Menstruation and social inequities in Spain: a cross-sectional online survey-based study
Abstract Background Available research suggests that menstrual inequity has an impact on (menstrual) health outcomes and emotional wellbeing. It is also a significant barrier to achieve social and gender equity and compromises human rights and social justice. The aim of this study was to describe me...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-05-01
|
| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-01904-8 |
| _version_ | 1797822968582111232 |
|---|---|
| author | Laura Medina-Perucha Tomàs López-Jiménez Constanza Jacques-Aviñó Anna Sofie Holst Carme Valls-Llobet Jordina Munrós-Feliu Cristina Martínez-Bueno Diana Pinzón-Sanabria Mª Mercedes Vicente-Hernández Anna Berenguera |
| author_facet | Laura Medina-Perucha Tomàs López-Jiménez Constanza Jacques-Aviñó Anna Sofie Holst Carme Valls-Llobet Jordina Munrós-Feliu Cristina Martínez-Bueno Diana Pinzón-Sanabria Mª Mercedes Vicente-Hernández Anna Berenguera |
| author_sort | Laura Medina-Perucha |
| collection | DOAJ |
| description | Abstract Background Available research suggests that menstrual inequity has an impact on (menstrual) health outcomes and emotional wellbeing. It is also a significant barrier to achieve social and gender equity and compromises human rights and social justice. The aim of this study was to describe menstrual inequities and their associations with sociodemographic factors, among women and people who menstruate (PWM) aged 18–55 in Spain. Methods A cross-sectional survey-based study was conducted in Spain between March and July 2021. Descriptive statistical analyses and multivariate logistic regression models were performed. Results A total of 22,823 women and PWM were included in the analyses (Mean age = 33.2, SD = 8.7). Over half of the participants had accessed healthcare services for menstruation (61.9%). The odds for accessing menstrual-related services were significantly higher among participants with university education (aOR: 1.48, 95% CI, 1.13–1.95). Also, 57.8% reported having had partial or no menstrual education pre-menarche, with odds being higher among participants born in non-European or Latin American countries (aOR: 0.58, 95% CI, 0.36–0.93). Lifetime self-reported menstrual poverty was between 22.2–39.9%. Main risk factors for menstrual poverty were identifying as non-binary (aOR: 1.67, 95% CI, 1.32–2.11), being born in non-European or Latin American countries (aOR: 2.74, 95% CI, 1.77–4.24), and not having a permit to reside in Spain (aOR: 4.27, 95% CI, 1.94–9.38). Completed university education (aOR: 0.61, 95% CI, 0.44–0.84) and no financial hardship < 12 months (aOR: 0.06, 95% CI, 0.06–0.07) were protective factors for menstrual poverty. Besides, 75.2% reported having overused menstrual products due to lack of access to adequate menstrual management facilities. Menstrual-related discrimination was reported by 44.5% of the participants. Non-binary participants (aOR: 1.88, 95% CI, 1.52–2.33) and those who did not have a permit to reside in Spain (aOR: 2.11, 95% CI, 1.10-4.03) had higher odds of reporting menstrual-related discrimination. Work and education absenteeism were reported by 20.3% and 62.7% of the participants, respectively. Conclusions Our study suggests that menstrual inequities affect a high number of women and PWM in Spain, especially those more socioeconomically deprived, vulnerabilised migrant populations and non-binary and trans menstruators. Findings from this study can be valuable to inform future research and menstrual inequity policies. |
| first_indexed | 2024-03-13T10:17:05Z |
| format | Article |
| id | doaj.art-c310f94160b24317963e0f8acfe2ba39 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-03-13T10:17:05Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-c310f94160b24317963e0f8acfe2ba392023-05-21T11:11:22ZengBMCInternational Journal for Equity in Health1475-92762023-05-0122112510.1186/s12939-023-01904-8Menstruation and social inequities in Spain: a cross-sectional online survey-based studyLaura Medina-Perucha0Tomàs López-Jiménez1Constanza Jacques-Aviñó2Anna Sofie Holst3Carme Valls-Llobet4Jordina Munrós-Feliu5Cristina Martínez-Bueno6Diana Pinzón-Sanabria7Mª Mercedes Vicente-Hernández8Anna Berenguera9Fundació Institut Universitari Per a La Recerca a L’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol)Fundació Institut Universitari Per a La Recerca a L’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol)Fundació Institut Universitari Per a La Recerca a L’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol)Fundació Institut Universitari Per a La Recerca a L’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol)Centro de Análisis Y Programas Sanitarios (CAPS)Atenció a La Salut Sexual I Reproductiva (ASSIR) Muntanya/La Mina, Institut Català de La SalutSexual and Reproductive Health Care Research Group (GRASSIR)SomiArte TallerSexual and Reproductive Health Care Research Group (GRASSIR)Fundació Institut Universitari Per a La Recerca a L’Atenció Primària de Salut Jordi Gol I Gurina (IDIAPJGol)Abstract Background Available research suggests that menstrual inequity has an impact on (menstrual) health outcomes and emotional wellbeing. It is also a significant barrier to achieve social and gender equity and compromises human rights and social justice. The aim of this study was to describe menstrual inequities and their associations with sociodemographic factors, among women and people who menstruate (PWM) aged 18–55 in Spain. Methods A cross-sectional survey-based study was conducted in Spain between March and July 2021. Descriptive statistical analyses and multivariate logistic regression models were performed. Results A total of 22,823 women and PWM were included in the analyses (Mean age = 33.2, SD = 8.7). Over half of the participants had accessed healthcare services for menstruation (61.9%). The odds for accessing menstrual-related services were significantly higher among participants with university education (aOR: 1.48, 95% CI, 1.13–1.95). Also, 57.8% reported having had partial or no menstrual education pre-menarche, with odds being higher among participants born in non-European or Latin American countries (aOR: 0.58, 95% CI, 0.36–0.93). Lifetime self-reported menstrual poverty was between 22.2–39.9%. Main risk factors for menstrual poverty were identifying as non-binary (aOR: 1.67, 95% CI, 1.32–2.11), being born in non-European or Latin American countries (aOR: 2.74, 95% CI, 1.77–4.24), and not having a permit to reside in Spain (aOR: 4.27, 95% CI, 1.94–9.38). Completed university education (aOR: 0.61, 95% CI, 0.44–0.84) and no financial hardship < 12 months (aOR: 0.06, 95% CI, 0.06–0.07) were protective factors for menstrual poverty. Besides, 75.2% reported having overused menstrual products due to lack of access to adequate menstrual management facilities. Menstrual-related discrimination was reported by 44.5% of the participants. Non-binary participants (aOR: 1.88, 95% CI, 1.52–2.33) and those who did not have a permit to reside in Spain (aOR: 2.11, 95% CI, 1.10-4.03) had higher odds of reporting menstrual-related discrimination. Work and education absenteeism were reported by 20.3% and 62.7% of the participants, respectively. Conclusions Our study suggests that menstrual inequities affect a high number of women and PWM in Spain, especially those more socioeconomically deprived, vulnerabilised migrant populations and non-binary and trans menstruators. Findings from this study can be valuable to inform future research and menstrual inequity policies.https://doi.org/10.1186/s12939-023-01904-8Menstrual inequityPeriod povertyMenstrual healthMenstrual hygiene managementMenstruationWomen’s health |
| spellingShingle | Laura Medina-Perucha Tomàs López-Jiménez Constanza Jacques-Aviñó Anna Sofie Holst Carme Valls-Llobet Jordina Munrós-Feliu Cristina Martínez-Bueno Diana Pinzón-Sanabria Mª Mercedes Vicente-Hernández Anna Berenguera Menstruation and social inequities in Spain: a cross-sectional online survey-based study International Journal for Equity in Health Menstrual inequity Period poverty Menstrual health Menstrual hygiene management Menstruation Women’s health |
| title | Menstruation and social inequities in Spain: a cross-sectional online survey-based study |
| title_full | Menstruation and social inequities in Spain: a cross-sectional online survey-based study |
| title_fullStr | Menstruation and social inequities in Spain: a cross-sectional online survey-based study |
| title_full_unstemmed | Menstruation and social inequities in Spain: a cross-sectional online survey-based study |
| title_short | Menstruation and social inequities in Spain: a cross-sectional online survey-based study |
| title_sort | menstruation and social inequities in spain a cross sectional online survey based study |
| topic | Menstrual inequity Period poverty Menstrual health Menstrual hygiene management Menstruation Women’s health |
| url | https://doi.org/10.1186/s12939-023-01904-8 |
| work_keys_str_mv | AT lauramedinaperucha menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT tomaslopezjimenez menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT constanzajacquesavino menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT annasofieholst menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT carmevallsllobet menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT jordinamunrosfeliu menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT cristinamartinezbueno menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT dianapinzonsanabria menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT mamercedesvicentehernandez menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy AT annaberenguera menstruationandsocialinequitiesinspainacrosssectionalonlinesurveybasedstudy |