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Plain Language Summary For sexually mature women, menstruation may be considered burdensome, but its absence may also be a source of concern. Perceptions regarding menstruation are collectively referred to as menstrual attitudes. Previous studies have reported that negative menstrual attitudes are associated with various reproductive health issues in women and vary according to social and cultural backgrounds. To adequately evaluate negative menstrual attitudes among Nepalese women (20–45 years old), we developed a 15-item scale that considers their cultural background and literacy. We observed that attitudes toward menstruation among Nepalese women consisted of three emotions: one positive emotion, including “menstruation is a natural phenomenon”, and two negative emotions, including “menstruation is debilitating” and “menstruation is bothersome”. In several developing countries, menstruating women are considered unclean, and various restrictions are imposed on women during menstruation (traditional menstrual practices). Nepalese women with strong negative menstrual attitudes, as assessed by our scale, engaged in several traditional menstrual practices with higher frequency. We also observed that women with more negative menstrual attitudes presented with more severe menstrual pain. Our scale was developed to be compatible with the values and literacy of Nepalese women and was easy to answer. We believe that reducing negative emotions toward menstruation will contribute to reducing the frequency of traditional menstrual practices and menstrual pain, thereby facilitating school attendance and entry into the workforce among women in Nepal.

Background: Menstrual attitudes include negative and positive perceptions of menstruation and are associated with reproductive health, underscoring the importance of its evaluation in women. Given that social and cultural factors affect menstrual attitudes, developing evaluation methods specific to distinct societal cultures is necessary. Methods: We developed a scale based on the menstrual attitude questionnaire, which is the most widely used measure of menstrual attitudes, to evaluate negative menstrual attitudes among Nepalese women in consideration of Nepalese cultural backgrounds and literacy. In total, 352 Nepalese women aged 20–45 years living in urban or suburban areas in Nepal were enrolled in the study. Participants were randomly divided into two groups using the permuted block method. Using the prototype, Group 1 (n = 176) was evaluated with an exploratory factor analysis to develop a reliable scale, and Group 2 (n = 176) was evaluated with a confirmatory factor analysis to confirm the structure of negative menstrual attitudes. Further, we preliminarily examined the relationship of negative menstrual attitudes with the frequency of traditional menstrual practices and intensity of menstrual pain, which are significant reproductive health issues in Nepal, in Group 2. Results: We developed a 15-item, 3-factor scale to evaluate negative menstrual attitudes among Nepalese women using exploratory factor analysis. The first, second, and third factors were "Natural event" (α = 0.82), "Debilitating event" (α = 0.76), and "Bothersome event" (α = 0.69), respectively. Confirmatory factor analysis revealed that negative menstrual attitudes comprised a 3-factor structure. Participants who performed three traditional menstrual practices ("stay in their own house", "go to public spaces", and "contact with others generally") demonstrated significantly higher scores for negative menstrual attitudes than did non-performers. Negative menstrual attitudes were positively correlated with the intensity of menstrual pain (r = 0.558). Conclusions: This study is the first to evaluate menstrual attitudes and analyse its factor structure among Nepalese women. In the future, the relationship between accurately evaluated negative menstrual attitudes and reproductive health issues should be examined more comprehensively. Plain Language Summary: For sexually mature women, menstruation may be considered burdensome, but its absence may also be a source of concern. Perceptions regarding menstruation are collectively referred to as menstrual attitudes. Previous studies have reported that negative menstrual attitudes are associated with various reproductive health issues in women and vary according to social and cultural backgrounds. To adequately evaluate negative menstrual attitudes among Nepalese women (20–45 years old), we developed a 15-item scale that considers their cultural background and literacy. We observed that attitudes toward menstruation among Nepalese women consisted of three emotions: one positive emotion, including "menstruation is a natural phenomenon", and two negative emotions, including "menstruation is debilitating" and "menstruation is bothersome". In several developing countries, menstruating women are considered unclean, and various restrictions are imposed on women during menstruation (traditional menstrual practices). Nepalese women with strong negative menstrual attitudes, as assessed by our scale, engaged in several traditional menstrual practices with higher frequency. We also observed that women with more negative menstrual attitudes presented with more severe menstrual pain. Our scale was developed to be compatible with the values and literacy of Nepalese women and was easy to answer. We believe that reducing negative emotions toward menstruation will contribute to reducing the frequency of traditional menstrual practices and menstrual pain, thereby facilitating school attendance and entry into the workforce among women in Nepal. [ABSTRACT FROM AUTHOR]

Determinants of health in Nepal include access to care, safe food, clean water, mid current technologies in healthcare. Women's health is further affected by the caste system, marriage, domestic and economical violence, and limited education. During pregnancy, stress can have a negative impact on mother and baby's wellbeing. Resilience can strengthen the woman's ability to achieve a healthy pregnancy. The purpose Of this article is to examine resilience in Nepalese women during pregnancy. Much is known on the risks borne by Nepalese childbearing woman; however, minimal data exist on the resilience Of these women toward managing the stressors in pregnancy. [ABSTRACT FROM AUTHOR]

This paper examines the situation of Nepalese women in Hong Kong as members of the smallest ethnic minority in the territory. Tracing the changing social and cultural conditions of three generations of women migrants, it looks at the interface of gender and ethnic minority identity as articulated within the context of transnational mobifity and the women's marginalized existence, both within their own community and in mainstream Chinese society. While Nepalese women migrants in Hong Kong have been assigned a passive mother-wife role, they are important building blocks of a transnational network and today, increasingly, as agents of change. These changes are further examined in light of the recently passed Racial Discrimination Ordinance. By juxtaposing how social marginalization is dealt with at the government, family, and individual levels, the study shows that an in-depth and gender-aware understanding of the lived experience of ethnic minorities is the key to the formulation of an efficacious multicultural policy. [ABSTRACT FROM AUTHOR]

Self-objectification (Fredrickson and Roberts ) has been related to negative psychological consequences in U.S. women. However, little cross-cultural research has been done. We compared convenience samples of American and Nepali women on two measures of self-objectification. Pairs of Nepali mothers and daughters ( N = 23) and pairs of U.S. mothers and daughters ( N = 24) completed a quantitative and a qualitative measure of self-objectification. Cultural and generational differences were found. Nepali women engaged in less self-surveillance than U.S. women. Older women engaged in less self-surveillance than younger women. Women in both cultures had high beliefs in their ability to control the body. An additional dimension of body consciousness, termed Functionality, was particularly important to younger Nepali women. [ABSTRACT FROM AUTHOR]

Maternal mortality has been recognised as a public health problem in the developing countries. The situation concerning maternal mortality in Nepal remained unexplored and vague until the early 1990s. By using 1996 Nepal Family Health Survey, this study discusses the maternal mortality situation in Nepal and analyses the differentials in maternal mortality by place of residence, region, ethnic and religious groups, age at death, and parity. Almost 28 percent of deaths of women in reproductive age was accountable to maternal causes. Logistic regression analysis shows 'ethnicity,' 'age of women,' and 'number of births' as strong predictors of maternal mortality. A number of policy recommendations are suggested to help lower maternal mortality. [ABSTRACT FROM AUTHOR]

■ Nepal has an isolated population where diarrhoeal disease is one of the main causes of infant death.■ The distinctions made about causes and consequences of abdominal problems are considered.■ Cognitive mapping was used to elicit mothers' ideas of diarrhoea, constipation and vomiting.■ Literacy programmes have been introduced.■ Diagrammatic research can be useful in a culture which is predominantly oral in tradition. [ABSTRACT FROM PUBLISHER]