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Comparisons of Health-Related Quality of Life among Users of Different Types of Menstrual Products: A Study of Taiwanese University Students

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Abstract

On average, women menstruate for approximately half of their lives. Little is known about whether and how health-related quality of life (HRQOL) differs across users of different types of menstrual products. To answer this question, this study collected data from 1,245 female university students in Taiwan through an anonymous online survey and compared users of different types of menstrual products in four HRQOL domains. Multivariate linear regression analysis revealed significant differences in all four domains. For instance, regarding physical health, tampon users reported better HRQOL (β = .054) than pad users; regarding social health, tampon (β = .059) and menstrual cup (β = .071) users both reported better HRQOL than pad users. Furthermore, factors influencing HRQOL also differed between pad and tampon users. For example, having many premenstrual symptoms affected both pad (β = -.115) and tampon (β = -.172) users’ physical HRQOL; while pad users with many premenstrual symptoms also had worse psychological (β = -.085), social (β = -.100), and environment (β = -.104) HRQOL, their tampon-using counterparts were not significantly affected. Bisexual tampon-using college women reported worse social HRQOL (β = -.149) than their heterosexual peers. In addition, relationship status and varsity team membership had differential significant associations with the four domains. Future menstrual health education could focus more on introducing the different features of various menstrual products. Our empirical findings can help empower women to make informed decisions about which menstrual products could best suit their needs and improve their HRQOL.

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Funding

Preparation of this manuscript was supported in part by grants MOST 109-2410-H-002-108-, MOST 108-2410-H-002-194-, MOST 107-2410-H-002-214-, and MOST 105-2410-H-002-143-MY2 from the National Science and Technology Council, Taiwan (formerly, Ministry of Science and Technology) awarded to Dr. Jiun-Hau Huang.

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Contributions

P-TH and J-HH both contributed to the conception of the ideas, design of the study, development of the survey measures, analysis and interpretation of the data, as well as writing of the original draft and revision of the manuscript. P-TH contributed to data collection. J-HH conceptualized the research framework, supervised the study and development of the manuscript, and also revised and edited the earlier versions and final draft of the manuscript.

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Correspondence to Jiun-Hau Huang.

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Ethics Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The study protocol was reviewed and approved by the Research Ethics Committee of the National Taiwan University Hospital.

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Informed consent was obtained from all individual participants included in the study.

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The authors have no relevant financial or non-financial interests to disclose.

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Huang, PT., Huang, JH. Comparisons of Health-Related Quality of Life among Users of Different Types of Menstrual Products: A Study of Taiwanese University Students. Sex Roles 89, 223–235 (2023). https://doi.org/10.1007/s11199-023-01367-9

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