Period poverty and mental health among students attending a US university.

Objective: To determine the prevalence of period poverty in university students and if experiencing period poverty is associated with poor mental health outcomes.

Methods: Participants were n = 311 females assigned at birth attending a university in the northeast US. Seven items assessed period poverty. Participants were also screened for depression, anxiety, and suicide ideation. Logistic regression models assessed main effects after adjusting for gender, sexual orientation, race, age, ethnicity, disability status, and income.

Results: Overall, 18.3% experienced period poverty, with higher odds occurring in students identifying as trans-gender/nonconforming (OR[95%CI] = 3.34 [1.22,9.15]), LGB+ (OR[95%CI] = 1.94 [1.01,3.74]), and Black/African American (OR[95%CI] = 3.61 [1.30,10.0]). Period poverty was associated with higher odds of screening positive for depression (OR[95%CI] = 6.21 [2.45,15.7]), anxiety (OR[95%CI] = 4.01 [2.09,7.68]), and suicide ideation (OR[95%CI] = 2.85 [1.26,6.44]).

Conclusions: Period poverty is prevalent and is associated with adverse mental health outcomes in university students. Government agencies and universities should consider providing free period products to reduce health inequities.