Menstrual hygiene management (MHM) among female students is a neglected public health issue in the U.S. This study documented period product insecurity, school absenteeism, and use of school resources to obtain period products among high-school students in St. Louis, MO. Female students completed an anonymous, self-administered survey in English (n = 119). Descriptive statistics were used to determine the prevalence of period product need, resources used to obtain period products, and period-related absenteeism. The mean age of participants was 15.78 ± 1.28. Nearly two-thirds (64.4% (95% CI 55.1%-73.0%)) reported period product insecurity. Two-thirds (66.9% (95% CI 57.7%-75.3%)) reported using at least one of the school's resources to obtain period products. One-third of the participants (33.6% (95% CI 25.0%-43.1%)) reported missing school due to a lack of period products. School nurses need to be cognizant of how MHM affects their students’ attendance at school and what measures they can take to help reduce menstruation-related absenteeism.
ACLU and Period Equitt (2019). The Unequal Price of Periods | American Civil Liberties Union. https://www.aclu.org/report/unequal-price-periods.
2.
ArmourM.FerfoljaT.CurryC.HymanM. S.ParryK.ChalmersK. J.SmithC. A.MacMillanF.HolmesK. (2020). The prevalence and educational impact of pelvic and menstrual pain in Australia: A national online survey of 4202 young women aged 13-25 years. Journal of Pediatric and Adolescent Gynecology, 33(5), 511–518. doi:https://doi.org/10.1016/j.jpag.2020.06.007
3.
CDC (n.d.). Whole School, Whole Community, Whole Child (WSCC) | Healthy Schools | CDC. Retrieved December 8, 2021, from https://www.cdc.gov/healthyschools/wscc/index.htm.
4.
CotropiaC. A. (2019). Menstruation management in United States schools and implications for attendance, academic performance, and health. Women's Reproductive Health, 6(4), 289–305. doi:https://doi.org/10.1080/23293691.2019.1653575
5.
DavisJ.MacintyreA.OdagiriM.SuriastiniW.CordovaA.HuggettC.AgiusP. A.BudiyaniA. E.QuilletC.CroninA. A.DiahN. M.TriwahyuntoA.LuchtersS.KennedyE. (2018). Menstrual hygiene management and school absenteeism among adolescent students in Indonesia: Evidence from a cross-sectional school-based survey. Tropical Medicine & International Health, 23(12), 1350–1363. doi:https://doi.org/10.1111/tmi.13159
6.
DiamondC. (2020). Period poverty: Scotland first in world to make period products free - BBC News. https://www.bbc.com/news/uk-scotland-scotland-politics-51629880.
7.
JacksonT. E. (2019). Policing a menstrual monster: how working class girls discuss their menstrual reactions and experiences. Journal of Youth Studies, 22(2), 153–170. doi:https://doi.org/10.1080/13676261.2018.1492100
8.
JMP (2012). Meeting Report of JMP Post-2015 Global Monitoring Working Group on Hygiene. WHO/UNICEF Joint Monitoring Programme, Post-2015 Working Group on Hygiene.
9.
Missouri Department of Elementary and Secondary Education (n.d.). The Missouri Comprehensive Data System (MCDS). https://apps.dese.mo.gov/MCDS/Home.aspx.
10.
Phillips-HowardP. A.CarusoB.TorondelB.ZulaikaG.SahinM.SommerM. (2016). Menstrual hygiene management among adolescent schoolgirls in low- and middle-income countries: Research priorities. Global Health Action, 9(1), 33032. doi:https://doi.org/10.3402/GHA.V9.33032
11.
SchmittM. L.HagstromC.NowaraA.GruerC.Adenu-MensahN. E.KeeleyK.SommerM. (2021). The intersection of menstruation, school and family: Experiences of girls growing up in urban areas in the U.S.A. International Journal of Adolescence and Youth, 26(1), 94–109. doi:https://doi.org/10.1080/02673843.2020.1867207
12.
Sebert KuhlmannA.KeyR.BillingsleyC.ShatoT.ScrogginsS.TeniM. T. (2020). Students’ menstrual hygiene needs and school attendance in an urban St. Louis, Missouri, district. Journal of Adolescent Health, 67(3), 444–446. doi:https://doi.org/10.1016/j.jadohealth.2020.05.040
13.
Sebert KuhlmannA.Peters BergquistE.DanjointD.WallL. L. (2019). Unmet menstrual hygiene needs Among Low-income women. Obstetrics & Gynecology, 133(2), 238–244. doi:https://doi.org/10.1097/AOG.0000000000003060
14.
Secor-TurnerM.Huseth-ZoselA.OstlundR. (2022). Menstruation experiences of middle and high school students in the midwest: A pilot study. The Journal of School Nursing, 38(6), 504–510, doi:https://doi.org/10.1177/1059840520974234
15.
SommerM.CarusoB. A.TorondelB.WarrenE. C.YamakoshiB.HaverJ.LongJ.MahonT.NalinponguitE.OkwaroN.Phillips-HowardP. A. (2021). Menstrual hygiene management in schools: Midway progress update on the “MHM in Ten” 2014–2024 global agenda. Health Research Policy and Systems, 19(1), 1. doi:https://doi.org/10.1186/s12961-020-00669-8
16.
SommerM.FigueroaC.KwaukC.JonesM.FylesN. (2017). Attention to menstrual hygiene management in schools: An analysis of education policy documents in low- and middle-income countries. International Journal of Educational Development, 57, 73–82. doi:https://doi.org/10.1016/j.ijedudev.2017.09.008
17.
SommerM.HirschJ. S.NathansonC.ParkerR. G. (2015). Comfortably, safely, and without shame: Defining menstrual hygiene management as a public health issue. American Journal of Public Health, 105(7), 1302–1311. doi:https://doi.org/10.2105/AJPH.2014.302525
18.
SommerM.SahinM. (2013a). Advancing the global agenda for menstrual hygiene management for schoolgirls. American Journal of Public Health, 103(9), 1556–1559. doi:https://doi.org/10.2105/AJPH.2013.301374
19.
SommerM.SahinM. (2013b). Overcoming the taboo: Advancing the global agenda for menstrual hygiene management for schoolgirls. American Journal of Public Health, 103(9), 1556–1559. doi:https://doi.org/10.2105/AJPH.2013.301374
20.
SommerM.SchmittM.GruerC.HerbertA.Phillips-HowardP. (2019). Neglect of menarche and menstruation in the USA. The Lancet, 393(10188), 2302. doi:https://doi.org/10.1016/S0140-6736(19)30300-9
21.
TriesmanR. (2021). New Zealand Will Offer Free Sanitary Products At Schools To Fight Period Poverty : NPR. https://www.npr.org/2021/02/18/969129496/new-zealand-will-offer-free-sanitary-products-at-schools-to-fight-period-poverty.
22.
Turlington BurnsC.Weiss-WolfJ. (2021). Op-Ed: Maternal well-being Is dependent on menstrual equity. Marie Claire, https://www.marieclaire.com/politics/a37533769/menstrual-equity-mothers-pandemic/.
