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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Effect of consistent condom use on 6-month prevalence of bacterial vaginosis varies by baseline BV status
Tropical Medicine and International Health, Volume 14, No. 4, Year 2009
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Description
Objectives: Bacterial vaginosis (BV) is a condition characterized by a disturbed vaginal ecosystem which fluctuates in response to extrinsic and intrinsic factors. BV recurrence is common. To explore whether consistent condom use was associated with BV occurrence or recurrence, we compared the effect of condom use on BV prevalence after 6 months, among women with and without BV at baseline. Methods: We used data from a randomized controlled trial, conducted among female sex workers in Madagascar during 2000-2001, that assessed the impact of adding clinic-based counselling to peer education on sexual risk behaviour and sexually transmitted infection incidence. BV was diagnosed at two time points (baseline and 6 months) according to modified Amsel criteria. Consistent condom users were women reporting no unprotected sex acts with clients in the past month or non-paying partners in the past year. Adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) were calculated using multivariable regression models. Results: At baseline, 563 (56%) women had BV. Of those, 360 (72%) had BV at 6 months, compared to 158 (39%) without BV at baseline. The adjusted 6-month PR for BV comparing consistent to inconsistent condom users was 0.99 (95% CI: 0.85-1.13) among women with BV at baseline and 0.57 (95% CI: 0.30-0.94) among women without BV at baseline. Conclusions: Consistent condom use was associated with reduced BV prevalence at 6 months for women who were BV-negative at baseline, but had no effect among women who were BV-positive at baseline. Male condoms appeared to protect against BV occurrence, but not BV recurrence. © 2009 Blackwell Publishing Ltd.
Authors & Co-Authors
Yotebieng, Marcel
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Turner, Abigail Norris
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Hoke, Theresa Hatzell
United States, Durham
Fhi 360
van Damme, Kathleen
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Rasolofomanana, Justin Ranjalahy
Madagascar, Antananarivo
Institut National de Santé Publique et Communautaire
Behets, Frieda M.T.F.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Statistics
Citations: 28
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1111/j.1365-3156.2009.02235.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Madagascar
Participants Gender
Male
Female