Ege Emel, Timur Sermin, Zincir Handan, Egri Mucahit, Sunar Reeder Bulbin
Department of Nursing, Konya School of Health, Selcuk University, Turkey.
J Obstet Gynaecol Res. 2007 Jun;33(3):353-9. doi: 10.1111/j.1447-0756.2007.00535.x.
Vaginal douching is a common hygiene practice for many women all over the world, but it is associated with several health risks. Little is known about the beliefs and attitudes that promote and maintain douching practices. Therefore, the objective of the present study was to evaluate the status of vaginal douching practices of women in the Malatya province of eastern Turkey.
This was a cross-sectional study. A sample of 465 Muslim women was interviewed to ascertain the status of vaginal douching practices. All participants were between 15 and 49 years of age and all were married. Data were collected by using a questionnaire in the process of conducting face-to-face interviews in June 2004. Data analysis included descriptive statistics and logistic regression modeling.
The present study revealed that the frequency of douching was 61.5% among women. The participants were frequently douching for feminine hygiene (47.6%). Vaginal douching practices were associated with several factors including education level (odds ratio [OR] = 1.991, 95% confidence interval [CI] = 1.154-3.434), family income (OR = 0.996, 95% CI = 0.994-0.998), marital age (OR = 0.402, 95% CI = 0.223-0.715), frequency of sexual intercourse (OR = 2.335, 95% CI = 1.532-3.554), and presence of genital syndromes/infections (OR = 1.813, 95% CI = 1.215-2.739).
This study provides preliminary information about women's douching practices and attitudes in the Malatya region of Turkey. It may also provide information to health-care practitioners in their efforts to educate women on the adverse effects of vaginal douching.
阴道灌洗是世界各地许多女性常见的卫生习惯，但它与多种健康风险相关。对于促进和维持灌洗行为的观念和态度，人们了解甚少。因此，本研究的目的是评估土耳其东部马拉蒂亚省女性的阴道灌洗行为状况。
这是一项横断面研究。对465名穆斯林女性进行了访谈，以确定阴道灌洗行为的状况。所有参与者年龄在15至49岁之间，均已结婚。2004年6月在面对面访谈过程中使用问卷收集数据。数据分析包括描述性统计和逻辑回归建模。
本研究显示，女性中灌洗的频率为61.5%。参与者经常为保持女性卫生而进行灌洗（47.6%）。阴道灌洗行为与多个因素相关，包括教育水平（比值比[OR]=1.991，95%置信区间[CI]=1.154 - 3.434）、家庭收入（OR = 0.996，95% CI = 0.994 - 0.998）、结婚年龄（OR = 0.402，95% CI = 0.223 - 0.715）、性交频率（OR = 2.335，95% CI = 1.532 - 3.554）以及是否存在生殖器综合征/感染（OR = 1.813，95% CI = 1.215 - 2.739）。
本研究提供了有关土耳其马拉蒂亚地区女性灌洗行为及态度的初步信息。它也可能为医护人员向女性宣传阴道灌洗的不良影响提供信息。
