Prevalence and Correlates of Recent Vaginal Douching among African American Adolescent Females

R. J. DiClemente; A. M. Young; J. L. Painter; G. M. Wingood; E. Rose; J. M. Sales

doi:10.1016/j.jpag.2011.07.017

Prevalence and Correlates of Recent Vaginal Douching among African American Adolescent Females

R. J. DiClemente, A. M. Young, J. L. Painter, G. M. Wingood, E. Rose, J. M. Sales

Epidemiology & Environmental Health

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

Study Objective: To describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status. Design: Demographic, psychosocial, and behavioral data were collected through cross-sectional, self-administered surveys. Self-collected vaginal swabs were assayed using nucleic acid amplification tests for trichomoniasis, chlamydia, and gonorrhea. Setting: Sexual health clinic in a large metropolitan area of the southeastern United States. Participants: African American females (N = 701), ages 14-20, participating in a human immunodeficiency virus prevention intervention. Main Outcome Measure: The outcome of interest was the association between vaginal douching (lifetime, past 90 days, and past 7 days) with demographic characteristics (eg, age, education, and socioeconomic status), physical and mental health status, STI status, sexual behavior (eg, number of vaginal sexual partners, age of sex partners, consistent condom use in the past 90 days, sex while self/partner was high on drugs or alcohol), and psychosocial characteristics (eg, sexual adventurism, social support, peer norms, sexual satisfaction, self-efficacy for sex refusal, self-esteem, relationship power, risk avoidance). Results: Forty-three percent reported ever douching, and 29% reported douching in the past 90 days. In bivariate analyses, recent douching was associated with demographic, behavioral, and psychosocial variables, but not current STI status. In multivariate analyses, recent douching was associated with age (odds ratio [AOR] = 1.13, confidence interval [CI] = 1.02-1.25), lower socioeconomic status (AOR = 1.25, CI = 1.05-1.47), and having sex with much older partners (AOR = 1.87, CI = 1.22-2.86). Conclusion: Increased age, lower socioeconomic status, and older partners may be salient risk factors for douching behavior among African American young women.

Original language	English
Pages (from-to)	48-53
Number of pages	6
Journal	Journal of Pediatric and Adolescent Gynecology
Volume	25
Issue number	1
DOIs	https://doi.org/10.1016/j.jpag.2011.07.017
State	Published - Feb 2012

Bibliographical note

Funding Information:
This study was funded through a grant from the National Institute of Mental Health, NIH ( 5 R01 MH070537-08 ). Support was also received from Emory Center for AIDS Research (CFAR) ( P30-A150409 ), the National Institute of Allergy and Infectious Diseases (J. Painter) ( T32AI074492 ), and a K-award ( K01 MH085506 ) from the National Institute of Mental Health (J. Sales).

Funding

This study was funded through a grant from the National Institute of Mental Health, NIH ( 5 R01 MH070537-08 ). Support was also received from Emory Center for AIDS Research (CFAR) ( P30-A150409 ), the National Institute of Allergy and Infectious Diseases (J. Painter) ( T32AI074492 ), and a K-award ( K01 MH085506 ) from the National Institute of Mental Health (J. Sales).

Funders	Funder number
Center for AIDS Research, Emory University
National Institutes of Health (NIH)	5 R01 MH070537-08
National Institute of Mental Health	K01MH085506
National Institute of Allergy and Infectious F32-AI286447 Cydney N. Johnson Diseases National Institute of Allergy and Infectious R01AI168214 Jason W. Rosch Diseases National Institute of Allergy and Infectious P30 Cydney N. Johnson Diseases National Institute of Allergy and Infectious R00-AI166116 Christopher D. Radka Diseases National Institute of Allergy and Infectious T32-AI106700 Cydney N. Johnson Diseases National Institute of Allergy and Infectious R01AI192221 Jason W. Rosch Diseases National Inst...	T32AI074492
Center for AIDS Research, University of Washington	P30-A150409

Keywords

Adolescents
African American
Sexually transmitted infections
Vaginal douching

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynecology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jpag.2011.07.017

Cite this

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title = "Prevalence and Correlates of Recent Vaginal Douching among African American Adolescent Females",

abstract = "Study Objective: To describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status. Design: Demographic, psychosocial, and behavioral data were collected through cross-sectional, self-administered surveys. Self-collected vaginal swabs were assayed using nucleic acid amplification tests for trichomoniasis, chlamydia, and gonorrhea. Setting: Sexual health clinic in a large metropolitan area of the southeastern United States. Participants: African American females (N = 701), ages 14-20, participating in a human immunodeficiency virus prevention intervention. Main Outcome Measure: The outcome of interest was the association between vaginal douching (lifetime, past 90 days, and past 7 days) with demographic characteristics (eg, age, education, and socioeconomic status), physical and mental health status, STI status, sexual behavior (eg, number of vaginal sexual partners, age of sex partners, consistent condom use in the past 90 days, sex while self/partner was high on drugs or alcohol), and psychosocial characteristics (eg, sexual adventurism, social support, peer norms, sexual satisfaction, self-efficacy for sex refusal, self-esteem, relationship power, risk avoidance). Results: Forty-three percent reported ever douching, and 29\% reported douching in the past 90 days. In bivariate analyses, recent douching was associated with demographic, behavioral, and psychosocial variables, but not current STI status. In multivariate analyses, recent douching was associated with age (odds ratio [AOR] = 1.13, confidence interval [CI] = 1.02-1.25), lower socioeconomic status (AOR = 1.25, CI = 1.05-1.47), and having sex with much older partners (AOR = 1.87, CI = 1.22-2.86). Conclusion: Increased age, lower socioeconomic status, and older partners may be salient risk factors for douching behavior among African American young women.",

keywords = "Adolescents, African American, Sexually transmitted infections, Vaginal douching",

author = "DiClemente, \{R. J.\} and Young, \{A. M.\} and Painter, \{J. L.\} and Wingood, \{G. M.\} and E. Rose and Sales, \{J. M.\}",

note = "Funding Information: This study was funded through a grant from the National Institute of Mental Health, NIH ( 5 R01 MH070537-08 ). Support was also received from Emory Center for AIDS Research (CFAR) ( P30-A150409 ), the National Institute of Allergy and Infectious Diseases (J. Painter) ( T32AI074492 ), and a K-award ( K01 MH085506 ) from the National Institute of Mental Health (J. Sales). ",

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language = "English",

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AU - DiClemente, R. J.

AU - Young, A. M.

AU - Painter, J. L.

AU - Wingood, G. M.

AU - Rose, E.

AU - Sales, J. M.

N1 - Funding Information: This study was funded through a grant from the National Institute of Mental Health, NIH ( 5 R01 MH070537-08 ). Support was also received from Emory Center for AIDS Research (CFAR) ( P30-A150409 ), the National Institute of Allergy and Infectious Diseases (J. Painter) ( T32AI074492 ), and a K-award ( K01 MH085506 ) from the National Institute of Mental Health (J. Sales).

PY - 2012/2

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N2 - Study Objective: To describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status. Design: Demographic, psychosocial, and behavioral data were collected through cross-sectional, self-administered surveys. Self-collected vaginal swabs were assayed using nucleic acid amplification tests for trichomoniasis, chlamydia, and gonorrhea. Setting: Sexual health clinic in a large metropolitan area of the southeastern United States. Participants: African American females (N = 701), ages 14-20, participating in a human immunodeficiency virus prevention intervention. Main Outcome Measure: The outcome of interest was the association between vaginal douching (lifetime, past 90 days, and past 7 days) with demographic characteristics (eg, age, education, and socioeconomic status), physical and mental health status, STI status, sexual behavior (eg, number of vaginal sexual partners, age of sex partners, consistent condom use in the past 90 days, sex while self/partner was high on drugs or alcohol), and psychosocial characteristics (eg, sexual adventurism, social support, peer norms, sexual satisfaction, self-efficacy for sex refusal, self-esteem, relationship power, risk avoidance). Results: Forty-three percent reported ever douching, and 29% reported douching in the past 90 days. In bivariate analyses, recent douching was associated with demographic, behavioral, and psychosocial variables, but not current STI status. In multivariate analyses, recent douching was associated with age (odds ratio [AOR] = 1.13, confidence interval [CI] = 1.02-1.25), lower socioeconomic status (AOR = 1.25, CI = 1.05-1.47), and having sex with much older partners (AOR = 1.87, CI = 1.22-2.86). Conclusion: Increased age, lower socioeconomic status, and older partners may be salient risk factors for douching behavior among African American young women.

AB - Study Objective: To describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status. Design: Demographic, psychosocial, and behavioral data were collected through cross-sectional, self-administered surveys. Self-collected vaginal swabs were assayed using nucleic acid amplification tests for trichomoniasis, chlamydia, and gonorrhea. Setting: Sexual health clinic in a large metropolitan area of the southeastern United States. Participants: African American females (N = 701), ages 14-20, participating in a human immunodeficiency virus prevention intervention. Main Outcome Measure: The outcome of interest was the association between vaginal douching (lifetime, past 90 days, and past 7 days) with demographic characteristics (eg, age, education, and socioeconomic status), physical and mental health status, STI status, sexual behavior (eg, number of vaginal sexual partners, age of sex partners, consistent condom use in the past 90 days, sex while self/partner was high on drugs or alcohol), and psychosocial characteristics (eg, sexual adventurism, social support, peer norms, sexual satisfaction, self-efficacy for sex refusal, self-esteem, relationship power, risk avoidance). Results: Forty-three percent reported ever douching, and 29% reported douching in the past 90 days. In bivariate analyses, recent douching was associated with demographic, behavioral, and psychosocial variables, but not current STI status. In multivariate analyses, recent douching was associated with age (odds ratio [AOR] = 1.13, confidence interval [CI] = 1.02-1.25), lower socioeconomic status (AOR = 1.25, CI = 1.05-1.47), and having sex with much older partners (AOR = 1.87, CI = 1.22-2.86). Conclusion: Increased age, lower socioeconomic status, and older partners may be salient risk factors for douching behavior among African American young women.

KW - Adolescents

KW - African American

KW - Sexually transmitted infections

KW - Vaginal douching

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Prevalence and Correlates of Recent Vaginal Douching among African American Adolescent Females

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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