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Journals / Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi / 2026 / Cilt: 27 Sayı: 1

Investigation of Parents' Views on the Use of Sanitary Pads by Women with Special Needs

Özel Gereksinimli Kadınların Hijyenik Ped Kullanımlarına İlişkin Ebeveynlerin Görüşlerinin İncelenmesi

Aslıhan Sezik(Milli Eğitim Bakanlığı)0000-0002-6504-8756
Pinar Yaşar Hayal(Trabzon Üniversitesi)0000-0002-6059-8206
Zekai Alper Alp(Erciyes Üniversitesi)0000-0002-1959-1643
Funda Aksoy(Anadolu Üniversitesi)0000-0001-6063-6631
Pages
53–76
Publication Date
2026-03-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Findings: In the study, it was found that women with special needs faced problems of not being able to recognize menstruation periods, not being able to use sanitary pads, and exhibiting problem behaviors due to the physical and emotional changes they experienced during this period.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Evaluating the use of sanitary pads by women with special needs during menstruation and their parents' experiences is essential for understanding the needs of these individuals and their families.
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Key Findings & Data:The study group consisted of 10 volunteer parents with a daughter between the ages of 10 and 18 with special needs.
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Conclusion & Impact:Findings: In the study, it was found that women with special needs faced problems of not being able to recognize menstruation periods, not being able to use sanitary pads, and exhibiting problem behaviors due to the physical and emotional changes they experienced during this period.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Menstrüasyon · cinsel bakım · zihinsel yetersizlik

Abstract

Introduction: Evaluating the use of sanitary pads by women with special needs during menstruation and their parents' experiences is essential for understanding the needs of these individuals and their families. This study aimed to examine the views and experiences of parents regarding the use of sanitary pads by women with special needs. Method: This study used a phenomenological design, one of the qualitative research methods. The study group consisted of 10 volunteer parents with a daughter between the ages of 10 and 18 with special needs. The data were collected using a five-question semi-structured interview form developed with information obtained from the literature on the use of sanitary pads by women with special needs and the experiences of parents. The data were then interpreted using the content analysis technique. Findings: In the study, it was found that women with special needs faced problems of not being able to recognize menstruation periods, not being able to use sanitary pads, and exhibiting problem behaviors due to the physical and emotional changes they experienced during this period. Their participation in social activities was limited, and they were not supported educationally about the menstruation period. Discussion: The findings obtained from this study were discussed with the findings of other studies conducted on this subject in the literature, and it is recommended that attention should be paid to teaching the skill of using sanitary pads to help women with special needs overcome the adverse effects of menstruation periods and that future implementation studies should be conducted.

Özet

Giriş: Özel gereksinimli kadınların menstrüasyon dönemlerinde ihtiyaç duydukları hijyenik ped kullanma durumları ve ebeveynlerinin deneyimlerinin değerlendirilmesi, bu bireylerin ve ailelerinin ihtiyaçlarının anlaşılması açısından önemlidir. Bu çalışmanın amacı, özel gereksinimli kadınların hijyenik ped kullanımıyla ilgili ebeveyn görüş ve deneyimlerini incelemektir. Yöntem: Bu çalışmada, nitel araştırma yöntemlerinden fenomenoloji (olgu bilim) deseni kullanılmıştır. Özel gereksinimli 10-18 yaş aralığında kızı olan 10 gönüllü ebeveyn çalışma grubunu oluşturmuştur. Veriler, alan yazından elde edilen bilgilerle geliştirilen, özel gereksinimli kadınların hijyenik ped kullanma durumları ve ebeveynlerin deneyimlerine ilişkin beş soruluk yarı yapılandırılmış görüşme formu ile toplanmış ve içerik analizi tekniğiyle yorumlanmıştır. Bulgular: Araştırmada, özel gereksinimli kadınların menstrüasyon dönemlerini fark edememe, hijyenik ped kullanma becerisini gerçekleştirememe sorunları ile karşılaştıkları, bu dönemde yaşadıkları fiziksel ve duygusal değişiklikler nedeniyle problem davranışlar sergiledikleri, sosyal faaliyetlere katılımlarının sınırlandığı ve menstrüasyon dönemi hakkında eğitsel olarak desteklenmedikleri bulgularına ulaşılmıştır. Tartışma: Bu çalışmadan elde edilen bulgular alan yazında bu konuda yürütülmüş diğer çalışmaların bulgularıyla tartışılmış, özel gereksinimli kadınların menstrüasyon dönemlerinin olumsuz etkilerini atlatabilmelerinde hijyenik ped kullanma becerisinin öğretimine özen gösterilmesi ve ileride uygulama araştırmalarının yürütülmesi önerilmektedir.

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Cite This Article

Sezik, A., Hayal, P. Y., Alp, Z. A., Aksoy, F. (2026). Investigation of Parents' Views on the Use of Sanitary Pads by Women with Special Needs. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, Cilt: 27 Sayı: 1, 53–76. https://doi.org/10.21565/ozelegitimdergisi.1595434

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References (85)

  1. Akbaş, T., & Sanberk, İ. (2012). İlk menstrüasyon ve ejakülasyon deneyimi: Hazırlık ön yaşantılar ve ön bilgilerin cinsel tutum ve davranışlarla ilişkisinin incelenmesi [The first menstruation and ejaculation experience: An investigation of the relationship between preparatory prior experiences and prior knowledge with sexual attitudes and behaviors]. Çukurova Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 21(3), 323–338. https://dergipark.org.tr/tr/download/article-file/50796
  2. Akman Dömbekci, H., & Erişen, M. A. (2022). Nitel araştırmalarda görüşme tekniği [Interview technique in qualitative research]. Anadolu Üniversitesi Sosyal Bilimler Dergisi, 22(Özel Sayı 2), 141–160. https://doi.org/10.18037/ausbd.1227330
  3. Aktaş, G. (2020). Zihinsel yetersizliği olan ergenin menstrüasyon öz bakım becerisini geliştirmede hemşire ve ebeveyn eğitiminin karşılaştırmalı etkililiği [The comparative effectiveness of nurse and parent education in developing menstrual self-care skills of an adolescent with intellectual disability] (Tez Numarası: 644722) [Yüksek lisans tezi, Mersin Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
  4. Aktaş, G., & Öncü, E. (2023). Comparison of menstrual care skills training programs provided to girls with intellectual disabilities by a healthcare professional and caregivers: A randomized controlled trial. Journal of Intellectual Disabilities, 27(3), 746-761. http://dx.doi.org/10.1177/17446295221101759
  5. Akter, M. (2021). Mothers experiences on menstrual care management of girls with intellectual disabilities [Doctoral dissertation, University of Dhaka]. Bangladesh. http://hdl.handle.net/123456789/673
  6. Altundağ, S., & Çalbayram, N.Ç. (2016). Teaching menstrual care skills to intellectually disabled female students. Journal of Clinical Nursing, 25 (13-14), 1962-8. https://doi.org/10.1111/jocn.13215
  7. Altundal, E., & Akın, B. (2021). Zihinsel yetersizliği olan bireylerde cinsel sağlık eğitimi: Hemşirelik yaklaşımı [Sexual health education in individuals with intellectual disabilities: Nursing approach]. Türkiye Klinikleri Halk Sağlığı Hemşireliği-Özel Konular, 7(2), 143–150. https://doi.org/10.5336/publichealth.2021-83929
  8. Anisa, A. T. (2019). Pubertal challenges in female adolescents with autism spectrum disorder: Mother’s perspective [Doctoral dissertation, Bangladesh Health Professions Institute]. Bangladesh. http://library.crp-bangladesh.org:8080/xmlui/bitstream/handle/123456789/523/Adiba%20Tafhim%20Anisa.pdf?sequence=1&isAllowed=y
  9. Argan, M. T., Demiray, S., & Mersin, S. (2023). Türkiye’de kadınların menstrüal kaplara yönelik görüşleri [Women’s views on menstrual cups in Turkey]. Sağlık ve Toplum, 33(1), 84–93. https://ssyv.org.tr/wp-content/uploads/2023/04/10-Turkiyede-Kadinlarin-Menstruel-Kaplara-Yonelik-Gorusleri.pdf
  10. Armah-Ansah, E.K., Osei, D., Seidu, A., Ahinkorah, B.O. (2023). Challenges and coping strategies adopted for effective menstrual hygiene management among adolescents with ıntellectual disablity and their caregivers: A qualitative study. J. Disability Stud., 9(1), 25-30. http://www.pubs.iscience.in/journal/index.php/jds/article/view/1418
  11. Arslan, E. (2022). Nitel araştırmalarda geçerlilik ve güvenilirlik [Validity and reliability in qualitative research]. Pamukkale Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, (51), 395–407. https://doi.org/10.30794/pausbed.1116878
  12. Ayar, D., Polat, F., & Karasu, F. (2024). Ergenlere verilen menstrüel hijyen eğitiminin menstrüasyon davranışları ve öz yeterlik düzeylerine etkisi: Randomize kontrollü bir çalışma [The effect of menstrual hygiene education given to adolescents on menstrual behaviors and self-efficacy levels: A randomized controlled study]. Anatolian Journal of Health Research, 5(3), 226–233. https://doi.org/10.61534/anatoljhr.1511941
  13. Aybak, T., & İpek, M. (2021). Ergenlik dönemindeki çocuğa sahip ebeveynlerin yaşadıkları sorunlar [Problems experienced by parents of adolescents]. Aydın Sağlık Dergisi, 7(2), 141–165. https://doi.org/10.17932/IAU.ASD.2015.007/asd_v07i2004
  14. Baytur, R. (2021). Zihinsel engelli adölesanlarda menstrüasyon yönetimi: Bakım verici perspektifi [Menstrual management in adolescents with intellectual disabilities: A caregiver perspective] (Tez Numarası: 685580) [Yüksek lisans tezi, Maltepe Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
  15. Bidwell, M. A., & Rehfeldt, R. A. (2004). Using video modeling to teach a domestic skill with an embedded social skill to adults with severe mental retardation. Behavioral Interventions: Theory & Practice in Residential & Community‐Based Clinical Programs, 19(4), 263-274. https://doi.org/10.1002/bin.165
  16. Burke, L., & Kearns, T. (2019). Supporting menstrual health for people with intellectual disabilities: A review of literature and guidance. British Journal of Learning Disabilities, 47(4), 233–240. https://doi.org/10.1111/bld.12288
  17. Bülbül, İ., & Karataş, K. (2023). Zihinsel yetersizliği olan bireylerin cinsel yaşamları: Ebeveynlerin bakış açısından bir değerlendirme [Sexual lives of individuals with intellectual disabilities: An evaluation from the perspective of parents]. Dokuz Eylül Üniversitesi Buca Eğitim Fakültesi Dergisi, 58, 2577-2614. https://doi.org/10.53444/deubefd.1291527
  18. Carmine, L., & Fisher, M. (2022). Menstrual and reproductive health in female adolescents with developmental disabilities. Current Problems in Pediatric and Adolescent Health Care, 52(8), 101243. https://doi.org/10.1016/j.cppeds.2022.101243
  19. Chou, Y. C., Wehmeyer, M. L., Palmer, S. B., & Lee, J. (2017). Comparisons of self-determination among students with autism, intellectual disability, and learning disabilities: A multivariate analysis. Focus on Autism and Other Developmental Disabilities, 32(2), 124-132. https://doi.org/10.1177/1088357615625059
  20. Crouch M. & McKenzie H. (1999) A social perspective for menarche? Journal of Youth Studies 2(2), 213–225. https://doi.org/10.1080/13676261.1999.10593036
  21. Cummins, C., Pellicano, E., & Crane, L. (2020). Supporting minimally verbal autistic girls with ıntellectual disabilities through puberty: Perspectives of parents and educators. Journal of Autism and Developmental Disorders, 50(7), 2439–2448. https://doi.org/10.1007/s10803-018-3782-8
  22. Çobanoğlu, C., & Karabekiroğlu, K. (2018). Ergenlik döneminde bilişsel, duygusal, ahlaksal ve sosyal gelişim [Cognitive, emotional, moral, and social development in adolescence]. Türkiye Klinikleri Child Psychiatry-Special Topics, 4(2), 7-12. https://www.turkiyeklinikleri.com/article/en-ergenlik-doneminde-bilissel-duygusal-ahlaksal-ve-sosyal-gelisim-82590.html
  23. Deierlein, A. L., Park, C., Patel, N., Gagnier, R., & Thorpe, M. (2024). Mental health outcomes across the reproductive life course among women with disabilities: A systematic review. Archives of Women's Mental Health, 1-18. https://doi.org/10.1007/s00737-024-01506-5
  24. Dündar, T., & Özsoy, S. (2018). Menstrüel hijyen ve görme engelliler. Journal of Education & Research in Nursing/Hemşirelikte Eğitim ve Araştırma Dergisi, 15(3), 192-194.
  25. Edwards, R., & Holland, J. (2013). What is qualitative interviewing? Bloomsbury Academic.
  26. Enoch, A., Nadutey, A., Afful, B. F., & Anokye, R. (2020). Menstrual hygiene management: Challenges and coping strategies for adolescents with disabilities in the Kumasi Metro of Ghana. Disability, CBR & Inclusive Development, 31(2), 77-91. https://doi.org/10.47985/dcidj.364
  27. Er, R. K., Büyükbayraktar, Ç. G., & Kesici, Ş. (2016). Developing a sexual education program for students with special education needs. Turkish Journal of Education, 5(4), 224-234. https://doi.org/10.19128/turje.267920
  28. Flavin, M., Shore, B. J., Miller, P., & Gray, S. (2019). Hormonal contraceptive prescription in young women with cerebral palsy. Journal of Adolescent Health, 65(3), 405-409. https://doi.org/10.1016/j.jadohealth.2019.03.010
  29. Flick, U. (2015). Introducing research methodology: A beginner's guide to doing a research project. Sage.
  30. Frawley, P., & Wilson, N. J. (2016). Young people with intellectual disability talking about sexuality education and information. Sexuality And Disability, 34(4), 469-484. https://doi.org/doi:10.1007/s11195-016-9460-x
  31. Goli, S., Noroozi, M., & Salehi, M. (2020). Parental experiences about the sexual and reproductive health of adolescent girls with intellectual disability: A qualitative study. Iranian Journal Of Nursing And Midwifery Research, 25(3). 254-259. https://doi.org/10.4103/ijnmr.IJNMR_258_19
  32. Gönenç, I. M., Çakırer Çalbayram, N., Altundağ, S., & Aktaş, Ö. (2020). Öğretilebilir zihinsel engelli kız ergenlere verilen menstruasyon hijyen eğitiminin etkinliğinin belirlenmesi [Determining the effectiveness of menstrual hygiene education provided to girls with teachable intellectual disabilities]. Ankara Medical Journal, 20(1), 57-68. https://doi.org/10.5505/amj.2020.01643
  33. Gray, S. H., Wylie, M., Christensen, S., Khan, A., Williams, D., & Glader, L. (2021). Puberty and menarche in young females with cerebral palsy and intellectual disability: A qualitative study of caregivers’ experiences. Developmental Medicine & Child Neurology, 63(2), 190-195. https://doi.org/10.1111/dmcn.14698
  34. Güçlü, A., & Özerk, H. (2021). Türkiye’de 2000-2018 yılları arasında örgün eğitim kurumları kapsamında cinsel sağlık eğitimlerine ilişkin çalışmaların incelenmesi ve değerlendirilmesi [Examination and evaluation of studies on sexual health education in formal education institutions in Turkey between 2000 and 2018]. OPUS International Journal of Society Researches, 18(39), 958-982. https://doi.org/10.26466/opus.922603
  35. Gürbüz, S. (2018). Ergenlik dönemindeki zihin yetersizliği olan bireylerin cinsel gelişim özelliklerinin ebeveyn görüşleri ile değerlendirilmesi: Bir ölçek geliştirme çalışması [Evaluation of the sexual development characteristics of individuals with intellectual disabilities in adolescence through parental opinions: A scale development study] (Tez Numarası: 519267) [Yüksek lisans tezi, Bolu Abant İzzet Baysal Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
  36. Hansen, A. (2003). İçerik çözümlemesi [Content Analysis] In (M. S. Çebi, Trans.). İletişim araştırmalarında içerik çözümlemesi [Content analysis in communication research] (pp. 49-102). Alternatif Yayınları.
  37. Harvey, K., Mano, P., Lakshminarayana, I., & Gupta, S. (2019). G480 (P) Menstruation matters: The impact of menstruation on girls and young women with severe learning difficulties and their families. 95(7), 526-30. https://doi.org/10.1136/archdischild-2019-rcpch.464
  38. Hennegan, J., Winkler, I. T., Bobel, C., Keiser, D., Hampton, J., Larsson, G., Chandra-Mouli, V., Plesons, M., & Mahon, T. (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
  39. Kaçan, H., & Birol, Z. (2024). The impact of an applied menstrual self-care education program given to adolescents with intellectual disabilities and their mothers on their knowledge, skills, and anxiety levels [Zihinsel engelli ergenlere ve annelerine verilen uygulamalı menstruasyon öz bakım eğitim programının bilgi, beceri ve anksiyete düzeyleri üzerindeki etkisi]. International Journal of Developmental Disabilities, 1-10. https://doi.org/10.1080/20473869.2024.2411505
  40. Kang, Y.S., & Chang, Y.J. (2019). Using a motion‐controlled game to teach four elementary school children with intellectual disabilities to improve hand hygiene. Journal of Applied Research in Intellectual Disabilities, 32(4), 942-951. https://doi.org/10.1111/jar.12587
  41. Karthikayini, S., & Arun, S. (2021). Challenges faced by primary caretakers of adolescent girls with intellectual disability during their menstrual cycle in Puducherry: A mixed method study. Indian Journal of Community Medicine, 46(3), 416-420. https://doi.org/10.4103/ijcm.ijcm_433_20
  42. Kaydırak, M., Yılmaz, B., Azak, M., & Bilge, Ç. (2023). Effectiveness of menstruation hygiene skills training for adolescents with autism. World Journal of Psychiatry, 13(11), 958. https://doi.org/10.5498/wjp.v13.i11.958
  43. Khan, M. N., Khanam, S. J., Chowdhury, A. R., Hossain, R., Kabir, M. A., & Alam, M. B. (2024). Menstrual hygiene management among reproductive‐aged women with disabilities in Bangladesh. Health Science Reports, 7(10), e70145. https://doi.org/10.1002/hsr2.70145
  44. Kilci Erciyas, Ş., Cirban Ekrem, E., Kalaycı, M., Şahin, N. A., & Aydoğmuş, A. (2022). Üreme çağındaki kadınların menstrüel kap kullanımına ilişkin bilgi ve tutumları [Knowledge and attitudes of women in reproductive age towards menstrual cup usage]. Med J West Black Sea, 6(1), 115-124. https://doi.org/10.29058/mjwbs.1023079
  45. Kirk, S. A., Gallagher, J. J., Coleman, M. R., & Anastasiow, N. J. (2015). Educating exceptional children (p. 560). Cengage Learning.
  46. Klein, D. A., Gawrys, B. L., & Sylvester, J. E. (2015). Menstrual concerns in an adolescent with disabilities. American Family Physician, 92(9), 823-831.
  47. Klett, L.S., & Turan, Y. (2012). Generalized effects of social stories with task analysis for teaching menstrual care to three young girls with autism. Sexuality and Disability, 30(3), 319–336. https://doi.org/10.1007/s11195-011-9244-2
  48. Knott, E., Rao, A. H., Summers, K., & Teeger, C. (2022). Interviews in the social sciences. Nature Reviews Methods Primers, 2(1), Article 73, 1-15. https://doi.org/10.1038/s43586-022-00150-6
  49. Kurtoğlu, S., & Cavkaytar, A. (2021). Zihin yetersizliği olan bireylere kişisel bakım becerilerinin öğretiminde bir aile eğitimi programının etkililiği [The effectiveness of a family education program in teaching personal care skills to individuals with intellectual disabilities]. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi, 23(1), 53-81. https://doi.org/10.21565/ozelegitimdergisi.756223
  50. Kürtüncü, M., & Kurt, A. (2020). Sexual education and development in children with intellectual disability: Mothers’ opinions. Sexuality and Disability, 38(3), 455-468. https://doi.org/10.1007/s11195-020-09638-z
  51. Lincoln, S. Y., & Guba, E. G. (1985). Naturalistic inquiry. Sage.
  52. Mason, L., & Cunningham, C. (2008). An exploration of issues around menstruation for women with Down syndrome and their carers. Journal of Applied Research in Intellectual Disabilities, 21(3), 257-267. https://doi.org/10.1111/j.1468-3148.2007.00406.x
  53. McLay, L., van Deurs, J., Gibbs, R., & Whitcombe-Dobbs, S. (2021). Empirically supported strategies for teaching personal hygiene skills to people with intellectual disabilities. In R. Lang & P. Sturmey (Eds.), Adaptive behavior strategies for individuals with intellectual and developmental disabilities: Evidence-based practices across the life span (pp. 47–72). Springer Nature Switzerland AG. https://doi.org/10.1007/978-3-030-66441-1_3
  54. Miles, M. B., & Huberman, A. M. (2002). Reflections and advice. In A. M. Huberman & M. B. Miles (Eds.), The qualitative researcher’s companion (pp. 393-397). Sage Publications.
  55. Miles, M. B., Huberman, A. M., & Saldaña, J. (2018). Qualitative data analysis: A methods source book. Sage Publications.
  56. Nurkhairulnisa, A. I., Chew, K. T., Zainudin, A. A., Lim, P. S., Shafiee, M. N., Kampan, N., Wan Ismail, W.S., Grover, S., & Nur Azurah, A. G. (2018). Management of menstrual disorder in adolescent girls with intellectual disabilities: A blessing or a curse? Obstetrics and Gynecology International, 2018(1), 9795681. https://doi.org/10.1155/2018/9795681
  57. Orum-Çattık, E., & Ergenekon, Y. (2019). Otizm spektrum bozukluğu olan bireylere bağımsız yaşam becerilerinin öğretildiği araştırmaların incelenmesi [A review of studies teaching independent living skills to individuals with autism spectrum disorder]. Anadolu Journal of Educational Sciences International, 9(2), 572-607. http://doi.org/10.18039/ajesi.577594
  58. Öncü, E., Aktaş, G., Vayısoğlu, S. K., & Karakuş, E. (2019). Zihinsel engelli ergenlerin cinsel gelişim özellikleri ve ailelerin yaşadığı güçlükler: Tanımlayıcı çalışma [Sexual development characteristics of adolescents with intellectual disabilities and the difficulties faced by families: A descriptive study]. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 12(3), 413-425. https://doi.org/10.26559/mersinsbd.553739
  59. Özdemir, H. (2019). Görme engelli kadınların genital hijyen davranışlarının belirlenmesi [Determination of genital hygiene behaviors of women with visual impairments] (Tez Numarası: 612558) [Yüksek lisans tezi, Sağlık Bilimleri Üniversitesi]. Yükseköğretim Kurulu Ulusal Tez Merkezi.
  60. Patage, D. P., Holyachi, S., Badesab, B., Nawaz, A. S., & Shankar, K. (2015). Reproductive and sexual health needs among differently abled individuals in the rural field practice area of a medical college in Karnataka, India. International Journal of Medical Science and Public Health, 4(7), 964–968. https://doi.org/10.5455/ijmsph.2015.02032015206
  61. Power, R., Wiley, K., Muhit, M., Heanoy, E., Karim, T., Badawi, N., & Khandaker, G. (2020). ‘Flower of the body’: Menstrual experiences and needs of young adolescent women with cerebral palsy in Bangladesh, and their mothers providing menstrual support. BMC Women's Health, 20(160), 1-9. https://doi.org/10.1186/s12905-020-01032-3
  62. Pownall, J. D., Jahoda, A., & Hastings, R. P. (2012). Sexuality and sex education of adolescents with intellectual disability: mothers' attitudes, experiences, and support needs. Intellectual and developmental disabilities, 50(2), 140-154. https://doi.org/10.1352/1934-9556-50.2.140
  63. Prabhakar, J., Aswin, M. G., Nazar, A. F., Adarsh, M. S., PJ, J. J., Nisam, A. P., Krisha Priya, M.J., & Mini, G. K. (2025). Exploring menstrual hygiene management practices among displaced coastal women in Kerala, India. The Journal of Climate Change and Health, 21, 100375. https://doi.org/10.1016/j.joclim.2024.100375
  64. Rahmah, S., & Ratnawati, R. (2022). The meaning of menstruation in women with mild disabilities. Indonesian Journal of Disability Studies, 9(1), 49-66. https://doi.org/10.21776/ub.ijds.2022.009.01.04
  65. Randall, K. N., Hopkins, C. S., & Drew, H. (2024). Menstrual education programs for girls and young women with intellectual and developmental disabilities: A systematic review. Journal of Applied Research in Intellectual Disabilities, 37(4), e13264. https://doi.org/10.1111/jar.13264
  66. Retznik, L., Wienholz, S., Höltermann, A., Conrad, I., & Riedel-Heller, S. G. (2023). “It gives me, as her caregiver, a sense of security.” Young people with ıntellectual disability and their experiences with sexuality, menstruation, gynecological treatment and contraception: A follow-up analysis of parents’ and caregivers’ perspectives. Sexuality and Disability, 41(1), 97-116. https://doi.org/10.21203/rs.3.rs-1682645/v1
  67. Saraç, H. (2017). Türkiye’de okul dışı öğrenme ortamlarına ilişkin yapılan araştırmalar: İçerik analizi çalışması [Research on out-of-school learning environments in Turkey: A content analysis study]. Eğitim Kuram ve Uygulama Araştırmaları Dergisi, 3(2), 60-81. https://dergipark.org.tr/tr/download/article-file/339611
  68. Saxe, A., & Flaherty, M. (2017). Navigating menstruation: A review of the challenges experienced by individuals with autism spectrum disorders and their caregivers. Journal of Pediatric and Adolescent Gynecology, 30(3), 354–361. https://doi.org/10.1016/j.jpag.2016.10.007
  69. Sezgin, H., & Başbakkal, Z. (2015). Zihinsel engelli adölesanlarda menstrüel hijyen yönetimi: Annelerin yaşadığı sorunlar [Menstrual hygiene management in adolescents with intellectual disabilities: Problems experienced by mothers]. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 31(1), 1–12. https://dergipark.org.tr/en/pub/egehemsire/issue/49034/625603
  70. Somel, N. (2024). Nitel araştırmada görüşme ve görüşme soruları: Eğitim sosyolojisinden ampirik örnekler [Interviews and interview questions in qualitative research: Empirical examples from the sociology of education]. Boğazici University Journal of Education, 41(2), 141-156. https://doi.org/10.52597/buje.134610
  71. Tartaç, Y., & Özkan, S. (2011). Lise öğrencilerinin menstruasyon hijyen konusunda bilgi/tutumları ve eğitimin etkinliğini değerlendirme [Evaluation of high school students' knowledge/attitudes on menstrual hygiene and the effectiveness of education]. Gazi Medical Journal, 22(2), 27-32. https://doi.org/10.5152/gmj.2011.07
  72. Taşkın, L. (2016). Doğum ve Kadın Sağlığı Hemşireliği [obstetrics and women's health nursing]. Nobel Kitabevi.
  73. Teke, H., & Melekoğlu, M. (2022). Erken çocukluk dönemi cinsel eğitim çalışmalarının incelenmesi: Sistematik bir derleme [A review of early childhood sexual education studies: A systematic review]. Sakarya Üniversitesi Eğitim Fakültesi Dergisi, 22(2), 144-160. https://doi.org/10.53629/sakaefd.1106519
  74. Tekinarslan, İ. Ç., & Eratay, E. (2013). Zihinsel yetersizliği olan bireylerin ergenlik dönemine uyum sürecinde ebeveyn davranışlarının incelenmesi [Examining parental behaviors in the adolescence adjustment process of ındividuals with ıntellectual disabilities]. Education Sciences, 8(3), 363-374. http://dx.doi.org/10.12739/NWSA.2013.8.3.1C0592
  75. Thapa, P., & Sivakami, M. (2017). Lost in transition: Menstrual experiences of intellectually disabled school-going adolescents in Delhi, India. Waterlines, 36(4), 317-338. http://www.jstor.org/stable/26600803
  76. Tsuda, S., Maruyama, Y., Muroka, C., Kondo, C., & Takada, S. (2024). Assessing the effectiveness of menstrual health education in Japan: A non-randomized comparative study of adolescent girls with typical development and those with intellectual disabilities and high support needs. Journal of Intellectual Disabilities, 28(1), 93-103. https://doi.org/10.1177/17446295241281394
  77. Turan Gürhopur, F. D., & İşler Dalgıç, A. (2017). Zihinsel yetersiz çocuğu olan ebeveynlerde aile yükü [Family burden in parents of children with ıntellectual disabilities]. Journal of Psychiatric Nursing/Psikiyatri Hemsireleri Derneği, 8(1), 9-16. http://dx.doi.org/10.14744/phd.2017.87609
  78. Ünal, M., Ece, A. S., & Yıkmış, A. (2016). Zihin engelli çocuklara öz bakım becerilerinin şarkı yoluyla öğretilmesi [Teaching self-care skills to mentally retarded children with the song]. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 8(17), 139-153. https://dergipark.org.tr/en/pub/makusobed/issue/45268/567020
  79. Varol, N. (2004). Öz bakım becerilerinin öğretimi [Teaching Self-care Skills] (2. baskı). Kök Yayıncılık.
  80. Wilbur, J., Mahon, T., Torondel, B., Hameed, S., & Kuper, H. (2019). Feasibility study of a menstrual hygiene management ıntervention for people with ıntellectual ımpairments and their carers in Nepal. Int J Environ Res Public Health, 16 (19), 1-14. https://doi.org/10.3390/ijerph16193750
  81. Wilbur, J., Morrison, C., Iakavai, J., Shem, J., Poilapa, R., Bambery, L., Baker, S., Tanguay J., Sheppard, P., Banks, L.M., & Mactaggart, I. (2022). “The weather is not good”: Exploring the menstrual health experiences of menstruators with and without disabilities in Vanuatu. The Lancet Regional Health – Western Pacific, 18(2), 100314. https://doi.org/10.1016/j.lanwpc.2021.100314 Yaacob, N., Nasir, N. M., Jalil, S. N., Ahmad, R., Rahim, N. A. R. A., Yusof, A., & Ghani, N. A. A. (2012). Parents or caregiver's perception on menstrual care in individuals with down syndrome. Procedia-Social and Behavioral Sciences, 36, 128-136. https://doi.org/10.1016/j.sbspro.2012.03.015
  82. Yıldırım, A. (1999). Nitel araştırma yöntemlerinin temel özellikleri ve eğitim araştırmalarındaki yeri ve önemi [Basic features of qualitative research methods and its place and importance in educational research]. Eğitim ve Bilim, 23(112), 7-17. https://egitimvebilim.ted.org.tr/index.php/EB/article/view/5326/1485
  83. Yıldırım, A., & Şimşek, H. (2011). Sosyal bilimlerde nitel araştırma yöntemleri [Qualitative Research Methods in Social Sciences]. Seçkin Yayınevi.
  84. Yıldırım, A., & Şimşek, H. (2016). Nitel araştırma yöntemleri [Qualitative research methods] (10th ed.). Seçkin Yayınevi.
  85. Zinda, A. R. P., Riskiyani, S., & Nasir, S. (2024). Menstrual hygiene: Barriers and support for adolescents with ıntellectual disability. International Journal of Chemical and Biochemical Sciences, 25(19), 819-823. https://doi.org/10.62877/96-IJCBS-24-25-19