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 |
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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. |
doi_str_mv | 10.1097/OLQ.0b013e31816f70f2 |
format | Article |
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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 & 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 & 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 & 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&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. 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><subject>Adolescent</subject><subject>Adult</subject><subject>Bacteria</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the genital system</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>HIV</subject><subject>Human bacterial diseases</subject><subject>Human immunodeficiency virus</subject><subject>Human infectious diseases. 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 & 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 & Wilkins</general><general>Lippincott</general><general>Lippincott Williams & 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 & 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 & 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 & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & 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 & 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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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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