ArticleFrontiers in reproductive health2026
Menarche as a silent transition: islamic modesty norms, mother-daughter communication, and menstrual readiness among rural Indonesian adolescents.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Menarche is a key developmental milestone for adolescent girls, yet in many Muslim-majority rural settings it occurs within strong norms of modesty and silence. Although prior research has identified gaps in menstrual knowledge and hygiene, limited evidence explains how Islamic modesty norms and mother-daughter communication jointly influence menstrual readiness during the early transition around menarche. Objective: This study examined menarche as a culturally patterned silent transition by exploring (1) how Islamic modesty norms shape adolescents' silence and disclosure practices, (2) the association between mother-daughter communication quality and menstrual readiness, and (3) implications for culturally safe nursing, school, and community interventions for rural Indonesian adolescents. Methods: An explanatory sequential mixed-methods design was applied. The quantitative phase involved a school-based survey of 386 Muslim girls aged 10-15 years in rural Indonesia measuring modesty norms, mother-daughter communication, and menstrual readiness. Structural equation modeling assessed direct, indirect (mediation), and moderation effects. The qualitative phase included 20 in-depth interviews analyzed using Colaizzi's phenomenological approach to deepen interpretation of quantitative findings. Results: Islamic modesty norms were negatively associated with menstrual readiness ( Conclusion: Menarche is experienced as a culturally patterned silent transition shaped by modesty norms and relational communication. Strengthening emotionally supportive communication within Islamic values is essential to enhance menstrual readiness and reduce stigma in culturally responsive interventions.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.