Young Indian Women Research Articles

A Geographical Analysis of Access to Adequate Menstrual Health and Hygiene Resources Among Young Women in India

A Geographical Analysis of Access to Adequate Menstrual Health and Hygiene Resources Among Young Women in India

Declining Health Status of Young Women in India: A Cause of Concern

Health is important in every stage of life but the foundation of quality of old age majorly lies in the young age. Now a days due to modernisation and westernisation a major shift in lifestyles of young generation has been observed globally. Young women health status has shifted to a great extent towards deterioration as per recent researches in India. Many studies conducted on young women and college going females have concluded high percentages of subjects under the risk of obesity, diabetes, hypertension and poly cystic ovary syndrome. These chronic diseases are well known for other serious medical complications. The presence of risk of such diseases in the young females is really a cause of concern as to build a healthy and progressive nation, it is essential to preserve the health of the youth. The decline in health of young women can be a threat to their future health. Realising the importance of well- being of young women, present review article presents data on health status and prevalence of diseases among them.

Anaemia and selected micronutrient deficiencies among young women in rural North India – A community-based study

ABSTRACT Introduction: Anaemia is a major problem which affects half of young Indian women, impacting their health, education, and offspring. Despite ongoing efforts, a comprehensive understanding of anaemia remains limited. This study aims to assess the prevalence of anaemia among young women in rural Haryana and explore its causes comprehensively, which would help in tailoring targeted interventions for anaemia at a primary health care level. Methods: Young, non-pregnant women aged 15–24 years (n = 422) were assessed for socio-demographic details, menstrual/diet history, and anthropometry. Dietary diversity was assessed using Minimum Dietary Diversity for Women scale. Venous haemoglobin (Hb) was estimated using an auto-analyser. Serum ferritin, folate, and vitamin B12 were assessed for 260 participants. Anaemia was classified based on micronutrient deficiency. The morphology of anaemia was classified based on Red Blood Cell (RBC) indices. Multivariable analysis examined associations of anaemia with socio-demographic and clinical variables. Results: The prevalence of anaemia was 60.7%. Among those participants tested for micronutrient deficiency (n = 260), 170 (65.4%), 48 (18.5%), and 124 (47.7%) participants had deficiency of ferritin, folate, and vitamin B12, respectively. Iron deficiency anaemia (39.1%) and dimorphic anaemia (38.5%) were the two most common types of anaemia. The mixed morphology of RBCs was the most common morphology (41.8%). Almost all participants (98.2%) had inadequate dietary diversity. Being overweight was associated with lesser odds of having anaemia [OR = 0.41; 95% CI: 0.24 – 0.71 (P = 0.01)]. Conclusion: The high magnitude of anaemia is high, and there is a need for nutrition-based interventions for anaemia at a primary health care level among young women in rural India.

Prevalence of Moderate-to-Severe Premenstrual Syndrome or Premenstrual Dysphoric Disorder and Associated Variables Among Young Women in a Tertiary Health Care Center in Eastern India.

Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS) that is predominantly characterized by mood symptoms, and debilitating physical and cognitive symptoms, which have a direct or indirect impact on work efficiency, social and personal relationships, and overall quality of life. This study was conducted to determine the prevalence of moderate to severe PMS and PMDD among young women in India and investigate sociodemographic and other associated factors. We conducted a cross-sectional study that included 198 young women between 17 and 30 years of age who were medical students or nursing staff from a medical college in Eastern India. Data were collected regarding sociodemographic information, menstrual patterns, age of menarche, sexually active status, body mass index, and level of physical activity, which were analyzed to find correlations with moderate to severe PMS or PMDD. The Premenstrual Symptoms Screening Tool was used for diagnosing moderate to severe PMS or PMDD. The data were analyzed using Statistical Product and Service Solutions (SPSS, version 24.0; IBM SPSS Statistics for Windows, Armonk, NY) software. Forty-six (23.5%) respondents were diagnosed with moderate-to-severe PMS, of which four (2%) were diagnosed with PMDD. Among those diagnosed with moderate-to-severe PMS/PMDD, 39 (27.3%) were of the age group 17-24 years, and seven (13.2%) were of the age group 25-30 years, which was a statistically significant difference (p=0.05). Thirty-eight (30.6%) students were diagnosed with moderate-to-severe PMS, as compared to eight (11.1%) working professionals, which was also a statistically significant difference. Moderate-to-severe PMS significantly impacts quality of life. Considering its prevalence among young subjects, it is important to make young girls aware of the condition and educate them regarding various ways to manage their symptoms.

Understanding period product use among young women in rural and urban India from a geospatial perspective

Ensuring proper menstrual hygiene management remains a significant challenge for young women in India. The term "exclusive use of hygienic period products during menstruation" refers to relying solely on period products like sanitary pads, tampons, or menstrual cups. Poor menstrual hygiene practices not only increase the risk of reproductive tract infections but also lead to various negative health outcomes, including discomfort and potential complications. This study explores factors associated with the exclusive use of period products during menstruation aged 15–24, investigates geographic disparities, examines rural–urban gaps, and assesses inequality in India. Utilizing data from the fifth National Family Health Survey (NFHS-5), responses from 2,41,180 women aged 15 to 24 were analysed using logistic regression and multivariate decomposition analyses to explore socioeconomic predictors. Moran's I statistics also assessed spatial dependency, while Lorenz curves and Gini coefficients measured inequality. Quintile and LISA maps visualized regional disparities. The study found that 76.15% of women in India reported exclusive use of hygienic period products during menstruation. Rural areas reported a lower percentage of exclusive use of hygienic period products (72.32%) during menstruation compared to urban areas (89.37%). Key factors associated with the exclusive use of hygienic period products among 15–24-year-old women in India include age, education, place of residence, wealth, access to media, and healthcare discussions. Geographically, central districts exhibited the lowest coverage (< 65%), while the Southern region reported the highest (> 85). The GINI coefficient of 0.39 highlighted moderate inequality in distribution. Decomposition analysis revealed that household wealth contributed 49.25% to rural–urban differences, followed by education (13.41%), media access (7.97%), and region (4.97%). This study highlights significant regional disparities and low utilization of hygienic period products among young women in India, particularly in central districts. Policymakers should prioritize interventions targeting these regions, addressing socio-economic disparities. Strategies to promote education, improve media access, and enhance household wealth can facilitate menstrual hygiene adoption. Initiatives to reduce sanitary napkin costs and increase accessibility, particularly in rural areas, are crucial to mitigating geographical disparities nationwide.

Bone mass, microarchitecture and turnover among young Indian women with non-alcoholic fatty liver disease.

To evaluate comprehensive bone health among young Indian women, including bone mass, microarchitecture, and turnover, in relation to their non-alcoholic fatty liver disease (NAFLD) status. This cross-sectional study (May 2018-November 2019) recruited women with a history of gestational diabetes mellitus (GDM) and normoglycemia in their index pregnancy, who were at least 6 months postpartum. All participants underwent abdominal ultrasonography for determination of NAFLD status (grades 2 and 3: severe NAFLD) and transient elastography (FibroScan) for hepatic fibrosis (LSM >6 kPa). Bone mass was assessed by DXA, bone microarchitecture with trabecular bone score {TBS} (low TBS ≤ 1.310) and bone turnover with markers of bone formation (osteocalcin and P1NP), and resorption (CTX). Bone mineral density (BMD) at femoral neck (p = 0.026) and total hip (p = 0.007) was significantly higher among women with NAFLD (n = 170) compared to those without (n = 124). There was no significant difference in bone turnover markers between the two groups. The presence of NAFLD [adjusted OR: 1.82 (1.07, 3.11)] was associated with low TBS, with a greater strength of association among women with severe NAFLD [adjusted OR: 2.97 (1.12, 7.88)]. However, these associations were attenuated and no longer significant after additionally adjusting for BMI. Women with NAFLD and hepatic fibrosis manifested significantly higher BMD at lumbar spine, femoral neck, and total hip (p < 0.001 for all) and significantly lower bone turnover markers (osteocalcin, p = 0.009 and CTX, p = 0.029), however, the association with low TBS was not observed. Among young Indian women, NAFLD is associated with increased bone mass and impaired bone microarchitecture, and hepatic fibrosis with increased bone mass and reduced bone turnover.

Shishur Sevay: Promoting Civic Engagement and Belonging for Disabled Young Women in India

This is a case study of Shishur Sevay, an inclusive home and school for orphaned young women in Kolkata, West Bengal presented through the lens of disability rights and civic engagement from two disabled Desi scholars. It contrasts practices in the organization with disability policies in India and examines how emphasis on full inclusion contributes to the young women’s experiences of civic engagement. Data were collected through semi-structured interviews with students, teachers, childcare workers, administrators, and board members (n = 32). Secondary artifacts (i.e. news articles, blogs) were used to inform the study. Transcripts were analyzed using structural and in vivo codes with applications of Bhattacharya’s Par/Des(i) framework. Fostering community involvement has been key to a shared value of civic engagement – as seen by the organization’s challenging of institutional apathy and segregation, working towards equal rights in the home and providing opportunities for leisure for all.

Online sexual violence prevention on a female college campus in India: Evaluation of the RISE-ON program

BackgroundSexual violence represents a severe problem for young Indian women and requires effective prevention. Since face-to-face prevention programs are limited in reach, we developed the online sexual violence prevention program RISE-ON consisting of three modules, namely Gender, Sexual Violence, and Bystander Education. The study's objective is to investigate the short-term effects of the RISE-ON modules on participants’ knowledge and attitudes. MethodA total of N = 244 female college students from Delhi aged 17 to 22 were randomly assigned to 1 of 3 groups with two of the three modules. By design, each group functions as a treatment group for the two included modules and as a control group for the third, missing module. ResultsFrom pre- to posttest, there were significantly larger increases of participants’ knowledge on gender, sexual violence, and bystander education in the treatment than in the control group. Concerning attitudes, we found significant increases for gender awareness and bystander attitudes across all groups. ConclusionsThis study demonstrates that the RISE-ON modules are effective in terms of increasing knowledge, but there were no module-specific changes of attitudes. Thus, future online prevention programs need to focus increasingly on attitudes, especially attitudes about sexual violence, and behavior change.

Youthful Choices: A Secondary Analysis of the NFHS-5 Data to Examine Tobacco Use in Indian Adolescent Girls and Young Women

Background and aim: Tobacco use among adolescents and young women is a global health concern. This study investigates the prevalence and determinants of tobacco use among adolescents and young women in India. Methods: Based on data from the National Family Health Survey-5, this study explored tobacco use among 241,180 young women aged 15–24 in India. The research investigated determinants of current tobacco use, encompassing any tobacco use in any form, smoked and smokeless tobacco (SLT). Independent variables include demographics, religion, caste, region, education, occupation, body mass index, wealth index, alcohol consumption, and media exposure. We used multivariable logistic regression models to estimate the adjusted odds ratio (OR) and 95% confidence intervals (95%CI). Results: Findings revealed that 1.3% of the population are current tobacco users, with 1.2% using SLT and 0.14% smoking. Significant determinants included age, urban residence, religion, scheduled tribe status, wealth index, education, alcohol co-use, region, and pregnancy/lactation status. Young women (young women, 3.5% &gt; adolescents, 1.5%; OR 1.78, 95%CI 1.65, 1.92), urban dwellers (OR 1.38, 95%CI 1.32, 1.43), and alcohol users (OR 5.6, 95%CI 4.88, 6.33) exhibited higher odds of tobacco use. In contrast, education (higher education OR 0.15, 95%CI 0.13, 0.18) and higher socioeconomic status (richest OR 0.3, 95%CI 0.22, 0.31) were protective factors. Conclusion: Our research offered valuable insights into tobacco use among young Indian women. To effectively curb tobacco use in this population, it is imperative to address the identified determinants and vulnerabilities through tailored public health strategies and policies.

Understanding the Rising Breast Cancer Among Young Women: Biological Insights, Projections, and an Opportunity Window Leading up to 2040.

Breast cancer is the most common cancer affecting women globally, with an increasing incidence of breast cancer in young women in India and worldwide. Despite medical advancements, the lifetime risk of developing breast cancer is still high. The emergence of breast cancer in young women is now acknowledged as a distinct entity characterized by unique clinical and biological features and an overall poor prognosis. This article discusses the changing landscape of breast cancer in young women in India and globally, potentialexamples of the underlying reasons, and possible strategies to start reversing the current upward trend.

Psychographic Profiling of Prospective Organic Skin Care Product Users

Global organic skin care market is expected to be valued at ₹159 billion by 2027. Asian countries are the most sought after by organic skin care brands due to increasing preference among women to buy products with safer and greener ingredients. Owing to the potential of organic skin care products in the near future, in the current study we have carried out a psychographic segmentation of women who intend to use organic skin care products. At prima facie, the current study is the first that segments young women who are prospects for the organic skin care industry. This is a pioneering approach to understand the lifestyle of women who use skin care products and are interested in using organic skin care brands. The deductive approach of questionnaire survey method has been adapted to collect the responses from purposive sampling of young Indian women using skin care brands. The data was analysed by applying exploratory factor analysis and K-means cluster analysis. The results revealed that three distinctive psychographic sets of young women namely ‘The Pococurante’, ‘The Trailblazers’ and ‘The Moderates’ are based on nine lifestyle factors. Further, the study also highlights the differences between the psychographic profiles from a marketing point of view. It promises to be beneficial to marketers to incorporate lifestyle as a key factor in the marketing mix of organic skin care brands. Depending on the dominant lifestyle factors in each cluster, unique marketing messages can be curated to attract each cluster towards organic skin care products.

Vulnerability to Sexually Transmitted Infections (STI) / Human Immunodeficiency Virus (HIV) among adolescent girls and young women in India: A rapid review.

Limited evidence is available on the vulnerability of Adolescent Girls and Young Women (AGYW) to sexual risk behaviour and STI/HIV. Though there are almost no statistics available on vulnerability, related literature suggests that AGYW have low awareness about sexual risk behaviour/ transmission and the prevalence of STI/HIV, making them vulnerable. We conducted a rapid review of peer-reviewed studies addressing transmission network, prevalence, incidence awareness, common determinants of sexual risk behaviour/STI/HIV, health-seeking behaviour and existing interventions addressing the situation among AGYW (age 15-24) to inform the evidence gap in this crucial area of research. We registered the study in PROSPERO (CRD42023403713). We developed detailed inclusion/exclusion criteria, searched JSTOR, PubMed, Google Scholar, Science Direct and Population Council Knowledge Commons databases and followed the guidance from Cochrane Rapid Review to develop the rapid review. We also searched the bibliography of the included studies. We included the English language peer-reviewed quantitative, qualitative, mixed method studies published from Jan 1 2000 to Mar 31 2023. Six reviewers extracted data, and the seventh reviewer independently assessed the quality. Ninety-six studies met the inclusion criteria. We used descriptive statistics and narrative synthesis methods for data analysis. We also conducted a Risk of Bias Assessment (RoB) to check the quality of the included studies. Inadequate literature was found on the transmission network. Prevalence and awareness of STI/HIV are low among AGYW. However, Female Sex Workers, sex-trafficked women or drug users in this age group suffer more. Age, education, income, relationship dynamics with spouses/partners, multiple partners, and substance use are crucial in determining STI/HIV. Traditional sources of health seeking are more popular than formal sources because of social stigma. Mass media campaigns, community mobilization programs, and life skills training programs increase awareness about HIV, condom use and self-efficacy. The inclusion of only English language studies and not conducting meta-analysis because of high heterogeneity are some of the limitations of the study.

Do job aspirations cause job choice? Insights from women entering male‐dominated occupational training in India

AbstractMotivationThe participation rate of women in India's labour force is not only one of the lowest in the world, it has also been declining. To increase women's employment, some observers argue for reducing occupational gender segregation so that more women enter non‐traditional jobs.PurposeI ask how aspirations for non‐traditional jobs are formed among young women in Delhi. The aim was to enable policy‐makers to foster occupational aspirations for non‐traditional jobs so women could enter jobs considered to be men's work, reducing gender segregation and increasing women's participation in the labour market.Methods and approachI interviewed 72 young women from low‐income households in Delhi, following a semi‐structured guide. These young women were training either in jobs seen as the preserve of men—taxi drivers, electricians, and electronics mechanics—or in traditionally female work in beauty salons.FindingsContrary to conventional wisdom, young women's entry into non‐traditional training in Delhi was not a result of their occupational aspirations. Rather, entry into training saw them aspire to the jobs for which they trained.Policy implicationsTo increase women's entry into jobs dominated by men, policy‐makers do not need to influence young women's occupational aspirations. Instead, they should focus on factors that directly affect job entry—for example, having training centres close to where these young women live—and provide opportunities for young women to train.Traditional concepts of occupational aspirations, generally derived from the global North, do not apply in the same way to young women in India. My study raises questions about these conceptions of aspirations and prompts future studies to assess whether they apply in other parts of the global South.

The Impact of Early Marriage on the Life Satisfaction, Education and Subjective Health of Young Women in India: A Longitudinal Analysis

Despite progress in reducing rates of early marriage, it is still a widespread practice in India accounting for 30 per cent of the world’s early marriages. Understanding its impacts is thus of high importance to global gender equality goals. This article examines the impact of early marriage on multi-dimensional aspects of well-being: life satisfaction, subjectively assessed health and educational attainment. Difference-in-differences analysis with propensity score matching examines causal effects using Young Lives Study data. The analysis shows women who married early experience a trajectory of lower life satisfaction which is in evidence before marriage, even at age 12, persisting until the latest survey at age 22. There is no evidence of a causal negative effect of early marriage on life satisfaction; the relationship is more complicated, linked to trajectories of deprivation which commence from a very young age. In contrast, early marriage negatively affects women’s self-reported health and educational attainment by age 22.

“#HANDSOFFMYHIJAB”

Abstract We examine the emerging meanings of hijab practice as feminist strategy, and as a symbol of visibility for young Muslim women and girls in India. Through digital ethnography based on Instagram pages of selected retailers of hijabs, we explore the possibility of hijab as a costume of insubordination, and Islamic fashion as a critical practice against the backdrop of the 2022 Karnataka hijab row. We employ an analysis of Instagram posts to mark the intersecting points of faith, fashion media, and market in framing aesthetics for clothing practices among young Indian Muslim women. We also explore new contours of feminist assertions in the Muslim community, and how the digitally mediated visibility of Muslim women and girls contests the notion of Islamic fashion as oxymoronic.

Impact of gender discrimination on young Indian women’s mental health: do benevolent childhood experiences play any role?

Purpose Gender discrimination exists in various settings globally and harms women’s mental health. This study aims to understand the impact of gender discrimination on hopelessness and emotional vulnerability. Further, we attempted to determine whether benevolent childhood experiences (BCEs) moderate the relationships of gender discrimination with hopelessness and emotional vulnerability. Design/methodology/approach Data from 445 young women from India was gathered from a cross-sectional survey. Measures included gender discrimination inventory, Beck’s hopelessness inventory, emotional vulnerability scale and BCE scale. Findings Results yielded a significant positive association of gender discrimination with hopelessness and emotional vulnerability. BCEs were negatively related to hopelessness, emotional vulnerability and gender discrimination. Further, gender discrimination predicted increased feelings of hopelessness and emotional vulnerability. However, BCEs do not neutralize the effect of gender discrimination. Social implications It is evident from this study that gender discrimination exists independent of socioeconomic class, domicile and educational qualification, taking a toll on women’s well-being and mental health. Incorporating attitudinal changes at the community and societal level in reducing gender norms responsible for negative outcomes will allow women to function to their full capacity and experience improved mental health. Originality/value The research on gender discrimination and its impact on women’s mental health is limited, especially exploring the role of BCEs. Previous studies have indicated that BCEs have protective roles in neutralizing adversities. However, the present study uniquely contributes to establishing the limited role of BCEs in the context of gender discrimination, though it contributes to mental health. The policy and psychosocial implications of the study are discussed.

Assessing the link between hygienic material use during menstruation and self-reported reproductive tract infections among women in India: a propensity score matching approach.

Reproductive tract infections (RTIs) present a substantial health concern for women, especially in developing nations such as India, where inadequate access to proper sanitation and hygiene facilities frequently results in suboptimal menstrual health and hygiene (MHH), exacerbating the risk of RTIs. In this study, we analysed the self-reported prevalence of RTIs among young women in India and evaluated the impact of hygienic menstrual material usage on these RTIs. The study used information on 27,983 women aged 15-24 years, from the National Family Health Survey (NFHS-5) (2019-21). The prevalence of RTIs was calculated for all the states and UTs of India, and propensity score matching (PSM) technique was used to evaluate the impact of hygienic material use on RTIs among women in India. Every four out of 100 women reported RTIs in India in 2019-21. Notably, RTI prevalence displayed substantial state-level disparities. West Bengal exhibited the highest RTI prevalence at 9.3%, followed by Meghalaya, Arunachal Pradesh, and Himachal Pradesh, all surpassing 6%. In contrast, the lowest RTI rates were recorded in Puducherry at 0.9%, succeeded by Andaman and Nicobar Islands, Odisha, and Jammu & Kashmir, all registering rates below 2%. The PSM analysis revealed that women who utilized hygienic materials during menstruation exhibited a reduced prevalence of RTIs (referred to as the "treated group" with an Average Treatment Effect on the Treated (ATT) of 0.0315) compared to those who did not utilize such materials (referred to as the "control group" with an ATT of 0.0416). The study underscores the critical significance of using hygienic materials during menstruation as a preventive measure against RTIs among women in India. The findings suggest the need for targeted interventions focused at promoting hygienic menstrual materials to reduce the prevalence of RTIs among women in India.

Dynamics of usage of menstrual hygiene and unhygienic methods among young women in India: a spatial analysis

BackgroundMenstruation, especially the menstrual cycle, is a vital sign for female adolescent health and maintaining menstrual hygiene is of utmost importance for menstruating girls and women. However, menstrual hygiene and management are issues that have not received adequate attention. Therefore, the present study aimed to explore spatial patterns of menstrual hygiene practices in India and to identify their socioeconomic and demographic determinants among women aged 15–24 years.MethodsThe study utilized data from the fifth round of the National Family Health Survey (NFHS-5) conducted during 2019–21 in India. The analysis was limited to 241,180 women aged 15–24 years. The statistical methods range from multinomial logistic regression, spatial autocorrelation in terms of Moran’s I statistics, to spatial regression in order to understand the spatial dependence and clustering in different methods of menstrual practices across the districts of India.ResultsAlmost half of the respondents (49.8 percent) reported using hygienic methods of bloodstain protection, while 22.7 percent still relied on unhygienic methods and 27.5 percent reported using both hygienic and unhygienic methods during their menstruation. Factors like age, place of residence, caste, religion, education, wealth index and toilet facility were found to be significantly associated with the use of unhygienic and both methods. It was also observed that the percentage of women practicing hygienic methods was predominantly higher in the Southern region. On the other hand, states like Madhya Pradesh and Bihar appeared to be hotspots for unhygienic menstrual practices. The univariate Moran’s I value for unhygienic and both methods were 0.722 and 0.596, respectively, depicting high spatial autocorrelation across districts in India. In spatial regression, rural residence, illiteracy, poverty, and no toilet facility were found to be statistically significant predictors of the use of unhygienic method and both methods.ConclusionYoung women should be educated about the importance of menstrual hygiene practices and the physiological consequences of unhygienic practices. Furthermore, interventions should target socio-economically disadvantaged women to increase the use of sanitary napkins.

The role of smartphones in restricting and facilitating freedoms for young women in India

The role of smartphones in restricting and facilitating freedoms for young women in India

The Role of Gender Norms on Intimate Partner Violence Among Newly Married Adolescent Girls and Young Women in India: A Longitudinal Multilevel Analysis.

Gender norms have been posited to impact intimate partner violence (IPV), but there is scant evidence of the longitudinal association between community-level gender norms and IPV. Using longitudinal data on 3,965 married girls surveyed in India, we fitted mixed-effects ordinal and binary logistic regression models for physical IPV intensity and occurrence of sexual IPV. We found a 26% increase in the odds that women experience frequent physical IPV per one unit increase in greater community-level equitable gender norms. We did not find an association between community-level equitable gender norms and sexual IPV. Findings suggest that the relationship between gender norms and physical and sexual IPV differs, indicating the need for tailored interventions for different types of IPV.