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Editorial| Volume 35, ISSUE 6, P609-611, December 2022

NASPAG Position Statement: Eliminating Period Poverty in Adolescents and Young Adults Living in North America

  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Megan E. Harrison
    Correspondence
    Address correspondence to: Dr. Megan E. Harrison, Pediatrics, Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, ON, Canada K1H8L1.
    Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Affiliations
    Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, Ontario, Canada K1H8L1
    Search for articles by this author
  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Shelby Davies
    Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Affiliations
    Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, Ontario, Canada K1H8L1
    Search for articles by this author
  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Nichole Tyson
    Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Affiliations
    Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, Ontario, Canada K1H8L1
    Search for articles by this author
  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Andrea Swartzendruber
    Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Affiliations
    Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, Ontario, Canada K1H8L1
    Search for articles by this author
  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Laura K. Grubb
    Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Affiliations
    Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, Ontario, Canada K1H8L1
    Search for articles by this author
  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Elizabeth M. Alderman
    Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
    Affiliations
    Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, Ontario, Canada K1H8L1
    Search for articles by this author
  • Author Footnotes
    # In collaboration with NASPAG Advocacy Committee members Rachel Casey, Martin Fisher, Shaketha Gray, Kim Hoover, Andrea Huneeus, Susan Kaufman, Andrew Lupo, Kate McCracken, Seema Menon, Diana Robillard, Mary Romano, Julie Strickland, Whitney Wellenstein, and Noor Zwayne
Published:August 02, 2022DOI:https://doi.org/10.1016/j.jpag.2022.07.011
      This NASPAG Position Statement was created by Megan E Harrison MD FRCPC, Shelby Davies MD, Nichole Tyson MD, Andrea Swartzendruber PhD MPH, Laura K Grubb MD MPH, and Elizabeth M Alderman MD, in collaboration with the NASPAG Advocacy Committee members: Rachel Casey MD, Martin Fisher MD, Shaketha Gray MD, Kim Hoover MD, Andrea Huneeus MD, Susan Kaufman DO, Andrew Lupo MD, Kate McCracken MD, Seema Menon MD, Diana Robillard MD, Mary Romano MD, Julie Strickland MD, Whitney Wellenstein MD, Noor Zwayne MD. It was approved by the NASPAG Board of Directors in December 2021.

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      References

        • Sommer M
        • Hirsch JS
        • Nathanson C
        • et al.
        Comfortably, safely, and without shame: defining menstrual hygiene management as a public health issue.
        Am J Public Health. 2015; 105: 1302-1311
      1. Miszewska D, Żuławińska J: Period products cost calculator. Available:  https://www.omnicalculator.com/everyday-life/period-products-cost. Accessed September 30, 2021

      2. Goldberg E: Many lack access to pads and tampons. What are lawmakers doing about it? Available:  https://www.nytimes.com/2021/01/13/us/tampons-pads-period.html. Accessed October 4, 2021

      3. Hilash S: Federal government should make menstrual products free for Canadians for this reason. Available:  https://www.narcity.com/federal-government-should-make-menstrual-products-free-for-canadians-for-this-reason. Accessed October 4, 2021

      4. D'Sa V: Period poverty in Canada and around the globe. Available:  https://www.cpha.ca/period-poverty-canada-and-around-globe. Accessed October 4, 2021

      5. Alvarez A: Period poverty and what we can do about it. Available:  https://www.amwa-doc.org/period-poverty/. Accessed August 18, 2020

      6. Days for Girls: Menstrual health quick facts. 2019. Available:  https://www.daysforgirls.org/wp-content/uploads/2021/01/Menstrual-Health-Quick-Facts-1.pdf. Accessed June 24, 2022

        • Das P
        • Baker KK
        • Dutta A
        • et al.
        Menstrual hygiene practices, WASH access and the risk of urogenital infection in women from Odisha, India.
        PLoS ONE. 2015; 10 (e)0130777
        • Hennegan J
        • Dolan C
        • Wu M
        • et al.
        Measuring the prevalence and impact of poor menstrual hygiene management: a quantitative survey of schoolgirls in rural Uganda.
        BMJ Open. 2016; 6e012596
        • Cardoso LF
        • Scolese AM
        • Hamidaddin A
        • et al.
        Period poverty and mental health implications among college-aged women in the United States.
        BMC Womens Health. 2021; 21: 1-7
      7. Rifenburg L: Nearly 1 in 5 American girls have missed school due to lack of period protection1: Always® joins forces with Gina Rodriguez & Feeding America® to help #EndPeriodPoverty and keep girls in school. Available:  https://www.businesswire.com/news/home/20180807005135/en/Nearly-1-in-5-American-Girls-Have-Missed-School-Due-to-Lack-of-Period-Protection1-Always%C2%AE-Joins-Forces-with-Gina-Rodriguez-Feeding-America%C2%AE-to-Help-EndPeriodPoverty-and-Keep-Girls-in-School. Accessed December 16, 2019.

        • Dube D-E
        One-third of young Canadian women can't afford menstrual products, report finds.
        Glob News, 2018
      8. Thinx, PERIOD: State of the period: the widespread impact of period poverty on US students. 2021

      9. Thinx, PERIOD: State of the period: the widespread impact of period poverty on US students. 2019

      10. Davies S: A call to action: adolescent health experts must join the fight to end period poverty. Available:  https://www.adolescenthealth.org/Membership/Newsletter/May-2021/Advocacy-Update.aspx. Accessed September 30, 2021

        • Sebert Kuhlmann A
        • Peters Bergquist E
        • Danjoint D
        • et al.
        Unmet menstrual hygiene needs among low-income women.
        Obstet Gynecol. 2019; 133: 238-244
        • Wall LL
        Period poverty in public schools: a neglected issue in adolescent health.
        J Adolesc Health. 2020; 67: 315-316
        • Winkler IT
        Human rights shine a light on unmet menstrual health needs and menstruation at the margins.
        Obstet Gynecol. 2019; 133: 235-237
      11. Nanos for Plan International Canada: Female and male views on menstruation in Canada. Available:  https://nanos.co/wp-content/uploads/2019/05/2019-1432-Plan-Female-and-Male-Compiled-with-Tabs.pdf. Accessed February 3, 2022

      12. AMA Media & Editorial: Eliminating sales tax on feminine hygiene products. Available:  https://www.ama-assn.org/press-center/press-releases/ama-adopts-new-policies-final-day-annual-meeting. Accessed January 11, 2022

      13. Period Equity x LOLA: The history of the tampon tax. Available:  https://www.taxfreeperiod.com/home. Accessed September 30, 2021

      14. Watters H: “Tampon tax” will end July 1. Available:  https://www.cbc.ca/news/politics/tampon-tax-will-end-july-1-1.3091533. Accessed October 4, 2021

      15. Diamond C: Period poverty: Scotland first in world to make period products free. Available:  https://www.bbc.com/news/uk-scotland-scotland-politics-51629880. Accessed September 30, 2021

      16. Campbell C, Naylor C, Dobie C: All B.C. schools will have free menstrual products by end of 2019. Available:  https://www.castanetkamloops.net/news/Kamloops/283158/All-BC-schools-will-have-free-menstrual-products-by-end-of-2019-minister. Accessed October 4, 2021

      17. Cooke A: N.S. now providing free menstrual products in public schools. Available:  https://www.cbc.ca/news/canada/nova-scotia/nova-scotia-schools-menstrual-products-1.5286885. Accessed October 4, 2021

      18. Brand D: Tampons and pads will soon be free for all New York school girls. Available:  https://www.globalcitizen.org/en/content/tampons-pads-girls-free-new-york-schools/. Accessed September 30, 2021

      19. Craggs S: Hamilton looks at buying menstrual products for low-income women and girls. Available:  https://www.cbc.ca/news/canada/hamilton/femcare-hamilton-1.4939718. Accessed October 4, 2021

      20. The Associated Press: California schools must stock bathrooms with free menstrual products under law. Available:  https://www.nbcnews.com/news/us-news/california-schools-must-stock-bathrooms-free-menstrual-products-under-law-n1281291. Accessed October 12, 2021

      21. Mendoza J: Free period products will soon be provided in California schools. Available:  https://www.usatoday.com/story/news/nation/2021/10/10/free-period-products-soon-provided-california-schools/6081348001/. Accessed October 14, 2021

      22. McConnell J: Updates on menstrual equity policies. Available:  https://www.womensvoices.org/2021/01/11/period-health-policies-is-your-state-working-to-make-menstrual-equity-a-priority/. Accessed October 14, 2021

      23. Queram KE: Delaware bill would require menstruation products in public school bathrooms - Route Fifty. Available:  https://www.route-fifty.com/health-human-services/2021/03/delaware-bill-menstruation-products/172963/. Accessed October 14, 2021

      24. Mackay S: Period poverty in Mexico. Available:  https://borgenproject.org/period-poverty-in-mexico/. Accessed June 24, 2022

      25. Iqbal N: Campaigners welcome free tampons for hospital patients. Available:  https://www.theguardian.com/society/2019/mar/03/period-poverty-free-tampons-hospitals. Accessed October 4, 2021

      26. Joseph Y: England to offer hospital patients free sanitary products. Available:  https://www.nytimes.com/2019/03/03/world/europe/england-free-sanitary-products.html. Accessed October 4, 2021

      27. Raymond T: Teens at CHEO can now get menstrual products for free. Available:  https://ottawa.ctvnews.ca/teens-at-cheo-can-now-get-menstrual-products-for-free-1.4906996. Accessed October 4, 2021

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