{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:20:28Z","timestamp":1787016028011,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T00:00:00Z","timestamp":1722211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Although menstruation is a natural biological process, many people feel embarrassed of their menses and struggle to discuss it. To mitigate menstrual communication stigma, it is necessary to first elucidate communication experiences and perceptions. Thus, we qualitatively explore menstrual communication among cisgender women who menstruate and their family, friends, healthcare providers, and community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>\n                      In partnership with No More Secrets (NMS), a Philadelphia menstrual health non\u2010profit, we conducted a community\u2010based participatory research (CBPR) project in Fall 2020. Cisgender, menstruating individuals ages 18\u201345 recruited from NMS' catchment in Philadelphia participated in semi\u2010structured interviews about their menstrual experiences and communication (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200920). A deductive, theory\u2010driven approached based on the social\u2010ecological model was used to analyze the data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Varying emotional responses arose across social\u2010ecological levels: communication was awkward and simplistic with family; positive and supportive with friends and community members; and uncomfortable and frustrating with healthcare providers. Participants echoed the importance of menstrual communication as a means of sharing information, feeling less alone, and decreasing menstrual stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings can inform future CBPR workshops that address stigma in familial, healthcare, and community\u2010based discussions to improve menstrual health and experiences for cisgender girls and women, transgender men, and gender non\u2010binary individuals who menstruate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.12277","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T09:24:26Z","timestamp":1722245066000},"page":"378-388","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["\u201cIt shouldn't be just hush\u2010hush\u201d: A qualitative community\u2010based study of menstrual health communication among women in Philadelphia"],"prefix":"10.1111","volume":"56","author":[{"given":"Allison R.","family":"Casola","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine Sidney Kimmel Medical College, Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynette","family":"Medley","sequence":"additional","affiliation":[{"name":"No More Secrets Mind Body Spirit Inc.  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianna C.","family":"Kunes","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nya","family":"McGlone","sequence":"additional","affiliation":[{"name":"No More Secrets Mind Body Spirit Inc.  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Silverio","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine Sidney Kimmel Medical College, Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,29]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Having Your Period Shouldn't Hold You Back","author":"WaterAid US","year":"2020"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11199-011-0052-z"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13216"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2019.1610827"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1300\/J013v46n01_05"},{"issue":"3","key":"e_1_2_8_7_1","first-page":"e194","article-title":"How family physicians can support discussions about menstrual issues","volume":"60","author":"Fredericks E","year":"2014","journal-title":"Can Fam Physician"},{"key":"e_1_2_8_8_1","volume-title":"Tackling Period Poverty Report 2017","author":"Vora S","year":"2017"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232935"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-21176-0"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0959353596064002"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/00909889609365458"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002803"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30300-9"},{"key":"e_1_2_8_15_1","unstructured":"No More Secrets Mind Body Spirit Inc.2016Accessed July 1 2021https:\/\/www.nomoresecretsmbs.org\/"},{"key":"e_1_2_8_16_1","unstructured":"Children's Hospital of Philadelphia. Community\u2010Driven Research Day. Children's Hospital of Philadelphia Center for Violence Prevention.2020Accessed July 1 2021https:\/\/violence.chop.edu\/research\u2010and\u2010programs\/affiliated\u2010programs\/community\u2010driven\u2010research\u2010day"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.2023.0012"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.32.7.513"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306622"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X02239569"},{"key":"e_1_2_8_21_1","volume-title":"Analyzing Qualitative Data","author":"Taylor\u2010Powell E","year":"2003"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016037618567"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2018.1548337"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0538-8"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004224"},{"key":"e_1_2_8_26_1","unstructured":"World Health Organization.Primary health care.2021Accessed September 16 2021https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/primary-health-care"},{"key":"e_1_2_8_27_1","unstructured":"What is SBCC \u2013 Centre for Social and Behaviour Change Communication. Accessed October 26 2022https:\/\/www.centreforsbcc.org\/what-is-sbcc\/"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7359-z"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psrh.12277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T21:54:55Z","timestamp":1734299695000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/psrh.12277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,29]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/psrh.12277"],"URL":"https:\/\/doi.org\/10.1111\/psrh.12277","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,29]]},"assertion":[{"value":"2024-07-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}