Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India

An emerging body of literature examines multiple connections between water insecurity and mental health, with particular focus on women’s vulnerabilities. Women can display greatly elevated emotional distress with increased household water insecurity, because it’s them who are primarily responsible...

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Main Authors: Neetu Choudhary, Cindi SturtzSreetharan, Sarah Trainer, Alexandra Brewis, Amber Wutich, Kathryn Clancy, Urooba Ahmed Fatima, Mohammad Jobayer Hossain
Format: Article
Language:English
Published: Taylor & Francis Group 2023-01-01
Series:Global Public Health
Subjects:
Online Access:http://dx.doi.org/10.1080/17441692.2023.2233996
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author Neetu Choudhary
Cindi SturtzSreetharan
Sarah Trainer
Alexandra Brewis
Amber Wutich
Kathryn Clancy
Urooba Ahmed Fatima
Mohammad Jobayer Hossain
author_facet Neetu Choudhary
Cindi SturtzSreetharan
Sarah Trainer
Alexandra Brewis
Amber Wutich
Kathryn Clancy
Urooba Ahmed Fatima
Mohammad Jobayer Hossain
author_sort Neetu Choudhary
collection DOAJ
description An emerging body of literature examines multiple connections between water insecurity and mental health, with particular focus on women’s vulnerabilities. Women can display greatly elevated emotional distress with increased household water insecurity, because it’s them who are primarily responsible for managing household water and uniquely interact with wider water environments. Here we test an extension of this proposition, identifying how notions of dignity and other gendered norms related to managing menstruation might complicate and amplify this vulnerability. Our analysis is based on systematic coding for themes in detailed semi-structured interviews conducted with twenty reproductive-age women living in two water insecure communities in New Delhi, India in 2021. The following themes, emerging from our analysis, unfold the pathways through which women’s dignity and mental health is implicated by inadequate water: ideals of womanhood and cleanliness; personal dignity during menstruation; hierarchy of needs and menstruation management amidst water scarcity; loss of dignity and the humiliation; expressed stress, frustration and anger. These pathways are amplified by women’s expected roles as household water managers. This creates a confluence of gendered negative emotions – frustration and anger – which in turn helps to explain the connection of living with water insecurity to women’s relatively worse mental health.
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spelling doaj.art-9aebf368ccb6426daa2ad46c67f61f062023-09-21T13:56:58ZengTaylor & Francis GroupGlobal Public Health1744-16921744-17062023-01-0118110.1080/17441692.2023.22339962233996Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in IndiaNeetu Choudhary0Cindi SturtzSreetharan1Sarah Trainer2Alexandra Brewis3Amber Wutich4Kathryn Clancy5Urooba Ahmed Fatima6Mohammad Jobayer Hossain7Center for Global Health, Arizona State University, Tempe, AZ, USACenter for Global Health, Arizona State University, Tempe, AZ, USACenter for Global Health, Arizona State University, Tempe, AZ, USACenter for Global Health, Arizona State University, Tempe, AZ, USACenter for Global Health, Arizona State University, Tempe, AZ, USADepartment of Anthropology, University of Illinois Urbana-Champaign, Champaign, IL, USADepartment of Anthropology, University of Illinois Urbana-Champaign, Champaign, IL, USACenter for Global Health, Arizona State University, Tempe, AZ, USAAn emerging body of literature examines multiple connections between water insecurity and mental health, with particular focus on women’s vulnerabilities. Women can display greatly elevated emotional distress with increased household water insecurity, because it’s them who are primarily responsible for managing household water and uniquely interact with wider water environments. Here we test an extension of this proposition, identifying how notions of dignity and other gendered norms related to managing menstruation might complicate and amplify this vulnerability. Our analysis is based on systematic coding for themes in detailed semi-structured interviews conducted with twenty reproductive-age women living in two water insecure communities in New Delhi, India in 2021. The following themes, emerging from our analysis, unfold the pathways through which women’s dignity and mental health is implicated by inadequate water: ideals of womanhood and cleanliness; personal dignity during menstruation; hierarchy of needs and menstruation management amidst water scarcity; loss of dignity and the humiliation; expressed stress, frustration and anger. These pathways are amplified by women’s expected roles as household water managers. This creates a confluence of gendered negative emotions – frustration and anger – which in turn helps to explain the connection of living with water insecurity to women’s relatively worse mental health.http://dx.doi.org/10.1080/17441692.2023.2233996water insecuritymenstruationmental healthdignityindia
spellingShingle Neetu Choudhary
Cindi SturtzSreetharan
Sarah Trainer
Alexandra Brewis
Amber Wutich
Kathryn Clancy
Urooba Ahmed Fatima
Mohammad Jobayer Hossain
Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India
Global Public Health
water insecurity
menstruation
mental health
dignity
india
title Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India
title_full Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India
title_fullStr Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India
title_full_unstemmed Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India
title_short Managing menstruation with dignity: Worries, stress and mental health in two water-scarce urban communities in India
title_sort managing menstruation with dignity worries stress and mental health in two water scarce urban communities in india
topic water insecurity
menstruation
mental health
dignity
india
url http://dx.doi.org/10.1080/17441692.2023.2233996
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