Evidence map›Paper›PMID 41822383›Full record

ArticleChildren and youth services review2025

School absenteeism during menstruation among adolescent girls in Southern Uganda: A multi-level risk factors analysis.

Darejan Dvalishvili, Flavia Namuwonge, Rabab F Ahmed, Fithi Andom, Ozge Sensoy Bahar, Proscovia Nabunya, Fred M Ssewamala

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Children and youth services review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Darejan DvalishviliInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.ORCID 0000-0003-1221-6610
Flavia NamuwongeInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.
Rabab F AhmedInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.
Fithi AndomInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.
Ozge Sensoy BaharInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.
Proscovia NabunyaInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.ORCID 0000-0002-9088-5839
Fred M SsewamalaInternational Center for Child Health and Development, Brown School, Washington University in St. Louis, MO 63130, USA.

Funding

Suubi4HER Round 2: Examining the Long-term Impact of A Combination Interventionon HIV Prevention, Care and Mental Health for Adolescents and Young Women in UgandaR01MH113486 · NIMH · WASHINGTON UNIVERSITY · PI Noeline Nakasujja, FRED M SSEWAMALA · 2017 to 2026
$5.8M
NIMH NIH HHS R01 MH113486
6 · The paper itself

Abstract

Menstrual hygiene management (MHM) continues to be a major barrier impacting adolescent girls' school attendance in low-income countries. In Uganda, only 10 % of adolescent girls practice adequate MHM; and they miss an estimated 11 % of school days due to menstruation. Missing school (school absenteeism) has been associated with negative educational and social outcomes. This paper aimed to explore the individual, family, school and community-level factors associated with school absenteeism among adolescent girls during menstruation. We used crosssectional (baseline) data from 1,237 adolescent girls recruited from 47 secondary-schools in Southern Uganda. The nested logistic model analysis was used to test the significance of blocks of predictor factors on school absenteeism. The results showed that all blocks of factors are statistically significant. Discrete analysis indicated that dysmenorrhea was associated with an 8.1 % increase in school absenteeism. However, family sufficiency and support appeared to be protective factors decreasing absenteeism by 13.8 % and 4.9 %, respectively. Also, both schools' good water, sanitation, and hygiene (WASH) infrastructure and supportive teachers were associated with decreasing school absenteeism by 28.6 % and 4.6 %, respectively. Inaddition, cultural taboos on menstruation were associated with the strongest (34.3 %) increase in school absenteeism. Our results showed that all blocks of factors matter when discussing MHM and school absenteeism among adolescent girls. Therefore, more multifaceted interventions are needed to address the issue affecting millions of girls regularly.

Indexed as

Adolescent girlsDysmenorrheaFamily supportLow-income countries (LICs)Menstrual hygiene management (MHM)School absenteeismSchool attendanceSouthern Uganda

Identifiers

PMID41822383
PMCPMC12978191

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.