| Titre : | Factors linked to bacterial vaginosis in nonpregnant women. (2001) |
| Auteurs : | Claudia HOLZMAN ; HONG QIU . (.) ; Nicole-M JONES ; Judith-M LEVENTHAL ; Jenny WANG ; Bv Study Group. INC ; Department of Epidemiology. College of Human Medicine. Michigan State University. East Lansing. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 91, n° 10, 2001) |
| Pagination : | 1664-1670 |
| Langues: | Anglais |
| Mots-clés : | Homme ; Femme ; Bactériose ; Infection ; Hygiène ; Condition vie ; Epidémiologie ; Facteur risque ; Facteur sociodémographique ; Etats Unis ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xiBtKH. Diffusion soumise à autorisation]. Objectives. The purposes of this study were to test the hypothesis that vaginal douching is linked to bacterial vaginosis in both symptomatic and asymptomatic women and to identify other demographic, reproductive, and lifestyle factors associated with bacterial vaginosis. Methods. In this cross-sectional study involving 3 clinic sites, 496 nonpregnant women completed a self-administered questionnaire. Their vaginal smears were assessed and cross-validated for bacterial vaginosis. Results. The prevalence of bacterial vaginosis across clinics ranged from 15% to 30%. In analyses restricted to site 1, adjusted odds ratios (ORs) for bacterial vaginosis remained significant for African American women with 13 or fewer years of education (OR=5.5,95% confidence interval [CI]=2.1,14.5), hormone use within the past 6 months (OR=0.5,95% Cl=0.2,0.8), and vaginal douching within the past 2 months (OR=2.9,95% CI=1.5,5.6). Conclusions. Two lifestyle factors emerge as strongly associated with bacterial vaginosis : systemic contraceptives appear protective, whereas douching is linked to an increase in prevalence. The temporal relationship between douching and bacterial vaginosis needs further clarification. |
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