1. Vaginal Douching, Condom Use, and Sexually Transmitted Infections Among Chinese Female Sex Workers
- Author
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Hongmei Yang, Bonita Stanton, Baiqing Dong, Xiaoyi Fang, Shaoling Liang, Bo Wang, Wei Liu, Yuejiao Zhou, Ran Zhao, and Xiaoming Li
- Subjects
Microbiology (medical) ,Sexually transmitted disease ,Adult ,Male ,medicine.medical_specialty ,China ,Vaginal Douching ,Cross-sectional study ,Population ,Sexually Transmitted Diseases ,HIV Infections ,Dermatology ,Article ,law.invention ,Condoms ,Condom ,law ,Risk Factors ,medicine ,Prevalence ,Humans ,Risk factor ,education ,Sex work ,Gynecology ,education.field_of_study ,Obstetrics ,business.industry ,Public Health, Environmental and Occupational Health ,virus diseases ,Sex Work ,Infectious Diseases ,Cross-Sectional Studies ,Sexual Partners ,Family planning ,Female ,business - Abstract
Vaginal douching has been hypothesized to increase a woman's risk for human immunodeficiency virus (HIV) infection. However, data on the prevalence of this practice and its association with condom use and sexually transmitted infections (STIs) are limited.A cross-sectional survey among 454 female sex workers (FSWs) in a Chinese county.Vaginal douching was reported by 64.7% of the women. The prevalence of self-reported history of STI and that of current STI was 19.4% and 41.5%, respectively. Fifteen percent of the women reported consistent use of condoms with their clients and 8.4% with their regular partners. Vaginal douching was significantly associated with decreased use of condoms (with clients: OR = 0.31; with regular partner(s): OR = 0.22) and increased rate of self-reported STI history (OR = 1.95). However, there was no direct relation between douching and current STI. Over one third of the women believed that douching can prevent STI/HIV.Vaginal douching exposes FSWs to a high risk of STI/HIV. Medical professional and public health workers should correct women's misconception about the effectiveness of douching and discourage women from douching through educational activities.
- Published
- 2005