女性对细菌性阴道病发病诱因及复发相关加重因素的看法与经历。
Women's Views and Experiences of the Triggers for Onset of Bacterial Vaginosis and Exacerbating Factors Associated with Recurrence.
作者信息
Bilardi Jade, Walker Sandra, Mooney-Somers Julie, Temple-Smith Meredith, McNair Ruth, Bellhouse Clare, Fairley Christopher, Chen Marcus, Bradshaw Catriona
机构信息
Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
出版信息
PLoS One. 2016 Mar 1;11(3):e0150272. doi: 10.1371/journal.pone.0150272. eCollection 2016.
BACKGROUND
Bacterial vaginosis (BV) is the most common vaginal infection affecting women of childbearing age. While the aetiology and transmissibility of BV remain unclear, there is strong evidence to suggest an association between BV and sexual activity. This study explored women's views and experiences of the triggers for BV onset and factors associated with recurrence.
METHODS
A descriptive, social constructionist approach was chosen as the framework for the study. Thirty five women of varying sexual orientation who had experienced recurrent BV in the past five years took part in semi-structured interviews.
RESULTS
The majority of women predominantly reported sexual contact triggered the onset of BV and sexual and non-sexual factors precipitated recurrence. Recurrence was most commonly referred to in terms of a 'flare-up' of symptoms. The majority of women did not think BV was a sexually transmitted infection however many reported being informed this by their clinician. Single women who attributed BV onset to sex with casual partners were most likely to display self-blame tendencies and to consider changing their future sexual behaviour. Women who have sex with women (WSW) were more inclined to believe their partner was responsible for the transmission of or reinfection with BV and seek partner treatment or change their sexual practices.
CONCLUSION
Findings from this study strongly suggest women believe that BV onset is associated with sexual activity, concurring with epidemiological data which increasingly suggest BV may be sexually transmitted. Exacerbating factors associated with recurrence were largely heterogeneous and may reflect the fact it is difficult to determine whether recurrence is due to persistent BV or a new infection in women. There was however evidence to suggest possible transmission and reinfection among WSW, reinforcing the need for new approaches to treatment and management strategies including male and female partner treatment trials.
背景
细菌性阴道病（BV）是影响育龄女性的最常见阴道感染。虽然BV的病因和传播途径尚不清楚，但有充分证据表明BV与性活动之间存在关联。本研究探讨了女性对BV发病诱因及复发相关因素的看法和经历。
方法
选择描述性社会建构主义方法作为研究框架。35名在过去五年中经历过复发性BV的不同性取向女性参与了半结构化访谈。
结果
大多数女性主要报告性接触引发了BV发病，性因素和非性因素促成了复发。复发最常被描述为症状“突然发作”。大多数女性不认为BV是性传播感染，然而许多人报告临床医生告知过她们这一点。将BV发病归因于与临时伴侣发生性行为的单身女性最有可能表现出自责倾向，并考虑改变其未来的性行为。与女性发生性行为的女性（WSW）更倾向于认为其伴侣应对BV的传播或再次感染负责，并寻求伴侣治疗或改变性行为。
结论
本研究结果强烈表明女性认为BV发病与性活动有关，这与越来越多表明BV可能通过性传播的流行病学数据一致。与复发相关的加重因素在很大程度上是异质性的，这可能反映出难以确定复发是由于女性持续存在BV还是新感染。然而，有证据表明WSW之间可能存在传播和再次感染，这强化了对包括男性和女性伴侣治疗试验在内的新治疗方法和管理策略的需求。
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