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Bleeding inequality

How menstrual poverty undermines academic success via social anxiety in female university students—A structural equation modeling study

Bibliographic Data

ID15217430
AuthorsSüleyman Utku Uzun (0000-0002-8876-2848, Pamukkale University, corresponding author), Merve Akın (0000-0001-5559-4430, Pamukkale University)
Year2025
Volume47
Issue5
Pages1-24
Publication date2025-08-12
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Care For Women International (JOURNAL)
Journal identifiersISSN: 0739-9332 • E-ISSN: 1096-4665
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/07399332.2025.2545183
PMID40795164
OpenAlexW4413105297
LanguageEN
References cited24

In this cross-sectional study, we investigated the relationships between income, menstrual poverty, social anxiety, and academic success among 640 female undergraduates at Pamukkale University, Türkiye, using structural equation modeling. We collected data between April 1 and 15, 2025. We found moderate menstrual poverty (mean score 35.87 ± 6.35) and social anxiety (28.94 ± 10.59). Lower income predicted higher menstrual poverty ( β = -0.199, p β = 0.316, p β = -0.161, p = .002). Social anxiety also negatively affected academic success ( β = -0.039, p = .046). We identified significant indirect effects: income influenced academic success through menstrual poverty ( β = 0.032, p = .010) and through the sequential pathway of menstrual poverty and social anxiety ( β = 0.002, p = 0.045). Income had no direct effect on academic success (β = 0.207, p = .559). Our findings underscore the need for campus interventions addressing menstrual product access, infrastructure, and mental health support to mitigate educational impacts

Anxiety · Developmental psychology · Economic growth · Economics · Gynecology · Inequality · Menstrual bleeding · Poverty · Psychiatry · Social inequality · Structural equation modeling · Clinical Psychology · Health and Well-being Studies · Mathematics · Medicine · Menstrual Health and Disorders · Perfectionism, Procrastination, Anxiety Studies · Psychology · Social Psychology

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