PDF(Pubmed)
Abstract：
UNASSIGNED: Bacterial vaginosis is the most common vaginal condition among women of reproductive age and has been associated with sexually transmitted infections. This study examines the association between cumulative lifetime violence exposure, bacterial vaginosis, and sexually transmitted infections among Black women at risk for HIV.
UNASSIGNED: HIV-negative Black women in a retrospective cohort study (N=230) completed survey questions on cumulative violence (exposure to sexual or physical abuse before age 18 years and exposure to intimate partner violence or sexual violence [partner or other] after age 18 years and past year), bacterial vaginosis (lifetime and past year), and sexually transmitted infection diagnosis (lifetime and past year). Logistic regression models estimated the associations between cumulative violence, bacterial vaginosis, and sexually transmitted infections. Bacterial vaginosis was examined as a moderator in the association between cumulative violence and sexually transmitted infections.
UNASSIGNED: Many women reported cumulative violence exposure (40%), lifetime bacterial vaginosis diagnosis (53%), and lifetime sexually transmitted infection diagnosis (73%). Cumulative violence experience was significantly associated with increased adjusted odds of lifetime bacterial vaginosis diagnosis (AOR=1.98; 95% CI=1.10, 3.54). Lifetime bacterial vaginosis diagnosis (AOR=2.76; 95% CI=1.45, 5.22) and past-year bacterial vaginosis diagnosis (AOR=2.16; 95% CI=1.14, 4.10) were significantly associated with increased odds of lifetime sexually transmitted infection diagnosis. Lifetime bacterial vaginosis diagnosis (AOR=2.10; 95% CI=1.19, 3.70) and past-year bacterial vaginosis diagnosis (AOR=3.00; 95% CI=1.70, 5.31) were significantly associated with past-year sexually transmitted infection diagnosis. Lifetime bacterial vaginosis infection significantly increased the odds of lifetime sexually transmitted infection diagnosis with increasing cumulative violence exposure.
UNASSIGNED: Our findings support educating and screening Black women who experience cumulative violence for bacterial vaginosis to reduce the risk of untreated bacterial vaginosis and sexually transmitted infections.
UNASSIGNED: HIV-negative Black women in a retrospective cohort study (N=230) completed survey questions on cumulative violence (exposure to sexual or physical abuse before age 18 years and exposure to intimate partner violence or sexual violence [partner or other] after age 18 years and past year), bacterial vaginosis (lifetime and past year), and sexually transmitted infection diagnosis (lifetime and past year). Logistic regression models estimated the associations between cumulative violence, bacterial vaginosis, and sexually transmitted infections. Bacterial vaginosis was examined as a moderator in the association between cumulative violence and sexually transmitted infections.
UNASSIGNED: Many women reported cumulative violence exposure (40%), lifetime bacterial vaginosis diagnosis (53%), and lifetime sexually transmitted infection diagnosis (73%). Cumulative violence experience was significantly associated with increased adjusted odds of lifetime bacterial vaginosis diagnosis (AOR=1.98; 95% CI=1.10, 3.54). Lifetime bacterial vaginosis diagnosis (AOR=2.76; 95% CI=1.45, 5.22) and past-year bacterial vaginosis diagnosis (AOR=2.16; 95% CI=1.14, 4.10) were significantly associated with increased odds of lifetime sexually transmitted infection diagnosis. Lifetime bacterial vaginosis diagnosis (AOR=2.10; 95% CI=1.19, 3.70) and past-year bacterial vaginosis diagnosis (AOR=3.00; 95% CI=1.70, 5.31) were significantly associated with past-year sexually transmitted infection diagnosis. Lifetime bacterial vaginosis infection significantly increased the odds of lifetime sexually transmitted infection diagnosis with increasing cumulative violence exposure.
UNASSIGNED: Our findings support educating and screening Black women who experience cumulative violence for bacterial vaginosis to reduce the risk of untreated bacterial vaginosis and sexually transmitted infections.
摘要：
细菌性阴道病是育龄妇女中最常见的阴道疾病，与性传播感染有关。这项研究考察了累积的终生暴力暴露之间的关联，细菌性阴道病,以及有感染艾滋病毒风险的黑人妇女中的性传播感染。
■HIV阴性的黑人妇女在一项回顾性队列研究（N=230）中完成了关于累积暴力（18岁之前遭受性虐待或身体虐待以及18岁之后和过去一年遭受亲密伴侣暴力或性暴力[伴侣或其他]）的调查问题，细菌性阴道病（一生和过去一年），和性传播感染诊断（一生和过去一年）。Logistic回归模型估计了累积暴力之间的关联，细菌性阴道病,和性传播感染。细菌性阴道病被视为累积暴力与性传播感染之间关联的调节因素。
■许多女性报告了累积的暴力暴露（40％），终生细菌性阴道病诊断（53％），和终生性传播感染诊断(73%)。累积暴力经历与终生细菌性阴道病诊断的调整几率增加显著相关(AOR=1.98;95%CI=1.10,3.54)。终生细菌性阴道病诊断(AOR=2.76;95%CI=1.45,5.22)和过去一年的细菌性阴道病诊断(AOR=2.16;95%CI=1.14,4.10)与终生性传播感染诊断几率增加显著相关。终生细菌性阴道病诊断（AOR=2.10；95％CI=1.19，3.70）和过去一年的细菌性阴道病诊断（AOR=3.00；95％CI=1.70，5.31）与过去一年的性传播感染诊断显着相关。随着累积暴力暴露的增加，终生细菌性阴道病感染显着增加了终生性传播感染诊断的几率。
■我们的研究结果支持对经历细菌性阴道病累积暴力的黑人女性进行教育和筛查，以降低未经治疗的细菌性阴道病和性传播感染的风险。
■HIV阴性的黑人妇女在一项回顾性队列研究（N=230）中完成了关于累积暴力（18岁之前遭受性虐待或身体虐待以及18岁之后和过去一年遭受亲密伴侣暴力或性暴力[伴侣或其他]）的调查问题，细菌性阴道病（一生和过去一年），和性传播感染诊断（一生和过去一年）。Logistic回归模型估计了累积暴力之间的关联，细菌性阴道病,和性传播感染。细菌性阴道病被视为累积暴力与性传播感染之间关联的调节因素。
■许多女性报告了累积的暴力暴露（40％），终生细菌性阴道病诊断（53％），和终生性传播感染诊断(73%)。累积暴力经历与终生细菌性阴道病诊断的调整几率增加显著相关(AOR=1.98;95%CI=1.10,3.54)。终生细菌性阴道病诊断(AOR=2.76;95%CI=1.45,5.22)和过去一年的细菌性阴道病诊断(AOR=2.16;95%CI=1.14,4.10)与终生性传播感染诊断几率增加显著相关。终生细菌性阴道病诊断（AOR=2.10；95％CI=1.19，3.70）和过去一年的细菌性阴道病诊断（AOR=3.00；95％CI=1.70，5.31）与过去一年的性传播感染诊断显着相关。随着累积暴力暴露的增加，终生细菌性阴道病感染显着增加了终生性传播感染诊断的几率。
■我们的研究结果支持对经历细菌性阴道病累积暴力的黑人女性进行教育和筛查，以降低未经治疗的细菌性阴道病和性传播感染的风险。
