The Attitudes and Perceptions of Schoolboys Towards Menstruation in Ghana: Her Catamenia, Our Taboo
DOI:
https://doi.org/10.5281/zenodo.15399478Keywords:
Attitude, Factors, Menstruation, Perception, SchoolboysAbstract
Menstruation is a natural process yet in many African communities, it is surrounded by taboos that hinder proper menstrual hygiene management. Consequently, girls often face stigma, embarrassment, and lack of support, particularly in school environments. Males lack accurate knowledge about menstruation, reinforcing harmful attitudes and limiting support for female relatives. This study explored the attitudes, perceptions and factors influencing schoolboys’ attitudes towards menstruation in the Hohoe Municipality. A cross-sectional study design was employed. A total of 273 schoolboys were sampled. Data analyses were carried out in STATA V.16.0. Logistic regression was fitted to identify significant factors at 95% CI and a p-value < 0.05. The study revealed that 166 (60.8%) of the participants had a poor perception of menstruation. Predominant 145 (53.1%) also had poor attitudes towards menstruation. Further analysis revealed that participants in JHS three (AOR=0.46, 95% CI [0.33, 0.95]) and who had a good perception (AOR= 0.38, 95% CI [0.16, 0.84]) about menstruation were less likely to have poor attitudes towards menstruation. The study concluded that there is an urgent need for targeted educational interventions to close knowledge gaps, foster positive attitudes among boys, and promote gender equity and well-being in school settings.
References
Abreu-Sánchez, A., Parra-Fernández, M. L., Onieva-Zafra, M. D., & Fernández-Martínez, E. (2020). Perception of menstrual normality and abnormality in Spanish female nursing students. International Journal of Environmental Research and Public Health, 17(17), 6432. https://doi.org/10.3390/IJERPH17176432
Ameade, E. P. K., & Garti, H. A. (2016). Relationship between female university students’ knowledge on menstruation and their menstrual hygiene practices: A Study in Tamale, Ghana. Advances in Preventive Medicine, 2016, 1056235, https://doi.org/10.1155/2016/1056235
Asumah, M. N., Abubakari, A., Aninanya, G. A., & Salisu, W. J. (2022a). Perceived factors influencing menstrual hygiene management among adolescent girls: A qualitative study in the West Gonja Municipality of the Savannah Region, Ghana. Pan African Medical Journal, 41, 146. https://doi.org/10.11604/pamj.2022.41.146.33492
Asumah, M. N., Abubakari, A., & Aninanya, G. A. (2022b). Determinants of menstrual hygiene management practices among schoolgirls: A cross-sectional study in the Savannah Region of Ghana. Infectious Diseases in Obstetrics and Gynecology, 2022, 7007117. https://doi.org/10.1155/2022/7007117
Babbar, K., Martin, J., Ruiz, J., Parray, A. A., & Sommer, M. (2022). Menstrual health is a public health and human rights issue. The Lancet Public Health, 7(1), e10–e11. https://doi.org/10.1016/S2468-2667(21)00212-7
Belayneh, Z., & Mekuriaw, B. (2019). Knowledge and menstrual hygiene practice among adolescent school girls in southern Ethiopia: A cross-sectional study. BMC Public Health, 19, 1595. https://doi.org/10.1186/s12889-019-7973-9
Benshaul-Tolonen, A., Aguilar-Gomez, S., Batzer, N. H., Cai, R., & Nyanza, E. C. (2020a). Period teasing, stigma and knowledge: A survey of adolescent boys and girls in Northern Tanzania. PLoS ONE, 15(10). e0239914. https://doi.org/10.1371/journal.pone.0239914
Benshaul-Tolonen, A., Zulaika, G., Sommer, M., & Phillips-Howard, P. A. (2020b). Measuring Menstruation-Related Absenteeism Among Adolescents in Low-Income Countries. In The Palgrave Handbook of Critical Menstruation Studies (pp. 705–723). Palgrave Macmillan. https://doi.org/10.1007/978-981-15-0614-7_52
Boakye, A., David, Y., Aladago, A., Beweleyir, J., Bawa, H., Marian, M., Salifu, F., & Asaarik, M. (2018). Assessing the knowledge, attitude and practice of menstrual hygiene management among junior high schools’ adolescent females in the Yendi Municipality in the Northern Region of Ghana. European Scientific Journal, 14(36), 467-487. https://doi.org/10.19044/ESJ.2018.V14N36P467
Bradshaw, S. (2019). Sustainability and Gender Equality, (Ed: A. J. Nightingale). In Environment and Sustainability in a Globalizing World. New York: Routledge. https://doi.org/10.4324/9781315714714-14
Bear, B., Gannon, M., Kazak, A. E., Garrick, C., Eisenberg, J., Alibabaee, Y., & Schwartz, B. I. (2025). Gender-diverse adolescents and young adults’ experiences and attitudes toward menstruation. Clinical Practice in Pediatric Psychology, 13(1), 17-25. https://doi.org/10.1037/cpp0000529
Coast, E., Lattof, S. R., & Strong, J. (2019). Puberty and menstruation knowledge among young adolescents in low- and middle-income countries: a scoping review. International Journal of Public Health, 64(2), 293-304. https://doi.org/10.1007/s00038-019-01209-0
Deepa, S., Agrawal, T., Attokaran, T., Fathima, F. N., & Johnson, A. R. (2019). Awareness, perceptions and practices regarding menstruation and menstrual hygiene among students of a college in Bengaluru Urban district, South India: A cross sectional study. International Journal of Community Medicine and Public Health, 6(3), 1126-1132. https://doi.org/10.18203/2394-6040.ijcmph20190597
Ene, N., Bolarinwa, O. A., Adedigba, C., Oyeleye, J., Boboye, I., Nwosu, U., Olususi, F., Oluwayemi, P., & Okeke, S. R. (2024). “If I use pad, I feel comfortable and safe”: a mixed-method analysis of knowledge, attitude, and practice of menstrual hygiene management among in-school adolescent girls in a Nigerian city. BMC Public Health, 24, 1721. https://doi.org/10.1186/s12889-024-19256-5
Evans, R. L., Harris, B., Onuegbu, C., & Griffiths, F. (2022). Original research: Systematic review of educational interventions to improve the menstrual health of young adolescent girls. BMJ Open, 12(6), e057204. https://doi.org/10.1136/bmjopen-2021-057204
Fishman, K. (2014). Putting men back in the menstrual cycle: A qualitative analysis of men’ s perceptions of menstruation. In OpenSIUC. Southern Illinois University Carbondale.
Hennegan, J., Shannon, A. K., Rubli, J., Schwab, K. J., & Melendez-Torres, G. J. (2019). Women’s and girls’ experiences of menstruation in low-and middle-income countries: A systematic review and qualitative metasynthesis. PLoS Medicine, 16(5), e1002803. https://doi.org/10.1371/journal.pmed.1002803
Holmes, K., Curry, C., Sherry, Ferfolja, T., Parry, K., Smith, C., Hyman, M., & Armour, M. (2021). Adolescent menstrual health literacy in low, middle and high-income countries: A narrative review. In International Journal of Environmental Research and Public Health (Vol. 18, Issue 5, pp. 1–14). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/ijerph18052260
Huseth-Zosel, A. L., & Secor-Turner, M. (2022). Teacher Perceptions of and Experiences with Student Menstruation in the School Setting. Journal of School Health, 92(2), 194–204. https://doi.org/10.1111/josh.13120
Kansiime, C., Hytti, L., Nalugya, R., Nakuya, K., Namirembe, P., Nakalema, S., Neema, S., Tanton, C., Alezuyo, C., Namuli Musoke, S., Torondel, B., Francis, S. C., Ross, D. A., Bonell, C., Seeley, J., & Weiss, H. A. (2020). Menstrual health intervention and school attendance in Uganda (MENISCUS-2): A pilot intervention study. BMJ Open, 10(2), e031182. https://doi.org/10.1136/bmjopen-2019-031182
Kaur, R., Kaur, K., & Kaur, R. (2018). Menstrual hygiene, management, and waste disposal: Practices and challenges faced by girls/women of developing countries. Journal of Environmental and Public Health, 2018, 1730964. https://doi.org/10.1155/2018/1730964
Khan, R., Sarker, S., Sultana, F., Alam, M. U., Mahfuz, M. T., Nuruzzaman, M., Uddin, M. R., Masud, A. Al, Khan, S. M., Hunter, E. C., Unicomb, L., Rahman, M., Luby, S. P., & Winch, P. J. (2023). Engaging boys in menstrual hygiene management (MHM) interventions in Bangladeshi schools: a pilot study to assess acceptability and feasibility. Journal of Water, Sanitation and Hygiene for Development, 13(2), 113-126. https://doi.org/10.2166/washdev.2023.153
Kpodo, L., Aberese-Ako, M., Axame, W. K., Adjuik, M., & Gyapong, M. (2022). Socio-cultural factors associated with knowledge, attitudes and menstrual hygiene practices among Junior High School adolescent girls in the Kpando district of Ghana: A mixed method study. PLoS ONE, 17(10), e0275583. https://doi.org/10.1371/journal.pone.0275583
Mahon, T., Tripathy, A., & Singh, N. (2015). Putting the men into menstruation: The role of men and boys in community menstrual hygiene management. Waterlines, 34(1), 7–14. https://doi.org/10.3362/1756-3488.2015.002
Manhas, S., Asmat, S., & Dolker, T. (2017). Knowledge about Menarche and Menstruation among Tribal Females of Kargil. International Journal of Agricultural Science and Research, 7(5), 605–612. https://doi.org/10.24247/ijasroct201771
Mason, L., Sivakami, M., Thakur, H., Kakade, N., Beauman, A., Alexander, K. T., van Eijke, A. M., Laserson, K. F., Thakkar, M. B., & Phillips-Howard, P. A. (2017). ‘We do not know’: A qualitative study exploring boys perceptions of menstruation in India. Reproductive Health, 14, 174. https://doi.org/10.1186/S12978-017-0435-x
McCammon, E., Bansal, S., Hebert, L. E., Yan, S., Menendez, A., & Gilliam, M. (2020). Exploring young women’s menstruation-related challenges in Uttar Pradesh, India, using the socio-ecological framework. Sexual and Reproductive Health Matters, 28(1), 291-302. https://doi.org/10.1080/26410397.2020.1749342
Mohammed, S., & Emil Larsen-Reindorf, R. (2020). Menstrual knowledge, sociocultural restrictions, and barriers to menstrual hygiene management in Ghana: Evidence from a multi-method survey among adolescent schoolgirls and schoolboys. PLoS ONE, 15(10), e0241106. https://doi.org/10.1371/journal.pone.0241106
Moon, G., Kim, I., Kim, H., Choe, S., Jeon, S., Cho, J., Hong, S., & Lee, J. (2020). How can we improve knowledge and perceptions of menstruation? A mixed-methods research study. BMC Women’s Health, 20, 214. https://doi.org/10.1186/s12905-020-01007-4
Parvin, G. A., Takashino, N., Islam, M. S., Rahman, M. H., Abedin, M. A., & Basu, M. (2023). Menstrual knowledge and perceptions of schoolgirls in Bangladesh: do socio-economic factors really matter? International Journal of Human Rights in Healthcare, 16(3), 277–294. https://doi.org/10.1108/IJHRH-07-2021-0145/FULL/XML
Peranovic, T., & Bentley, B. (2017). Men and menstruation: A qualitative exploration of beliefs, attitudes and experiences. Sex Roles, 77(1-2), 113-124. https://doi.org/10.1007/s11199-016-0701-3
Phillips-Howard, P. A., Nyothach, E., Ter Kuile, F. O., Omoto, J., Wang, D., Zeh, C., Onyango, C., Mason, L., Alexander, K. T., Odhiambo, F. O., Eleveld, A., Mohammed, A., Van Eijk, A. M., Edwards, R. T., Vulule, J., Faragher, B., & Laserson, K. F. (2016). 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, 6(11), e013229. https://doi.org/10.1136/bmjopen-2016-013229
Shah, V., Nabwera, H. M., Sosseh, F., Jallow, Y., Comma, E., Keita, O., & Torondel, B. (2019). A rite of passage: A mixed methodology study about knowledge, perceptions and practices of menstrual hygiene management in rural Gambia. BMC Public Health, 19, 277. https://doi.org/10.1186/s12889-019-6599-2
Sommer, M., Caruso, B. A., Torondel, B., Warren, E. C., Yamakoshi, B., Haver, J., Long, J., Mahon, T., Nalinponguit, E., Okwaro, N., & Phillips-Howard, P. A. (2021). Menstrual hygiene management in schools: midway progress update on the “MHM in Ten” 2014–2024 global agenda. Health Research Policy and Systems, 19, 1. https://doi.org/10.1186/S12961-020-00669-8
Sommer, M., Schmitt, M. L., Ogello, T., Mathenge, P., Mark, M., Clatworthy, D., Khandakji, S., & Ratnayake, R. (2018). Pilot testing and evaluation of a toolkit for menstrual hygiene management in emergencies in three refugee camps in Northwest Tanzania. Journal of International Humanitarian Action, 3, 6. https://doi.org/10.1186/s41018-018-0034-7
Srinivasan, D., Agrawal, T., Attokaran, T., Fathima, F. N., & Johnson, A. R. (2019). Awareness, perceptions and practices regarding menstruation and menstrual hygiene among students of a college in Bengaluru Urban district, South India: A cross-sectional study. International Journal of Community Medicine and Public Health, 6(3), 1126–1132. https://doi.org/10.18203/2394-6040.IJCMPH20190597
Tamiru, S., Mamo, K., Acidria, P., Mushi, R., Ali, C. S., & Ndebele, L. (2015). Towards a sustainable solution for school menstrual hygiene management: Cases of Ethiopia, Uganda, South-Sudan, Tanzania, and Zimbabwe. Waterlines, 34(1), 92–102. https://doi.org/10.3362/1756-3488.2015.009
Thakur, H., Aronsson, A., Bansode, S., Lundborg, C. S., Dalvie, S., & Faxelid, E. (2014). Knowledge, practices, and restrictions related to menstruation among young women from low socioeconomic community in Mumbai, India. Frontiers in Public Health, 2, 72. https://doi.org/10.3389/fpubh.2014.00072
Uzoechi, C. A., Parsa, A. D., Mahmud, I., Alasqah, I., & Kabir, R. (2023). Menstruation among in-school adolescent girls and its literacy and practices in Nigeria: A systematic review. Medicina (Lithuania), 59(12), 2073. https://doi.org/10.3390/medicina59122073
Wang, X., & Cheng, Z. (2020). Cross-sectional studies: Strengths, weaknesses, and recommendations, CHEST, 158(S1), S65-S71. https://doi.org/10.1016/j.chest.2020.03.012
Yagnik, A. (2015). Knowledge (K), attitude (A), and practice (P) of women and men about menstruation and menstrual practices in Ahmedabad, India: Implications for health communication campaigns and interventions. Media and Communication, Ph.D. Dissertation, Bowling Green State University.
Zablock, K., & Fei, Y. F. (2023). Young men’s attitudes and understanding of menstruation. Journal of Adolescent Health, 74(4), 782-786. https://doi.org/10.1016/j.jadohealth.2023.10.014
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