Associations Between Intravaginal Practices and Bacterial Vaginosis in Kenyan Female Sex Workers Without Symptoms of Vaginal Infections

Citation:
"Associations Between Intravaginal Practices and Bacterial Vaginosis in Kenyan Female Sex Workers Without Symptoms of Vaginal Infections.". 2007.

Abstract:

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

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