{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T07:00:43Z","timestamp":1785481243935,"version":"3.56.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2024,5]]},"abstract":"\n Background:<\/jats:title>\n The lack of access to period products, which has been colloquially termed \u201cperiod poverty,\u201d is a problem that millions of people face worldwide. Investigators have found that period poverty is a pervasive issue in the United States, despite its status as a high resource country. The purpose of this study was to determine the prevalence of period poverty in school-aged adolescents in Toledo, Ohio.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This study used an observational cross-sectional design and was approved by the institutional review board. Participants completed a survey that assessed their access to period products, their level of understanding about their sexual\/menstrual health, their feelings toward menstruation, and the perceived impact of periods on their lives.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Younger students were more likely to miss school due to lack of period products (\n p<\/jats:italic>\n \u2009=\u20090.0084). To the question \u201cWhy don't you have pads or tampons?\u201d 36.2% expressed financial concerns and 18.3% reported inadequate transportation. When asked whether students ever had to miss school due to their cycle, 9.4% identified a lack of products as their reason. Participants also reported high rates of absence from sports, work, spending time with family\/friends, and theater\/music practice due to their menstrual period.\n <\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n As people across the globe experience period poverty, our study demonstrates evidence of this phenomenon among Toledo adolescents. Owing to the lack of access to menstrual hygiene products, students report repurposing miscellaneous items in place of pads or tampons, missing school or work, and associating negative connotations with their cycles.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/jwh.2023.0569","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T17:37:17Z","timestamp":1707845837000},"page":"671-677","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Period Poverty: Surveying the Prevalence in Toledo-Area Schools"],"prefix":"10.1177","volume":"33","author":[{"given":"Madison","family":"Feeley","sequence":"first","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1976-3625","authenticated-orcid":false,"given":"Ore","family":"Afon","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Gorrell","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Warner","sequence":"additional","affiliation":[{"name":"The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coral","family":"Matus","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, The University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-020-01149-5"},{"key":"e_1_3_5_3_2","doi-asserted-by":"crossref","unstructured":"Sacca L Markham CM Gupta J et al. Editorial: Period poverty. Front Reprod Health. 2023. Available from: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9941660\/pdf\/frph-05-1140981.pdf [Last accessed: July31 2023].","DOI":"10.3389\/frph.2023.1140981"},{"key":"e_1_3_5_4_2","doi-asserted-by":"crossref","unstructured":"Sommer M Mason DJ. Period poverty and promoting menstrual equity. JAMA Health Forum. 2021. Available from: https:\/\/doi.org\/10.1001\/jamahealthforum.2021.3089 [Last accessed: July15 2023].","DOI":"10.1001\/jamahealthforum.2021.3089"},{"key":"e_1_3_5_5_2","unstructured":"Kindelan K. 1 in 10 US college students experience period poverty report says. Good Morning America. 2021. Available from: https:\/\/www.goodmorningamerica.com\/wellness\/story\/10-college-students-experience-period-poverty-us-report-75721828 [Last accessed: July9 2023]."},{"key":"e_1_3_5_6_2","unstructured":"Smith A. The state of period poverty in the U.S. Center for Global Women's Health Penn Nursing. 2020. Available from: https:\/\/www.nursing.upenn.edu\/details\/news.php?id=1545 [Last accessed: July9 2023]."},{"key":"e_1_3_5_7_2","unstructured":"US Census Bureau. Data Profiles. Census.gov. 2022. Available from: https:\/\/www.census.gov\/acs\/www\/data\/data-tables-and-tools\/data-profiles\/ [Last accessed: July9 2023]."},{"key":"e_1_3_5_8_2","unstructured":"Walrack J. Where Do I Fall in the American Economic Class System? | Family Finance | U.S. News. US News Money. 2023. Available from: https:\/\/money.usnews.com\/money\/personal-finance\/family-finance\/articles\/where-do-i-fall-in-the-american-economic-class-system [Last accessed: June25 2023]."},{"key":"e_1_3_5_9_2","unstructured":"Lacroix AE Gondal H Shumway KR et al. Physiology Menarche. In: StatPearls [Internet]. StatPearls Publishing: Treasure Island FL USA; 2023. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470216\/ [Last accessed: July9 2023]."},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2020.100308"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2023.0569","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2023.0569","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2023.0569","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:48:11Z","timestamp":1785480491000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2023.0569"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,13]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1089\/jwh.2023.0569"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2023.0569","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,13]]}}}