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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
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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