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              <name>Title</name>
              <description>A name given to the resource</description>
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                  <text>VOL.15 NO.2 (2025)</text>
                </elementText>
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                  <text>peri irawan</text>
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          <element elementId="50">
            <name>Title</name>
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                <text>Determinants of Menstrual Hygiene Management Practices Among Adolescents: A Cross-Sectional Study</text>
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            <name>Subject</name>
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                <text>Adolescents; Indonesia; menstrual hygiene</text>
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                <text>Background: Menstrual hygiene management (MHM) is critical for adolescents’&#13;
health and well-being; however, challenges such as limited water, sanitation, and&#13;
&#13;
hygiene (WASH) facilities, stigma, and lack of education persist in low- and middle-&#13;
income countries. In Indonesia, most studies have focused on knowledge and&#13;
&#13;
attitudes rather than the determinants of practices, leaving this area underexplored.&#13;
Purpose: This study aimed to identify the determinants of menstrual hygiene&#13;
management practices among adolescents.&#13;
Methods: This cross-sectional study was conducted online with 365 female&#13;
adolescents recruited through purposive sampling. Data collection tools included&#13;
the Menstrual Hygiene Management (MHM) questionnaire, the Depression Anxiety&#13;
Stress Scale (DASS-21), the Multidimensional Scale of Perceived Social Support&#13;
(MSPSS), and demographic questionnaires. Associations were analyzed using&#13;
independent t-tests, Pearson correlations, and linear regression.&#13;
Results: Bivariate analysis showed that higher MHM scores were significantly&#13;
associated with age (r=0.290; p=0.000), age at menarche (r=0.173; p=0.001),&#13;
education level (r=0.288; p=0.000), menstrual cycles (r=0.122; p=0.020),&#13;
employment (r=0.277; p=0.000), family income (r=0.130; p=0.013), and place of&#13;
residence (r=0.132; p=0.012). In contrast, a history of dysmenorrhea was negatively&#13;
associated with MHM practices (r=-0.159; p=0.002). Linear regression analysis&#13;
revealed that menstrual cycle (B=0.408; p=0.028) was a significant positive&#13;
predictor of MHM, while a history of dysmenorrhea (B=-0.160; p=0.020) was a&#13;
significant negative predictor.&#13;
Conclusion: Menstrual hygiene management was generally good among&#13;
adolescents. Significant determinants included menstrual cycle length and history&#13;
of dysmenorrhea. The findings underscore the importance of addressing biological&#13;
and physiological factors in menstrual health education. Public health programs&#13;
should also integrate menstrual cycle education and dysmenorrhea management&#13;
strategies to improve hygiene practices.</text>
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            <name>Creator</name>
            <description>An entity primarily responsible for making the resource</description>
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                <text>Henny Dwi Susanti1&#13;
&#13;
, Mirna Dian Marta1&#13;
&#13;
, Nurlilla Kholidah1&#13;
&#13;
, Ika Rizki Anggraeni1&#13;
,&#13;
&#13;
Markéta Moravcová2, Min-Huey Chung3,4</text>
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            <name>Source</name>
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                <text>https://doi.org/10.14710/nmjn.v15i2.72660</text>
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            <name>Date</name>
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              <elementText elementTextId="120880">
                <text>30 August 2025</text>
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          <element elementId="37">
            <name>Contributor</name>
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                <text>peri irawan</text>
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                <text>english</text>
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        <name>Adolescents; Indonesia; menstrual hygiene</name>
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