Does douching increase risk for sexually transmitted infections? A prospective study in high-risk adolescents

American Journal of Obstetrics and Gynecology

Volumn 200, Issue 1, 2009, Pages 38.e1-38.e8

  Tsai, Cynthia S ^a,b   Shepherd, Bryan E ^a   Vermund, Sten H ^a  

^a VANDERBILT UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b YALE UNIVERSITY   (United States)

Author keywords

douching; female adolescents; HIV infection; sexually transmitted infections

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CHILD; COMPARATIVE STUDY; CONTROLLED STUDY; DISEASE ASSOCIATION; FEMALE; GROUPS BY AGE; HAZARD RATIO; HIGH RISK POPULATION; HUMAN; HUMAN EXPERIMENT; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INCIDENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; SCHOOL CHILD; SEXUALLY TRANSMITTED DISEASE; VAGINAL LAVAGE;

EID: 58049150714     PISSN: 00029378     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajog.2008.06.026     Document Type: Article

References (47)

1. Funkhouser E., Pulley L., Lueschen G., et al. Douching beliefs and practices among black and white women. J Womens Health Gend Based Med 11 (2002) 29-37
2. Martino J., Youngpairoj S., and Vermund S.H. Vaginal douching: personal practices and public policies. J Womens Health 13 (2004) 1048-1065
3. Martino J., and Vermund S.H. Vaginal douching: evidence for risks or benefits to women's health. Epidemiol Rev 24 (2002) 109-124
4. Ness R., Hillier S., Richter H., et al. Why women douche and why they may or may not stop. Sex Transm Dis 30 (2003) 71-74
5. Cottrell B. Vaginal douching practices of women in eight Florida Panhandle counties. J Obstet Gynecol Neonatal Nurs 35 (2006) 24-33
6. Ness R., Soper D., Holley R., et al. Douching and endometritis: results from the PID evaluation and clinical health (PEACH) study. Sex Transm Dis 28 (2001) 240-245
7. Wolner-Hanssen P., Eschenbach D., Paavonen J., et al. Association between vaginal douching and acute pelvic inflammatory disease. JAMA 263; (1990) 1936-1941
8. Aral S., and Wasserheit J. Social and behavioral correlates of pelvic inflammatory disease. Sex Transm Dis 25 (1998) 378-385
9. Baird D., Weinberg C., Voigt L., et al. Vaginal douching and reduced fertility. Am J Public Health 86 (1996) 844-850
10. Kendrick J., Atrash H., Strauss L., et al. Vaginal douching as a risk factor of ectopic pregnancy among black women. Am J Obstet Gynecol 176 (1997) 991-997
11. Fiscella K., Franks P., Kendrick J., et al. The risk of low birth weight associated with vaginal douching. Obstet Gynecol 92 (1998) 913-917
12. Bruce F., Fiscella K., and Kendrick J. Vaginal douching and preterm birth: an intriguing hypothesis. Med Hypotheses 54 (2000) 448-452
13. Fiscella K., Franks P., Kendrick J., et al. Risk of preterm birth that is associated with vaginal douching. Am J Obstet Gynecol 186 (2002) 1345-1350
14. Gardner J., Schuman K., Slattery M., et al. Is vaginal douching related to cervical carcinoma?. Am J Epidemiol 133 (1991) 368-375
15. Annang L., Grimley D., and Hook E. Vaginal douche practices among black women at risk: exploring douching prevalence, reasons for douching, and sexually transmitted disease infection. Sex Transm Dis 33 (2006) 215-219
16. Fonck K., Kaul R., Keli F., et al. Sexually transmitted infections and vaginal douching in a population of female sex workers in Nairobi, Kenya. Sex Transm Infect 77 (2001) 271-275
17. Holzman C., Leventhal J.M., Jones N.M., Wang J., and B.V. Study Group. Factors linked to bacterial vaginosis in nonpregnant women. Am J Public Health 91 (2001) 1664-1670
18. Scholes D., Stergachis A., Ichikawa L., et al. Vaginal douching as a risk factor for cervical Chlamydia trachomatis infection. Obstet Gynecol 91 (1998) 993-997
19. Blythe M., Fortenberry J., and Orr D. Douching behaviors reported by adolescent and young adult women at high risk for sexually transmitted infections. J Pediatr Adolesc Gynecol 16 (2003) 95-100
20. Joesoef M., Sumampouw H., Linnan M., Schmid S., Idajadi A., and St Louis M. Douching and sexually transmitted diseases in pregnant women in Surabaya, Indonesia. Am J Obstet Gynecol 174 (1996) 115-119
21. Myer L., Denny L., De Souza M., Barone M., Wright T., and Kuhn L. Intravaginal practices, HIV and other sexually transmitted diseases among South African women. Sex Transm Dis 31 (2004) 174-179
22. Chacko M., Kozinetz C., Regard M., and Smith P. The relationship between vaginal douching and lower genital tract infection in young women. Adolesc Pediatr Gynecol 5 (1992) 171-176
23. Beck-Sague C., Farshy C., Jackson T., et al. Detection of Chlamydia trachomatis cervical infection by urine tests among adolescents. J Adolesc Health 22; (1998) 197-204
24. Stergachis A., Scholes D., Heidrich F.E., Sherer D.M., Holmes K.K., and Stamm W.E. Selective screening for Chlamydia trachomatis infection in a primary care population of women. Am J Epidemiol 138 (1993) 143-153
25. La Ruche G., Messou N., and Ali-Napo L. Vaginal douching: association with lower genital tract infections in African pregnant women. Sex Transm Dis 26 (1999) 191-196
26. Peters S.E., Beck-Sague C.M., Farshy C.E., et al. Behaviors associated with Neisseria gonorrhoeae and Chlamydia trachomatis: Cervical infection among young women attending adolescent clinics. Clin Pediatr (Phila) 39 (2000) 173-177
27. Ness B., Hillier S., Kip K., et al. Douching, pelvic inflammatory disease, and incident gonococcal and chlamydial genital infection in a cohort of high-risk women. Am J Epidemiol 161 (2005) 186-195
28. Hawes S.E., Hillier S.L., Benedetti J., et al. Hydrogen peroxide-producing lactobacilli and acquisition of vaginal infections. J Infect Dis 174 (1996) 1058-1063
29. Onderdonk A., Delaney M., Hinkson P., and DuBois A. Quantitative and qualitative effects of douche preparations on vaginal microflora. Obstet Gynecol 80 (1992) 333-338
30. Ness R., Hillier S., Richter H., et al. Douching in relation to bacterial vaginosis, lactobacilli, and facultative bacteria in the vagina. Obstet Gynecol 100 (2002) 765-772
31. Hillier S.L., Krohn M.A., Nugent R.P., and Gibbs R.S. Characteristics of three vaginal flora patterns assessed by gram stain among pregnant women. Vaginal Infections and Prematurity Study Group. Am J Obstet Gynecol 166 (1992) 938-944
32. Hillier S.L., Krohn M.A., Klebanoff S.J., and Eschenbach D.A. The relationship of hydrogen peroxide-producing lactobacilli to bacterial vaginosis and genital microflora in pregnant women. Obstet Gynecol 79 (1992) 369-373
33. Sewankambo N., Gray R., Wawer M., et al. HIV-1 infection associated with abnormal vaginal flora morphology and bacterial vaginosis. Lancet 350 (1997) 546-550
34. Monif G. The great douching debate: to douche, or not to douche. Obstet Gynecol 94 (1999) 630-631
35. Myer L., Denny L., de Souza M., et al. Distinguishing the temporal association between women's intravaginal practices and risk of human immunodeficiency virus infection: a prospective study of South African women. Am J Epidemiol 163 (2006) 552-560
36. McClelland R., Lavreys L., Hassan W., et al. Vaginal washing and increased risk of HIV-1 acquisition among African women: a 10-year prospective study. AIDS 20 (2006) 269-273
37. Wilson C., Houser J., Partlow C., et al. The REACH (Reaching for Excellence in Adolescent Care and Health) Project: study design, methods, and population profile. J Adolesc Health 29 (2001) 8-18
38. Rogers A., Futterman D., Moscicki A., Wilson C., Ellenberg J., and Vermund S. The REACH Project of the Adolescent Medicine HIV/AIDS Research Network: design, methods and selected characteristics of participants. J Adolesc Health 22 (1998) 300-311
39. Vermund S., Sarr M., Murphy D.A., et al. : Douching practices among HIV-infected and uninfected adolescents in the United States. J Adolesc Health 295 (2001) 80-86
40. Vermund S.H., Wilson C.M., Rogers A.S., Partlow C., and Moscicki A.B. Sexually transmitted infections among HIV infected and HIV uninfected high-risk youth in the REACH study: reaching for Excellence in Adolescent Care and Health. J Adolesc Health 29 3 Suppl (2001) 49-56
41. Peralta L., Durako S.J., and Yong M. Correlation between urine and cervical specimens for the detection of cervical Chlamydia trachomatis and Neisseria gonorrhoeae using ligase chain reaction in a cohort of HIV infected and uninfected adolescents. J Adolesc Health 29 Suppl (2001) 87-92
42. Zeger S.L., and Liang K.Y. Longitudinal data analysis for discrete and continuous outcomes. Biometrics 42 (1986) 121-130
43. Nugent B., Krohn M., and Hillier S. Reliability of diagnosing bacterial vaginosis by a standardized method of Gram stain interpretation. J Clin Microbiol 29 (1991) 297-301
44. Murphy D.A., Durako S.J., and Moscicki Abet a. No change in health risk behaviors over time among HIV-infected adolescents in care: role of psychological distress. J Adolesc Health 29 Suppl 3 (2001) 57-63
45. McClelland R., Lavreys L., Katingima C., et al. Contribution of HIV-1 infection to acquisition of sexually transmitted disease: a 10-year prospective study. J Infect Dis 191 (2005) 333-338
46. Grimley D., Oh K., Desmond R., Hook E., and Vermund S. An intervention to reduce vaginal douching among adolescent and young adult women: a randomized, controlled trial. Sex Transm Dis 32 (2005) 752-758
47. Crosby R., Yarber W., and Meyerson B. Prevention strategies other than male condoms employed by low-income women to prevent HIV infection. Public Health Nurs 17 (2000) 53-60