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Background <p>Menstrual hygiene management is a critical aspect of adolescent health, yet many high school and preparatory students from lower socioeconomic backgrounds face significant challenges in Ethiopia. Insufficient knowledge about menstrual hygiene management and inadequate hygiene practices are prevalent among high school and preparatory students.</p> <p>Understanding the extent of this issue and identifying associated factors is essential for developing effective interventions to improve menstrual health and well-being.</p> Objective <p>This study assessed the pooled prevalence of menstrual hygiene practice and associated factors among Ethiopia's high school and preparatory students.</p> Methods <p>This systematic review and meta-analysis of observational studies was designed according to the PRISMA guideline. A systematic literature search was conducted in PubMed, Google Scholar, and Cochrane Library. Boolean operators AND, and OR were used to combine keywords such as 'menstruation', 'hygiene', and 'Ethiopia. Observational studies meeting the inclusion criteria were analyzed using STATA version 17, employing random-effects models to account for heterogeneity. Funnel plots, Egger's test, and Begg's rank correlation assessed publication bias, while subgroup analyses explored temporal trends.</p> Result <p>The pooled prevalence of menstrual hygiene practice among high school and preparatory students in Ethiopia was 58% (95% CI 50%–65%). Having pocket money (AOR = 2.11; 95% CI 1.236, 15.151), parental and peer discussions (AOR = 2.341; 95% CI 1.188, 3.494), educational status of the respondent (AOR = 2.114; 95% CI 1.723, 2.505), high wealth index of the family (AOR = 8.058; 95% CI 6.199, 9.917), knowledge about menstrual hygiene (AOR = 3.062; 95% CI: 2.239, 3.885), urban residence (AOR = 2.642; 95% CI 2.156, 3.127), source of information (AOR = 2.943; 95% CI 1.395, 4.491), and maternal education (AOR = 6.859; 95% CI 1.253, 14.971) were the pooled associated factors of menstrual hygiene practice among high school and preparatory students in Ethiopia.</p> Conclusion <p>Approximately 58% of schoolgirls in Ethiopia practiced good menstrual hygiene management. Key predictors included urban residence, maternal education, access to information, and open discussions about menstruation. Enhancing awareness through school programs and targeted health education, particularly in rural areas, and promoting maternal education is critical for improving menstrual hygiene management practices.</p>

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Menstrual hygiene practices and associated factors among high school and preparatory students in Ethiopia : a systematic review and meta analysis

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月11日

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  • Gebeyehu Lakew,
  • Eyob Ketema Bogale,
  • Abiyu Abadi Tareke,
  • Amlaku Nigusie Yirsaw,
  • Getnet Alemu Andarge,
  • Assefa Kebad Mengesha,
  • Demis Getachew,
  • Eyob Getachew

摘要

Background

Menstrual hygiene management is a critical aspect of adolescent health, yet many high school and preparatory students from lower socioeconomic backgrounds face significant challenges in Ethiopia. Insufficient knowledge about menstrual hygiene management and inadequate hygiene practices are prevalent among high school and preparatory students.

Understanding the extent of this issue and identifying associated factors is essential for developing effective interventions to improve menstrual health and well-being.

Objective

This study assessed the pooled prevalence of menstrual hygiene practice and associated factors among Ethiopia's high school and preparatory students.

Methods

This systematic review and meta-analysis of observational studies was designed according to the PRISMA guideline. A systematic literature search was conducted in PubMed, Google Scholar, and Cochrane Library. Boolean operators AND, and OR were used to combine keywords such as 'menstruation', 'hygiene', and 'Ethiopia. Observational studies meeting the inclusion criteria were analyzed using STATA version 17, employing random-effects models to account for heterogeneity. Funnel plots, Egger's test, and Begg's rank correlation assessed publication bias, while subgroup analyses explored temporal trends.

Result

The pooled prevalence of menstrual hygiene practice among high school and preparatory students in Ethiopia was 58% (95% CI 50%–65%). Having pocket money (AOR = 2.11; 95% CI 1.236, 15.151), parental and peer discussions (AOR = 2.341; 95% CI 1.188, 3.494), educational status of the respondent (AOR = 2.114; 95% CI 1.723, 2.505), high wealth index of the family (AOR = 8.058; 95% CI 6.199, 9.917), knowledge about menstrual hygiene (AOR = 3.062; 95% CI: 2.239, 3.885), urban residence (AOR = 2.642; 95% CI 2.156, 3.127), source of information (AOR = 2.943; 95% CI 1.395, 4.491), and maternal education (AOR = 6.859; 95% CI 1.253, 14.971) were the pooled associated factors of menstrual hygiene practice among high school and preparatory students in Ethiopia.

Conclusion

Approximately 58% of schoolgirls in Ethiopia practiced good menstrual hygiene management. Key predictors included urban residence, maternal education, access to information, and open discussions about menstruation. Enhancing awareness through school programs and targeted health education, particularly in rural areas, and promoting maternal education is critical for improving menstrual hygiene management practices.