Pobreza menstrual: uma revisão sistemática para identificar populações vulneráveis e ferramentas de mensuração
DOI:
https://doi.org/10.15343/0104-7809.202448e16152024PPalavras-chave:
Pobreza Menstrual, Período Menstrual, Menstruação, Saúde Menstrual, Higiene MenstrualResumo
O objetivo foi apresentar uma síntese da literatura sobre o tema "pobreza menstrual". A busca incluiu as bases de dados PubMed/MEDLINE, LILACS, SCIELO Brasil e Google Scholar como fontes. Pares de pesquisadores conduziram a revisão de acordo com as diretrizes PRISMA e avaliaram a qualidade das evidências utilizando a ferramenta Mixed Methods Appraisal Tool. Um total de 2.457 publicações foram identificadas, das quais 22 foram incluídas na revisão. O conceito emergente desta revisão sugere que "pobreza menstrual corresponde a uma condição multidimensional, simbolicamente materializada pela falta de produtos de cuidado genital, refletindo principalmente a vulnerabilidade psicossocial de indivíduos que menstruam, decorrente da privação de acesso a bens fundamentais necessários para uma vida digna e respeitosa." A idade e as condições socioeconômicas são os principais marcadores de vulnerabilidade à "pobreza menstrual". Uma ampla gama de questões explora o tema, concentrando-se principalmente no acesso, custo e disponibilidade de produtos de higiene durante a menstruação. Ao sintetizar os conceitos e achados dos estudos incluídos nesta revisão, foi possível confirmar que fatores socioeconômicos desfavoráveis são os indicadores mais significativos da pobreza menstrual. Embora o fenômeno da pobreza menstrual se manifeste como privação de bens essenciais e falta de dignidade humana, os instrumentos de pesquisa e as soluções propostas têm se concentrado predominantemente no acesso e fornecimento de produtos de higiene. Esse foco restrito oferece visibilidade limitada às questões mais amplas de desigualdade e injustiça social que fundamentam a pobreza menstrual.
Downloads
Referências
World Health Organization. Data Platform-Indicators. Maternal, newborn, child and adolescent health and ageing. [internet] 2022; [acesso 11 dez 2022]. Disponível em: https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/indicator-explorer-new/mca/women-of-reproductive-age-(15-49-years)-population-(thousands)
Sommer M, Mason DJ. Period Poverty and Promoting Menstrual Equity. JAMA Health Forum. 2021 Aug 3; 2(8): e213089. Disponível em: https://doi.org/10.1001/jamahealthforum.2021.308
Critchley HOD, Babayev E, Bulun SE, Clark S, Garcia-Grau I, Gregersen PK et a. Menstruation: science and society. Am J Obstet Gynecol. 2020 Nov; 223(5): 624-664. Disponível em: https://doi.org/10.1016/j.ajog.2020.06.004
United Nations. United Nations-Women. Period Poverty. Why millions of girls and women cannot afford their periods [internet] 2024; [acesso em 01 de setembro de 2024]. Disponível em: https://www.unwomen.org/en/news-stories/explainer/2024/05/ period-poverty-why-millions-of-girls-and-women-cannot-afford-their-periods
Weiss-Wolf J. U.S. Policymaking to address menstruation: advancing an equity agenda [Chapter 41]. In: Bobel C et al. [editors]. The Palgrave Handbook of Critical Menstruation Studies [Internet]. Singapore: Palgrave Macmillan; 2020. [acessado em 20 de dezembro de 2023]. Disponível em: https://scholarship.law.wm.edu/cgi/viewcontent.cgi?article=1501&context=wmjowl
Crawford BJ, Johnson ME, Karin ML, Strausfeld L, Waldman EG. The Ground on Which We All Stand: A Conversation About Menstrual Equity Law and Activism. Mich J GENDER & L. 2020; 26 (2): 341-388. Disponível em: https://repository.law. umich.edu/mjgl/vol26/iss2/4?utm_source=repository.law.umich.edu%2Fmjgl%2Fvol26%2Fiss2%2F4&utm_medium=PDF&utm_ campaign=PDFCoverPages
Kaur R, Kaur K, Kaur R. Menstrual Hygiene, Management, and Waste Disposal: Practices and Challenges Faced by Girls/ Women of Developing Countries. J Environ Public Health. 2018 Feb 20; 2018:1730964.Disponível em: https://doi. org/10.1155/2018/1730964
Riley AH, Slifer L, Hughes J, Ramaiya A. Results from a literature review of menstruation-related restrictions in the United States and Canada. Sex Reprod Health. 2020 Oct; 25:100537. Disponível em: https://doi.org/10.1016/j.srhc.2020.100537
Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M et al. Guidance on the conduct of narrative synthesis in systematic reviews. [acessado em 30 de agosto de 2021]. Disponível em: http://dx.doi.org/10.13140/2.1.1018.4643
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med 2009 Aug 18;151(4):W65-94. Disponível em: https://doi.org/10.7326/0003-4819-151-4-200908180-00136
Hong QN, Pluye P, Fàbregues S, Bartelett G, Boardman F, Cargo M et al. Mixed Methods Appraisal Tool (MMAT) [internet]– Version 2018 – User guide. [accessado em 30 de outubro de 2022]. Disponível em: http://mixedmethodsappraisaltoolpublic. pbworks.com/
Austrian K, Kangwana B, Muthengi E, Soler-Hampejsek E. Effects of sanitary pad distribution and reproductive health education on upper primary school attendance and reproductive health knowledge and attitudes in Kenya: a cluster randomized controlled trial. Reprod Health. 2021 Aug 31; 18(1):179.Disponível em: https://doi.org/10.1186/s12978-021-01223-7
Montgomery P, Hennegan J, Dolan C, Wu M, Steinfield L, Scott L. Menstruation and the Cycle of Poverty: A Cluster Quasi Randomised Control Trial of Sanitary Pad and Puberty Education Provision in Uganda. PLoS One. 2016 Dec 21; 11(12):e0166122. Disponível em: https://doi.org/10.1371/journal.pone.0166122
Parajuli SB, Mishra A, Luitel A, Sherpa TW, KC H. The Cost of Menstrual Cycle in Young Nepali Women: A Cross-Sectional Study. J Lumbini Med Coll [Internet]. 2021 Dec.2 [cited 2024 Sep 6]; 9(2):5 pages. Disponível em: https://www.nepjol.info/index. php/JLMC/article/view/47189
Olawade DB, Adeniji YJ, Wada OZ, Akosile OR, Odetayo A, Anuforo GO et al. Menstrual hygiene management amidst COVID-19 pandemic in Nigeria’s epicentre: the reality of girls and women in a low-income community. Int J Trop Dis Health 2021; 42(17): 22-29. Disponível em: http://dx.doi.org/10.9734/IJTDH/2021/v42i1730529
Krenz A, Strulik H. The impact of menstruation hygiene management on work absenteeism of women in Burkina Faso. Econ Hum Biol. 2021 Dec; 43: 101067. Disponível em: https://doi.org/10.1016/j.ehb.2021.101067
Soeiro RE, Rocha L, Surita FG, Bahamondes L, Costa ML. Period poverty: menstrual health hygiene issues among adolescent and young Venezuelan migrant women at the northwestern border of Brazil. Reprod Health. 2021 Nov 27;18 (1):238. Disponível em: https://doi.org/10.1186/s12978-021-01285-7
Pascual Armendáriz N. Análisis de la pobreza mestrual en edad escolar. Lecciones aprendidas del caso de Reino Unido y su aplicación a España. [dissertação]. Castellón – Espanha: Universitat Jaume I; 2021. [acessado em 05 de setembro de 2024]. Disponível em: http://hdl.handle.net/10234/194362
Rossouw L, Ross H. Understanding Period Poverty: Socio-Economic Inequalities in Menstrual Hygiene Management in Eight Low- and Middle-Income Countries. Int J Environ Res Public Health. 2021 Mar 4;18(5):2571. Disponível em: https://doi. org/10.3390%2Fijerph18052571
Cardoso LF, Scolese AM, Hamidaddin A, Gupta J. Period poverty and mental health implications among college-aged women in the United States. BMC Womens Health. 2021 Jan 6;21(1):14. Disponível em: https://doi.org/10.1186/s12905-020-01149-5
Keiser V, Parlier-Ahmad AB, Kuhlmann AS, Martin CE. Menstrual Hygiene Needs Among Women Undergoing Substance Use Disorder Treatment. Obstet Gynecol. 2020 Oct; 136(4): 768-770. Disponível em: https://doi.org/10.1097/aog.0000000000004042
Alam MU, Luby SP, Halder AK, Islam K, Opel A, Shoab AK et al. Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey. BMJ Open. 2017 Jul 9;7(7):e015508. Disponível em: https://doi.org/10.1136%2Fbmjopen-2016-015508
Brito MAPR. Pobreza menstrual e políticas públicas para mulheres e meninas. [dissertação]. Cidade de Goiás (GO): Universidade Federal de Goiás; 2021. [acessado em 05 de setembro de 2024]. Disponível em: http://repositorio.bc.ufg.br/ handle/ri/19809
Ennis A, Donovan-Hall L, Standing K, Mistry V. Lifting the lid on period poverty in higher education: a student engagement perspective. Innovations in Practice, 2020; 14 (1): 23-31. Disponível em: http://dx.doi.org/10.24377/LJMU.iip.vol14iss1article487
Wall LL, Teklay K, Desta A, Belay S. Tending the 'monthly flower:' a qualitative study of menstrual beliefs in Tigray, Ethiopia. BMC Womens Health. 2018 Nov 13;18(1):183. Disponível em: https://doi.org/10.1186%2Fs12905-018-0676-z
Rheinländer T, Gyapong M, Akpakli DE, Konradsen F. Secrets, shame and discipline: School girls' experiences of sanitation and menstrual hygiene management in a peri-urban community in Ghana. Health Care Women Int. 2019 Jan; 40(1): 13-32. Disponível em: https://doi.org/10.1080/07399332.2018.1444041
Girod C, Ellis A, Andes KL, Freeman MC, Caruso BA. Physical, Social, and Political Inequities Constraining Girls' Menstrual Management at Schools in Informal Settlements of Nairobi, Kenya. J Urban Health. 2017 Dec;94(6):835-846. Disponível em: https://doi.org/10.1007/s11524-017-0189-3
Hennegan J, Dolan C, Steinfield L, Montgomery P. A qualitative understanding of the effects of reusable sanitary pads and puberty education: implications for future research and practice. Reprod Health. 2017 Jun 27;14(1):78. Disponível em: https:// doi.org/10.1186/s12978-017-0339-9.
Secor-Turner M, Schmitz K, Benson K. Adolescent Experience of Menstruation in Rural Kenya. Nurs Res. 2016 Jul Aug;65(4):301-5. Disponível em: https://doi.org/10.1097/nnr.0000000000000161
Crichton J, Okal J, Kabiru CW, Zulu EM. Emotional and psychosocial aspects of menstrual poverty in resource-poor settings: a qualitative study of the experiences of adolescent girls in an informal settlement in Nairobi. Health Care Women Int. 2013 Oct;34(10):891-916. Disponível em: https://doi.org/10.1080/07399332.2012.740112
Sebert Kuhlmann A, Peters Bergquist E, Danjoint D, Wall LL. Unmet Menstrual Hygiene Needs Among Low-Income Women. Obstet Gynecol. 2019 Feb;133(2):238-244. Disponível em: https://doi.org/10.1097/aog.0000000000003060.
Ndlovu E, Bhala E. Menstrual hygiene - A salient hazard in rural schools: A case of Masvingo district of Zimbabwe. Jamba. 2016 Jan 13;8(2):204. Disponível em: https://doi.org/10.4102/jamba.v8i2.204
Boosey R, Prestwich G, Deave T. Menstrual hygiene management amongst schoolgirls in the Rukungiri district of Uganda and the impact on their education: a cross-sectional study. Pan Afr Med J. 2014 Nov 7;19:253. Disponível em: https://doi. org/10.11604/pamj.2014.19.253.5313
Caruso BA. WASH in schools empowers girls’ education: tools for assessing menstrual hygiene management in schools. New York: UNICEF; 2013. [acessado em 11 de dezembro de 2022]. Disponível em: https://www.researchgate.net/publication/270880911_ WASH_in_Schools_Empowers_Girls'_Education_Tools_for_Assessing_Menstrual_Hygiene_Management_in_Schools
Descritores em Ciências da Saúde: DeCS [Internet]. ed. 2017. São Paulo (SP): BIREME / OPAS / OMS. 2017 [cited 2017 Jun 13]. Disponível em: http://decs.bvsalud.org
Carneiro MM. Menstrual poverty: enough is enough. Women Health. 2021 Sep; 61(8):721-722. Disponível em: https://doi. org/10.1080/03630242.2021.1970502
Thapa S, Bhattarai S, Aro AR. 'Menstrual blood is bad and should be cleaned': A qualitative case study on traditional menstrual practices and contextual factors in the rural communities of far-western Nepal. SAGE Open Med. 2019 May 13;7:2050312119850400. Disponível em: https://doi.org/10.1177/2050312119850400
Tan DA, Haththotuwa R, Fraser IS. Cultural aspects and mythologies surrounding menstruation and abnormal uterine bleeding. Best Pract Res Clin Obstet Gynaecol. 2017 Apr;40:121-133. Disponível em: https://doi.org/10.1016/j.bpobgyn.2016.09.015
Michel J, Mettler A, Schönenberger S, Gunz D. Period poverty: why it should be everybody’s business. J Glob Health Rep 2022 Feb 22; 6:1-4. Disponível em: https://doi.org/10.29392/001c.32436
Lo Forte C, Plesons M, Branson M, Chandra-Mouli V. What can the global movement to end child marriage learn from the implementation of other multi-sectoral initiatives? BMJ Glob Health. 2019 Oct 17;4(5):e001739. Disponível em: https://doi. org/10.1136/bmjgh-2019-001739
Schmitt ML, Booth K, Sommer M. A Policy for Addressing Menstrual Equity in Schools: A Case Study From New York City, U.S.A. Front Reprod Health. 2022 Jan 28;3:725805. Disponível em: https://doi.org/10.3389/frph.2021.725805
United Nations. Department of Economic and Social Affairs. Sustainable Development. Transforming our world. [internet] 2023; The 2030 Agenda for sustainable development goals. United Nations. New York; 2015. [acessado em 27 de setembro de 2023]. Disponível em: https://sdgs.un.org/2030agenda
Cousins S. Rethinking period poverty. Lancet. 2020 Mar 14;395(10227):857-858. Disponível em: https://doi.org/10.1016/ s0140-6736(20)30605-x
UNPFA - United Nations Population Funding. Menstruation and human rights – frequently asked questions. [internet] 2022; [acessado em 01 de março de 2023]. Disponível em: https://www.unfpa.org/menstruationfaq
The Lancet Child Adolescent Health. Normalising menstruation, empowering girls. Lancet Child Adolesc Health. 2018 Jun; 2(6):379. Disponível em: https://doi.org/10.1016/s2352-4642(18)30143-3
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 O Mundo da Saúde
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.