背景:阴毛修饰涉及部分或完全去除阴毛,这是男性和女性的普遍做法。打扮在女性中更为普遍,他们采用各种方法,如剃须,打蜡和激光去除。然而,它与整容后不良结局的不同发生率相关,包括撕裂伤和性传播感染(STIs).据我们所知,这是第一次系统评价和荟萃分析,比较了新郎和不新郎的女性的性健康结果。
方法:我们遵循了MOOSE指南,并使用(PubMed,WebofScience,Scopus,和OvidMedline),直到6月20日,2022年,对于使用相关关键词的符合条件的研究;(阴毛美容)或(阴毛脱毛或生殖器无毛或比基尼脱毛或阴毛脱毛)。横断面研究包括比较女性在动机和健康结果方面的美容实践。将女性的满意度和性传播感染发生率分别汇总为标准化平均差(SMD)和比值比(OR)。
结果:我们对73,091名参与者进行了22项横断面研究。阴毛美容师发生革兰阴性淋病和衣原体感染的几率具有统计学意义(OR=1.55,95%CI[1.31,1.84],P<0.001)(OR=1.56,95%CI[1.32,1.85],P<0.001]。在生殖器疱疹等病毒感染方面,美容师和非美容师女性之间没有差异(OR=1.40,95%CI[0.56,3.50],P=0.47)和尖锐湿疣(OR=1.75,95%CI[0.51,6.01],P=0.37)。最常见的美容副作用是生殖器瘙痒(患病率=26.9%,P<0.001)。非电动剃刀(患病率=69.3%,P<0.001)是最常见的修饰方法。白人女性(患病率=80.2%,P<0.001)与黑人女性相比,更频繁地去除阴毛(患病率=12.2%,P<0.001)。女性练习完成美容(50.3%,阴毛的P<0.001)比部分梳理更频繁(33.1%,P<0.001)。两组女性满意度无差异(SMD=0.12,95%CI[-0.16,0.40],P=0.39)。
结论:本综述与以往关于阴毛美容的性健康结局的观察性研究一致。有必要提高妇女对阴毛美容安全做法的认识,强调危害和益处的澄清。
BACKGROUND: Pubic hair grooming involves the partial or complete removal of pubic hair, and it is a common practice among men and women. Grooming is more prevalent in women, who employ various methods such as shaving, waxing and laser removal. However, it is associated with variable rates of post-grooming adverse outcomes including lacerations and sexually transmitted infections (STIs). To the best of our knowledge, this is the first systematic
review and meta-analysis comparing women\'s sexual health outcomes between those who groom and those who don\'t.
METHODS: We followed the MOOSE guidelines and conducted a computerized-based search using (PubMed, Web of Science, Scopus, and Ovid Medline), till June 20th, 2022, for eligible studies using the relevant keywords; (pubic hair grooming) OR (pubic hair removal OR Genital hairless OR Bikini hair removal OR pubic hair depilation). Cross-sectional studies included which compared grooming practices among women in terms of motivation and health outcomes. Women\'s satisfaction and incidence of STIs were pooled as standardized mean difference (SMD) and odds ratio (OR) respectively.
RESULTS: Twenty-Two cross-sectional studies were included in our
review with 73,091 participant.The odds of having gram-negative gonorrheal and chlamydial infection in Pubic hair groomers were found to be statistically significant (OR = 1.55, 95% CI [1.31, 1.84], P < 0.001) (OR = 1.56, 95% CI [1.32, 1.85], P < 0.001] respectively. There was no difference between groomer and non-groomer women regarding viral infections such as genital herpes (OR = 1.40, 95% CI [0.56, 3.50], P = 0.47) and Condyloma acuminata (OR = 1.75, 95% CI [0.51, 6.01], P = 0.37). The most common grooming side effect is genital itching (prevalence = 26.9%, P < 0.001). Non-electrical razor (prevalence = 69.3%, P < 0.001) is the most common grooming method. White women (prevalence = 80.2%, P < 0.001) remove pubic hair more frequently compared to black women (prevalence = 12.2%, P < 0.001). Women practice complete grooming (50.3%, P < 0.001) of the pubic hair more frequently than partial grooming (33.1%, P < 0.001). There are no differences in women\'s satisfaction between the two groups (SMD = 0.12, 95% CI [-0.16, 0.40], P = 0.39).
CONCLUSIONS: This
review aligns with previous observational studies regarding sexual health outcomes of pubic hair grooming. There is a need to raise awareness among women regarding the safe practice of pubic hair grooming, emphasizing the clarification of hazards and benefits.