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A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis.

Authors :
Salazar AS
Nogueira NF
Rodriguez VJ
Mantero A
Cherenack EM
Raccamarich P
Maddalon M
Brophy T
Montgomerie E
Klatt NR
Jones DL
Alcaide ML
Source :
AIDS and behavior [AIDS Behav] 2022 Sep; Vol. 26 (9), pp. 3110-3118. Date of Electronic Publication: 2022 Apr 01.
Publication Year :
2022

Abstract

Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18-45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women's risk of acquiring HIV.<br /> (© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Details

Language :
English
ISSN :
1573-3254
Volume :
26
Issue :
9
Database :
MEDLINE
Journal :
AIDS and behavior
Publication Type :
Academic Journal
Accession number :
35362906
Full Text :
https://doi.org/10.1007/s10461-022-03634-4