Date of Award
January 2025
Document Type
Open Access Thesis
Degree Name
Master of Public Health (MPH)
Department
School of Public Health
First Advisor
Alice M. Miller
Second Advisor
Trace Kershaw
Abstract
This thesis examines period poverty as a consequence of systemic neglect, disproportionately affecting those made vulnerable by intersecting structures of racial, gendered, and economic injustice. Situating menstruation as a public health crisis shaped by policy failure, social stigma, and institutional disregard, this research critiques dominant legal and policy frameworks that approach menstrual equity through a limited scope that overlooks deeper structural inequalities rooted in race and class. This thesis explores how marginalized populations experience legal and welfare systems as sites of surveillance and moral judgment in the context of menstrual equity. Through seven semi-structured interviews with menstrual justice organizers, this study illustrates how these spaces function as holistic sites of resistance, rejecting stigma and reimaging health infrastructure in ways state programs have failed to do. Ultimately, this thesis calls for public health practitioners to recognize and defer to community expertise to address period poverty with a trust-centered approach. By foregrounding the lived experiences of grassroots organizers, I hope this work contributes to ongoing conversations in public health, reproductive justice, and menstrual equity to urge a reexamination of the state’s role in perpetuating and potentially redressing menstrual injustice.
Recommended Citation
Armstead, Alanah, "Period Poverty And The Politics Of Refusal: Building Menstrual Equity Beyond The State Through Mutual Aid" (2025). Public Health Theses. 2473.
https://elischolar.library.yale.edu/ysphtdl/2473

This Article is Open Access
Comments
This is an Open Access Thesis.