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BMC Women's Health
Published in: BMC Women's Health 1/2018

Open Access 01-12-2018 | Research article

Vaginal health and hygiene practices and product use in Canada: a national cross-sectional survey

Authors: Sara E. Crann, Shannon Cunningham, Arianne Albert, Deborah M. Money, Kieran C. O’Doherty

Published in: BMC Women's Health | Issue 1/2018

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Abstract

Background

The vaginal microbiome influences quality of life and health. The composition of vaginal microbiota can be affected by various health behaviors, such as vaginal douching. The purpose of this study was to examine the types and prevalence of diverse vaginal/genital health and hygiene behaviors among participants living in Canada and to examine associations between behavioral practices and adverse gynecological health conditions.

Method

An anonymous online survey, available in English and French, was distributed across Canada. The sample consisted of 1435 respondents, 18 years or older, living in Canada.

Results

Respondents reported engaging in diverse vaginal/genital health and hygiene behavioral practices, including the use of commercially manufactured products and homemade and naturopathic products and practices. Over 95% of respondents reported using at least one product in or around the vaginal area. Common products and practices included vaginal/genital moisturizers, anti-itch creams, feminine wipes, washes, suppositories, sprays, powders, and waxing and shaving pubic hair. The majority of the sample (80%) reported experiencing one or more adverse vaginal/genital symptom in their lifetime. Participants who had used any vaginal/genital product(s) had approximately three times higher odds of reporting an adverse health condition. Several notable associations between specific vaginal/genital health and hygiene products and adverse health conditions were identified.

Conclusions

This study is the first of its kind to identify the range and prevalence of vaginal/genital health and hygiene behaviors in Canada. Despite a lack of credible information about the impact of these behaviors on women’s health, the use of commercially manufactured and homemade products for vaginal/genital health and hygiene is common. Future research can extend the current exploratory study by identifying causal relationships between vaginal/genital health and hygiene behaviors and changes to the vaginal microbiome.
Literature
1.
MacPhee RA, Hummelen R, Bisanz JE, Miller JE, Reid G. Probiotic strategies for treatment and prevention of bacterial vaginosis. Expert Opin Pharmacother. 2010;11:2985–95.CrossRefPubMed
2.
Hummelen R, Macklaim JM, Bisanz JE, Hammond J, McMillan A, Vongsa R, et al. Vaginal microbiome and epithelial gene array in post-menopausal women with moderate to severe dryness. PLoS One. 2011;6:e26602.CrossRefPubMedPubMedCentral
3.
Ravel J, Gajer P, Abdo Z, Schneider GM, Koenig S, Mcculle SL, et al. Vaginal microbiome of reproductive-age women. P Natl. Acad Sci. 2011;108(Suppl. 1):4680–7.CrossRef
4.
Chaban B, Links MG, Jayaprakash TP, Wagner EC, Bourque DK, Lohn Z, et al. Characterization of the vaginal microbiota of healthy Canadian women through the menstrual cycle. Microbiome. 2014;2:23.CrossRefPubMedPubMedCentral
5.
Jayaprakash TP, Schellenberg JJ, Hill JE, Badger JH. Resolution and characterization of distinct cpn60-based subgroups of Gardeneralla vaginalis in the vaginal microbiota. PLoS One. 2012;7:e43009.CrossRef
6.
Hill JE, Goh SH, Money DM, Doyle M, Li A, Crosby WL, et al. Characterization of vaginal microflora of healthy, nonpregnant women by chaperonin-60 sequence-based methods. Am J Obstet Gynecol. 2005;193:682–92.CrossRefPubMed
7.
8.
9.
Hickey RJ, Zhou X, Pierson JD, Ravel J, Forney LJ. Understanding vaginal microbiome complexity from an ecological perspective. Transl Res. 2012;160:267–82.CrossRefPubMedPubMedCentral
10.
Bradshaw CS, Walker SM, Vodstrcil LA, Bilardi JE, Law M, et al. The influence of behaviors and relationships on the vaginal microbiota of women and their female partners: the WOW health study. J Infect Dis. 2014;214:1562–72.CrossRef
11.
12.
Martin Hilber AM, Francis SC, Cherisch M, Scott P, Redmond S, Bender N, et al. Intravaginal practices, vaginal infections and HIV acquisition: systematic review and meta-analysis. PLoS One. 2010;2:e9919.
13.
Holzman C, Leventhal JM, Qui H, Jones NM, Wang J. Factors linked to bacterial vaginosis in nonpregnant women. Am J Pub Health. 2001;91:1664–70.CrossRef
14.
Fiscella K, Franks P, Kendrick JS, Meldrum S, Kieke BA. Risk of preterm birth that is associated with vaginal douching. Am J Obstet Gynecol. 2002;186:1345–50.CrossRefPubMed
15.
Zhang J, Thomas AG, Leybovich E. Vaginal douching and adverse health effects: a metaanalysis. Am J Pub Health. 1997;87:1207–11.CrossRef
16.
Baird DD, Weinberg CR, Voigt LF, Daling JR. Vaginal douching and reduced fertility. Am J Pub Health. 1996;86:844–50.CrossRef
17.
Brotman RM, Klebanoff MA, Nansel TR, Andrews WW, Schwebke JR, et al. A longitudinal study of vaginal douching and bacterial vaginosis: a marginal structural modelling analysis. Am J Epidemiol. 2008;168:188–96.CrossRefPubMedPubMedCentral
18.
Koumans EH, Sternberg M, Bruce C, McQuillan G, Kendrick J, et al. The prevalence of bacterial vaginosis in the United States, 2001-2004; associations with symptoms, sexual behaviors, and reproductive health. Sex Trans Dis. 2007;34:864–9.CrossRef
19.
Grimely DM, Annang L, Foushee HR. Vaginal douches and other feminine hygiene products: Women’s practices and perceptions of product safety. Matern Child Healt J. 2006;10:303–10.CrossRef
20.
21.
22.
François I, Bagnol B, Chersich M, Mbofana F, Mariano E, Nzwalo H, et al. Prevalence and motivations of vaginal practices in Tete Province, Mozambique. Int J Sex Healt. 2012;24:205–17.CrossRef
23.
Martin Hilber A, Hull TH, Preston-Whyte E, Bagnol B, Smit J, Wacharasin C, et al. A cross cultural study of vaginal practices and sexuality: implications for sexual health. Soc Sci Med. 2009;70:392–400.CrossRefPubMed
24.
IBM Corp. IBM SPSS statistics for Mac, version 24.0. Armonk: IBM Corp; 2016.
25.
Brotman RM, Klebanoff MA, Nansel TR, Yu KF, Andrews WW, et al. Bacterial vaginosis assessed by gram stain and diminished colonization resistance to incident gonococcal, chlamydial, and trichomonal genital infection. J Infect Dis. 2010;202:1907–15.CrossRefPubMedPubMedCentral
26.
Martin HL, Richardson BA, Nyange PM, Lavreys L, Hillier SL, et al. Vaginal lactobacilli, microbial flora, and risk of human immunodeficiency virus type 1 and sexually transmitted disease acquisition. J Infect Dis. 1999;180:1863–8.CrossRefPubMed
27.
Taha TE, Hoover DR, Dallabetta GA, Kumwenda NI, Mtimavalye LA, et al. Bacterial vaginosis and disturbances of vaginal flora: association with increased acquisition of HIV. AIDS. 1998;12:1699–06.CrossRefPubMed
28.
Leitich H, Bodner-Adler B, Brunbauer M, Kaider A, Egarter C, et al. Bacterial vaginosis as a risk factor for preterm delivery: a meta-analysis. Am J Obstet Gynecol. 2003;189:139–47.CrossRefPubMed
29.
Hillier SL, Kiviat NB, Hawes SE, Hasselquist MB, Hanssen PW, et al. Role of bacterial vaginosis-associated microorganisms in endometritis. Am J Obstet Gynecol. 1996;17:435–41.CrossRef
30.
Hillier SL, Nugent RP, Eschenbach DA, Krohn MA, Gibbs RS, et al. Association between bacterial vaginosis and preterm delivery of a low-birth-weight infant. The vaginal infections and prematurity study group. N Engl J Med. 1995;333:1737–42.CrossRefPubMed
Metadata
Title
Vaginal health and hygiene practices and product use in Canada: a national cross-sectional survey
Authors
Sara E. Crann
Shannon Cunningham
Arianne Albert
Deborah M. Money
Kieran C. O’Doherty
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-018-0543-y

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