ArticlePloS one2015
Sanitation, Stress, and Life Stage: A Systematic Data Collection Study among Women in Odisha, India.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Menstrual hygiene practice and associated factors among adolescent girls in sub-Saharan Africa: a systematic review and meta-analysis.BMC public health · 2023Pooled it
- A Systematic Review of Water, Sanitation, and Hygiene for Urban Poor in Low- and Middle-Income Countries during the COVID-19 Pandemic through a Gendered Lens.International journal of environmental research and public health · 2022Pooled it
- Community-Led Total Sanitation: A Mixed-Methods Systematic Review of Evidence and Its Quality.Environmental health perspectives · 2018Pooled it
- Assessing sustained uptake of latrine and child feces management interventions: Extended follow-up of a cluster-randomized controlled trial in rural Bangladesh 1-3.5 years after intervention initiation.International journal of hygiene and environmental health · 2023Trial
- Flowing toward well-being: exploring the nexus of clean water access and sexual reproductive health among women and girls in rural Uganda.BMC public health · 2026Article
- Through their eyes: a Photovoice study of environmental stressors and mental health among young women in Kampala's urban slums.Cities & health · 2026Article
- Heavy menstrual bleeding and association with menstruation-specific resources: A multinational cross-sectional study in low- and middle-income countries.Health & place · 2025Article
- Linkages of drought and menstrual hygiene practices of adolescent girls and young women: an assessment of 707 districts in India.BMC women's health · 2025Article
- Examining the association between toilet access and major depression among older adults in India: a cross-sectional analysis of the Longitudinal Aging Study in India from 2017 to 2018.Age and ageing · 2025Article
- Sanitation-related withholding and suppression among women in urban Uganda and India.Nature water · 2025Article
- Article
- Menstrual hygiene management practice and associated factors among high school and preparatory school adolescent students in Debre Markos town, Northwest, Ethiopia: a mixed-method study.BMC women's health · 2024Article
- Article
- WaSH insecurity and anxiety among people who inject drugs in the Tijuana-San Diego border region.BMC public health · 2024Article
- Water fetching and musculoskeletal health across the life-course in Sub-Saharan Africa: A scoping review.PLOS global public health · 2024Article
- Associations between water insecurity and mental health outcomes among lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand and Mumbai, India: Cross-sectional survey findings.Global mental health (Cambridge, England) · 2024Article
- Development of a behaviour change intervention to promote sanitation and latrine use in rural India.BMC public health · 2023Review
- Effects of Community-Led Total Sanitation (CLTS) Boosting and Household Factors on Latrine Ownership in Siaya County, Kenya.International journal of environmental research and public health · 2023Article
- Menstrual Hygiene Practices in Indian Tribal Females: A Systematic Review and Meta-Analysis.Cureus · 2023Review
- Assessment of menstrual hygiene management knowledge, practice, and associated factors among girls in Boset District, Ethiopia: a school-based cross-sectional study.Contraception and reproductive medicine · 2023Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Emerging evidence demonstrates how inadequate access to water and sanitation is linked to psychosocial stress, especially among women, forcing them to navigate social and physical barriers during their daily sanitation routines. We examine sanitation-related psychosocial stress (SRPS) across women's reproductive lives in three distinct geographic sites (urban slums, rural villages, and rural tribal villages) in Odisha, India. We explored daily sanitation practices of adolescent, newly married, pregnant, and established adult women (n = 60) and identified stressors encountered during sanitation. Responding to structured data collection methods, women ranked seven sanitation activities (defecation, urination, menstruation, bathing, post-defecation cleaning, carrying water, and changing clothes) based on stress (high to low) and level of freedom (associated with greatest freedom to having the most restrictions). Women then identified common stressors they encountered when practicing sanitation and sorted stressors in constrained piles based on frequency and severity of each issue. The constellation of factors influencing SRPS varies by life stage and location. Overall, sanitation behaviors that were most restricted (i.e., menstruation) were the most stressful. Women in different sites encountered different stressors, and the level of perceived severity varied based on site and life stage. Understanding the influence of place and life stage on SRPS provides a nuanced understanding of sanitation, and may help identify areas for intervention.
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