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Sex Transm Dis. 2007 Jun;34(6):384-8.

Associations between intravaginal practices and bacterial vaginosis in Kenyan female sex workers without symptoms of vaginal infections.

Author information

1
Department of Epidemiology, University of Washington, Seattle, Washington, USA. wisal@u.washington.edu

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 (chi(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.

[Indexed for MEDLINE]

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