The prevalence of bacterial vaginosis in the United States, 2001-2004; Associations with symptoms, sexual behaviors, and reproductive health
The prevalence of bacterial vaginosis in the United States, 2001-2004; Associations with symptoms, sexual behaviors, and reproductive health
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DOI：
10.1097/olq.0b013e318074e565
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发表时间：
2007-11-01
影响因子：
3.1
通讯作者：
Markowitz, Lauri E.
中科院分区：
文献类型：
--
作者：
Koumans, Emilia H.;Sternberg, Maya;Markowitz, Lauri E.
目的：细菌性阴道病（BV）是阴道微生物菌群失调，是阴道症状的常见原因，与性传播感染、HIV和不良妊娠结局的风险增加有关。我们确定的患病率和协会与BV之间的一个代表性的样本的育龄妇女在UnitedStates.Study设计：年龄在14-49岁的妇女参加全国健康和营养检查调查2001-2004年被要求提交一个自我收集的阴道拭子革兰氏染色。结果：2100万妇女中BV的患病率为29.2%（95%可信区间为27.2%~ 31.3%），仅15.7%的BV患者报告阴道症状。非西班牙裔黑人的患病率为51.4%，墨西哥裔美国人为31.9%，非西班牙裔白人为23.2%（每次比较P < 0.01）。虽然BV也与贫困有关（P
Objectives: Bacterial vaginosis (BV), a disturbance of vaginal microflora, is a common cause of vaginal symptoms and is associated with an increased risk of acquisition of sexually transmitted infections, HIV, and with adverse pregnancy outcomes. We determined prevalence and associations with BV among a representative sample of women of reproductive age in the United States.Study Design: Women aged 14-49 years participating in the National Health and Nutrition Examination Survey 2001-2004 were asked to submit a self-collected vaginal swab for Gram staining. BV, determined using Nugent's score, was defined as a score of 7-10.Results: The prevalence of BV was 29.2% (95% confidence interval 27.2%-31.3%) corresponding to 21 million women with BV; only 15.7% of the women with BV reported vaginal symptoms. Prevalence was 51.4% among non-Hispanic blacks, 31.9% among Mexican Americans, and 23.2% among non-Hispanic whites (P < 0.01 for each comparison). Although BV was also associated with poverty (P