HIV/STD Unit, Institute of Tropical Medicine, Antwerp, Belgium; Division of Infectious Diseases and HIV Medicine, University of Cape Town, Cape Town, South Africa.
Am J Obstet Gynecol. 2013 Dec;209(6):505-23. doi: 10.1016/j.ajog.2013.05.006. Epub 2013 May 6.
Bacterial vaginosis (BV) enhances the acquisition and transmission of a range of sexually transmitted infections including human immunodeficiency virus. This has made it more important to uncover the reasons why some populations have very high BV prevalences and others not. This systematic review describes the global epidemiology of BV. It summarizes data from peer-reviewed publications detailing the population prevalence of BV as diagnosed by a standardized and reproducible methodology-Nugent scoring system. BV variations between countries, and between ethnic groups within countries, are described. We evaluated 1692 English- and non-English-language articles describing the prevalence of BV using MEDLINE and the Web of Science databases. A total of 86 articles met our inclusion criteria. BV prevalences were found to vary considerably between ethnic groups in North America, South America, Europe, the Middle East, and Asia. Although BV prevalence is, in general, highest in parts of Africa and lowest in much of Asia and Europe, some populations in Africa have very low BV prevalences and some in Asia and Europe have high rates.
细菌性阴道病 (BV) 会增加一系列性传播感染的获得和传播，包括人类免疫缺陷病毒。这使得揭示为什么某些人群的 BV 患病率非常高，而其他人群的患病率不高的原因变得更加重要。本系统评价描述了 BV 的全球流行病学。它总结了同行评议出版物的数据，详细描述了通过标准化和可重复的方法- Nugent 评分系统诊断的 BV 的人群患病率。描述了国家之间以及国家内不同族裔群体之间的 BV 差异。我们使用 MEDLINE 和 Web of Science 数据库评估了 1692 篇描述使用 BV 患病率的英文和非英文文章。共有 86 篇文章符合我们的纳入标准。在北美的、南美的、欧洲的、中东的和亚洲的不同族裔群体中，BV 的患病率差异很大。尽管总的来说，BV 的患病率在非洲的一些地区最高，在亚洲和欧洲的大部分地区最低，但非洲的一些人群中 BV 的患病率非常低，而亚洲和欧洲的一些人群中患病率很高。
