Imade Godwin E, Sagay Atiene S, Onwuliri Viola A, Egah Daniel Z, Potts Malcolm, Short Roger V
Department of Obstetrics and Gynaecology, Faculty of Medical Sciences, University of Jos, PMB 2084, Jos, Nigeria.
Sex Health. 2005;2(4):237-9. doi: 10.1071/sh04055.
To describe the use of lemon/lime juice for douching by female sex workers (FSWs) and family planning clients (FPCs) in Jos, Nigeria.
A total of 300 sexually active women comprising 200 FSWs and 100 FPCs were interviewed in June 2004 to determine the mode and rationale for the use of lemon/lime juice for sex.
Majority of the women 167/300 (55.7%, 95% CI = 50-61%) i.e. 163/200 (81.5%, 95% CI = 75-87%) FSWs, 4/100 (4%, 95% CI = 1-10%) FPCs used vaginal lemon/lime douches. Lime juice was used by 105/167 (62.8%, 95% CI = 55-70%), lemon juice by 30/167 (18%, 95% CI = 12-25%) or a mixture by 18/167 (10.8%, 95% CI = 7-25%). The juice was used either neat 44/167 (26%, 95% CI = 20-34%) or diluted in water 75/167 (45%, 95% CI = 37-53%) either before or after sex. Nineteen per cent (32/167) found the juice painful. Over half of the women believed that it protected them from pregnancy and/or sexually transmitted infections; they did not know their HIV status. Eighty-six per cent would recommend it to others, and 71% would be willing to take part in a study to evaluate its safety and efficacy.
Lemon and lime juice are widely used for douches among women at high risk of HIV transmission. There is an urgent need to determine whether or not this practice promotes or prevents HIV infection.
描述尼日利亚乔斯市女性性工作者（FSW）和计划生育服务对象（FPC）使用柠檬/酸橙汁进行阴道灌洗的情况。
2004年6月，共对300名性活跃女性进行了访谈，其中包括200名女性性工作者和100名计划生育服务对象，以确定使用柠檬/酸橙汁进行阴道灌洗的方式及理由。
大多数女性，即300名中的167名（55.7%，95%可信区间=50 - 61%），也就是200名女性性工作者中的163名（81.5%，95%可信区间=75 - 87%）和100名计划生育服务对象中的4名（4%，95%可信区间=1 - 10%）使用过阴道柠檬/酸橙汁灌洗。167名使用者中，105名（62.8%，95%可信区间=55 - 70%）使用酸橙汁，30名（18%，95%可信区间=12 - 25%）使用柠檬汁，18名（10.8%，95%可信区间=7 - 25%）使用混合汁。灌洗时，44名（26%，95%可信区间=20 - 34%）直接使用原汁，75名（45%，95%可信区间=37 - 53%）在性交前后用水稀释后使用。19%（32/167）的女性觉得灌洗时疼痛。超过半数的女性认为这能保护她们避免怀孕和/或感染性传播疾病；她们不清楚自己的艾滋病毒感染状况。86%的女性会向他人推荐，71%的女性愿意参与一项评估其安全性和有效性的研究。
柠檬和酸橙汁在艾滋病毒传播高危女性中被广泛用于阴道灌洗。迫切需要确定这种做法是促进还是预防艾滋病毒感染。
