- Link:
- http://hdl.handle.net/2027.42/63309
- Collection:
-
- Subject
- Health Sciences
- Creators:
- Gillespie, Brenda W. Gorenflo, Daniel W. Reed, Barbara D. Pierson, Carl L. Zazove, Philip
- Publisher
- Mary Ann Liebert, Inc., publishers
- Format
- 247826 bytes
- Format
- 2489 bytes
- Format
- application/pdf
- Format
- text/plain
- Description
- Sexual behaviors are associated with many genital
infections, but the role of sexual variables as risk factors for
Candida vulvovaginitis has not been clearly determined. To assess
the association between sexual behaviors and other risk factors
with the presence of Candida vulvovaginitis, we performed a
case-control study comparing these potential risk factors in women
with and without culture-documented Candida vulvovaginitis in two
Midwestern community-based medical offices. Participants included
156 women with Candida vulvovaginitis and 92 controls, ages 18-60.
Risk factors for Candida vulvovaginitis, including sexual and
partnership behaviors, demographic data, past genital infections,
exposures, and diet, were investigated using logistic regression.
The presence of Candida vulvovaginitis was positively associated
with recent cunnilingus (odds ratio [OR] = 2.22 for five times a
month compared with no times, 95% confidence interval [CI] 1.36,
3.84), but was less likely in women who masturbated with saliva in
the previous month (OR = 0.30 if masturbated five times vs. no
times, 95% CI 0.09, 0.99). Other independent risk factors included
knowing the sexual partner a shorter period of time (OR = 1.56 for
1 year vs. 5 years, 95% CI 1.16, 2.13) and lower milk ingestion (OR
= 3.57 for no servings vs. two servings per day, 95% CI 2.00,
6.67). Increased number of sexual partners, early age at first
intercourse, and increased frequency of intercourse are not related
to risk.
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