Association between unhygienic menstrual management practices and prevalence of lower reproductive tract infections: a hospital-based cross-sectional study in Odisha, India.
Association between unhygienic menstrual management practices and prevalence of lower reproductive tract infections: a hospital-based cross-sectional study in Odisha, India.
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DOI：
10.1186/s12879-018-3384-2
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发表时间：
2018-09-21
影响因子：
3.7
通讯作者：
Das P
中科院分区：
文献类型：
--
作者：
Torondel B;Sinha S;Mohanty JR;Swain T;Sahoo P;Panda B;Nayak A;Bara M;Bilung B;Cumming O;Panigrahi P;Das P
生殖道感染 (RTI) 与月经卫生管理 (MHM) 实践不良之间的关联程度尚未得到广泛研究。我们的目的是确定不良的经期卫生习惯是否与三种常见的下生殖道感染有关；细菌性阴道病 (BV)、念珠菌和阴道毛滴虫 (TV)。该研究招募了 2015 年 4 月至 2016 年 2 月期间在印度奥里萨邦两家医院之一就诊的育龄非孕妇（18-45 岁）。使用标准化问卷收集以下信息： MHM 实践、三种感染的临床症状以及社会经济和人口信息。使用拭子采集阴道后穹窿的标本，用于诊断 BV、念珠菌和 TV 感染。该研究总共招募了 558 名女性，其中 62.4% 的女性被诊断患有三种测试感染中的至少一种，52% 的女性出现一种或多种 RTI 症状。 BV 感染最常见（41%），其次是念珠菌感染（34%）和 TV 感染（5.6%）。调整潜在的混杂因素后，诊断为念珠菌感染的女性更有可能使用可重复使用的吸收材料（aPRR = 1.54，95%CI 1.2–2.0），并且个人清洗频率较低（aPRR = 1.34，95%CI 1.07–1.7）。患有 BV 的女性更有可能较少进行个人清洗（aPRR = 1.25，95%CI 1.0–1.5），在厕所设施外更换吸收材料（aPRR = 1.21，95%CI 1.0–1.48），而较高频率的吸收材料更换具有保护作用（aPRR = 0.56，95%CI） 0.4–0.75）。没有发现任何研究因素与电视感染有关。此外，在重复使用吸水材料的女性中，念珠菌感染更为常见，而细菌性阴道炎或电视则不然，她们在家中晾干卫生巾，并将抹布藏在厕所隔间中，因此感染更频繁。我们的研究结果与越来越多的研究相结合，这些研究表明不良的经期卫生习惯与较低的 RTI 患病率较高之间存在密切且一致的关联。本文的在线版本 (10.1186/s12879-018-3384-2) 包含补充材料，可供授权用户使用。
The extent to which reproductive tract infections (RTIs) are associated with poor menstrual hygiene management (MHM) practices has not been extensively studied. We aimed to determine whether poor menstrual hygiene practices were associated with three common infections of the lower reproductive tract; Bacterial vaginosis (BV), Candida, and Trichomonas vaginalis (TV). Non-pregnant women of reproductive age (18–45 years) and attending one of two hospitals in Odisha, India, between April 2015 and February 2016 were recruited for the study. A standardized questionnaire was used to collect information on: MHM practices, clinical symptoms for the three infections, and socio-economic and demographic information. Specimens from posterior vaginal fornix were collected using swabs for diagnosis of BV, Candida and TV infection. A total of 558 women were recruited for the study of whom 62.4% were diagnosed with at least one of the three tested infections and 52% presented with one or more RTI symptoms. BV was the most prevalent infection (41%), followed by Candida infection (34%) and TV infection (5.6%). After adjustment for potentially confounding factors, women diagnosed with Candida infection were more likely to use reusable absorbent material (aPRR = 1.54, 95%CI 1.2–2.0) and practice lower frequency of personal washing (aPRR = 1.34, 95%CI 1.07–1.7). Women with BV were more likely to practice personal washing less frequently (aPRR = 1.25, 95%CI 1.0–1.5), change absorbent material outside a toilet facility (aPRR = 1.21, 95%CI 1.0–1.48) whilst a higher frequency of absorbent material changing was protective (aPRR = 0.56, 95%CI 0.4–0.75). No studied factors were found to be associated with TV infection. In addition, among women reusing absorbent material, Candida but not BV or TV - infection was more frequent who dried their pads inside their houses and who stored the cloth hidden in the toilet compartment. The results of our study add to growing number of studies which demonstrate a strong and consistent association between poor menstrual hygiene practices and higher prevalence of lower RTIs. The online version of this article (10.1186/s12879-018-3384-2) contains supplementary material, which is available to authorized users.
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影响因子：
3.4
作者：
Fichorova, Raina N.
通讯作者：
Fichorova, Raina N.
DOI：
10.2166/washdev.2012.067
发表时间：
2012-03-01
影响因子：
1.7
作者：
Crofts, Tracey;Fisher, Julie
通讯作者：
Fisher, Julie
影响因子：
2.9
作者：
Juma, Jane;Nyothach, Elizabeth;Phillips-Howard, Penelope A.
通讯作者：
Phillips-Howard, Penelope A.
影响因子：
6.7
作者：
Nelson, Deborah B.;Bellamy, Scarlett;Allen-Taylor, Lynne
通讯作者：
Allen-Taylor, Lynne
影响因子：
3.7
作者：
El Aila, Nabil Abdullah;Tency, Inge;Vaneechoutte, Mario
通讯作者：
Vaneechoutte, Mario