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Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India
BACKGROUND: Menstrual hygiene is essential for women to live with dignity. However, a large proportion of Indian women still suffer from unhygienic menstrual practices leading to reproductive tract infections. To understand the socioeconomic and bio-demographic determinants of menstrual hygiene prac...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PeerJ Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035429/ https://www.ncbi.nlm.nih.gov/pubmed/36967987 http://dx.doi.org/10.7717/peerj.15026 |
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author | Singh, Aditya Chakrabarty, Mahashweta |
author_facet | Singh, Aditya Chakrabarty, Mahashweta |
author_sort | Singh, Aditya |
collection | PubMed |
description | BACKGROUND: Menstrual hygiene is essential for women to live with dignity. However, a large proportion of Indian women still suffer from unhygienic menstrual practices leading to reproductive tract infections. To understand the socioeconomic and bio-demographic determinants of menstrual hygiene practices, various national or local level studies have been conducted in India and around the world, however, no previous study has tried to understand the spatial heterogeneity across Indian districts in the use of hygienic materials among young urban women. METHODS: This study used data from 54,561 urban women aged 15–24 from the National Family Health Survey-5. Global Moran’s I was applied to assess the degree of spatial autocorrelation and cluster and outlier analyses to locate hot-spots and clod-spots in the exclusive use of hygienic materials across the districts. Ordinary least square, spatial lag, and error models were used to identify determinants of exclusive use of hygienic materials. RESULTS: Approximately 66.8% of urban women exclusively use of hygienic materials which varied across districts. Global Moran’s I of 0.46 indicated positive spatial autocorrelation in the outcome. Cluster and outlier analysis revealed cold-spots in central Indian districts and hotspots in south Indian districts. Results of spatial error model identified women’s years of schooling, marital status, social group, and household wealth were major determinants of the exclusive use of hygienic materials among urban women across Indian districts. CONCLUSION: Substantial spatial heterogeneity in the outcome among urban women in India suggests the need to design targeted and context-specific behavioural interventions and programs for women in urban India. |
format | Online Article Text |
id | pubmed-10035429 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | PeerJ Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100354292023-03-24 Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India Singh, Aditya Chakrabarty, Mahashweta PeerJ Global Health BACKGROUND: Menstrual hygiene is essential for women to live with dignity. However, a large proportion of Indian women still suffer from unhygienic menstrual practices leading to reproductive tract infections. To understand the socioeconomic and bio-demographic determinants of menstrual hygiene practices, various national or local level studies have been conducted in India and around the world, however, no previous study has tried to understand the spatial heterogeneity across Indian districts in the use of hygienic materials among young urban women. METHODS: This study used data from 54,561 urban women aged 15–24 from the National Family Health Survey-5. Global Moran’s I was applied to assess the degree of spatial autocorrelation and cluster and outlier analyses to locate hot-spots and clod-spots in the exclusive use of hygienic materials across the districts. Ordinary least square, spatial lag, and error models were used to identify determinants of exclusive use of hygienic materials. RESULTS: Approximately 66.8% of urban women exclusively use of hygienic materials which varied across districts. Global Moran’s I of 0.46 indicated positive spatial autocorrelation in the outcome. Cluster and outlier analysis revealed cold-spots in central Indian districts and hotspots in south Indian districts. Results of spatial error model identified women’s years of schooling, marital status, social group, and household wealth were major determinants of the exclusive use of hygienic materials among urban women across Indian districts. CONCLUSION: Substantial spatial heterogeneity in the outcome among urban women in India suggests the need to design targeted and context-specific behavioural interventions and programs for women in urban India. PeerJ Inc. 2023-03-20 /pmc/articles/PMC10035429/ /pubmed/36967987 http://dx.doi.org/10.7717/peerj.15026 Text en ©2023 Singh et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited. |
spellingShingle | Global Health Singh, Aditya Chakrabarty, Mahashweta Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India |
title | Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India |
title_full | Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India |
title_fullStr | Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India |
title_full_unstemmed | Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India |
title_short | Spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban India |
title_sort | spatial heterogeneity in the exclusive use of hygienic materials during menstruation among women in urban india |
topic | Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10035429/ https://www.ncbi.nlm.nih.gov/pubmed/36967987 http://dx.doi.org/10.7717/peerj.15026 |
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