Vaginal Douching Among Latinas: Practices and Meaning
Vaginal Douching Among Latinas: Practices and Meaning
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DOI：
10.1007/s10995-008-0327-3
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发表时间：
2009-01-01
影响因子：
2.3
通讯作者：
Karasz, Alison
中科院分区：
文献类型：
--
作者：
McKee, M. Diane;Baquero, Maria;Karasz, Alison
目的阴道冲洗在美国妇女中广泛使用，特别是在少数民族群体中，并且与盆腔和阴道感染的风险增加有关。本研究旨在调查拉丁裔妇女和青少年的阴道卫生习惯及其意义。研究结果将指导制定一项干预措施，以减少拉丁美洲人的冲洗。方法在深入的定性访谈进行了英语和西班牙语的妇女年龄在16-40岁，寻求照顾的任何原因谁报告灌洗在过去的一年（n = 34）。访谈录音，转录和分析使用定性方法。三分之一的采访是用西班牙语进行的。结果两个模型的灌洗动机出现：一个强调美容的好处，另一个，感染的预防和控制。大多数妇女报告冲洗以消除月经残留物;少数妇女报告在性交或阴道症状的情况下冲洗。许多人不知道相关的健康风险。受访者通常从女性家庭成员和朋友那里了解冲洗。男性伴侣被描述为很少或根本没有参与冲洗的决定。妇女们在停止冲洗的意愿上各不相同。三分之二的人报告说收到了关于“过度冲洗”的减少危害信息。大约一半的人表示以前曾与卫生保健提供者讨论过冲洗;有些人在咨询时减少了频率。一些以前未报告的阴道卫生习惯和产品被描述，包括使用一系列传统的卫生习惯，和从美国以外的进口产品。结论受访者表示了一系列的承诺冲洗。应根据个人信仰制定和提供咨询信息，承认妇女所感受到的益处以及健康风险。需要进一步研究，以评估以前未报告的做法的普遍性和安全性。
Objectives Vaginal douching is widely practiced by American women, particularly among minority groups, and is associated with increased risk of pelvic and vaginal infections. This research sought to investigate vaginal hygiene practices and meaning associated with them among Latina women and adolescents. Study results would guide development of an intervention to decrease douching among Latinas. Methods In depth qualitative interviews conducted with English- and Spanish-speaking women aged 16-40, seeking care for any reason who reported douching within the last year (n = 34). Interviews were audiotaped, transcribed and analyzed using qualitative methods. One-third of interviews were conducted in Spanish. Results Two explanatory models for douching motives emerged: one stressed cosmetic benefits; the other, infection prevention and control. Most women reported douching to eliminate menstrual residue; a small number reported douching in context of sexual intercourse or vaginal symptoms. Many were unaware of associated health risks. Respondents typically learned about douching from female family members and friends. Male partners were described as having little to no involvement in the decision to douche. Women varied in their willingness to stop douching. Two-thirds reported receiving harm reduction messages about "overdouching". About half indicated previous discussion about douching with health care providers; some had reduced frequency in response to counseling. A number of previously unreported vaginal hygiene practices and products were described, including use of a range of traditional hygiene practices, and products imported from outside the US. Conclusions Respondents expressed a range of commitment to douching. Counseling messages acknowledging benefits women perceive as well as health risks should be developed and delivered tailored to individual beliefs. Further research is needed to assess prevalence and safety of previously unreported practices.