Şeyma KİLCİ ERCİYAS, Ebru CİRBAN EKREM, Melike KALAYCI, Nazire Aslı ŞAHİN, Ayşe AYDOĞMUŞ

Üreme Çağındaki Kadınların Menstrüel Kap Kullanımına İlişkin Bilgi ve Tutumları

Amaç: Üreme çağındaki (18-49) kadınların menstrüel kap kullanımına ilişkin bilgi ve tutumlarını belirlemektir. Yöntem: Tanımlayıcı olarak yapılan çalışmanın verileri, araştırma kriterlerine uyan ve araştırmaya katılmayı kabul eden 605 kadın ile 35 soruluk anket formu ile toplandı. Veriler, Statistical Package for Social Science (SPSS) 24 paket programı ile analiz edildi. Verilerin değerlendirmesinde frekans, yüzde, aritmetik ortalama, standart sapma gibi tanımlayıcı istatistikler, bağımlı ve bağımsız değişkenlerin karşılaştırılmasında ki-kare testi kullanıldı. Bulgular: Kadınların %52,0’si 18-25 yaş grubunda ve %66,0’sı bekârdı. Kadınların %76,0’sı hijyenik ped kullandığı, %29,4’ünün menstrüel kap kullandığı belirlenmiştir. Kadınların menstrüasyon döneminde kullanılan yöntem ile ilgili bilgiyi çoğunlukla (%62,0) ailesinden aldığı saptandı. Menstrüel kap kullanan kadınların %46,0’sı kabı takıp/çıkarmada zorlanmadığını, %79,0’u kap kullanmaktan memnun olduğunu belirtti. Kadınların %88,0’i herhangi bir yan etki ile karşılaşmadığını ifade etti. Yaş, eğitim, medeni durum, yaşanılan yer, aylık gelir düzeyi, yöntem için harcanan para, cinsel ilişki deneyimi ve düşük/kürtaj geçirmiş olma durumu ile menstrüel kap kullanımı arasında istatistiksel olarak anlamlı farklılık saptandı (p

Knowledge and Attitudes of Women of Reproductive Age Regarding the Use of Menstrual Caps

Objective: To determine knowledge and attitudes of women of reproductive age (18-49) regarding menstrual cup use. Methods: The data of descriptive study were collected with a 35-question questionnaire with 605 women who research criteria and agreed to participate in the study. Data were analyzed with Statistical Package for Social Science (SPSS) 24 package program. Descriptive statistics such as frequency, percentage, mean, standard deviation were used in evaluation of data, chi-square test was used to compare dependent and independent variables. Results: 52% of the women participating are in the 18-25 age group, 66,0% are single. 76,0% of women use pads, 29,4% use menstrual cups, they mostly get information about the method used during menstruation from their families (62,0%). 46,0% of the women stated that they had no difficulty in putting on/removing the cup, and 79,0% stated that they were satisfied with using menstrual cup. 88,0% of the women stated that they didn’t experience any side effects. Age, education, marital status, place of residence, income level, Money spent for the method, women sexual intercourse, abortion/curretage, those who think that they harm the environment and those who want a long-term effective menstrual hygiene method that there was a statistical difference between them (p

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1. Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. Taşkın L, editor. Ankara; 2016. 64-67.
2. Santra S. Assessment of knowledge regarding menstruation and practices related to maintenance of menstrual hygiene among the women of reproductive age group in a slum of Kolkata, West Bengal, India. Int J Community Med Public Health 2017;4(3):708.
3. Word Health Organization Water and Sanitation. Word Health Organization. 2020. Erişim adresi: https://www.euro.who.int, Erişim tarihi: 13.11.2021
4. Geethu C, Phoeba Paul E, Thomas JE, Pullan CS, Hemalatha S, Sivakumar T. Appraisal of menstrual hygiene management among women in a rural setting: A prospective study. Int J Community Med Public Health 2016;2191-2196.
5. United Nations. Population division. World population prospects. 2019. Erişim adresi: https://esa.un.org/unpd/wpp/, Erişim tarihi: 12.11.2021
6. Türkiye İstatistik Kurumu (TUIK). 2021. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle- Kadin-2020-37221, Erişim tarihi: 14.11.2021
7. Demir SC, Kadayıfçı TO, Vardar MA, Atay Y. Dysfunctional uterine bleeding and other menstrual problems of secondary school students in Adana, Turkey. J Pediatr Adolesc Gynecol 2000;13(4):171-175.
8. Ersoy B, Balkan C, Günay T, Onag A, Egemen A. Effects of different socioeconomic conditions on menarche in Turkish female students. Early Hum Dev 2004;76(2):115-125.
9. Oskay Ü, Can, G, Taş, D, Sezgin Ö. Hemşirelik Yüksekokulu öğrencilerinde görülen perimenstrual sorunlar. Florence Nightingale Journal of Nursing 2014;16 (63):157-164.
10. Polat A, Celik H, Gurates B, Kaya D, Nalbant M, Kavak E, Hanay F. Prevalence of primary dysmenorrhea in young adult female university students. Arch Gynecol Obstet 2009;279(4):527- 532.
11. Yücel G, Kendirci M, Gül Ü. Menstrual characteristics and related problems in 9- to 18-year-old Turkish school girls. J Pediatr Adolesc Gynecol 2018;31(4):350-355.
12. Sağlık Araştırmaları Genel Müdürlüğü Türkiye Kadın Sağlığı Araştırması. Türkiye Cumhuriyeti Sağlık Bakanlığı Sağlık Araştırmaları Genel Müdürlüğü. 2014. Erişim adresi: ekutuphane.sagem.gov.tr/kitaplar/turkiye_kadin_sagligi_ arastirmasi.pdf, Erişim tarihi: 12.11.2021
13. Kambala C, Chinangwa A, Chipeta E, Torondel B, Morse T. Acceptability of menstrual products interventions for menstrual hygiene management among women and girls in Malawi. Reprod Health 2020;17(1):185.
14. van Eijk AM, Zulaika G, Lenchner M, Mason L, Sivakami M, Nyothach E, Unger H, Laserson K, Phillips-Howard PA. Menstrual cup use, leakage, acceptability, safety, and availability: A systematic review and meta-analysis. Lancet Public Health 2019;4(8):e376-e393.
15. Efilti P, Timur Ş. Menstrüasyon üzerine söylemler ve ürün tasarımındaki yansımaları. İstanbul; 2019. Erişim adresi: https://avesis.itu.edu.tr/yayin/046f24f7-303a-4523-9a13- b2a067440a3b/menstruasyon-uzerine-soylemler-ve-urun- tasarimindaki-yansimalari
16. Mason L, Nyothach E, Van Eijk AM, Obor D, Alexander KT, Ngere I, Laserson K, Phillips-Howard P. Comparing use and acceptability of menstrual cups and sanitary pads by schoolgirls in rural Western Kenya. Int J Reprod Contracept Obstet Gynecol 2019;8(8):2974-2982.
17. Cumulative Exposure and Feminine Care Products. 2016. Erişim adresi: http://www.safecosmetics.org/get-thefacts/ healthandscience/cumulative-exposure-and-feminine-care- products/ Erişim tarihi: 13.11.2021
18. Loria K. How to eat less plastic. 2020. Consumer Reports. Erişim adresi: https://napcor.com/news/consumer-reports- response-how-to-eat-less-plastic/ Erişim tarihi: 13.11.2021
19. Değirmenci F, Vefikuluçay Yılmaz D. Menstrüel kanın toplanmasında alternatif bir yöntem: Menstrüel kap. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2019; 6(3):186-194.
20. Dündar T, Özsoy S. Menstrual hijyen yönetiminde menstrual kap kullanımı. Kadın Sağlığı Hemşireliği Dergisi. 2020;6(1):14- 28.
21. Arenas-Gallo C, Ramírez-Rocha G, González-Hakspiel L, Merlano-Alcendra C, Palomino-Suárez D, Rueda-Espinel S. Acceptability and safety of the menstrual cup: A systematic review of the literature. Rev Colomb Obstet Ginecol 2020;71(2):163-177.
22. Kaur R, Kaur K, Kaur R. Menstrual hygiene, management and waste disposal: Practices and challenges faced by girls/ women of developing countries. J Environ Public Health 2018;2018:1730964.
23. Howard C, Rose CL, Trouton K, Stamm H, Marentette D, Kirkpatrick N, Karalic S, Fernandez R, Paget J. FLOW (finding lasting options for women): Multicentre randomized controlled trial comparing tampons with menstrual cups. Can Fam Physician 2011;57(6):e208-215.
24. North BB, Oldham MJ. Preclinical, clinical and over-the-counter postmarketing experience with a new vaginal cup: Menstrual collection. J Women’s Health 2011;20(2):303-311.
25. Stewart K, Greer R, Powell M. Women’s experience of using the Mooncup. J Obstet Gynaecol (Lahore) 2010;30(3):285-287.
26. Kakani CR, Bhatt JK. Study of adaptability and efficacy of menstrual cup in managing menstrual health and hygiene. Int J Reprod Contracept Obstet Gynecol 2017;6(7):3045.
27. Gharacheh M, Ranjbar F, Hajinasab N, Haghani S. Acceptability and safety of the menstrual cups among Iranian women: A cross-sectional study. BMC Womens Health 2021;21(1):105.
28. Beksinska ME, Smit J, Greener R, Todd CS, Lee ML, Maphumulo V, Hoffmann V. Acceptability and performance of the menstrual cup in South Africa: A randomized crossover trial comparing the menstrual cup to tampons or sanitary pads. J Womens Health (Larchmt) 2015;24(2):151-158.
29. Pokhrel D, Bhattarai S, Emgård M, von Schickfus M, Forsberg BC, Biermann O. Acceptability and feasibility of using vaginal menstrual cups among schoolgirls in rural Nepal: A qualitative pilot study. Reprod Health 2021;18(1):20.
30. Beksinska M, Nkosi P, Zulu B, Smit J. Acceptability of the menstrual cup among students in further education institutions in KwaZulu-Natal, South Africa. Eur J Contracept Reprod Heal Care 2021;26(1):11-16.
31. Phillips-Howard PA, Nyothach E, Ter Kuile FO, Omoto J, Wang D, Zeh C, Onyango C, Mason L, Alexander KT, Odhiambo FO, Eleveld A, Mohammed A, van Eijk AM, Edwards RT, Vulule J, Faragher B, Laserson KF. Menstrual cups and sanitary pads to reduce school attrition, and sexually transmitted and reproductive tract infections: A cluster randomised controlled feasibility study in rural Western Kenya. BMJ Open 2016;6(11):e013229.
32. Juma J, Nyothach E, Laserson KF, Oduor C, Arita L, Ouma C, Oruko K, Omoto J, Mason L, Alexander KT, Fields B, Onyango C, Phillips-Howard PA. Examining the safety of menstrual cups among rural primary school girls in western Kenya: Observational studies nested in a randomised controlled feasibility study. BMJ Open 2017;7(4):e015429.
33. Nonfoux L, Chiaruzzi M, Badiou C, Baude J, TristanA, Thioulouse J, Muller D, Prigent-Combaret C, Lina G. Impact of currently marketed tampons and menstrual cups on staphylococcus aureus growth and toxic shock syndrome toxin 1 production in vitro. Appl Environ Microbiol 2018;84(12):e00351-18.
34. Meghana S, Gomathy E. Knowledge, attitude, and practices regarding menstrual cup among reproductive women in a rural tertiary care Hospital. Int J Clin Obstet Gynaecol 2021;5(2):211- 214.
35. Türkiye İstatistik Kurumu (TUIK). Evlenme ve Boşanma İstatistikleri, 2020. Erişim adresi: https://data.tuik.gov.tr/Bulten/ Index?p=Evlenme-ve-Bosanma-Istatistikleri-2020-37211, Erişim tarihi: 14.11.2021
36. African Population and Health Research Center. Attitudes towards, and acceptability of, menstrual cups as a method for managing menstruation: Experiences of women and schoolgirls in Nairobi, Kenya. Policy Brief. 2010;21:1-8.