Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.

<h4>Background</h4>The exclusive use of hygienic materials during menstruation (sanitary napkins, locally made napkins, tampons, and menstrual cups) among urban women in India has been increasing over time. However, little is known about the wealth-based disparity in the exclusive use of...

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Main Authors: Aditya Singh, Mahashweta Chakrabarty, Shivani Singh, Diwakar Mohan, Rakesh Chandra, Sourav Chowdhury
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0277095
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author Aditya Singh
Mahashweta Chakrabarty
Shivani Singh
Diwakar Mohan
Rakesh Chandra
Sourav Chowdhury
author_facet Aditya Singh
Mahashweta Chakrabarty
Shivani Singh
Diwakar Mohan
Rakesh Chandra
Sourav Chowdhury
author_sort Aditya Singh
collection DOAJ
description <h4>Background</h4>The exclusive use of hygienic materials during menstruation (sanitary napkins, locally made napkins, tampons, and menstrual cups) among urban women in India has been increasing over time. However, little is known about the wealth-based disparity in the exclusive use of hygienic materials during menstruation among these women. This study, therefore, measures wealth-based inequality in the exclusive use of hygienic materials during menstruation among urban women in India. Furthermore, the measured inequality is decomposed to unravel its contributing factors.<h4>Data and methods</h4>Using data from the National Family Health Survey-5 (2019-21), we calculated the Erreygers normalized concentration index (CI) for India and each of its states to measure wealth-based inequality in the exclusive use of hygienic materials during menstruation among women in urban India. Further, we decomposed the Erreygers CI to estimate the relative contribution of covariates to wealth-based inequality in the exclusive use of hygienic materials during menstruation. The analysis included 54,561 urban women aged 15-24 from 28 states and eight union territories of India.<h4>Results</h4>The Erreygers CI value of 0.302 indicated a pro-rich inequality in the exclusive use of hygienic materials among urban women in India. While all the states and UTs showed pro-rich inequality, the CI varied considerably across the country. Among the bigger states, the inequality was highest in Madhya Pradesh (CI: 0.45), Assam (CI: 0.44), Bihar (CI: 0.41), and West Bengal (CI: 0.37) and the lowest in the south Indian states of Tamil Nadu (CI: 0.10), Andhra Pradesh (CI: 0.15), Telangana (CI: 0.15), and Kerala (CI: 0.20). Erreygers decomposition revealed that wealth-based inequality in women's education and mass media exposure contributed almost 80% of the wealth-based inequality in the exclusive use of hygienic materials during menstruation among urban women in India.<h4>Conclusion</h4>Substantial pro-rich inequality in the exclusive use of hygienic materials suggests that the policies and program initiatives should prioritize reaching out to poor women to increase the overall rate of exclusive use of hygienic materials during menstruation in urban India.
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spelling doaj.art-2b9665415c7846199982a90cf642a2b82022-12-24T05:32:44ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011711e027709510.1371/journal.pone.0277095Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.Aditya SinghMahashweta ChakrabartyShivani SinghDiwakar MohanRakesh ChandraSourav Chowdhury<h4>Background</h4>The exclusive use of hygienic materials during menstruation (sanitary napkins, locally made napkins, tampons, and menstrual cups) among urban women in India has been increasing over time. However, little is known about the wealth-based disparity in the exclusive use of hygienic materials during menstruation among these women. This study, therefore, measures wealth-based inequality in the exclusive use of hygienic materials during menstruation among urban women in India. Furthermore, the measured inequality is decomposed to unravel its contributing factors.<h4>Data and methods</h4>Using data from the National Family Health Survey-5 (2019-21), we calculated the Erreygers normalized concentration index (CI) for India and each of its states to measure wealth-based inequality in the exclusive use of hygienic materials during menstruation among women in urban India. Further, we decomposed the Erreygers CI to estimate the relative contribution of covariates to wealth-based inequality in the exclusive use of hygienic materials during menstruation. The analysis included 54,561 urban women aged 15-24 from 28 states and eight union territories of India.<h4>Results</h4>The Erreygers CI value of 0.302 indicated a pro-rich inequality in the exclusive use of hygienic materials among urban women in India. While all the states and UTs showed pro-rich inequality, the CI varied considerably across the country. Among the bigger states, the inequality was highest in Madhya Pradesh (CI: 0.45), Assam (CI: 0.44), Bihar (CI: 0.41), and West Bengal (CI: 0.37) and the lowest in the south Indian states of Tamil Nadu (CI: 0.10), Andhra Pradesh (CI: 0.15), Telangana (CI: 0.15), and Kerala (CI: 0.20). Erreygers decomposition revealed that wealth-based inequality in women's education and mass media exposure contributed almost 80% of the wealth-based inequality in the exclusive use of hygienic materials during menstruation among urban women in India.<h4>Conclusion</h4>Substantial pro-rich inequality in the exclusive use of hygienic materials suggests that the policies and program initiatives should prioritize reaching out to poor women to increase the overall rate of exclusive use of hygienic materials during menstruation in urban India.https://doi.org/10.1371/journal.pone.0277095
spellingShingle Aditya Singh
Mahashweta Chakrabarty
Shivani Singh
Diwakar Mohan
Rakesh Chandra
Sourav Chowdhury
Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.
PLoS ONE
title Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.
title_full Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.
title_fullStr Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.
title_full_unstemmed Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.
title_short Wealth-based inequality in the exclusive use of hygienic materials during menstruation among young women in urban India.
title_sort wealth based inequality in the exclusive use of hygienic materials during menstruation among young women in urban india
url https://doi.org/10.1371/journal.pone.0277095
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