Determinants of Menstrual Hygiene Management Practices Among Adolescents: A Cross-Sectional Study
Dublin Core
Title
Determinants of Menstrual Hygiene Management Practices Among Adolescents: A Cross-Sectional Study
Subject
Adolescents; Indonesia; menstrual hygiene
Description
Background: Menstrual hygiene management (MHM) is critical for adolescents’
health and well-being; however, challenges such as limited water, sanitation, and
hygiene (WASH) facilities, stigma, and lack of education persist in low- and middle-
income countries. In Indonesia, most studies have focused on knowledge and
attitudes rather than the determinants of practices, leaving this area underexplored.
Purpose: This study aimed to identify the determinants of menstrual hygiene
management practices among adolescents.
Methods: This cross-sectional study was conducted online with 365 female
adolescents recruited through purposive sampling. Data collection tools included
the Menstrual Hygiene Management (MHM) questionnaire, the Depression Anxiety
Stress Scale (DASS-21), the Multidimensional Scale of Perceived Social Support
(MSPSS), and demographic questionnaires. Associations were analyzed using
independent t-tests, Pearson correlations, and linear regression.
Results: Bivariate analysis showed that higher MHM scores were significantly
associated with age (r=0.290; p=0.000), age at menarche (r=0.173; p=0.001),
education level (r=0.288; p=0.000), menstrual cycles (r=0.122; p=0.020),
employment (r=0.277; p=0.000), family income (r=0.130; p=0.013), and place of
residence (r=0.132; p=0.012). In contrast, a history of dysmenorrhea was negatively
associated with MHM practices (r=-0.159; p=0.002). Linear regression analysis
revealed that menstrual cycle (B=0.408; p=0.028) was a significant positive
predictor of MHM, while a history of dysmenorrhea (B=-0.160; p=0.020) was a
significant negative predictor.
Conclusion: Menstrual hygiene management was generally good among
adolescents. Significant determinants included menstrual cycle length and history
of dysmenorrhea. The findings underscore the importance of addressing biological
and physiological factors in menstrual health education. Public health programs
should also integrate menstrual cycle education and dysmenorrhea management
strategies to improve hygiene practices.
health and well-being; however, challenges such as limited water, sanitation, and
hygiene (WASH) facilities, stigma, and lack of education persist in low- and middle-
income countries. In Indonesia, most studies have focused on knowledge and
attitudes rather than the determinants of practices, leaving this area underexplored.
Purpose: This study aimed to identify the determinants of menstrual hygiene
management practices among adolescents.
Methods: This cross-sectional study was conducted online with 365 female
adolescents recruited through purposive sampling. Data collection tools included
the Menstrual Hygiene Management (MHM) questionnaire, the Depression Anxiety
Stress Scale (DASS-21), the Multidimensional Scale of Perceived Social Support
(MSPSS), and demographic questionnaires. Associations were analyzed using
independent t-tests, Pearson correlations, and linear regression.
Results: Bivariate analysis showed that higher MHM scores were significantly
associated with age (r=0.290; p=0.000), age at menarche (r=0.173; p=0.001),
education level (r=0.288; p=0.000), menstrual cycles (r=0.122; p=0.020),
employment (r=0.277; p=0.000), family income (r=0.130; p=0.013), and place of
residence (r=0.132; p=0.012). In contrast, a history of dysmenorrhea was negatively
associated with MHM practices (r=-0.159; p=0.002). Linear regression analysis
revealed that menstrual cycle (B=0.408; p=0.028) was a significant positive
predictor of MHM, while a history of dysmenorrhea (B=-0.160; p=0.020) was a
significant negative predictor.
Conclusion: Menstrual hygiene management was generally good among
adolescents. Significant determinants included menstrual cycle length and history
of dysmenorrhea. The findings underscore the importance of addressing biological
and physiological factors in menstrual health education. Public health programs
should also integrate menstrual cycle education and dysmenorrhea management
strategies to improve hygiene practices.
Creator
Henny Dwi Susanti1
, Mirna Dian Marta1
, Nurlilla Kholidah1
, Ika Rizki Anggraeni1
,
Markéta Moravcová2, Min-Huey Chung3,4
, Mirna Dian Marta1
, Nurlilla Kholidah1
, Ika Rizki Anggraeni1
,
Markéta Moravcová2, Min-Huey Chung3,4
Source
https://doi.org/10.14710/nmjn.v15i2.72660
Date
30 August 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Henny Dwi Susanti1
, Mirna Dian Marta1
, Nurlilla Kholidah1
, Ika Rizki Anggraeni1
,
Markéta Moravcová2, Min-Huey Chung3,4, “Determinants of Menstrual Hygiene Management Practices Among Adolescents: A Cross-Sectional Study,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11313.