Menstruación e injusticias en salud: un llamado a la bioética
DOI:
https://doi.org/10.24201/reg.v10i1.1158Palabras clave:
menstruación, síndrome premenstrual, sistema sanitario, política sanitariaResumen
Este artículo provee una propuesta de inclusión de la salud menstrual en la agenda de la bioética que parte del diagnóstico de que se trata de un problema subrepresentado en la disciplina. Se analizan casos ejemplificadores y actuales de este problema, se argumenta la necesidad de un abordaje bioético urgente acerca de salud menstrual que entrelace las perspectivas transfeministas, interseccionales y de derechos humanos. Lo anterior, en vistas de contribuir a que se garanticen los derechos de quienes menstrúan, especialmente en relación con la investigación médica, y con el acceso y la atención en salud.
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Agarwal, Sanjay K.; Chapron, Charles; Giudice, Linda C.; Laufer, Marc, R.; Leyland, Nicholas; Missmer, Stacey A.; Singh, Sukhbir S. y Taylor, Hugh S. (2019). Clinical Diagnosis of Endometriosis: A Call to Action. American Journal of Obstetrics and Gynecology, 220(4), 354.e1-354.e12. https://doi.org/10.1016/j.ajog.2018.12.039 DOI: https://doi.org/10.1016/j.ajog.2018.12.039
Babbar, Karan; Martin, Jennifer; Ruiz, Josephine; Parray, Ateeb Ahmad y Sommer, Marni. (2022). Menstrual Health is a Public Health and Human Rights Issue. The Lancet Public Health, 7(1), e10-e11. https://doi.org/10.1016/S2468-2667(21)00212 DOI: https://doi.org/10.1016/S2468-2667(21)00212-7
Bierer, Barbara E.; White, Sarah A.; Meloney, Laura G.; Ahmed, Hayat R.; Strauss, David H. y Clark, Luther T. (2020). Achieving Diversity, Inclusion, and Equity in Clinical Research. Guidance Document and Supplementary Toolkit. Cambridge: Multi-Regional Clinical Trials Center of Brigham and Women’s Hospital and Harvard.
Bobel, Chris; Winkler, Inga T.; Fahs, Breanne; Hasson, Katie; Kissling, Elizabeth y Roberts, Tomi-Ann (Eds.). (2020). The Palgrave Handbook of Critical Menstruation Studies. Singapore: Palgrave Macmillan. DOI: https://doi.org/10.1007/978-981-15-0614-7
Bruinvels, Georgie; Burden, Richard J.; McGregor, A. J.; Akerman, Kathryn E.; Dooley, M.; Richards, Toby y Pedlar, Charles R. (2016). Sport, Exercise and the Menstrual Cycle: Where is the Research? British Journal of Sports Medicine, 51(6), 487-488. https://doi.org/10.1136/bjsports-2016-096279 DOI: https://doi.org/10.1136/bjsports-2016-096279
Cardoso, Lauren F.; Scolese, Anna M.; Hamidaddin, Alzahra y Gupta, Jhumka. (2021). Period Poverty and Mental Health Implications among College-Aged Women in the United States. BMC Women’s Health, 21(14), 1-7. https://doi.org/10.1186/s12905-020-01149-5 DOI: https://doi.org/10.1186/s12905-020-01149-5
Carnaby, Steven y Cambridge, Paul. (2002). Getting Personal: An Exploratory Study of Intimate and Personal Care Provision for People with Profound and Multiple Intellectual Disabilities. Journal of Intellectual Disability Research, 46(2), 120-32. https://doi.org/10.1046/j.1365-2788.2002.00358.x DOI: https://doi.org/10.1046/j.1365-2788.2002.00358.x
Carter, Stacy M. y Entwistle, Vikki A. (2023). Feminist Bioethics and Empirical Research. En Wendy A. Rogers, Jackie Leach Scully, Stacy M. Carter, Vikki A. Entwistle y Catherine Mills (Eds.). The Routledge Handbook of Feminist Bioethics (pp. 308-321). London, Routledge. DOI: https://doi.org/10.4324/9781003016885-26
Clark, Luther T.; Watkins, Laurence; Piña, Ileana L.; Elmer, Mary; Akinboboye, Ola; Gorham, Millicent; Jamerson, Brenda; McCullough, Cassandra; Pierre, Christine; Polis, Adam B.; Puckrein, Gary y Regnante, Jeanne M. (2019). Increasing Diversity in Clinical Trials: Overcoming Critical Barriers. Current Problems in Cardiology, 44(5), 148-172. https://doi.org/10.1016/j.cpcardiol.2018.11.002 DOI: https://doi.org/10.1016/j.cpcardiol.2018.11.002
Crenshaw, Kimberle. (1989). Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics. En Anne Phillips (Ed.). Feminism and Politics (pp. 139–167). Oxford: Oxford University Press.
Das, Padma; Baker, Kelly K.; Dutta, Ambarish; Swain, Tapoja; Sahoo, Sunita; Das, Bhabani Sankar; Panda, Bijay; Nayak, Arati; Bara, Mary; Bilung, Bibiana; Mishra, Pravas Ranjan; Panigrahi, Pinaki; Cairncross, Sandy y Torondel, Belen. (2015). Menstrual Hygiene Practices, WASH Access and the Risk of Urogenital Infection in Women from Odisha, India. PLoS One, 10(6), e0130777. https://doi.org/10.1371/journal.pone.0130777 DOI: https://doi.org/10.1371/journal.pone.0130777
Diniz, Débora; González, Ana Cristina. (2000). Feminist Bioethics: The Emergence of the Oppressed. En Rosemarie Putnam Tong (Ed.). Globalizing Feminist Bioethics. Crosscultural Perspectives (pp. 62–73). Boulder: Westview Press. DOI: https://doi.org/10.4324/9780429500176-6
Diniz, Débora y González, Ana Cristina. (1998). Bioética feminista: a emergência da diferença. Estudos Feministas, 6(2), 255-263.
Ecofeminita. (2022). Políticas Públicas en el Mundo. Menstruacción. https://ecofeminita.com/menstruaccion/?v=5b61a1b298a0
Franconi, Flavia; Brunelleschi, Sandra; Steardo, Luca y Cuomo, Vincenzo. (2007). Gender Differences in Drug Responses. Pharmacological Research, 55(2), 81-95. https://doi.org/10.1016/j.phrs.2006.11.001 DOI: https://doi.org/10.1016/j.phrs.2006.11.001
Frank, S. E. y Dellaria, Jac. (2020). Navigating the Binary: A Visual Narrative of Trans and Genderqueer Menstruation. En Chris Bobel, Inga T. Winkler, Breanne Fahs, Katie Hasson, Elizabeth Kissling y Tomi-Ann Roberts (Eds.). The Palgrave Handbook of Critical Menstruation Studies (pp. 69-76). Singapore: Palgrave Macmillan. DOI: https://doi.org/10.1007/978-981-15-0614-7_7
Fraser, Ian S.; Mansour, Diana; Breymann, Christian; Hoffman, Camille; Mezzacasa, Anna y Petraglia, Felice. (2015). Prevalence of Heavy Menstrual Bleeding and Experiences of Affected Women in a European Patient Survey. International Journal of Gynecology & Obstetrics, 128(3), 196-200. https://doi.org/10.1016/j.ijgo.2014.09.027 DOI: https://doi.org/10.1016/j.ijgo.2014.09.027
Geng, Caitlin y Yockey, Katie. (2021). What to Know about Period Poverty. Medical News Today. https://www.medicalnewstoday.com/articles/period-poverty
Gibson, Julia D. (2019). The Voices Missing from the Autonomy Discourse (Are Also the Most Indispensable). International Journal of Feminist Approaches to Bioethics, 12(1): 77–98. https://doi.org/10.3138/ijfab.12.1.05 DOI: https://doi.org/10.3138/ijfab.12.1.05
Goddard, Sarah y Sommer, Marni. (2020). Menstrual Health and Hygiene Management and Water, Sanitation and Hygiene (WASH) in Urban Slums: Gaps in the Evidence and Recommendations. wH2O The Journal of Gender and Water, 7(1), 4-9. https://repository.upenn.edu/handle/20.500.14332/49112
Grandi, Giovanni; Ferrari, Serena; Xholli, Anjeza; Cannoletta, Marianna; Palma Federica; Romani, Cecilia; Volpe, Annibale y Cagnacci, Angelo. (2012). Prevalence of Menstrual Pain in Young Women: What is Dysmenorrhea. Journal of Pain Research, 5, 169-174. https://doi.org/10.2147/JPR.S30602 DOI: https://doi.org/10.2147/JPR.S30602
Gunther, Daniel F. y Diekema, Douglas S. (2006). Attenuating Growth in Children with Profound Developmental Disability: A New Approach to an Old Dilemma. Archives of Pediatrics & Adolescent Medicine, 160(10), 1013-1017. doi:10.1001/archpedi.160.10.1013 DOI: https://doi.org/10.1001/archpedi.160.10.1013
Hennegan, Julie; Winkler, Inga T.; Bobel, Chris; Keiser, Danielle; Hampton, Janie; Larsson, Gerda; Chandra-Mouli, Venkatraman; Plesons, Marina y Mahon, Thérèse. (2021). Menstrual Health: A Definition for Policy, Practice, and Research. Sexual and Reproductive Health Matters, 29(1), 31-38. https://doi.org/10.1080/26410397.2021.1911618 DOI: https://doi.org/10.1080/26410397.2021.1911618
Holst, Anna Sofie; Jacques-Aviñó, Constanza; Berenguera, Anna; Pinzón-Sanabria, Diana; Valls-Llobet, Carme; Munrós-Feliu, Jordina; Martínez-Bueno, Cristina; López-Jiménez, Tomás; Vicente-Hernández, María Mercedes y Medina-Perucha, Laura. (2022). Experiences of Menstrual Inequity and Menstrual Health among Women and People who Menstruate in the Barcelona Area (Spain): A Qualitative Study. Reproductive Health, 19(45). https://doi.org/10.1186/s12978-022-01354-5 DOI: https://doi.org/10.1186/s12978-022-01354-5
House, Sarah; Mahon, Thérèse y Cavill, Sue. (2012). Menstrual Hygiene Matters. A Resource for Improving Menstrual Hygiene around the World. London: Water Aid.
Johnson, Thomas M. (1987). Premenstrual Syndrome as a Western Culture-Specific Disorder. Culture, Medicine, and Psychiatry, 11(3), 337-356. https://doi.org/10.1007/BF00048518 DOI: https://doi.org/10.1007/BF00048518
Kirk, Jackie y Sommer, Marni. (2006). Menstruation and Body Awareness: Linking Girls' Health with Girls' Education. Amsterdam: Royal Tropical Institute.
Lahiri-Dutt, Kuntala. (2015). Medicalising Menstruation: A Feminist Critique of the Political Economy of Menstrual Hygiene Management in South Asia. Gender, Place and Culture, 22(8), 1158-1176. https://doi.org/10.1080/0966369X.2014.939156 DOI: https://doi.org/10.1080/0966369X.2014.939156
Lin, Lan-Ping; Lin, Pei-Ying; Chu, Cordia M. y Lin, Jin-Ding. (2011). Predictors of Caregiver Supportive Behaviors Towards Reproductive Health Care for Women with Intellectual Disabilities. Research in Developmental Disabilities, 32(2), 824-829. https://doi.org/10.1016/j.ridd.2010.10.015 DOI: https://doi.org/10.1016/j.ridd.2010.10.015
Lindemann, Jamie. (2016). Understanding Transgender and Medically Assisted Gender Transition: Feminism as a Critical Resource. AMA Journal of Ethics, 18(11), 1132-1138. DOI: https://doi.org/10.1001/journalofethics.2016.18.11.msoc1-1611
Luna, Florencia y Salles, Arleen. (2008). Bioética: nuevas reflexiones sobre debates clásicos. Buenos Aires: Fondo de Cultura Económica.
Márquez-González, Horacio; Valdez-Martinez, Edith y Bedolla, Miguel. (2018). Hysterectomy for the Management of Menstrual Hygiene in Women with Intellectual Disability. A Systematic Review Focusing on Standards and Ethical Considerations for Developing Countries. Frontiers in Public Health, 6(338), 1-18. https://doi.org/10.3389/fpubh.2018.00338 DOI: https://doi.org/10.3389/fpubh.2018.00338
Mileo, Agostina y Suárez Tomé, Danila. (2018). El tabú de la menstruación como instancia productora y perpetuadora de ignorancia subjetiva y estructural. Avatares Filosóficos, (5), 159-171. https://www.aacademica.org/danila.suarez.tome/33
Ministerio de Salud. (2022). Resolución 550/2022. Boletín Oficial de la República Argentina. https://www.boletinoficial.gob.ar/detalleAviso/primera/259196/20220317
Moynihan, Ray; Doran, Evan y Henry, David. (2008). Disease Mongering Is Now Part of the Global Health Debate. PLoS Medicine, 5(5), e106. https://doi.org/10.1371/journal.pmed.0050106. DOI: https://doi.org/10.1371/journal.pmed.0050106
Olmos, María Clara. (2021). En la cárcel también se menstrúa. ANCCOM. Agencia de Noticias. Ciencias de la Comunicación. http://anccom.sociales.uba.ar/2021/04/21/en-la-carcel-tambien-se-menstrua/
Organización de las Naciones Unidas, ONU. (2008). Convención sobre los derechos de las personas con discapacidad. https://www.un.org/esa/socdev/enable/documents/tccconvs.pdf
Organización de las Naciones Unidad para la Educación, la Ciencia y la Cultura, UNESCO. (2006). Declaración universal sobre bioética y derechos humanos. Paris: UNESCO.
Organización Panamericana de la Salud, OPS. (2020). Plan de acción sobre discapacidades y rehabilitación: informe final. https://www.paho.org/es/documentos/cd58inf7-plan-accion-sobre-discapacidades-rehabilitacion-informe-final
Papaseita, Elena; García-Algar, Óscar y Farré, Magí. (2013). Talidomida: una historia inacabada. Anales de Pediatria, 78(5), 283-287. DOI: https://doi.org/10.1016/j.anpedi.2012.11.022
Parekh, Ameeta; Fadiran, Emmanuel O.; Uhl, Kathleen y Throckmorton, Douglas C. (2011). Adverse Effects in Women: Implications for Drug Development and Regulatory Policies. Expert Review of Clinical Pharmacology, 4(4), 453-466. https://doi.org/10.1586/ecp.11.29 DOI: https://doi.org/10.1586/ecp.11.29
Parker, M. A.; Sneddon, A. E. y Arbon, P. (2010). The Menstrual Disorder of Teenagers (MDOT) Study: Determining Typical Menstrual Patterns and Menstrual Disturbance in a Large Population‐Based Study of Australian teenagers. BJOG: An International Journal of Obstetrics and Gynaecology, 117(2), 185-192. https://doi.org/10.1111/j.1471-0528.2009.02407.x DOI: https://doi.org/10.1111/j.1471-0528.2009.02407.x
Phillips-Howard, Penelope A. (2022). What's the Bleeding Problem: Menstrual Health and Living with a Disability. The Lancet Regional Health, 19, 100349. https://doi.org/10.1016/j.lanwpc.2021.100349 DOI: https://doi.org/10.1016/j.lanwpc.2021.100349
Rogers, Wendy A.; Scully, Jackie Leach; Carter, Stacy M.; Entwistle, Vikki A. y Mills, Catherine. (2022). Introduction. En Wendy A. Rogers, Jackie Leach Scully, Stacy M. Carter, Vikki A. Entwistle y Catherine Mills (Eds.) The Routledge Handbook of Feminist Bioethics. New York: Routledge. DOI: https://doi.org/10.4324/9781003016885
Saddichha, Sahoo. (2010). Disease Mongering in Psychiatry: It is Fact or Fiction? World Medical & Health Policy, 2(1), 267-284. https://doi.org/10.2202/1948-4682.1042 DOI: https://doi.org/10.2202/1948-4682.1042
Seven, Memnun; Güvenç, Gülten; Akyüz, Aygül y Eski, Fatma. (2014). Evaluating Dysmenorrhea in a Sample of Turkish Nursing Students. Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses, 15(3), 664-671. https://doi.org/10.1016/j.pmn.2013.07.006 DOI: https://doi.org/10.1016/j.pmn.2013.07.006
Vidaver, Regina M.; Lafleur, Bonnie; Tong, Cynthia; Bradshaw, Robynne y Marts, Sherry A. (2004). Women Subjects in NIH-Funded Clinical Research Literature: Lack of Progress in both Representation and Analysis by Sex. Journal of Women's Health & Gender-Based Medicine, 9(5). https://doi.org/10.1089/15246090050073576 DOI: https://doi.org/10.1089/15246090050073576
Vora, Shailini. (2020). The Realities of Period Poverty: How Homelessness Shapes Women’s Lived Experiences of Menstruation. En Chris Bobel, Inga T. Winkler, Breanne Fahs, Katie Hasson, Elizabeth Kissling y Tomi-Ann Roberts (Eds.), The Palgrave Handbook of Critical Menstruation Studies (pp. 31-47). Singapore: Palgrave Macmillan. DOI: https://doi.org/10.1007/978-981-15-0614-7_4
Wilbur, Jane; Torondel, Belen; Hameed, Shaffa; Mahon, Thérèse y Kuper Hannah. (2019). Systematic Review of Menstrual Hygiene Management Requirements, its Barriers and Strategies for Disabled People. PLoS ONE, 14(2), e0210974. https://doi.org/10.1371/journal.pone.0210974 DOI: https://doi.org/10.1371/journal.pone.0210974
Zondervan, Krina; Becker, Christian M. y Missmer, Stacey A. (2020). Endometriosis. The New England Journal of Medicine, 382(13), 1244-1256. https://www.nejm.org/doi/10.1056/NEJMra1810764 DOI: https://doi.org/10.1056/NEJMra1810764
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