Risk Factors for Bacterial Vaginosis Incidence in Young Adult Thai Women

Objective: To determine risk factors for incident bacterial vaginosis (BV) in young Thai women. Study Design: Prospective data from a cohort of 1522 women aged 18 to 35 years, who were enrolled in a study of hormonal contraception and HIV acquisition, were used to evaluate potential risk factors for...

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Veröffentlicht in:Sexually transmitted diseases 2008-07, Vol.35 (7), p.643-648
Hauptverfasser: RUGPAO, SUNGWAL, SRIPLIENCHAN, SOMCHAI, RUNGRUENGTHANAKIT, KITTIPONG, LAMLERTKITTIKUL, SURACHAI, PINJAREON, SUTHAM, WERAWATAKUL, YUTHAPONG, RUENGKRIS, TOSAPORN, SINCHAI, WANIDA, LIMTRAKUL, ARAM, KOONLERTKIT, SOMPONG, MORRISON, CHARLES S., CELENTANO, DAVID D.
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container_end_page 648
container_issue 7
container_start_page 643
container_title Sexually transmitted diseases
container_volume 35
creator RUGPAO, SUNGWAL
SRIPLIENCHAN, SOMCHAI
RUNGRUENGTHANAKIT, KITTIPONG
LAMLERTKITTIKUL, SURACHAI
PINJAREON, SUTHAM
WERAWATAKUL, YUTHAPONG
RUENGKRIS, TOSAPORN
SINCHAI, WANIDA
LIMTRAKUL, ARAM
KOONLERTKIT, SOMPONG
MORRISON, CHARLES S.
CELENTANO, DAVID D.
description Objective: To determine risk factors for incident bacterial vaginosis (BV) in young Thai women. Study Design: Prospective data from a cohort of 1522 women aged 18 to 35 years, who were enrolled in a study of hormonal contraception and HIV acquisition, were used to evaluate potential risk factors for BV, as diagnosed by Amsel criteria. Results: The median prevalence of BV from 3 to 24 months of follow-up visits was 2.5%. The BV incidence was 10.0 per 100-woman years. Statistically significant factors in multivariable analysis were sex during menstruation [hazard ratio (HR), 1.80; 95% CI, 1.11-2.92], male partners having sex with other women (HR, 2.3; 95% CI, 1.452.98), cigarette smoking (HR, 1.79; 95% CI, 1.08-2.98), and trichomoniasis (HR, 15.68; 95% CI, 4.95-49.68). Intravaginal practices were not associated with incident BV in unadjusted or adjusted analysis. Conclusions: This study supports the association between sexual behaviors and the incident BV. Failure to detect an association between intravaginal practices and incident BV warrants further studies in high-risk populations or in women with a higher prevalence of intravaginal practices.
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Study Design: Prospective data from a cohort of 1522 women aged 18 to 35 years, who were enrolled in a study of hormonal contraception and HIV acquisition, were used to evaluate potential risk factors for BV, as diagnosed by Amsel criteria. Results: The median prevalence of BV from 3 to 24 months of follow-up visits was 2.5%. The BV incidence was 10.0 per 100-woman years. Statistically significant factors in multivariable analysis were sex during menstruation [hazard ratio (HR), 1.80; 95% CI, 1.11-2.92], male partners having sex with other women (HR, 2.3; 95% CI, 1.452.98), cigarette smoking (HR, 1.79; 95% CI, 1.08-2.98), and trichomoniasis (HR, 15.68; 95% CI, 4.95-49.68). Intravaginal practices were not associated with incident BV in unadjusted or adjusted analysis. Conclusions: This study supports the association between sexual behaviors and the incident BV. Failure to detect an association between intravaginal practices and incident BV warrants further studies in high-risk populations or in women with a higher prevalence of intravaginal practices.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/OLQ.0b013e31816f70f2</identifier><identifier>PMID: 18580455</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>Adolescent ; Adult ; Bacteria ; Bacterial diseases ; Bacterial diseases of the genital system ; Biological and medical sciences ; Cohort Studies ; Epidemiology. Vaccinations ; Female ; General aspects ; HIV ; Human bacterial diseases ; Human immunodeficiency virus ; Human infectious diseases. Experimental studies and models ; Humans ; Incidence ; Infectious diseases ; Medical sciences ; Multivariate analysis ; Prevalence ; Prospective Studies ; Risk Factors ; Sexual Behavior ; Socioeconomic Factors ; Studies ; Thailand - epidemiology ; Vaginosis, Bacterial - epidemiology ; Vaginosis, Bacterial - etiology ; Vaginosis, Bacterial - prevention &amp; control ; Womens health</subject><ispartof>Sexually transmitted diseases, 2008-07, Vol.35 (7), p.643-648</ispartof><rights>Copyright © 2008 American Sexually Transmitted Diseases Association</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Lippincott Williams &amp; Wilkins Jul 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-5d320b72c1a9c9a0dbfed7f8822791eae424d4f32edd39d40b4a41bdeae929e03</citedby><cites>FETCH-LOGICAL-c462t-5d320b72c1a9c9a0dbfed7f8822791eae424d4f32edd39d40b4a41bdeae929e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44971029$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44971029$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,30976,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20463131$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18580455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RUGPAO, SUNGWAL</creatorcontrib><creatorcontrib>SRIPLIENCHAN, SOMCHAI</creatorcontrib><creatorcontrib>RUNGRUENGTHANAKIT, KITTIPONG</creatorcontrib><creatorcontrib>LAMLERTKITTIKUL, SURACHAI</creatorcontrib><creatorcontrib>PINJAREON, SUTHAM</creatorcontrib><creatorcontrib>WERAWATAKUL, YUTHAPONG</creatorcontrib><creatorcontrib>RUENGKRIS, TOSAPORN</creatorcontrib><creatorcontrib>SINCHAI, WANIDA</creatorcontrib><creatorcontrib>LIMTRAKUL, ARAM</creatorcontrib><creatorcontrib>KOONLERTKIT, SOMPONG</creatorcontrib><creatorcontrib>MORRISON, CHARLES S.</creatorcontrib><creatorcontrib>CELENTANO, DAVID D.</creatorcontrib><title>Risk Factors for Bacterial Vaginosis Incidence in Young Adult Thai Women</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>Objective: To determine risk factors for incident bacterial vaginosis (BV) in young Thai women. Study Design: Prospective data from a cohort of 1522 women aged 18 to 35 years, who were enrolled in a study of hormonal contraception and HIV acquisition, were used to evaluate potential risk factors for BV, as diagnosed by Amsel criteria. Results: The median prevalence of BV from 3 to 24 months of follow-up visits was 2.5%. The BV incidence was 10.0 per 100-woman years. Statistically significant factors in multivariable analysis were sex during menstruation [hazard ratio (HR), 1.80; 95% CI, 1.11-2.92], male partners having sex with other women (HR, 2.3; 95% CI, 1.452.98), cigarette smoking (HR, 1.79; 95% CI, 1.08-2.98), and trichomoniasis (HR, 15.68; 95% CI, 4.95-49.68). Intravaginal practices were not associated with incident BV in unadjusted or adjusted analysis. Conclusions: This study supports the association between sexual behaviors and the incident BV. 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Experimental studies and models</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Multivariate analysis</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Sexual Behavior</subject><subject>Socioeconomic Factors</subject><subject>Studies</subject><subject>Thailand - epidemiology</subject><subject>Vaginosis, Bacterial - epidemiology</subject><subject>Vaginosis, Bacterial - etiology</subject><subject>Vaginosis, Bacterial - prevention &amp; control</subject><subject>Womens health</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kV1rFDEUhoModl39BypBUK-mnpOPyeSyFvsBC0WpildDJh816-ykTXYu_Pdm2aWFXkguTsJ5zgs5DyGvEY4RtPp0tfp6DAMg9xw7bIOCwJ6QBUquGiEZPiULQNE1UqE6Ii9KWcPuDficHGEnOxBSLsjFt1j-0DNjtykXGlKmn-vd52hG-sPcxCmVWOjlZKPzk_U0TvRXmqcbeuLmcUuvf5tIf6aNn16SZ8GMxb861CX5fvbl-vSiWV2dX56erBorWrZtpOMMBsUsGm21ATcE71ToOsaURm-8YMKJwJl3jmsnYBBG4OBqRzPtgS_Jx33ubU53sy_bfhOL9eNoJp_m0ispkbdCdZX88F-y1UzqTuwi3z0C12nOU_1FzxgTsgWQFRJ7yOZUSvahv81xY_LfHqHfCemrkP6xkDr29pA9DxvvHoYOBirw_gCYYs0Ysqm7LvccA9FyrGdJ3uy5damq7vtCaIXANP8HuKGcog</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>RUGPAO, SUNGWAL</creator><creator>SRIPLIENCHAN, SOMCHAI</creator><creator>RUNGRUENGTHANAKIT, KITTIPONG</creator><creator>LAMLERTKITTIKUL, SURACHAI</creator><creator>PINJAREON, SUTHAM</creator><creator>WERAWATAKUL, YUTHAPONG</creator><creator>RUENGKRIS, TOSAPORN</creator><creator>SINCHAI, WANIDA</creator><creator>LIMTRAKUL, ARAM</creator><creator>KOONLERTKIT, SOMPONG</creator><creator>MORRISON, CHARLES S.</creator><creator>CELENTANO, DAVID D.</creator><general>Lippincott Williams &amp; Wilkins</general><general>Lippincott</general><general>Lippincott Williams &amp; Wilkins Ovid Technologies</general><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>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7T7</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20080701</creationdate><title>Risk Factors for Bacterial Vaginosis Incidence in Young Adult Thai Women</title><author>RUGPAO, SUNGWAL ; SRIPLIENCHAN, SOMCHAI ; RUNGRUENGTHANAKIT, KITTIPONG ; LAMLERTKITTIKUL, SURACHAI ; PINJAREON, SUTHAM ; WERAWATAKUL, YUTHAPONG ; RUENGKRIS, TOSAPORN ; SINCHAI, WANIDA ; LIMTRAKUL, ARAM ; KOONLERTKIT, SOMPONG ; MORRISON, CHARLES S. ; CELENTANO, DAVID D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-5d320b72c1a9c9a0dbfed7f8822791eae424d4f32edd39d40b4a41bdeae929e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bacteria</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the genital system</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>HIV</topic><topic>Human bacterial diseases</topic><topic>Human immunodeficiency virus</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Multivariate analysis</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sexual Behavior</topic><topic>Socioeconomic Factors</topic><topic>Studies</topic><topic>Thailand - epidemiology</topic><topic>Vaginosis, Bacterial - epidemiology</topic><topic>Vaginosis, Bacterial - etiology</topic><topic>Vaginosis, Bacterial - prevention &amp; control</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RUGPAO, SUNGWAL</creatorcontrib><creatorcontrib>SRIPLIENCHAN, SOMCHAI</creatorcontrib><creatorcontrib>RUNGRUENGTHANAKIT, KITTIPONG</creatorcontrib><creatorcontrib>LAMLERTKITTIKUL, SURACHAI</creatorcontrib><creatorcontrib>PINJAREON, SUTHAM</creatorcontrib><creatorcontrib>WERAWATAKUL, YUTHAPONG</creatorcontrib><creatorcontrib>RUENGKRIS, TOSAPORN</creatorcontrib><creatorcontrib>SINCHAI, WANIDA</creatorcontrib><creatorcontrib>LIMTRAKUL, ARAM</creatorcontrib><creatorcontrib>KOONLERTKIT, SOMPONG</creatorcontrib><creatorcontrib>MORRISON, CHARLES S.</creatorcontrib><creatorcontrib>CELENTANO, DAVID D.</creatorcontrib><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>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Sexually transmitted diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RUGPAO, SUNGWAL</au><au>SRIPLIENCHAN, SOMCHAI</au><au>RUNGRUENGTHANAKIT, KITTIPONG</au><au>LAMLERTKITTIKUL, SURACHAI</au><au>PINJAREON, SUTHAM</au><au>WERAWATAKUL, YUTHAPONG</au><au>RUENGKRIS, TOSAPORN</au><au>SINCHAI, WANIDA</au><au>LIMTRAKUL, ARAM</au><au>KOONLERTKIT, SOMPONG</au><au>MORRISON, CHARLES S.</au><au>CELENTANO, DAVID D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Bacterial Vaginosis Incidence in Young Adult Thai Women</atitle><jtitle>Sexually transmitted diseases</jtitle><addtitle>Sex Transm Dis</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>35</volume><issue>7</issue><spage>643</spage><epage>648</epage><pages>643-648</pages><issn>0148-5717</issn><eissn>1537-4521</eissn><coden>STRDDM</coden><abstract>Objective: To determine risk factors for incident bacterial vaginosis (BV) in young Thai women. Study Design: Prospective data from a cohort of 1522 women aged 18 to 35 years, who were enrolled in a study of hormonal contraception and HIV acquisition, were used to evaluate potential risk factors for BV, as diagnosed by Amsel criteria. Results: The median prevalence of BV from 3 to 24 months of follow-up visits was 2.5%. The BV incidence was 10.0 per 100-woman years. Statistically significant factors in multivariable analysis were sex during menstruation [hazard ratio (HR), 1.80; 95% CI, 1.11-2.92], male partners having sex with other women (HR, 2.3; 95% CI, 1.452.98), cigarette smoking (HR, 1.79; 95% CI, 1.08-2.98), and trichomoniasis (HR, 15.68; 95% CI, 4.95-49.68). Intravaginal practices were not associated with incident BV in unadjusted or adjusted analysis. Conclusions: This study supports the association between sexual behaviors and the incident BV. Failure to detect an association between intravaginal practices and incident BV warrants further studies in high-risk populations or in women with a higher prevalence of intravaginal practices.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>18580455</pmid><doi>10.1097/OLQ.0b013e31816f70f2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; MEDLINE
subjects Adolescent
Adult
Bacteria
Bacterial diseases
Bacterial diseases of the genital system
Biological and medical sciences
Cohort Studies
Epidemiology. Vaccinations
Female
General aspects
HIV
Human bacterial diseases
Human immunodeficiency virus
Human infectious diseases. Experimental studies and models
Humans
Incidence
Infectious diseases
Medical sciences
Multivariate analysis
Prevalence
Prospective Studies
Risk Factors
Sexual Behavior
Socioeconomic Factors
Studies
Thailand - epidemiology
Vaginosis, Bacterial - epidemiology
Vaginosis, Bacterial - etiology
Vaginosis, Bacterial - prevention & control
Womens health
title Risk Factors for Bacterial Vaginosis Incidence in Young Adult Thai Women
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