Weisman Carol S, Grimley Diane M, Annang Lucy, Hillemeier Marianne M, Chase Gary A, Dyer Anne-Marie
Department of Public Health Sciences, The Pennsylvania State University, Hershey, Pennsylvania 17033, USA.
Womens Health Issues. 2007 Sep-Oct;17(5):310-5. doi: 10.1016/j.whi.2007.05.002. Epub 2007 Jul 30.
This study tests the hypothesis that vaginal douching among women of reproductive age is associated with exposure to intimate partner violence (IPV).
The data source is a cross-sectional population-based sample of 2,002 women ages 18-45 in the Central Pennsylvania Women's Health Study. The survey included measures of IPV, douching behavior, and relevant sociodemographic and health-related covariates.
Six percent of the sample reported experiencing any type of IPV in the past year, and 23% reported douching in the past year. IPV is significantly associated with douching after controlling for sociodemographic and health-related covariates. This finding holds for women with and without current reproductive capacity.
This is the first study to identify an association between vaginal douching and IPV. Because vaginal douching is a risk factor for sexually transmitted infections, bacterial vaginosis, and adverse pregnancy outcomes, the findings could have important implications for prevention. Further research is needed to identify the reasons why women who have been exposed to IPV are more likely to douche.
本研究旨在验证以下假设，即育龄女性进行阴道灌洗与遭受亲密伴侣暴力（IPV）有关。
数据来源是宾夕法尼亚州中部女性健康研究中一个基于人群的横断面样本，包含2002名年龄在18至45岁之间的女性。该调查涵盖了IPV、灌洗行为以及相关社会人口学和健康相关协变量的测量。
6%的样本报告在过去一年中经历过任何形式的IPV，23%的样本报告在过去一年中进行过阴道灌洗。在控制了社会人口学和健康相关协变量后，IPV与阴道灌洗显著相关。这一发现对于有和没有当前生殖能力的女性均成立。
这是第一项确定阴道灌洗与IPV之间存在关联的研究。由于阴道灌洗是性传播感染、细菌性阴道病和不良妊娠结局的一个危险因素，这些发现可能对预防具有重要意义。需要进一步研究以确定遭受IPV的女性更有可能进行阴道灌洗的原因。
