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Title: | 烏干達偏鄉青少女衛生教育介入方案對生理期健康行為的影響 Menstrual Health Education Program on Wellbeing and Behavior Change During Menstruation among Adolescent Girls in Rural Uganda |
Authors: | Yi-Ting Yang 楊怡庭 |
Advisor: | 陳端容(Duan-Rung Chen) |
Co-Advisor: | 胡哲生(Jer-San Hu) |
Keyword: | 月經衛生,月經知識,青少女,水環境衛生及個人衛生,布衛生棉,社會心理, Menstrual hygiene,Menstrual knowledge,Adolescent girls,Water sanitary and hygiene,Reusable Sanitary Product,Psychosocial, |
Publication Year : | 2020 |
Degree: | 碩士 |
Abstract: | 研究目的 在中低收入國家中,生理期(月事)是阻礙女孩接受正規教育的主要障礙之一,因缺乏完整的生理期衛生教育以及如何處理月事的知識,大大的影響女學生在校的學習表現,然而過去卻僅有少數的研究提供女學生生理期所需的有效的解決方案。本研究的目的是找出在烏干達漁村,健康教育計畫的介入是否在改善女孩的心理健康以及月經處理相關的行為上有有效的改變。 方法 在烏干達Mukono區的一個漁村中,對3所學校進行了實驗設計的前後測量設計,總共有66名13-17歲的女孩加入。學校分為兩組:(1)實驗組(有健康教育計劃介入)和(2)對照組(無介入)。 結果 結果顯示,女孩們更勇於向父親和同儕訴說與月經相關的擔憂(p-value: 0.029, p-value: 0.000);對於月經的羞愧感亦大幅下降(p-value: 0.004),然而她們仍然恐懼在經期時上學;介入後知識的增長,也提升了女學生在學校處理月事相關的舒適度(p-value:0.0001),擁有更多月經處理的相關知識讓女孩更有自信的處理每月的生理期。 結論 根據結果,實驗假說的具有統計上的意義。然而,本實驗並使用同樣方式介入家長與學校教師,因此需要針對父母和學校當局的干預措施實施調查,並採用類似的介入課程來評估權威人士與女孩月事問題之間的潛在連結,需要更多的研究與驗證。 Background The menstrual hygiene management is one of the main barriers to girls’ education attainment in low-and middle-income countries. Poor access to sanitary products and lack of menstrual knowledge are affecting students’ performance at school compared to the opposite sex. Limited evidence is available to provide solutions for schoolgirls. This study aims to examine the effectiveness of menstrual health education program on wellbeing and behavioral change among adolescent girls in rural Uganda. Methods A cluster randomized controlled trial was conducted across 3 schools, including 66 girls aged 13-17 years, in a rural village in Mukono District, Uganda. Schools were randomly allocated to two groups: (1) health education program intervention and (2) control group (no intervention). Results After 5 weeks of Health Education Program the schoolgirls in experiment groups showed significantly reduced fear of sharing the menstruation-related concern with father and pupils (MD=0.87, p=0.029) (MD=2.02, p=0.000), as well as the sense of shameful feelings during menstruation (MD=1.65, p= 0.004), yet fear to go to school during menstruation did not differ between experiment and control groups (MD=-0.04, p=0.94). However, the changes in “feeling comfortable having period at school” were found to be significant different between experiment and control groups (p=0.001). Conclusion The study demonstrated promising results of a low-cost intervention for enhancing girls’ menstrual health education in low-income context. Puberty education and reusable pads sewing provision were strongly associated with improvement in schoolgirls’ psychosocial wellbeing related to menstrual management. Further study is needed for better understanding the contextual factors associated with the lack of behavioral change observed in this intervention. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/56528 |
DOI: | 10.6342/NTU202001856 |
Fulltext Rights: | 有償授權 |
Appears in Collections: | 公共衛生碩士學位學程 |
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U0001-2607202002131800.pdf Restricted Access | 9.3 MB | Adobe PDF |
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