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The goal of this research was to understand women's lived experiences of sanitation by documenting their urination-related, defecation-related and menstruation-related concerns, to use findings to develop a definition of sanitation insecurity among women in low-income settings and to develop a conceptual model to explain Black San Mateo dating site factors that contribute to their experiences, including potential behavioural and health consequences. Concerns fell into Understanding Atlanta women domains: the sociocultural context, the physical environment, the social environment and personal constraints. These varied by season, time of day, life stage and toilet ownership, and were linked with an array of adaptations ie, suppression, withholding food and water and consequences ie, scolding, shame, fear. Our derived definition and conceptual model of sanitation insecurity reflect these four domains. Efforts to enable urinating, defecating and managing menstruation independently, comfortably, safely, hygienically, privately, healthily, with dignity and as needed require transformative approaches that also address the gendered, Gentlemen club st Reston and social environments that impact women despite facility access.

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