Mixed-Method, Multilevel Clustered-Randomized Control Trial for Menstrual Health Disparities

Area of Science:

• Reproductive Health
• Social Determinants of Health
• Health Disparities

Background:

• Menstrual cycle characteristics are often viewed as unmodifiable, overlooking the influence of structural factors.
• Racialized cisgender women, particularly Black individuals, face significant reproductive health disparities.
• Access to healthy food and healthcare are critical structural factors impacting reproductive well-being.

Purpose of the Study:

• To examine how structural factors influence menstrual health.
• To illustrate a potential structural intervention for improving menstrual cycle health.
• To center the needs of Black and/or LatinX individuals in food and healthcare deserts.

Main Methods:

• Utilized critical race theory and intersectionality to conceptualize the intervention.
• Proposed a hypothetical multilevel clustered-randomized control trial (cRCT).
• Employed mixed methods, including diaries, interviews, surveys, mobile apps, and observation, over a 1-year period.

Main Results:

• The study illustrates a novel approach to structural interventions for menstrual health.
• Demonstrates the integration of mixed methods within a cRCT design.
• Highlights the potential for upstream improvements to reduce reproductive health disparities.

Conclusions:

• Menstrual health is highly sensitive to structural factors.
• Structural interventions, incorporating mixed methods and community perspectives, can effectively address health disparities.
• This framework offers a model for developing more equitable reproductive healthcare solutions.