Correlation of Behaviors with Microbiological Changes in Vaginal Flora
Bacterial vaginosis (BV) is characterized by dramatic changes in the vaginal ecosystem. Women without evidence of vaginal infection may exhibit transient changes in their flora. We prospectively followed up women by using diaries and self-obtained vaginal smears to correlate behaviors with changes i...
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| Veröffentlicht in: | The Journal of infectious diseases 1999-11, Vol.180 (5), p.1632-1636 |
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| container_title | The Journal of infectious diseases |
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| creator | Schwebke, Jane R. Richey, Charity M. Weiss, Heidi L. |
| description | Bacterial vaginosis (BV) is characterized by dramatic changes in the vaginal ecosystem. Women without evidence of vaginal infection may exhibit transient changes in their flora. We prospectively followed up women by using diaries and self-obtained vaginal smears to correlate behaviors with changes in flora. The majority of women (38/51, 78%) had significant, although transient, changes. Behaviors associated with unstable flora were a history of BV, a greater number of partners, and more frequent episodes of receptive oral sex. Only the latter remained significantly associated in the multivariate analysis. Variables that were associated with day-to-day variability in the flora included use of vaginal medication, menses, greater number of partners, spermicide use, more frequent vaginal intercourse, and less frequent use of condoms. Only a minority of women (11/51, 22%) maintained a “normal” lactobacillus-predominant flora. Factors associated with instability of the flora are similar to those epidemiologically associated with BV. |
| doi_str_mv | 10.1086/315065 |
| format | Article |
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Women without evidence of vaginal infection may exhibit transient changes in their flora. We prospectively followed up women by using diaries and self-obtained vaginal smears to correlate behaviors with changes in flora. The majority of women (38/51, 78%) had significant, although transient, changes. Behaviors associated with unstable flora were a history of BV, a greater number of partners, and more frequent episodes of receptive oral sex. Only the latter remained significantly associated in the multivariate analysis. Variables that were associated with day-to-day variability in the flora included use of vaginal medication, menses, greater number of partners, spermicide use, more frequent vaginal intercourse, and less frequent use of condoms. Only a minority of women (11/51, 22%) maintained a “normal” lactobacillus-predominant flora. Factors associated with instability of the flora are similar to those epidemiologically associated with BV.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/315065</identifier><identifier>PMID: 10515826</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adult ; Bacterial diseases ; Bacterial diseases of the genital system ; Bacterial vaginosis ; Biological and medical sciences ; Condoms ; Contraceptive Devices, Female ; Correlations ; Demography ; Diaries ; Female ; Flora ; Human bacterial diseases ; Humans ; Infectious diseases ; Major Articles ; Medical sciences ; Menstrual Hygiene Products ; Middle Aged ; Oral sex ; Sexual Behavior ; Sexual intercourse ; Sexually transmitted diseases ; Sexually Transmitted Diseases - epidemiology ; Therapeutic Irrigation ; Vagina - microbiology ; Vaginal smears ; Vaginosis, Bacterial - microbiology</subject><ispartof>The Journal of infectious diseases, 1999-11, Vol.180 (5), p.1632-1636</ispartof><rights>Copyright 1999 Infectious Diseases Society of America</rights><rights>1999 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Nov 1999</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c454t-9d3b9278558f297fc1d3fd825190e8f02ad1cfc047a47fc8870c1f7598a8672a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30110462$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30110462$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1987760$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10515826$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwebke, Jane R.</creatorcontrib><creatorcontrib>Richey, Charity M.</creatorcontrib><creatorcontrib>Weiss, Heidi L.</creatorcontrib><title>Correlation of Behaviors with Microbiological Changes in Vaginal Flora</title><title>The Journal of infectious diseases</title><addtitle>The Journal of Infectious Diseases</addtitle><description>Bacterial vaginosis (BV) is characterized by dramatic changes in the vaginal ecosystem. Women without evidence of vaginal infection may exhibit transient changes in their flora. We prospectively followed up women by using diaries and self-obtained vaginal smears to correlate behaviors with changes in flora. The majority of women (38/51, 78%) had significant, although transient, changes. Behaviors associated with unstable flora were a history of BV, a greater number of partners, and more frequent episodes of receptive oral sex. Only the latter remained significantly associated in the multivariate analysis. Variables that were associated with day-to-day variability in the flora included use of vaginal medication, menses, greater number of partners, spermicide use, more frequent vaginal intercourse, and less frequent use of condoms. Only a minority of women (11/51, 22%) maintained a “normal” lactobacillus-predominant flora. Factors associated with instability of the flora are similar to those epidemiologically associated with BV.</description><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Bacterial vaginosis</subject><subject>Biological and medical sciences</subject><subject>Condoms</subject><subject>Contraceptive Devices, Female</subject><subject>Correlations</subject><subject>Demography</subject><subject>Diaries</subject><subject>Female</subject><subject>Flora</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Major Articles</subject><subject>Medical sciences</subject><subject>Menstrual Hygiene Products</subject><subject>Middle Aged</subject><subject>Oral sex</subject><subject>Sexual Behavior</subject><subject>Sexual intercourse</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Therapeutic Irrigation</subject><subject>Vagina - microbiology</subject><subject>Vaginal smears</subject><subject>Vaginosis, Bacterial - microbiology</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtvEzEURi0EommBfwAaoYrdwL32-LUsgRBEEV0AQtlYzoydOEzGxZ7w-PcYTVQqNqws3XP0ST6EPEJ4jqDEC4YcBL9DZsiZrIVAdpfMACitUWl9Qk5z3gFAw4S8T04QOHJFxYws5jEl19sxxKGKvnrptvZ7iClXP8K4rd6HNsV1iH3chNb21Xxrh43LVRiqz3YThnJa9DHZB-Set312D4_vGfm0eP1xvqwvP7x5O7-4rNuGN2OtO7bWVCrOlada-hY75jtFOWpwygO1Hba-hUbaplClJLToJdfKKiGpZWfk2bR7neK3g8uj2Yfcur63g4uHbCQoJngj_yuiYgggWBGf_iPu4iGVj2VDKdPAG3VrrdTIOTlvrlPY2_TLIJg__c3Uv4hPjmuH9d51t7QpeBHOj4LNJahPdmhD_utpJaWAoj2etF0eY7rBDBChEbTweuIhj-7nDbfpqxGSSW6WX1ZmuXq1utJX7wyy39BPojg</recordid><startdate>19991101</startdate><enddate>19991101</enddate><creator>Schwebke, Jane R.</creator><creator>Richey, Charity M.</creator><creator>Weiss, Heidi L.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19991101</creationdate><title>Correlation of Behaviors with Microbiological Changes in Vaginal Flora</title><author>Schwebke, Jane R. ; Richey, Charity M. ; Weiss, Heidi L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c454t-9d3b9278558f297fc1d3fd825190e8f02ad1cfc047a47fc8870c1f7598a8672a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Bacterial vaginosis</topic><topic>Biological and medical sciences</topic><topic>Condoms</topic><topic>Contraceptive Devices, Female</topic><topic>Correlations</topic><topic>Demography</topic><topic>Diaries</topic><topic>Female</topic><topic>Flora</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Major Articles</topic><topic>Medical sciences</topic><topic>Menstrual Hygiene Products</topic><topic>Middle Aged</topic><topic>Oral sex</topic><topic>Sexual Behavior</topic><topic>Sexual intercourse</topic><topic>Sexually transmitted diseases</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>Therapeutic Irrigation</topic><topic>Vagina - microbiology</topic><topic>Vaginal smears</topic><topic>Vaginosis, Bacterial - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwebke, Jane R.</creatorcontrib><creatorcontrib>Richey, Charity M.</creatorcontrib><creatorcontrib>Weiss, Heidi L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwebke, Jane R.</au><au>Richey, Charity M.</au><au>Weiss, Heidi L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of Behaviors with Microbiological Changes in Vaginal Flora</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>The Journal of Infectious Diseases</addtitle><date>1999-11-01</date><risdate>1999</risdate><volume>180</volume><issue>5</issue><spage>1632</spage><epage>1636</epage><pages>1632-1636</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Bacterial vaginosis (BV) is characterized by dramatic changes in the vaginal ecosystem. Women without evidence of vaginal infection may exhibit transient changes in their flora. We prospectively followed up women by using diaries and self-obtained vaginal smears to correlate behaviors with changes in flora. The majority of women (38/51, 78%) had significant, although transient, changes. Behaviors associated with unstable flora were a history of BV, a greater number of partners, and more frequent episodes of receptive oral sex. Only the latter remained significantly associated in the multivariate analysis. Variables that were associated with day-to-day variability in the flora included use of vaginal medication, menses, greater number of partners, spermicide use, more frequent vaginal intercourse, and less frequent use of condoms. Only a minority of women (11/51, 22%) maintained a “normal” lactobacillus-predominant flora. Factors associated with instability of the flora are similar to those epidemiologically associated with BV.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>10515826</pmid><doi>10.1086/315065</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Bacterial diseases Bacterial diseases of the genital system Bacterial vaginosis Biological and medical sciences Condoms Contraceptive Devices, Female Correlations Demography Diaries Female Flora Human bacterial diseases Humans Infectious diseases Major Articles Medical sciences Menstrual Hygiene Products Middle Aged Oral sex Sexual Behavior Sexual intercourse Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Therapeutic Irrigation Vagina - microbiology Vaginal smears Vaginosis, Bacterial - microbiology |
| title | Correlation of Behaviors with Microbiological Changes in Vaginal Flora |
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