Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review

<i>Background and Objectives:</i> Menstruation is a natural occurrence marked by the periodic release of endometrial cells within the uterine lining from the female genital area. Menstruation knowledge remains highly essential for young adolescents. Inadequate awareness and understanding...

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Main Authors: Chinomso Adanma Uzoechi, Ali Davod Parsa, Ilias Mahmud, Ibrahim Alasqah, Russell Kabir
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/12/2073
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author Chinomso Adanma Uzoechi
Ali Davod Parsa
Ilias Mahmud
Ibrahim Alasqah
Russell Kabir
author_facet Chinomso Adanma Uzoechi
Ali Davod Parsa
Ilias Mahmud
Ibrahim Alasqah
Russell Kabir
author_sort Chinomso Adanma Uzoechi
collection DOAJ
description <i>Background and Objectives:</i> Menstruation is a natural occurrence marked by the periodic release of endometrial cells within the uterine lining from the female genital area. Menstruation knowledge remains highly essential for young adolescents. Inadequate awareness and understanding of menstruation have far-reaching consequences on the overall wellbeing and health outcomes of young adults worldwide. Adolescent girls make up a large percentage of high school students in Nigeria. Girls in countries with low to middle incomes are frequently misled or uneducated regarding menstruation. Menstrual health literacy (MHL) is the level of knowledge concerning matters related to menstrual health. It is observed that a lack of menstrual health literacy is seen among young adults. This systematic review aimed to examine menstruation literacy, attitudes, and adolescent girls’ practices in Nigeria. <i>Materials and Methods:</i> This systematic review included quantitative, cross-sectional, quasi-experimental, and qualitative primary research studies relating to menstruation literacy, attitudes, and practices of adolescents in Nigeria. Articles for this study were searched for on databases such as PubMed and BioMed Central using keywords. These studies were subjected to stringent inclusion and exclusion criteria where the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used, and 13 articles were included after critical appraisal. Data extracted were analysed using narrative synthesis. <i>Results:</i> Findings indicated that knowledge regarding menstruation among adolescents (82.6%) was poor. Menstruation information was obtained from mothers, which was positive as some adolescents reported their closeness to their mothers. Regarding attitudes towards menstruation among adolescents, it was reported that more respondents (70.3%) had negative attitudes towards menstruation. <i>Conclusions:</i> Most of the respondents in Nigeria were not adequately prepared for the onset of their first menstrual period. Knowledge and attitude levels were low regarding periods for adolescents. The only exception was their positive attitude towards using water and soap to wash their hands during menstruation. The review shows a significant gap between adolescents’ menstruation knowledge and actual hygienic methods during menstruation. It is therefore required for educational awareness programmes and campaigns to be put in place to educate adolescents about menstruation.
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spelling doaj.art-1a69c5ee80ca47e7868f8c5f0d0c72742023-12-22T14:23:43ZengMDPI AGMedicina1010-660X1648-91442023-11-015912207310.3390/medicina59122073Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic ReviewChinomso Adanma Uzoechi0Ali Davod Parsa1Ilias Mahmud2Ibrahim Alasqah3Russell Kabir4School of Allied Health, Faculty of Health, Medicine and Social Care, Anglia Ruskin University, Chelmsford CM1 1SQ, UKSchool of Allied Health, Faculty of Health, Medicine and Social Care, Anglia Ruskin University, Chelmsford CM1 1SQ, UKSchool of Health, University of New England, Armidale, NSW 2351, AustraliaDepartment of Public Health, College of Public Health and Health Informatics, Qassim University, Al Bukairiyah 52571, Saudi ArabiaSchool of Allied Health, Faculty of Health, Medicine and Social Care, Anglia Ruskin University, Chelmsford CM1 1SQ, UK<i>Background and Objectives:</i> Menstruation is a natural occurrence marked by the periodic release of endometrial cells within the uterine lining from the female genital area. Menstruation knowledge remains highly essential for young adolescents. Inadequate awareness and understanding of menstruation have far-reaching consequences on the overall wellbeing and health outcomes of young adults worldwide. Adolescent girls make up a large percentage of high school students in Nigeria. Girls in countries with low to middle incomes are frequently misled or uneducated regarding menstruation. Menstrual health literacy (MHL) is the level of knowledge concerning matters related to menstrual health. It is observed that a lack of menstrual health literacy is seen among young adults. This systematic review aimed to examine menstruation literacy, attitudes, and adolescent girls’ practices in Nigeria. <i>Materials and Methods:</i> This systematic review included quantitative, cross-sectional, quasi-experimental, and qualitative primary research studies relating to menstruation literacy, attitudes, and practices of adolescents in Nigeria. Articles for this study were searched for on databases such as PubMed and BioMed Central using keywords. These studies were subjected to stringent inclusion and exclusion criteria where the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used, and 13 articles were included after critical appraisal. Data extracted were analysed using narrative synthesis. <i>Results:</i> Findings indicated that knowledge regarding menstruation among adolescents (82.6%) was poor. Menstruation information was obtained from mothers, which was positive as some adolescents reported their closeness to their mothers. Regarding attitudes towards menstruation among adolescents, it was reported that more respondents (70.3%) had negative attitudes towards menstruation. <i>Conclusions:</i> Most of the respondents in Nigeria were not adequately prepared for the onset of their first menstrual period. Knowledge and attitude levels were low regarding periods for adolescents. The only exception was their positive attitude towards using water and soap to wash their hands during menstruation. The review shows a significant gap between adolescents’ menstruation knowledge and actual hygienic methods during menstruation. It is therefore required for educational awareness programmes and campaigns to be put in place to educate adolescents about menstruation.https://www.mdpi.com/1648-9144/59/12/2073menstruationadolescentmenarchemenstrual literacymenstrual cycleschool
spellingShingle Chinomso Adanma Uzoechi
Ali Davod Parsa
Ilias Mahmud
Ibrahim Alasqah
Russell Kabir
Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review
Medicina
menstruation
adolescent
menarche
menstrual literacy
menstrual cycle
school
title Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review
title_full Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review
title_fullStr Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review
title_full_unstemmed Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review
title_short Menstruation among In-School Adolescent Girls and Its Literacy and Practices in Nigeria: A Systematic Review
title_sort menstruation among in school adolescent girls and its literacy and practices in nigeria a systematic review
topic menstruation
adolescent
menarche
menstrual literacy
menstrual cycle
school
url https://www.mdpi.com/1648-9144/59/12/2073
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