Why some women douche and why other women never start results from a national survey
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Why Some Women Douche and Why Other Women Never Start: Results from a National Survey. Lucy Annang, PhD, MPH Diane M. Grimley, PhD UAB School of Public Health Department of Health Behavior. 2006 National STD Prevention Conference. Background.

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Why some women douche and why other women never start results from a national survey

Why Some Women Douche and Why Other Women Never Start: Results from a National Survey

Lucy Annang, PhD, MPH

Diane M. Grimley, PhD

UAB School of Public Health

Department of Health Behavior

2006 National STD Prevention Conference


Background
Background

  • Vaginal douching has been linked to numerous reproductive health consequences

    • Bacterial Vaginosis (Ness et al., 2002; Schwebke et al., 2004; Cottrell 2006)

    • PID (Jossens et al., 1996; Zhang et al., 1997; Ness et al., 2002)

    • STIs (Scholes et al., 1998; Peters et al., 2000; Foch et al., 2001)


Background con t
Background (con’t)

  • Despite these relationships, women continue to douche

    • 27% of all females

    • 55% of African American females (NCHS, 1997)

  • Reasons why some women douche and others never initiate the behavior is unclear


Methodology
Methodology

  • Random-digit-dial CATI

  • English speaking U.S. females ages 18-44

  • “Women’s health issues” questionnaire measured

    • Demographic characteristics

    • Gynecologic history

    • Douching behaviors

    • Other feminine hygiene product use


Methodology con t
Methodology (con’t)

  • Participants not offered incentive

  • Closed and open-ended questions

  • Descriptive analyses of quantitative and qualitative items

  • Full details available: Grimley et al., 2006 MCHJ


Results demographic characteristics n 2 602
Results—Demographic Characteristics (N=2,602)


Results douching behavior
Results—Douching Behavior


Results douching behavior by race ethnicity
Results—Douching Behavior by Race/Ethnicity

%


Results—Behavioral Characteristics by Douching Status (%)

P < 0.05


Results—Behavioral Characteristics by Douching Status (con’t) (%)

P < 0.05


Results current douchers reasons for starting to douche
Results—Current Douchers’ Reasons for Starting to Douche

%


Results recommenders of douching behavior
Results—Recommenders of Douching Behavior

%


Results never douchers reasons for never starting to douche
Results—Never Douchers’ Reasons for Never Starting to Douche

%


Results—Recommenders of Never Douching

%


Conclusions
Conclusions

  • Douching prevalence on the decline

  • Associations with BV and STIs

  • Two major reasons emerged for both current douchers and never douchers

    • Cleanliness and recommendations

    • Unnecessary behavior and recommendations


Conclusions con t
Conclusions (con’t)

  • Efforts to prevent women from initiating or modifying the frequency of douching should acknowledge these motivational cues


Limitations
Limitations

  • Low response rate

  • Only English speaking population

  • Representative?


Future directions
Future Directions

  • Consider motivation for douching (and never initiating) by race/ethnicity


Acknowledgements
Acknowledgements

Terry Hooks, BA

ASPH/CDC Grant #S1451

The findings and conclusions in this presentation have not been formally disseminated by the CDC/ATSDR and should not be construed to represent any agency determination or policy.


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