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    Prevalence of bacterial vaginosis in lesbians and heterosexual women in a community setting.

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    Publication date
    2007
    Author
    Evans, A.L.
    Scally, Andy J.
    Wellard, S.J.
    Wilson, J.D.
    Keyword
    Bacterial vaginosis (BV)
    Lesbians
    Heterosexual women
    United Kingdom
    Vaginal flora
    Peer-Reviewed
    yes
    
    Metadata
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    Abstract
    Objectives: High prevalence of bacterial vaginosis (BV) has been reported in lesbians but most studies were based in sexually transmitted infection clinic settings; therefore, we wished to determine the prevalence and risk factors of BV in lesbians and heterosexual women in a community setting in the UK. Methods: A cross-sectional study recruiting lesbian women volunteers from community groups, events, clubs and bars. Heterosexual women were recruited from a community family planning clinic. They self-swabbed to create a vaginal smear, which was Gram-stained and categorised as BV, intermediate or normal flora. They completed a questionnaire about age, ethnic group, smoking, genital hygiene practices and sexual history. Results: Of 189 heterosexuals and 171 lesbians recruited, 354 had gradeable flora. BV was identified in 43 (25.7%) lesbians and 27 (14.4%) heterosexuals (adjusted OR 2.45, 95% CI 1.25 to 4.82; p¿=¿0.009). Concordance of vaginal flora within lesbian partnerships was significantly greater than expected (27/31 (87%) couples, ¿¿=¿0.63; p<0.001). Smoking significantly increased the risk of BV regardless of sexuality (adjusted OR 2.65; p¿=¿0.001) and showed substantial concordance in lesbian partnerships but less than for concordance of flora. Conclusions: Women who identified as lesbians have a 2.5-fold increased likelihood of BV compared with heterosexual women. The prevalence is slightly lower than clinic-based studies and as volunteers were recruited in community settings, this figure may be more representative of lesbians who attend gay venues. Higher concordance of vaginal flora within lesbian partnerships may support the hypothesis of a sexually transmissible factor or reflect common risk factors such as smoking.
    URI
    http://hdl.handle.net/10454/6392
    Version
    published version paper
    Citation
    Evans, A. L., Scally, A. J., Wellard, S. J. and Wilson, J. D. (2007) Prevalence of bacterial vaginosis in lesbians and heterosexual women in a community setting. Sexually Transmitted Infections, 83 (6), 470-475
    Link to publisher’s version
    http://dx.doi.org/10.1136/sti.2006.022277
    Type
    Article
    Collections
    Health Studies Publications

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