细菌性阴道病的负担：女性反复发作细菌性阴道病的身体、情绪、性和社会影响的体验。
The burden of bacterial vaginosis: women's experience of the physical, emotional, sexual and social impact of living with recurrent bacterial vaginosis.
机构信息
Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia ; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia ; Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia.
出版信息
PLoS One. 2013 Sep 11;8(9):e74378. doi: 10.1371/journal.pone.0074378. eCollection 2013.
BACKGROUND
Bacterial vaginosis is a common vaginal infection, causing an abnormal vaginal discharge and/or odour in up to 50% of sufferers. Recurrence is common following recommended treatment. There are limited data on women's experience of bacterial vaginosis, and the impact on their self-esteem, sexual relationships and quality of life. The aim of this study was to explore the experiences and impact of recurrent bacterial vaginosis on women.
METHODS
A social constructionist approach was chosen as the framework for the study. Thirty five women with male and/or female partners participated in semi-structured interviews face-to-face or by telephone about their experience of recurrent bacterial vaginosis.
RESULTS
Recurrent bacterial vaginosis impacted on women to varying degrees, with some women reporting it had little impact on their lives but most reporting it had a moderate to severe impact. The degree to which it impacted on women physically, emotionally, sexually and socially often depended on the frequency of episodes and severity of symptoms. Women commonly reported that symptoms of bacterial vaginosis made them feel embarrassed, ashamed, 'dirty' and very concerned others may detect their malodour and abnormal discharge. The biggest impact of recurrent bacterial vaginosis was on women's self-esteem and sex lives, with women regularly avoiding sexual activity, in particular oral sex, as they were too embarrassed and self-conscious of their symptoms to engage in these activities. Women often felt confused about why they were experiencing recurrent bacterial vaginosis and frustrated at their lack of control over recurrence.
CONCLUSION
Women's experience of recurrent bacterial vaginosis varied broadly and significantly in this study. Some women reported little impact on their lives but most reported a moderate to severe impact, mainly on their self-esteem and sex life. Further support and acknowledgement of these impacts are required when managing women with recurrent bacterial vaginosis.
背景
细菌性阴道病是一种常见的阴道感染，多达 50%的患者会出现异常阴道分泌物和/或异味。经推荐治疗后，该病易复发。目前关于女性细菌性阴道病体验及其对自尊、性关系和生活质量影响的数据有限。本研究旨在探讨复发性细菌性阴道病对女性的影响。
方法
采用社会建构主义方法作为研究框架。35 名有男性和/或女性伴侣的女性通过面对面或电话的方式参与了半结构化访谈，内容涉及她们复发性细菌性阴道病的经历。
结果
复发性细菌性阴道病在不同程度上影响了女性，有些女性报告说对她们的生活影响不大，但大多数女性报告说对她们的生活有中度到重度的影响。其对女性身体、情感、性和社会方面的影响程度往往取决于发作频率和症状严重程度。女性常报告说细菌性阴道病的症状使她们感到尴尬、羞愧、“肮脏”，并非常担心其他人可能会察觉到她们的异味和异常分泌物。复发性细菌性阴道病最大的影响是对女性的自尊和性生活，女性经常避免性行为，特别是口交，因为她们对自己的症状感到尴尬和自我意识，无法进行这些活动。女性常常对自己为什么会经历复发性细菌性阴道病感到困惑，并对自己缺乏对复发的控制感到沮丧。
结论
在本研究中，女性对复发性细菌性阴道病的体验差异很大，有些女性报告对她们的生活影响不大，但大多数女性报告对她们的生活有中度到重度的影响，主要是对她们的自尊和性生活。在管理复发性细菌性阴道病的女性时，需要进一步提供支持并承认这些影响。
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