Evidence map›Paper›PMID 42096419›Full record

ArticlePLOS global public health2026

Menstrual stigma and mental health for adolescent girls in South Sudan: A cross-sectional analysis.

Ashley Smith, Alexandra Blackwell, Eleonora Mansi, Thomas Hussein, Ambaku Peter Lomena, Cosmas Ayella, Anywar Sam Okot, Kathryn Falb

Abstract read
In one paragraph

Article in PLOS global public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ashley SmithAshley Smith - Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.ORCID https://orcid.org/0009-0007-6298-0779
Alexandra BlackwellAlexandra Blackwell- Department of International Health Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland United States of America.ORCID https://orcid.org/0000-0001-6141-5769
Eleonora MansiEleonora Mansi- International Rescue Committee, London, United Kingdom.
Thomas HusseinThomas Hussein - International Rescue Committee, Juba, South Sudan.
Ambaku Peter LomenaAmbaku Peter Lomena- International Rescue Committee, Juba, South Sudan.
Cosmas AyellaCosmas Ayella- International Rescue Committee, Juba, South Sudan.
Anywar Sam OkotAnywar Sam Okot- International Rescue Committee, Juba, South Sudan.
Kathryn FalbKathryn Falb - Department of International Health Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.ORCID https://orcid.org/0000-0001-8254-3364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Menstrual stigma, characterized by negative beliefs, attitudes, and practices surrounding menstruation, often leads to the social exclusion and discrimination of menstruators. The intersection of menstrual stigma and period poverty, which is marked by limited access to menstrual hygiene products and safe sanitation has a profound impact on the mental health and well-being of adolescent girls, particularly in low- and middle-income countries. This study aimedto examine the associations between menstrual stigma and mental health (Mood and Feelings Questionnaire) among female adolescents aged 10-20 in primary schools in Panyijar County, South Sudan. Cross-sectional baseline data were analyzed from a school safety evaluation using unadjusted and adjusted linear regression models In unadjusted analyses, knowing whether female classmates had their period was significantly associated with poorer mental health (β = 1.75, p < 0.001). Feeling ashamed if boys knew about one's period was also associated with poorer mental health (β = 1.49, p = 0.05). In individually adjusted models, ajusting for demographic characteristics, feeling the need to hide one's period was associated with better mental health (β = -1.80, p = 0.02). In fully adjusted models, which included all stigma variables and demographic controls, hiding one's period remained significantly associated with mental health (β = -1.99, p = 0.04), while knowing when a classmate had their period showed a marginal association with poorer mental health (β = 0.88, p = 0.08). Disability was significantly associated with poorer mental health (β = 2.52, p < 0.01), while displacement showed a marginal association (β = 0.84, p = 0.06). No other demographic variables retained significance. These findings highlight the need for comprehensive strategies that address menstrual stigma and its impact on mental health, including interventions that challenge harmful social norms, promote safe latrine environments, and ensure access to hygiene products and menstrual education.

Identifiers

PMID42096419
PMCPMC13152154

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LicenceCC BY
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Registered trials

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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.