A brief instrument measuring the water, sanitation and hygiene domain of menstrual health among women who inject drugs
Domains of adequate menstrual health (MH) include access to water, sanitation, and hygiene (WASH). People who menstruate with social disadvantages-such as homelessness or drug injection practices-often face barriers to WASH access. However, validated instruments to measure MH are limited among margi...
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| Veröffentlicht in: | PloS one 2024-05, Vol.19 (5), p.e0303378-e0303378 |
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| creator | Calderón-Villarreal, Alhelí Avelar Portillo, Lourdes Johanna Abramovitz, Daniela Goldenberg, Shira Flanigan, Shawn Quintana, Penelope J E Harvey-Vera, Alicia Vera, Carlos F Rangel, Gudelia Strathdee, Steffanie A Kayser, Georgia L |
| description | Domains of adequate menstrual health (MH) include access to water, sanitation, and hygiene (WASH). People who menstruate with social disadvantages-such as homelessness or drug injection practices-often face barriers to WASH access. However, validated instruments to measure MH are limited among marginalized populations, and available instruments involve lengthy surveys. We developed and evaluated psychometric properties of a novel 'MH WASH Domain Scale-12' among people who menstruate and who inject drugs in the Tijuana-San Diego region and identified correlates of MH access using this scale.
We constructed a MH-scale based on access to twelve WASH-related items: (1) menstrual products, (2) body hygiene (bathing per week), (3) water sources for bathing, (4) improved, (5) non-shared, (6) available, (7) private, (8) nearby, (9) and safe sanitation facilities, (10) availability of soap, (11) water source for handwashing, and (12) handwashing facilities with soap/water. Variables were dichotomized and summed, with scores ranging from 0-12 points and higher scores indicating better MH access. We assessed the scale's reliability and construct and content validity using data from a binational cross-sectional study. The sample included people who inject drugs (PWID) who had ever menstruated in their lifetime and were 18+ during 2020-2021. MH-WASH items were described, and the scale was further used as an outcome variable to identify correlates.
Among 125 (124 cis-female and 1 trans-male) PWID that reported menstruating, our 'MH WASH Domain Scale-12' was reliable (Cronbach's alpha = 0.81, McDonald's Omega total = 0.83) and valid. We identified two sub-domains: Factor-1 included items describing 'WASH availability' and Factor-2 contained items related to 'WASH security'-encompassing physical and biological safety. Scale scores were significantly lower among participants experiencing unsheltered homelessness compared to participants experiencing sheltered homelessness or living in permanent housing.
We constructed and validated a novel and reliable scale to measure MH-related WASH access that can be used to assess MH among marginalized populations in English- and Spanish-speaking contexts. Using this scale we identified disparities in MH-WASH access among PWID and who menstruate in the US-Mexico border region. |
| doi_str_mv | 10.1371/journal.pone.0303378 |
| format | Article |
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We constructed a MH-scale based on access to twelve WASH-related items: (1) menstrual products, (2) body hygiene (bathing per week), (3) water sources for bathing, (4) improved, (5) non-shared, (6) available, (7) private, (8) nearby, (9) and safe sanitation facilities, (10) availability of soap, (11) water source for handwashing, and (12) handwashing facilities with soap/water. Variables were dichotomized and summed, with scores ranging from 0-12 points and higher scores indicating better MH access. We assessed the scale's reliability and construct and content validity using data from a binational cross-sectional study. The sample included people who inject drugs (PWID) who had ever menstruated in their lifetime and were 18+ during 2020-2021. MH-WASH items were described, and the scale was further used as an outcome variable to identify correlates.
Among 125 (124 cis-female and 1 trans-male) PWID that reported menstruating, our 'MH WASH Domain Scale-12' was reliable (Cronbach's alpha = 0.81, McDonald's Omega total = 0.83) and valid. We identified two sub-domains: Factor-1 included items describing 'WASH availability' and Factor-2 contained items related to 'WASH security'-encompassing physical and biological safety. Scale scores were significantly lower among participants experiencing unsheltered homelessness compared to participants experiencing sheltered homelessness or living in permanent housing.
We constructed and validated a novel and reliable scale to measure MH-related WASH access that can be used to assess MH among marginalized populations in English- and Spanish-speaking contexts. Using this scale we identified disparities in MH-WASH access among PWID and who menstruate in the US-Mexico border region.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0303378</identifier><identifier>PMID: 38728343</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Access ; Adult ; Amenorrhea ; Availability ; Bathing ; Cohort analysis ; Cross-Sectional Studies ; Drugs ; Evaluation ; Female ; Gender identity ; Girls ; Health aspects ; Health care ; Homeless people ; Homelessness ; Housing ; Humans ; Hygiene ; Hygiene - standards ; International boundaries ; Marginality ; Measurement ; Measures ; Measuring instruments ; Menstruation ; Middle Aged ; Personal hygiene ; Physical instruments ; Populations ; Psychometrics ; Regions ; Sanitation ; Sanitation - standards ; Sanitation facilities ; Sex industry ; Skin care products ; Soaps ; Sociodemographics ; Substance Abuse, Intravenous - epidemiology ; Surveys ; Surveys and Questionnaires ; Variables ; Water ; Water sources ; Water supply ; Women ; Womens health ; Young Adult</subject><ispartof>PloS one, 2024-05, Vol.19 (5), p.e0303378-e0303378</ispartof><rights>Copyright: © 2024 Calderón-Villarreal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Calderón-Villarreal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Calderón-Villarreal et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c637t-9e7cd6f3bcfd3e4ef476240f0094cf815fca58564fd33a7e9d8e6e7418d32663</citedby><cites>FETCH-LOGICAL-c637t-9e7cd6f3bcfd3e4ef476240f0094cf815fca58564fd33a7e9d8e6e7418d32663</cites><orcidid>0000-0002-8708-8169 ; 0000-0002-9502-9839 ; 0000-0003-1064-7097</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,866,2104,2930,23873,27351,27931,27932,33781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38728343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Page, Kimberly</contributor><creatorcontrib>Calderón-Villarreal, Alhelí</creatorcontrib><creatorcontrib>Avelar Portillo, Lourdes Johanna</creatorcontrib><creatorcontrib>Abramovitz, Daniela</creatorcontrib><creatorcontrib>Goldenberg, Shira</creatorcontrib><creatorcontrib>Flanigan, Shawn</creatorcontrib><creatorcontrib>Quintana, Penelope J E</creatorcontrib><creatorcontrib>Harvey-Vera, Alicia</creatorcontrib><creatorcontrib>Vera, Carlos F</creatorcontrib><creatorcontrib>Rangel, Gudelia</creatorcontrib><creatorcontrib>Strathdee, Steffanie A</creatorcontrib><creatorcontrib>Kayser, Georgia L</creatorcontrib><title>A brief instrument measuring the water, sanitation and hygiene domain of menstrual health among women who inject drugs</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Domains of adequate menstrual health (MH) include access to water, sanitation, and hygiene (WASH). People who menstruate with social disadvantages-such as homelessness or drug injection practices-often face barriers to WASH access. However, validated instruments to measure MH are limited among marginalized populations, and available instruments involve lengthy surveys. We developed and evaluated psychometric properties of a novel 'MH WASH Domain Scale-12' among people who menstruate and who inject drugs in the Tijuana-San Diego region and identified correlates of MH access using this scale.
We constructed a MH-scale based on access to twelve WASH-related items: (1) menstrual products, (2) body hygiene (bathing per week), (3) water sources for bathing, (4) improved, (5) non-shared, (6) available, (7) private, (8) nearby, (9) and safe sanitation facilities, (10) availability of soap, (11) water source for handwashing, and (12) handwashing facilities with soap/water. Variables were dichotomized and summed, with scores ranging from 0-12 points and higher scores indicating better MH access. We assessed the scale's reliability and construct and content validity using data from a binational cross-sectional study. The sample included people who inject drugs (PWID) who had ever menstruated in their lifetime and were 18+ during 2020-2021. MH-WASH items were described, and the scale was further used as an outcome variable to identify correlates.
Among 125 (124 cis-female and 1 trans-male) PWID that reported menstruating, our 'MH WASH Domain Scale-12' was reliable (Cronbach's alpha = 0.81, McDonald's Omega total = 0.83) and valid. We identified two sub-domains: Factor-1 included items describing 'WASH availability' and Factor-2 contained items related to 'WASH security'-encompassing physical and biological safety. Scale scores were significantly lower among participants experiencing unsheltered homelessness compared to participants experiencing sheltered homelessness or living in permanent housing.
We constructed and validated a novel and reliable scale to measure MH-related WASH access that can be used to assess MH among marginalized populations in English- and Spanish-speaking contexts. Using this scale we identified disparities in MH-WASH access among PWID and who menstruate in the US-Mexico border region.</description><subject>Access</subject><subject>Adult</subject><subject>Amenorrhea</subject><subject>Availability</subject><subject>Bathing</subject><subject>Cohort analysis</subject><subject>Cross-Sectional Studies</subject><subject>Drugs</subject><subject>Evaluation</subject><subject>Female</subject><subject>Gender identity</subject><subject>Girls</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Homeless people</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Hygiene - standards</subject><subject>International boundaries</subject><subject>Marginality</subject><subject>Measurement</subject><subject>Measures</subject><subject>Measuring instruments</subject><subject>Menstruation</subject><subject>Middle Aged</subject><subject>Personal hygiene</subject><subject>Physical instruments</subject><subject>Populations</subject><subject>Psychometrics</subject><subject>Regions</subject><subject>Sanitation</subject><subject>Sanitation - standards</subject><subject>Sanitation facilities</subject><subject>Sex industry</subject><subject>Skin care products</subject><subject>Soaps</subject><subject>Sociodemographics</subject><subject>Substance Abuse, Intravenous - epidemiology</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Variables</subject><subject>Water</subject><subject>Water sources</subject><subject>Water supply</subject><subject>Women</subject><subject>Womens health</subject><subject>Young 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USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Calderón-Villarreal, Alhelí</au><au>Avelar Portillo, Lourdes Johanna</au><au>Abramovitz, Daniela</au><au>Goldenberg, Shira</au><au>Flanigan, Shawn</au><au>Quintana, Penelope J E</au><au>Harvey-Vera, Alicia</au><au>Vera, Carlos F</au><au>Rangel, Gudelia</au><au>Strathdee, Steffanie A</au><au>Kayser, Georgia L</au><au>Page, Kimberly</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A brief instrument measuring the water, sanitation and hygiene domain of menstrual health among women who inject drugs</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-05-10</date><risdate>2024</risdate><volume>19</volume><issue>5</issue><spage>e0303378</spage><epage>e0303378</epage><pages>e0303378-e0303378</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Domains of adequate menstrual health (MH) include access to water, sanitation, and hygiene (WASH). People who menstruate with social disadvantages-such as homelessness or drug injection practices-often face barriers to WASH access. However, validated instruments to measure MH are limited among marginalized populations, and available instruments involve lengthy surveys. We developed and evaluated psychometric properties of a novel 'MH WASH Domain Scale-12' among people who menstruate and who inject drugs in the Tijuana-San Diego region and identified correlates of MH access using this scale.
We constructed a MH-scale based on access to twelve WASH-related items: (1) menstrual products, (2) body hygiene (bathing per week), (3) water sources for bathing, (4) improved, (5) non-shared, (6) available, (7) private, (8) nearby, (9) and safe sanitation facilities, (10) availability of soap, (11) water source for handwashing, and (12) handwashing facilities with soap/water. Variables were dichotomized and summed, with scores ranging from 0-12 points and higher scores indicating better MH access. We assessed the scale's reliability and construct and content validity using data from a binational cross-sectional study. The sample included people who inject drugs (PWID) who had ever menstruated in their lifetime and were 18+ during 2020-2021. MH-WASH items were described, and the scale was further used as an outcome variable to identify correlates.
Among 125 (124 cis-female and 1 trans-male) PWID that reported menstruating, our 'MH WASH Domain Scale-12' was reliable (Cronbach's alpha = 0.81, McDonald's Omega total = 0.83) and valid. We identified two sub-domains: Factor-1 included items describing 'WASH availability' and Factor-2 contained items related to 'WASH security'-encompassing physical and biological safety. Scale scores were significantly lower among participants experiencing unsheltered homelessness compared to participants experiencing sheltered homelessness or living in permanent housing.
We constructed and validated a novel and reliable scale to measure MH-related WASH access that can be used to assess MH among marginalized populations in English- and Spanish-speaking contexts. Using this scale we identified disparities in MH-WASH access among PWID and who menstruate in the US-Mexico border region.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38728343</pmid><doi>10.1371/journal.pone.0303378</doi><tpages>e0303378</tpages><orcidid>https://orcid.org/0000-0002-8708-8169</orcidid><orcidid>https://orcid.org/0000-0002-9502-9839</orcidid><orcidid>https://orcid.org/0000-0003-1064-7097</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-05, Vol.19 (5), p.e0303378-e0303378 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3069286618 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Sociological Abstracts; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Access Adult Amenorrhea Availability Bathing Cohort analysis Cross-Sectional Studies Drugs Evaluation Female Gender identity Girls Health aspects Health care Homeless people Homelessness Housing Humans Hygiene Hygiene - standards International boundaries Marginality Measurement Measures Measuring instruments Menstruation Middle Aged Personal hygiene Physical instruments Populations Psychometrics Regions Sanitation Sanitation - standards Sanitation facilities Sex industry Skin care products Soaps Sociodemographics Substance Abuse, Intravenous - epidemiology Surveys Surveys and Questionnaires Variables Water Water sources Water supply Women Womens health Young Adult |
| title | A brief instrument measuring the water, sanitation and hygiene domain of menstrual health among women who inject drugs |
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