Associations Between Intravaginal Practices and Bacterial Vaginosis in Kenyan Female Sex Workers Without Symptoms of Vaginal Infections
Date
2007Author
Hassan, Wisal M.
Lavreys, Ludo
Chohan ,Vrasha
Richardson, Barbra A.
Kishorchandra, Mandaliya
Ndinya-Achola Jeckoniah O.
Kiarie, James
Jaoko Walter G.
Holmes, King K.
Mcclelland, R. Scott
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Background: Bacterial vaginosis (BV) is highly prevalent among
African women and has been associated with adverse pregnancy outcomes,
sexually transmitted diseases, and HIV-1.
Goal: The goal of this study was to analyze the relationship among
intravaginal practices, bathing, and BV.
Study Design: The authors conducted a cross-sectional study of
HIV-1-seronegative Kenyan female sex workers without symptoms of
vaginal infections.
Results: Of 237 women enrolled, 206 (87%) reported vaginal washing
using either a finger or cloth. Increasing frequency of vaginal
washing was associated with a higher likelihood of BV (2 test for
trend, P 0.05). In multivariate analysis, vaginal lubrication with
petroleum jelly (odds ratio [OR] 2.8, 95% confidence interval [CI]
1.4–5.6), lubrication with saliva (OR 2.3, 95% CI 1.1–4.8), and
bathing less than the median for the cohort (14 times/week; OR 4.6,
95% CI 1.2–17.5) were associated with a significantly higher likelihood
of BV.
Conclusions: Modification of intravaginal and general hygiene
practices should be evaluated as potential strategies for reducing the risk of BV
URI
http://www.ncbi.nlm.nih.gov/pubmed/17065846http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/10329
Citation
Sexually Transmitted Diseases, June 2007, Vol. 34, No. 6, p.384–388Collections
- Faculty of Health Sciences (FHS) [10377]