Primary Submission Category: LGBTQ+
Adapting Menstrual Practice Needs Scale (MPNS-36) for Transgender and Non-Binary People in India: A Cross-Cultural Validation Study
Authors: Priyanka Dubey, Shaon Lahiri, Rima Afifi,
Presenting Author: Priyanka Dubey*
Significance: Transgender and nonbinary (TNB) individuals often have to manage menstrual health and hygiene (MHH) in a social context where their gender may not be recognized which complicates MHH while navigating gender identity. Although there is a limited amount of work in this area, it is insufficient to make informed decisions. This adaptation process is critical to understand the menstrual health needs of TNB people in India, which could benefit around half a million people. Activists suggest that the actual number is higher than the official estimates. The main goal of this study was to prioritize the voices of TNB individuals through the adaptation of the menstrual practice needs scale (MPNS-36) and create a contextually valid scale that is applicable to TNB people in India.
Methods: We used a multi-method approach that involved systematic translation, adaptation based on findings from systematic literature review, a qualitative study, and interviews with local and global experts on MHH and measurement including community members.
Findings: We made significant changes to the MPNS-36 scale: 1. modified words to ensure appropriate language and context, 2. added new items to evaluate the menstrual needs of the TNB people, and 3. developed and included a new scale to assess menstruation-related dysphoria among TNB people. The adaptation of the MPNS-36 scale does not change the core purpose of the scale which was managing physical aspects of menstrual bleeding. However, the addition of the menstruation-related dysphoria scale will make the menstrual needs assessment more holistic for the TNB people.
Conclusion: The adapted MPNS-36 scale would help create a more inclusive and supportive environment for TNB people, ensuring they can access the necessary resources for their menstrual health, hygiene and ultimately overall wellbeing. By recognizing and addressing their menstrual health needs, we can work towards achieving greater equity and inclusivity for all individuals.