Menstrual poverty among young women: a cross-sectional study in the urban context of Barcelona, Spain
Menstrual poverty has become a global issue, affecting women who do not have access to the menstrual products they need. Most of the related literature is based on low- and middle-income countries’ facts and experiences. Using the 2020 Youth Survey in Barcelona, this cross-sectional study provides novel data on the prevalence and the factors associated with menstrual poverty in an urban context (Barcelona) in a high-income country (Spain) with a randomly selected representative sample of 700 young women aged 15 to 34. Descriptive statistics and logistic regression models were used in the analysis. Results show that 15.3 per cent of young women in Barcelona reported facing financial barriers to accessing menstrual products. Further, those young women with a high level of material deprivation (OR=4.42; CI=2.14–9.16) have a greater probability of suffering from menstrual poverty, whereas those living independently from their parents (OR=0.50; CI=0.28–0.90) and women with a non-EU origin (Latin-Americans: OR=0.54; CI=0.31–0.93; Others: OR=0.06; CI=0.01–0.46) have a lower probability of reporting menstrual poverty. Our findings advocate that the measurement of poverty should consider individual aspects and needs, and not only the household income level as the reference. Further, we would encourage rethinking poverty measurement with a gender perspective, as well as identifying how deprivations overlap to aggravate the experience of poverty.
-
Aassve, A., Davia, M.A., Iacovou, M. and Mazzuco, S. (2007) Does leaving home make you poor? Evidence from 13 European countries, European Journal of Population, 23: 315–38. doi: 10.1007/s10680-007-9135-5
-
ACLU and Period Equity (2019) The unequal price of periods: menstrual equity in the United States. American Civil Liberties Union, https://www.aclu.org/report/unequal-price-periods.
-
Ajuntament de Barcelona (2021) La joventut de Barcelona l’any de la pandèmia. 10 anàlisis de l’Enquesta a la Joventut de Barcelona 2020, Barcelona: Ajuntament de Barcelona.
-
Angulo-Olaiz, F., Goldfarb, E.S. and Constantine, N.A. (2014) Sexuality information needs of Latino and African American ninth graders: a content analysis of anonymous questions, American Journal of Sexuality Education, 9(1): 21–40. doi: 10.1080/15546128.2014.883266
-
Antón-Alonso, F., Porcel, P. and Pruna, M. (2018) Condicions de Vida de la Població Jove a Barcelona: Aspectes Socioeconòmics i la Qüestió de l’habitatge, 2016–17. Barcelona: Ajuntament de Barcelona.
-
Anyaegbu, G. (2010) Using the OECD equivalence scale in taxes and benefits analysis, Economic & Labour Market Review, 4(1): 49–54.
-
Ayllón, S. (2009) Poverty and living arrangements among youth in Spain, 1980–2005, Demographic Research, 20: 403–34.
-
Ayllón, S. (2013) Understanding poverty persistence in Spain, SERIEs, 4(2): 201–33.
-
Barrington, D.J., Robinson, H., Wilson, E. and Hennegan, J. (2021) Experiences of menstruation in high-income countries: a systematic review, qualitative Meta-synthesis and comparison to Low- and middle-income countries, PLoS ONE, 16(7): e0255001. doi: 10.1371/journal.pone.0255001
-
BBC News (2017) Period poverty campaign for free sanitary products on Teeside, November, http://www.bbc.co.uk/news/uk-england-tees-42114027.
-
Bessell, S. (2015) The individual deprivation measure: measuring poverty as if gender and inequality matter, Gender & Development, 23(2): 223–40.
-
Briggs, A. (2021) Period poverty in Stoke-on-Trent, UK: new insights into gendered poverty and the lived experiences of austerity, Journal of Poverty and Social Justice, 29(1): 85–102 (18). doi: 10.1332/175982720X16050132762411
-
Bruquetas, M. and Moreno Fuentes, F.J. (2015) Precarización y vulnerabilidad de la población inmigrante en la España en crisis. El papel del Estado de bienestar, Panorma Social, 22: 139–51.
-
Browning, M., Chiappori, P.A. and Weiss, Y. (2014) Economics of the Family, New York: Cambridge University Press.
-
Cantó-Sánchez, O. and Mercader-Prats, M. (2000) Poverty Among Children and Youth in Spain: the Role Of Parents and Youth Employment Status, Estudios Sobre La Economía Española, EEE-14, Madrid: FEDEA.
-
Cardoso, L.F., Scolese, A.M., Hamidaddin, A. and Gupta, J. (2021) Period poverty and mental health implications among College-aged women in the United States, BMC Womens Health, 21: 14. doi: 10.1186/s12905-020-01149-5
-
Chandra-Mouli, V. and Patel, S.V. (2017) Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in Low- and Middle-income countries, Reproductive Health, 14(1): 30. doi: 10.1186/s12978-017-0293-6
-
Cotropia, C.A. (2019) Menstruation management in united states schools and implications for attendance, academic performance, and health, Women’s Reproductive Health, 6(4): 289–305.
-
Crawford, B.J. and Waldman, E. (2021) Period poverty in a pandemic: harnessing law to achieve menstrual equity, 98 Washington University Law Review, 1569.
-
Crockett, L.J., Deardorff, J., Johnson, M., Irwin, C. and Petersen, A.C. (2019) Puberty education in a global context: knowledge gaps, opportunities, and implications for policy, Journal of Research on Adolescence, 29(1): 177–95 doi: 10.1111/jora.12452
-
Department for Education (2022) Period product scheme for schools and colleges in England, https://www.gov.uk/government/publications/period-products-in-schools-and-colleges/period-product-scheme-for-schools-and-colleges-in-england, Updated 8 September 2022.
-
Ennis, A., Donovan-Hall, L., Standing, K.E. and Mistry, V. (2021) Lifting the lid on period poverty in higher education: a student engagement perspective, Innovations in Practice, 14(1): 23–31.
-
Eurostat (2018) Living conditions in Europe, Eurostat: Statistical books.
-
Farage, M.A., Farage, M.A., Miller, K.W. and Davis, A. (2011) Cultural aspects of menstruation and menstrual hygiene in adolescents, Expert Review of Obstetrics and Gynecology, 6(2): 127–39. doi: 10.1586/eog.11.1
-
Findlay, J. and Wright, R.E. (1996) Gender, poverty, and the intrahousehold distribution of resources, Review of Income & Wealth, 42(3): 335–51. doi: 10.1111/j.1475-4991.1996.tb00186.x
-
Generalitat de Catalunya (2021) Comissió interdepartamental per a l’impuls i el seguiment de l’estratègia nacional de drets sexuals i reproductius. Acord Gov/162/2021, pel qual es crea la comissió interdepartamental per a l’Impuls i el seguiment de l’Estratègia nacional de drets sexuals i reproductius, http://sac.gencat.cat/sacgencat/AppJava/organisme_fitxa.jsp?codi=21906.
-
Gentile, A. (2005) Trayectorias de Vulnerabilidad Social. Barcelona, Mayday 2005: Encuesta Sobre Jóvenes Precarios. Documento de trabajo 05-09, Madrid: Unidad de Políticas Comparadas (UPC). Consejo Superior de Investigaciones Científicas (CSIC).
-
Gentile, A. and Valls, F. (2015) La intesificación de la inestabilidad laboral entre los jóvenes en España. ¿Una cuestión crítica para el relevo intergeneracional?, Panorama Social, 22: 111–125.
-
Hall, N. (2018) Women and girls in remote Indigenous Australian communities: cultural, financial and knowledge barriers to menstrual hygiene management, Australian Indigenous Health Bulletin, 18(2), http://healthbulletin.org.au/articles/women-and-girls-in-remote-indigenous-australian-communities/.
-
Hennegan, J. and Montgomery, P. (2016) Do menstrual hygiene management interventions improve education and psychosocial outcomes for women and girls in low and middle income countries? A systematic review, PLoS ONE, 11(2): 1–21. doi: 10.1371/journal.pone.0146985
-
Hennegan, J., Dolan, C., Wu, M., Scott, L. and Montgomery, P. (2016) Measuring the prevalence and impact of poor menstrual hygiene management: a quantitative survey of schoolgirls in rural Uganda, BMJ Open, 6: e012596. doi: 10.1136/bmjopen-2016-012596
-
Hennegan, J., Torondel, B., Phillips-Howard, P., Sommer, M. and Montgomery, P. (2017) Time to talk about menstruation: a response, The Lancet, 390(10097): 845–46. doi: 10.1016/S0140-6736(17)31950-5
-
Herbert, A.C., Ramirez, A.M., Lee, G., North, S.J., Askari, M.S., West, R.L. and Sommer, M. (2017) Puberty experiences of Low-income girls in the United States: a systematic review of qualitative literature from 2000 to 2014, Journal of Adolescent Health, 60(4): 363–79. doi: 10.1016/j.jadohealth.2016.10.008
-
Holmes, K., Curry, C., Ferfolija, T., Pary, K., Smith, C., Hyman, M., Armiur, M. and Sherry (2021) Adolescent menstrual health literacy in low, middle and High-income countries: a narrative review, International Journal of Environmental Research and Public Health, 18(5): 2260. doi: 10.3390/ijerph18052260
-
Holst, A.S., Jacques-Aviñó, C., Berenguera, A. et al. (2022) Experiences of menstrual inequity and menstrual health among women and people who menstruate in the Barcelona area (Spain): a qualitative study, Reproductive Health, 19: 45. doi: 10.1186/s12978-022-01354-5
-
Houston, A.M., Abraham, A., Huang, Z. and D’Angelo, L.J. (2006) Knowledge, attitudes, and consequences of menstrual health in urban adolescent females, Journal of Pediatric and Adolescent Gynecology, 19(4): 271–75. doi: 10.1016/j.jpag.2006.05.002
-
IdiapGol (2021) 2 de cada 10 mujeres ha tenido dificultades económicas para comprar productos para la menstruación, https://www.idiapjgol.org/index.php/es/actualidad/noticias/1396-estudio-equidad-y-salud-menstrual.
-
INE (2020) Encuesta de condiciones de Vida 2020, https://www.ine.es/jaxiT3/Tabla.htm?t =9985&L=0.
-
Jahan, N. (2020) Bleeding during the pandemic: the politics of menstruation, Sexual and Reproductive Health Matters, 28(1): 1801001. doi: 10.1080/26410397.2020.1801001
-
Khan, Z. and Oveisi, N. (2021) Let’s Talk About Periods: A Critical Analysis of Menstrual Inequities in Canada, Vancouver: University of British Columbia.
-
Knight, R. (2020) Period poverty in Australia, https://eprints.qut.edu.au/201306/.
-
Kuhlmann, A.S., Bergquist, E.P., Danjoint, D. and Wall, L.L. (2019) Unmet menstrual hygiene needs among Low-income women, Obstetrics and Gynecology, 133: 238–44. doi: 10.1097/AOG.0000000000003060
-
Martínez-García, J.S. (2015) Educación, mercado de trabajo, juventud y ciclo económico, Panorma Social, 22: 93–109.
-
Marí-Klose, P. and Marí-Klose, M. (2012) Edad, vulnerabilidad económica y Estado de benestar. La protección social contra la pobreza de niños y personas mayores, Panorama Social, 15: 107–1026.
-
Marí-Klose, P., Marí-Klose, M., Flaquer, L.L., Sánchez, C. and Morató, L. (2008) Informe de la Inclusión Social en España, Barcelona: Fundación Caixa Catalunya.
-
Marí-Klose, P., Escapa, S. and Marí-Klose, M. (2016) Crisis y pobreza infantil en España, Revista Española del Tercer Sector, 32: 141–69.
-
Mayor of London-YouGov (2018) Tens of thousands of girls in London have experienced period poverty, https://www.london.gov.uk/press-releases/mayoral/tens-of-thousands-experienced-period-poverty.
-
Medina-Perucha, L., Jacques-Aviñó, C., Valls-Llobet, C., Turbau-Valls, R., Pinzón, D., Hernández, L., Briales Canseco, P., López-Jiménez, T., Solana Lizarza, E., Munrós Feliu, J. et al. (2020) Menstrual health and period poverty among young people who menstruate in the Barcelona metropolitan area (Spain): protocol of a mixed-methods study, BMJ Open, 10(7). doi: 10.1136/bmjopen-2019-035914
-
Metusela, C., Ussher, J.M., Perez, J., Hawkey, A.J., Morrow, M., Narchal, R., Estoesta, J. and Monteiro, M. (2017) In my culture, we don’t know anything about that: sexual and reproductive health of migrant and refugee women, International Journal of Behavioural Medicine, 24(6): 836–45. doi: 10.1007/s12529-017-9662-3
-
Nolan, B. and Whelan, C.T. (2010) Using Non‐monetary deprivation indicators to analyze poverty and social exclusion: lessons from Europe?, Journal of Policy Analysis and Management, 29(2): 305–25. doi: 10.1002/pam.20493
-
OECD (2008) Growing Unequal? Income Distribution and Poverty in OECD, Paris: OECD.
-
Period Poverty Taskforce (2019) Minister Announces Next Steps on Menstrual Hygiene Day [Internet], London: UK Government, https://www.gov.uk/government/news/period-poverty-taskforce-minister-announces-next-steps-on-menstrual-hygiene-day.
-
Plan International Canada (2019) Plan Canada. 2019, https://plancanada.ca/media-centre/plan-intl-canada-releases-new-menstrual-hygiene-research.
-
Plan International UK (2018) Break the Barriers: Girls’ Experiences of Menstruation in the UK, London: Plan International UK.
-
Plan International UK (2021) Over one million girls in the UK struggled to aford or access perio products during the pandemic, https://plan-uk.org/media-centre/over-one-million-girls-in-the-uk-struggled-to-afford-or-access-period-products-during-the-pandemic.
-
Rubinsky, V., Gunning, J.N. and Cooke-Jackson, A. (2020) I thought I was dying: (un)supportive communication surrounding early menstruation experiences, Health Communication, 35(2): 242–52. doi: 10.1080/10410236.2018.1548337
-
Schmitt, M.L., Hagstrom, C., Nowara, A., Gruer, C., Adenu-Mensah, N.E., Keeley, K. and Sommer, M. (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: 10.1080/02673843.2020.1867207
-
Schoep, M.E., Adang, E.M.M., Maas, J.W.M., De Bie, B., Aarts, J.W.M. and Nieboer, T.E. (2019) Productivity loss due to Menstruation-related symptoms: a nationwide Cross-sectional survey among 32,748 women, BMJ Open, 9: e026186. doi: 10.1136/bmjopen-2018-026186
-
Sebert Kuhlmann, A., Key, R., Billingsley, C. et al. (2020) Students’ menstrual hygiene needs and school attendance in an urban St. Louis, Missouri, district, Journal of Adolescent, 67: 444e6. doi: 10.1016/j.jadohealth.2020.05.040
-
Sebert Kuhlmann, A., Peters Bergquist, E., Danjoint, D. and Wall, L.L. (2019) Unmet menstrual hygiene needs among Low-income women, Obstetrics and Gynecology, 133(2): 238–44.
-
Simón, P., Clavería, S., García-Albacete, G., López Ortega, A. and Torre, M. (2020) Informe de la Juventud en España, Madrid: Injuve.
-
Sivakami, M., Maria van Eijk, A., Thakur, H. et al. (2019) Effect of menstruation on girls and their schooling, and facilitators of menstrual hygiene management in schools: surveys in government schools in three states in India, 2015, J Glob Health, 9(1): 010408. doi: 10.7189/jogh.09.010408
-
So-Kum Tang, C., Yuen-Lan Yeung, D. and Lee, A.M. (2003) Psychosocial correlates of emotional responses to menarche among Chinese adolescent girls, Journal of Adolescent Health, 33(3): 193–201. doi: 10.1016/S1054-139X(03)00049-1
-
Sommer, M., Caruso, B.A., Sahin, M., Calderon, T., Cavill, S., Mahon, T. and Phillips-Howard, P.A. (2016a) A time for global action: addressing girls’ menstrual hygiene management needs in schools, PLoS Medicine, 13(2): 1–9.
-
Sommer, M., Chandraratna, S., Cavill, S., Mahon, T. and Phillips-Howard, P. (2016b) Managing menstruation in the workplace: an overlooked issue in Low- and middle-income countries, International Journal for Equity in Health, 15(1): 1–5.
-
Sommer, M., Hirsch, J.S., Nathanson, C. and Parker, R.G. (2015) Comfortably, safely, and without shame: defining menstrual hygiene management as a public health issue, American Journal of Public Health, 105(7): 1302–11 doi: 10.2105/AJPH.2014.302525
-
Sommer, M., Zulaika, G., Schmitt, M. and Gruer, C. (eds) (2019) Monitoring Menstrual Health and Hygiene: Measuring Progress for Girls on Menstruation; Meeting Report, New York and Geneva: Columbia University and WSSCC.
-
Sumpter, C. and Torondel, B. (2013) A systematic review of the health and social effects of menstrual hygiene management, PLoS ONE, 8(4): e62004. doi: 10.1371/journal.pone.0062004
-
Thornton, J. (2020) Free period products in Scotland, Lancet, Dec.5; 396(10265): 1793.
-
Tingle, C. and Vora, S. (2018) Break the barriers: girls’ experiences of plan international UK, 1–68, https://plan-uk.org/file/plan-uk-break-the-barriers-report-032018pdf/download?token=Fs-HYP3v.
-
Tull, K. (2019) Period poverty impact on the economic empowerment of women, K4D Helpdesk Report 536. Brighton, UK: Institute of Development Studies.
-
UNICEF (2012) WASH in Schools – Empowers Girls’ Education – Proceedings of Menstrual Hygiene Management in Schools Virtual Conferences, New York: UNICEF and Columbia University.
-
UNICEF (2019) Guidance on Menstrual Health and Hygiene, New York: UNICEF.
-
Ussher, J.M., Perez, J., Metusela, C., Hawkey, A.J., Morrow, M., Narchal, R. and Estoesta, J. (2017) Negotiating discourses of shame, secrecy, and silence: migrant and refugee women’s experiences of sexual embodiment, Archives of Sexual Behavior, 46(7): 1901–21. doi: 10.1007/s10508-016-0898-9
-
Valls, F. (2015) El impacto de la crisis entre los jóvenes en España, Revista de Estudios Sociales, 54: 134–49.
-
Verd, J.M., Barranco, O. and Bolíbar, M. (2019) Youth unemployment and employment trajectories in Spain during the Great Recession: what are the determinants?, Journal for Labour Market Research, 53(1): 1–20. doi: 10.1186/s12651-019-0254-3
-
Vora, S. (2017) Tackling Period Poverty Report 2017, Bristol: South West International Development Network.
-
Vora, S. (2020) The realities of period poverty: how homelessness shapes women’s lived experiences of menstruation, in C. Bobel, I.T. Winkler, B. Fahs, K.A. Hasson, E.A. Kissling and T.A. Roberts (eds) The Palgrave Handbook of Critical Menstruation Studies, Singapore: Palgrave Macmillan.
-
Wall, L.L. (2020) Period poverty in public schools: a neglected issue in adolescent health, Journal of Adolescent Health, 67(3): 315–16. doi: 10.1016/j.jadohealth.2020.06.027
-
WHO-UNICEF (2012) Consultation on Draft Long List of Goal, Target and Indicator Options for Future Global Monitoring of Water, Sanitation and Hygiene, Geneva: World Health Organization, pp 1–19, https://www.wssinfo.org/fileadmin/user_upload/resources/Consultation_JMP_post2015_August2012.pdf.
-
World Bank (2018) Menstrual hygiene management enables women and girls to reach their full potential, https://www.worldbank.org/en/news/feature/2018/05/25/menstrual-hygiene-management.
-
World Bank (2022) Globally, periods are causing girls to be absent from school, https://blogs.worldbank.org/education/globally-periods-are-causing-girls-be-absent-school.
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