: OECD Publishing Health Policy Studies, s.134-153.
- Özel Ş, Oskovi A, Korkut S, Memur T, Üstün YE. (2018). Gençlik merkezine başvuran adölesanların menarş duygu, menstruasyon algı‐bilgi ve özbakım pratikleri. Ankara Medical Journal, 18, 675-682.
- Saka HN, Neyzi O. (2005). Puberte başlangıç yaşı değişiyor mu? Türk Pediatri Arşivi, 40, 7-14.
- Taşkın, L. (2021). Doğum ve Kadın Sağlığı Hemşireliği. 17. Baskı, Ankara, Akademisyen kitabevi, s.53-54.
- Tegegne TK, Sisay MM. (2014). Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health, 14, 1-14.
- Tuğut N. (2022). Adölesanlarda jinekolojik sorunlar ve jinekolojik muayeneye yaklaşım. Türkiye Klinikleri, Doğum-Kadın Sağlığı ve Hastalıkları Hemşireliği Özel Konular, 9-15.
- UNICEF. (2019). Guide to Menstrual Hygiene Materials. Erişim tarihi: 27.04.2022, https://www.unicef.org/ media/91346/file/UNICEF-Guide-menstrual-hygiene-materials-2019.pdf
- van Ejik AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S ve ark. (2016). Menstrual hygiene management among adolescent girls in India: A systematic review and meta-analysis. BMJ Open, 6, e010290.
- Yücel G, Kendirci M, Gül Ü. (2018). Menstrual characteristics and related problems in 9-to 18-year-old Turkish school girls. Journal of Pediatric and Adolescent Gynecology, 31, 350-355.
Adölesanların Menstruasyon Döneminde Karşılanmamış Sağlık Hizmeti Gereksinimleri ve İlişkili Faktörler
Abstract
Amaç: Bu araştırmanın amacı, adölesanların menstruasyon döneminde karşılanmamış sağlık hizmeti gereksinimlerini ve ilişkili faktörleri incelemektir.
Yöntem: Araştırma kesitsel tiptedir. Araştırmanın evrenini, Türkiye’nin farklı bölgelerinde yaşayan ve 12-19 yaş arasındaki kadın adölesanlar oluşturmuştur. Araştırmanın örneklemi bilgisayar ortamında 0.2 etki büyüklüğü, %80 güç ve %95 güven düzeyinde 202 olarak hesaplanmıştır. Araştırmanın verileri literatürden yararlanılarak hazırlanan anket formu ile toplanmıştır. Veriler sosyal medya hesapları üzerinden gönderilen link yoluyla 27 Eylül-6 Kasım 2021 tarihleri arasında toplanmıştır.
Bulgular: Adölesanların %16.3’ünün menstruasyon döneminde karşılanmamış en az bir sağlık hizmeti gereksinimi vardır. Adölesanların en çok acil durumlarda sağlık hizmetine erişemediği, yaklaşık beşte birinin de hijyenik pede erişemediği belirlenmiştir. Karşılanmamış sağlık hizmeti gereksiniminin en sık rastlanan nedenleri; sosyal güvencenin olmaması ve doktor korkusudur. Geniş ailede yaşayan, menstruasyonun en yoğun gününde ped değiştirme sıklığı az olan, pedi evde kendi kendine yapan, menstruasyon nedeniyle okula devamsızlık yapanlarda karşılanmamış sağlık hizmeti gereksiniminin daha fazla olduğu belirlenmiştir (p<0.05).
Sonuç: Menstruasyon döneminde sağlık hizmetine ve gereken hijyenik ürünlere erişememe önemli bir adölesan sağlığı sorunudur. Buna göre menstruasyon dönemini kolaylaştıracak girişimlerin planlandığı halk sağlığı çalışmalarının planlanması önerilir.
Keywords
References
- Belayneh Z, Mekuriaw B. (2019). Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: A cross-sectional study. BMC Public Health, 19, 1-8.
- Crankshaw TL, Strauss M, Gumede B. (2020). Menstrual health management and schooling experience amongst female learners in Gauteng, South Africa: A mixed method study. Reproductive Health, 17, 2-15.
- Davis J, Macintyre A, Odagiri M, Suriastini W, Cordova A, Huggett C ve ark. (2018). Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: Evidence from a cross‐sectional school‐based survey. Tropical Medicine & International Health, 23, 1350-1363.
- Esen İ, Oğuz B, Serin HM. (2016). Menstrual characteristics of pubertal girls: A questionnaire-based study in Turkey. Journal of Clinical Research and Pediatric Endocrinology, 8, 192-196.
- Hardin HK, Alchami H, Lee D, Jones MS. (2021). Unmet health need and perceived barriers to health care among adolescents living in a rural area. Child Health Care, 50, 108-123.
- Hwang J. (2018). Understanding reasons for unmet health care needs in Korea: What are health policy implications? BMC Health Services Research, 18, 2-9.
- Kuhlmann AS, Henry K, Wall L. (2017). Menstrual hygiene management in resource-poor countries. Obstetrical & Gynecological Survey, 72, 356-376.
- Kuhlmann AS, Bergquist EP, Danjoint D, Wall LL. (2019). Unmet menstrual hygiene needs among low-income women. Obstetrics & Gynecology, 133, 238-244.
- Marshall E. (2011). Do young adults have unmet healthcare needs? Journal of Adolescent Health, 49, 490-497.
- Miiro G, Rutakumwa R, Nakiyingi-Miiro J, Nakuya K, Musoke S, Namakula J ve ark. (2018). Menstrual health and school absenteeism among adolescent girls in Uganda (MENISCUS): A feasibility study. BMC Women's Health, 18, 2-9.
- OECD. (2019). Health for Everyone? Social Inequalities in Health and Health Systems, Paris: OECD Publishing Health Policy Studies, s.134-153.
- Özel Ş, Oskovi A, Korkut S, Memur T, Üstün YE. (2018). Gençlik merkezine başvuran adölesanların menarş duygu, menstruasyon algı‐bilgi ve özbakım pratikleri. Ankara Medical Journal, 18, 675-682.
- Saka HN, Neyzi O. (2005). Puberte başlangıç yaşı değişiyor mu? Türk Pediatri Arşivi, 40, 7-14.
- Taşkın, L. (2021). Doğum ve Kadın Sağlığı Hemşireliği. 17. Baskı, Ankara, Akademisyen kitabevi, s.53-54.
- Tegegne TK, Sisay MM. (2014). Menstrual hygiene management and school absenteeism among female adolescent students in Northeast Ethiopia. BMC Public Health, 14, 1-14.
- Tuğut N. (2022). Adölesanlarda jinekolojik sorunlar ve jinekolojik muayeneye yaklaşım. Türkiye Klinikleri, Doğum-Kadın Sağlığı ve Hastalıkları Hemşireliği Özel Konular, 9-15.
- UNICEF. (2019). Guide to Menstrual Hygiene Materials. Erişim tarihi: 27.04.2022, https://www.unicef.org/ media/91346/file/UNICEF-Guide-menstrual-hygiene-materials-2019.pdf
- van Ejik AM, Sivakami M, Thakkar MB, Bauman A, Laserson KF, Coates S ve ark. (2016). Menstrual hygiene management among adolescent girls in India: A systematic review and meta-analysis. BMJ Open, 6, e010290.
- Yücel G, Kendirci M, Gül Ü. (2018). Menstrual characteristics and related problems in 9-to 18-year-old Turkish school girls. Journal of Pediatric and Adolescent Gynecology, 31, 350-355.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing, Obstetrics and Gynocology Nursing |
| Journal Section | Araştırma |
| Authors | |
| Early Pub Date | October 15, 2023 |
| Publication Date | October 15, 2023 |
| Submission Date | December 13, 2022 |
| Published in Issue | Year 2023 Volume: 6 Issue: 3 |
