A holistic approach to menstrual hygiene: Analyzing the interconnected roles of knowledge, socio-cultural correlates, and attitudes in adolescent girls

Hidayatul Auliya Fauziah; Perla Yualita; Ami Kamila

doi:10.21927/jnki.2024.12(2).178-189

A holistic approach to menstrual hygiene: Analyzing the interconnected roles of knowledge, socio-cultural correlates, and attitudes in adolescent girls

Hidayatul Auliya Fauziah, Perla Yualita, Ami Kamila

Abstract

Background: Adolescent girls are vulnerable to reproductive health problems such as genitalia infections, due to lack of personal hygiene during menstruation. Adolescent girls' attitudes towards personal hygiene during menstruation can be influenced by several factors, including the level of knowledge about menstruation and socio-cultural aspects that influence perceptions of personal hygiene during menstruation.

Objectives: This study was conducted to analyze the relationship between knowledge and social culture with attitudes about personal hygiene during menstruation among adolescent girls.

Methods: This study uses quantitative correlation with a cross sectional approach. Sampling using purposive sampling with a total of 112 adolescent girls. The research was conducted at MTS Al-Hidayah Satron, Tasikmalya Regency in April-July 2023. Data were collected using knowledge, socio-cultural, and attitude questionnaires about personal hygiene during menstruation. Data were analysed using univariate and bivariate with Spearman rank.

Results: The results of research on adolescent girls mostly have poor knowledge as many as 51 people (45.5%), most of them were 62 people (55,4%) with unsupportive socio-culture, and most of them were 65 people (58%) with negative attitude. The statistical test results showed that there was a relationship between knowledge and attitude about personal hygiene during menstruation with a p-value of 0.001 and there was a relationship between social culture and attitude about personal hygiene during menstruation with a p-value of 0.000.

Conclusions: Knowledge and social culture of adolescent girls are associated with attitudes about personal hygiene during menstruation. Further research is needed to change the attitude of adolescent girls about personal hygiene during menstruation by increasing the knowledge and socio-culture of adolescent girls so that they can perform personal hygiene during menstruation.

Keywords

attitude; knowledge; personal hygiene; menstruation; socio-culture; adolescent girl

Full Text:

PDF

References

Ananda R, Suparmi, Widiastuti D. Efektivitas Media Index Card Match Terhadap Tingkat Pengetahuan, Sikap dan Perilaku Menstrual Hygiene Rahma. Midwifery Care Journal. 2023;4(3):e-ISSN 2715-5978.

Balakrishnan S, Carolin A, B S, R S. The Prevalence of Reproductive Tract Infections Based on the Syndromic Management Approach Among Ever-Married Rural Women in Kancheepuram District, Tamil Nadu: A Community-Based Cross-Sectional Study. Cureus. 2022;14(3):1–9.

Laswini IW, Nency A. Pengetahuan, Sikap, dan Sumber Informasi Dengan Perilaku Personal Hygiene Saat Menstruasi Pada Remaja Putri. SIMFISIS Jurnal Kebidanan Indonesia. 2022;2(1):228–36. doi : https://doi.org/10.53801/sjki.v2i1.55

Dahlan F., Suprihatin, Noeraini V., Aulya Y. Perilaku Preventif Keputihan Berdasarkan Health Promotion Model pada Remaja Putri. Jurnal Penelitian Kesehata Suara Forikes. 2022;13(2):83–8. doi : http://dx.doi.org/10.33846/sf13nk214

Mitra Citra Remaja. Masalah Kesehatan Reproduksi Remaja di Tasikmalaya [Internet]. Mitra Citra Remaja. 2022 [cited 2024 May 3]. p. 1. Available from: https://bit.ly/4dp4c6h

Singh P, Faisal AR, Alam MM, Saeed A, Haider T, Asif HMA, et al. An Assessment of Personal Hygiene Practices Among Young Adults: A Cross-Sectional, Descriptive Study. Cureus. 2023;15(8):1–8.

Fitriani D, Sanisahhuri, Susanti B. The effect of flip chart media on young women’s knowledge of personal hygiene during menstruation at SMP O Mangunharjo, Musi Rawas Regency. JNKI (Jurnal Ners dan Kebidanan Indones (Indonesian Journal Nursing and Midwifery). 2022;10(1):1–6. doi : http://dx.doi.org/10.21927/jnki.2022.10(1).1-6

Hennegan J, Winkler IT, Bobel C, Keiser D, Hampton J, Larsson G, et al. Menstrual health: a definition for policy, practice, and research. Sex Reprod Heal Matters. 2021;29(1):1–8. doi : https://doi.org/10.1080/26410397.2021.1911618

Janighorban M, Boroumandfar Z, Pourkazemi R, Mostafavi F. Barriers to vulnerable adolescent girls’ access to sexual and reproductive health. BMC Public Health. 2022;22(1):1–16.

Angin SAP. Hubungan Pengetahuan Dan Sikap Remaja Putri Tentang Personal Hygiene Pada Saat Menstruasi Di SMP Negeri 6 Desa Sijarango 1 Tahun 2019. Journal Midwifery Senior. 2019;2(1):28–35.

Damayanti IP. Relationship Between Knowledge and Attitudes of Adolescents with Personal Hygiene during Menstruation. Journal Midwifery Nurse. 2021;3(1):30–3.

Hayu R, Amir AY, Jesica Fa. Hubungan Status Ekonomi dan Budaya dengan Personal Hygiene saat Menstruasi pada Remaja Putri di SMAN 01 Lembah Melintang. Human Care Journal. 2023;8(2):234–41. doi : https://dx.doi.org/10.32883/hcj.v8i2.2360

Dewi AP. Aspek Budaya dan Mitos pada Sikap Remaja Putri saat Menstruasi. Universitas Muhammadiyah Yogyakarta; 2020.

Astuti F. Hubungan Pengetahuan dan Mitos yang Berkembang di Masyarakat dengan Perilaku Personal Hygiene saat Menstruasi pada Siswi SMP Negeri 1 Cigandamekar. Poltekkes Kemenkes Tasikmalaya Wilayah Cirebon. Poltekkes Kemenkes Tasikmalaya; 2019.

Notoatmodjo S. Ilmu Perilaku Kesehatan. 2nd ed. Jakarta: Rineka Cipta; 2014. 174 p.

Wawan A, Dewi. Teori & Pengukuran Pengetahuan, Sikap, dan Perilaku Manusia. 3rd ed. Yogyakarta: Nuha Medica; 2018.

Amri S. The Relationship between Knowledge and Attitudes of Students on Menstrual Personal Hygiene in Private Vocational High School Students Napsi’ah Stabat Kab. Langkatin 2022. Sci Midwifery. 2022;10(2):1932–8.

Rosyida DAC. Buku Ajar Kesehatan Reproduksi Remaja dan Wanita. Yogyakarta: Pustaka Baru Press; 2022.

Anikwe CC, Mamah JE, Okorochukwu BC, Nnadozie UU, Obarezi CH, Ekwedigwe KC. Age at menarche, menstrual characteristics, and its associated morbidities among secondary school students in Abakaliki, southeast Nigeria. Heliyon. 2020;6(5):e04018.

Andani PR. Correlation Between Knowledge And Attitude Toward Personal Menstrual Hygiene Practice Among Adolescents. Journal of Public Health Research Community Health Development. 2021;4(2):88–98. doi : https://doi.org/10.20473/jphrecode.v4i2.14460

Sychareun V, Chaleunvong K, Essink DR, Phommavongsa P, Durham J. Menstruation practice among school and out-of-school adolescent girls, Lao PDR. Glob Health Action. 2020;13(2):38–48.

Shahi B, Singh S, Joshi DR, Maharjan A. Knowledge, Attitude and Practice Regarding Menstrual Hygiene Among Girls of Government School. Journal of Nepal Paediatric Society. 2022;42(3):29–35. doi : https://doi.org/10.3126/jnps.v42i3.47435

Santrock JW. Adolescence “Perkembangan Remaja.” 17th ed. New York: Mc Graw Hill Education; 2019.

Maharani R, Andriyani W. Faktor Yang Berhubungan Dengan Perilaku Personal Hygiene Saat Menstruasi Pada Remaja. Jurnal Kesehatan Masyarakat. 2019;1(1):6–37.

Maulingin-Gumbaketi E, Larkins S, Whittaker M, Rembeck G, Gunnarsson R, Redman-MacLaren M. Socio-cultural implications for women’s menstrual health in the Pacific Island Countries and Territories (PICTs): a scoping review. Reproductive Health. 2022;19(1):1–20.

Mohammed S, Larsen-Reindorf RE. Menstrual knowledge, sociocultural restrictions, and barriers to menstrual hygiene management in Ghana: Evidence from a multi-method survey among adolescent schoolgirls and schoolboys. PLoS One. 2020;15(10):1–19.

Aziz F. Mitologi dan Konstruksi Budaya Masyarakat Bubakan Mijen Semarang dalam Tinjauan Roland Barthes. Fikrah: Jurnal Ilmu Aqidah dan Studi Keagamaan. 2020;8(1):115.

Sinaga E, Saribanon N, Sa’ada SN, Salamah U, Murti YA, Trisnamiati A, et al. Manajemen Kesehatan Menstruasi. 1st ed. Jakarta: Universitas Nasional IWWASH Global One; 2017.

Gold-watts A, Hovdenak M, Daniel M, Gandhimathi S, Sudha R. A qualitative study of adolescent girls ’ experiences of menarche and menstruation in rural Tamil Nadu , India. International Journal of Qualitative Studies on Health and Well-being. 2020;15(1):1–14.

Astutiningrum D, Utami LDA, Riyanti E. Increasing Knowledge And Attitude Of Menstrual Hygiene With Health Education Using Poster Method In Adolescents. Prosiding University Research Colloquium. 2021;8(12):650–60.

Soesilo TD. Prosedur dan Penggunaan Instrumen Skala Sikap. 1st ed. Salatiga: Satya Wacana University Press; 2022. 89 p.

DOI: http://dx.doi.org/10.21927/jnki.2024.12(2).178-189