印度钦奈贫民窟地区社会经济地位低下女性的细菌性阴道病

Bacterial vaginosis in women of low socioeconomic status living in slum areas in Chennai, India.

作者信息

Uma Shanmugasundaram, Balakrishnan Pachamuthu, Murugavel Kailapuri G, Srikrishnan Aylur K, Kumarasamy Nagalingeswaran, Anand Santhanam, Cecelia Jebaraj Anitha, Celentano David, Mayer Kenneth H, Thyagarajan Sadras P, Solomon Suniti

出版信息

Sex Health. 2006 Dec;3(4):297-8. doi: 10.1071/sh06036.

DOI:10.1071/sh06036

PMID:17112444

Abstract

Bacterial vaginosis (BV) is a common cause of vaginitis among women of childbearing age. This study was performed to investigate the prevalence of BV and its association with sexually transmitted infections among 487 women of low socioeconomic status. Blood, vaginal and endocervical swabs were tested for HIV, herpes simplex virus-2 (HSV-2), Treponema pallidum, BV, Chlamydia trachomatis, Neisseria gonorrhoea and Trichomonas vaginalis. Of the women screened for BV, 120 (25, 95% CI 20.8-28.4) were positive and 40 (8.2, 95% CI 5.8-10.6) were intermediate. Bacterial vaginosis was significantly associated with age >25 (P = 0.014) and sexual experience (P = 0.085). Bacterial vaginosis was also related to concurrent infections with T. vaginalis (relative risk (RR) = 6.6, 95% CI 2.8-15.5, P = 0.000) and HSV-2 (RR = 2, 95% CI 1.3-2.9; P = 0.0031). The role of other possible risk factors needs to be explored.

摘要

细菌性阴道病（BV）是育龄期女性阴道炎的常见病因。本研究旨在调查487名社会经济地位较低的女性中BV的患病率及其与性传播感染的关联。对血液、阴道和宫颈拭子进行了HIV、单纯疱疹病毒2型（HSV-2）、梅毒螺旋体、BV、沙眼衣原体、淋病奈瑟菌和阴道毛滴虫检测。在接受BV筛查的女性中，120例（25%，95%可信区间20.8-28.4）呈阳性，40例（8.2%，95%可信区间5.8-10.6）为中间型。细菌性阴道病与年龄>25岁（P = 0.014）和性经历（P = 0.085）显著相关。细菌性阴道病还与阴道毛滴虫合并感染（相对危险度（RR）= 6.6，95%可信区间2.8-15.5，P = 0.000）和HSV-2（RR = 2，95%可信区间1.3-2.9；P = 0.0031）有关。其他可能的危险因素的作用有待探索。