Persistent economic inequalities in menstrual hygiene practices in India: a decomposition analysis

IF 1.2 Q4 HEALTH POLICY & SERVICES

International Journal of Human Rights in Healthcare Pub Date : 2023-02-28 DOI:10.1108/ijhrh-10-2022-0109

J. Pradhan, Kshirabdhi Tanaya Patra, S. Behera

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引用次数: 1

Abstract

Purpose The purpose of this study is to examine the socio-economic inequalities that exist in the use of unhygienic menstrual practices in India and its states, as well as to identify the contribution of various socio-economic factors that leads to these inequalities. Design/methodology/approach Data from the National Family Health Survey-5 (2019–21) for 240,285 menstruating women aged 15–24 years is used to examine the above objectives. The concentration index for unhygienic menstrual practices is calculated to measure the socio-economic inequalities, which are then decomposed into their determining factors. Findings The state of Punjab experiencing the highest level of economic inequality, followed by Telangana and Haryana. The results from decomposition analysis suggest that rural residence (13%), illiteracy (7%), poor economic status (53%), not reading newspaper (12%) and not watching TV (14%) contribute 99% to the total socio-economic inequality in using unhygienic menstrual practices in India. The contribution of economic status to total inequalities is more in all the states except for Kerala and Mizoram, where caste and residence play an important role. Originality/value This paper signifies the role of economic inequality in the use of unhygienic menstrual practices in India as well as the contribution of various socio-economic factors contributing towards these inequalities. The results from decomposition analysis suggest the need for unique health intervention strategies for different states following the evidence of major contributions to total inequalities in the use of unhygienic menstrual practices.

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印度月经卫生实践中持续存在的经济不平等：分解分析

本研究的目的是研究印度及其各邦在使用不卫生月经习惯方面存在的社会经济不平等，并确定导致这些不平等的各种社会经济因素的贡献。设计/方法/方法使用240,285名15-24岁经期妇女的全国家庭健康调查第5期(2019-21年)数据来检查上述目标。计算不卫生月经习惯的浓度指数，以衡量社会经济不平等，然后将其分解为决定因素。旁遮普邦的经济不平等程度最高，其次是特伦加纳邦和哈里亚纳邦。分解分析的结果表明，农村居住(13%)、文盲(7%)、经济状况不佳(53%)、不读报纸(12%)和不看电视(14%)造成了印度不卫生月经习惯中99%的社会经济不平等。除了种姓和居住地起重要作用的喀拉拉邦和米佐拉姆邦外，所有邦的经济地位对总体不平等的贡献都更大。原创性/价值这篇论文表明经济不平等在印度使用不卫生的月经习惯中的作用，以及各种社会经济因素对这些不平等的贡献。分解分析的结果表明，有证据表明，在使用不卫生的月经习惯方面存在完全不平等的主要原因，因此需要针对不同的州制定独特的保健干预战略。

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来源期刊

International Journal of Human Rights in Healthcare HEALTH POLICY & SERVICES-

CiteScore

2.90

自引率

7.10%

发文量

期刊介绍： nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.