"It shouldn't be just hush-hush": A qualitative community-based study of menstrual health communication among women in Philadelphia.

IF 3.4 2区医学 Q1 DEMOGRAPHY

Perspectives on Sexual and Reproductive Health Pub Date : 2024-07-29 DOI:10.1111/psrh.12277

Allison R Casola, Lynette Medley, Brianna C Kunes, Nya McGlone, Alexis Silverio

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引用次数: 0

Abstract

Introduction: Although menstruation is a natural biological process, many people feel embarrassed of their menses and struggle to discuss it. To mitigate menstrual communication stigma, it is necessary to first elucidate communication experiences and perceptions. Thus, we qualitatively explore menstrual communication among cisgender women who menstruate and their family, friends, healthcare providers, and community.

Methodology: In partnership with No More Secrets (NMS), a Philadelphia menstrual health non-profit, we conducted a community-based participatory research (CBPR) project in Fall 2020. Cisgender, menstruating individuals ages 18-45 recruited from NMS' catchment in Philadelphia participated in semi-structured interviews about their menstrual experiences and communication (N = 20). A deductive, theory-driven approached based on the social-ecological model was used to analyze the data.

Results: Varying emotional responses arose across social-ecological levels: communication was awkward and simplistic with family; positive and supportive with friends and community members; and uncomfortable and frustrating with healthcare providers. Participants echoed the importance of menstrual communication as a means of sharing information, feeling less alone, and decreasing menstrual stigma.

Discussion: Findings can inform future CBPR workshops that address stigma in familial, healthcare, and community-based discussions to improve menstrual health and experiences for cisgender girls and women, transgender men, and gender non-binary individuals who menstruate.

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不应该只是 "嘘寒问暖"：以社区为基础的费城妇女月经健康交流定性研究。

介绍：虽然月经是一个自然的生理过程，但许多人对自己的月经感到尴尬，并努力去讨论它。为了减轻月经沟通的耻辱感，有必要首先阐明沟通经验和看法。因此，我们对月经期顺性别女性与其家人、朋友、医疗服务提供者和社区之间的月经沟通进行了定性研究：我们与费城月经健康非营利组织 "不再有秘密"（NMS）合作，于 2020 年秋季开展了一个基于社区的参与式研究（CBPR）项目。我们从费城 NMS 的服务范围内招募了年龄在 18-45 岁之间的月经期顺性别者，对他们进行了半结构化访谈，了解他们的月经经历和交流情况（N = 20）。研究采用基于社会生态模型的演绎法和理论驱动法对数据进行分析：结果：在不同的社会生态层面上，参与者的情绪反应各不相同：与家人的沟通是尴尬和简单的；与朋友和社区成员的沟通是积极和支持性的；而与医疗服务提供者的沟通则是不舒服和令人沮丧的。参与者一致认为，月经沟通是分享信息、减少孤独感和减少月经污名化的重要手段：讨论：研究结果可为未来的 CBPR 研讨班提供信息，以解决家庭、医疗保健和社区讨论中的污名化问题，从而改善顺性别女孩和妇女、变性男性以及月经期性别非二元个人的月经健康和体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Perspectives on Sexual and Reproductive Health Multiple-

CiteScore

5.10

自引率

3.40%

发文量

期刊介绍： Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.