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Menstruating while homeless: navigating access to products, spaces, and services.

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People experiencing homelessness (PEH) face significant menstrual health challenges due to limited access to period products and services. The COVID-19 pandemic worsened these issues, highlighting critical gaps in support and policy for menstrual equity among PEH.

Keywords:
COVID-19HomelessnessMenstrual productsMenstruationPublic healthQualitative researchSafe spaces

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Area of Science:

  • Public Health
  • Reproductive Health
  • Sociology

Background:

  • People experiencing homelessness (PEH) face significant menstrual health challenges in the US.
  • Limited access to period products, heightened stigma, and gynecological issues exacerbate hardships for PEH.
  • The COVID-19 pandemic has intensified these difficulties.

Purpose of the Study:

  • To explore the experiences of PEH and service providers regarding menstruation management.
  • To identify barriers and facilitators to menstrual health services for PEH.
  • To inform policy and program development for improved menstrual equity.

Main Methods:

  • Conducted semi-structured qualitative interviews with PEH (n=12) and healthcare/social service providers (n=12) in Lafayette, Indiana.
  • Utilized thematic analysis for data interpretation.
  • Focused on understanding the lived experiences within community contexts.

Main Results:

  • PEH face limited access to essential products, services, and safe spaces for menstruation management.
  • Healthcare system complexities, stigma, and lack of safe spaces create significant barriers.
  • The COVID-19 pandemic exacerbated challenges through public space closures and strained resources.

Conclusions:

  • Critical organizational and policy gaps exist in menstrual health resource provision for PEH in the US.
  • Improved integration of menstrual health into well-being programs is essential.
  • Addressing these disparities is crucial for reproductive and public health, particularly for vulnerable populations like PEH.