Characteristics of the study sample are presented in Table 1. Of the 115 women interviewed, most were of childbearing age, never married, unemployed and earned low income. Reasons for clinic attendance were as follows: 59% (68) attended the clinic for a general check-up; 17% (20) had accompanied a relative to his or her appointment; 9% (10) were seeking help for nongynecologic problems; 6% (7) for pregnancy screening; 5% (6) for gynecologic problems; 3% (3) for birth control; and 3% (3) for other prescription refills. Only 7% (8) of the women indicated they had never douched during their lifetime; 16% (18) reported they douched >2 times per week. Of the women who indicated they had douched sometime during their lifetime, mothers (57%o) were most often named as influencing the initiation of vaginal douching, followed by friends (11%)), sisters (10%) or grandmothers (4%). Women age 25-34 (n=43, P=0.03) and Medi-Cal recipients (n=70, P=0.03) were significantly more likely to report they have ever douched. Demographics did not differ remarkably between women who did and did not douche >2 times per week.
Table 1. Characteristics of the African-American female study participants, attendees at a Los Angeles community clinic, 2001
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| Total Sample |
Ever Douched |
Douche >2 Times | |
|
Category |
(n=115) |
(n=107) |
per Week (n=18) |
| n* (%) |
n* (%) |
n* (%) | |
| Age Group | |||
| 18-24 |
23 (20) |
18(17) |
3(17) |
| 25-34 |
45 (39) |
43 (40) |
6 (33) |
| 35-44 |
36 (31) |
36 (34) |
5(28) |
| 45-53 |
11 (10) |
10(9) |
4(22) |
| Last Grode Completed (Yeors) | |||
| High school (9-12) |
85 (75) |
78 (73) |
13 (72) |
| College (13-16) |
26 (23) |
25 (23) |
4(22) |
| Grad school (>17) |
3(2) |
3(3) |
1 (6) |
| Moritol Stotus | |||
| Never married |
76 (66) |
71 (66) |
11 (61) |
| Married, with partner |
14(12) |
13 (12) |
2(11) |
| Married, without partner |
6(5) |
6(6) |
2(11) |
| Separated |
9(8) |
8(7) |
1 (6) |
| Divorced |
7(6) |
7(7) |
2(11) |
| Widowed |
3(3) |
2(2) |
0(0) |
| Employment | |||
| Yes, >40 hours |
12 (10) |
11(10) |
1 (6) |
| Yes, <40 hours |
22 (19) |
20 (19) |
5(2)8 |
| No |
81 (70) |
76 (71) |
12(6)7 |
| Individuol Income | |||
| 0 |
2(2) |
1 (1) |
1 (6) |
| $1-$5,000 |
15 (13) |
14(13) |
1 (6) |
| $5,001-$10,000 |
36 (31) |
33 (331) |
8 (44) |
| $10,001-$15,000 |
29 (25) |
28 (26) |
5(28) |
| $15,001-$20,000 |
16 (14) |
16 (15) |
1 (6) |
| $20,001-$30,000 |
13(11) |
11 (10) |
2(11) |
| $30,001-$40,000 |
4(3) |
4(4) |
0(0) |
| 7ype of Insuronce | |||
| Free |
26 (23) |
23 (21) |
5(29) |
| Cash |
5(4) |
2(2) |
1 (6) |
| MediCal |
72 (63) |
70 (65) |
10 (59) |
| Private |
11 (10) |
11 (10) |
1 (6) |
| Ever Hod о Sexuolly Transmitted Diseose | |||
| Yes |
60 (52) |
58 (54) |
11 (61) |
| No |
55 (48) |
49 (46) |
7(39) |
| Family History of Cervical Cancer | |||
| Yes |
26 (23) |
24 (22) |
4(22) |
| No |
89 (77) |
83 (78) |
14 (78) |
| Douching Frequency | |||
| Never |
8(7) |
NAA — |
NA - |
| <2 a month |
65 (58) |
65 (60) |
NA – |
| Twice a month |
24 (22) |
24 (23) |
NA - |
| >2 times per week |
18 (16) |
18(17) |
18 (100) |
| * Subtotals may be less than column total due to missing values; ** Chi-square PO.03; л NA: not applicable | |||
Table 2 presents the sexual history, Pap exam history and reasons for douching among women who douche <2 times per month (n=65, less frequent douchers), women who douche two times per month (n=24) and women who douche >2 times per week (n=18, frequent douchers). Frequent douchers compared with less frequent douchers were more likely to report a regular sex partner [94% (n=17) vs. 73% (n=47), P=0.06]. Self-reported previous gonorrhea infection was more prevalent in the frequent douchers compared with the less frequent douchers [28% (n=5) vs. 8% (n=5), P=0.02] and slightly more prevalent in women who douche two times per month compared with less frequent douchers [21% (n=5) vs. 8% (n=5); P=0.08]. Viagra Soft Tabs
Table 2. Comparison of selected demographic and behavioral characteristics between women who douche two times per month or women who douche >2 times per week and women who douche <2 times per month
| Douche <2 Times | Douche 2 Times | Douche >2 Times | |||
|
CategoryA |
per Month | per Month | Times per Week | ||
| (n=65) |
(n= |
=24) |
(n=18) | ||
| n(%) | n(%) | P Value* |
n(%) |
P Value* | |
| Age Group | |||||
| 18-24 |
13 (20) |
2(8) |
0.58 |
3(17) |
0.24 |
| 25-34 |
27 (42) |
10 (42) |
6 (33) |
||
| 35-44 |
21 (32) |
10 (42) |
5(28) |
||
| 45-53 |
4(6) |
2(8) |
4(22) |
||
| Individual Income | |||||
| <$ 10,000 |
30 (46) |
8 (33) |
0.28 |
10 (56) |
0.48 |
| >$ 10,000 |
35 (54) |
16 (67) |
8 (44) |
||
| Report Regular Sex Partner | |||||
| Yes |
47 (73) |
15 (65) |
0.46 |
17 (94) |
0.06 |
| No |
17(27) |
8 (35) |
1 (6) | ||
| Number of Sex Partners in Past Year | |||||
| 0-1 |
35 (61) |
12 (60) |
0.12 |
12(71) |
0.86 |
| 2 |
12 (21) |
1 (5) |
3(18) |
||
| 3-4 |
7(12) |
3(15) |
1 (6) | ||
| >5 |
3(5) |
4(20) |
1 (6) | ||
| Condom Use | |||||
| Very frequently or always |
38 (59) |
15 (63) |
0.96 |
6 (33) |
0.13 |
| Somewhat frequently |
6(9) |
2(8) |
2(11) |
||
| Infrequently or never |
20 (31) |
7(29) |
10 (56) |
||
| Self-reported history of chlamydia |
16 (25) |
7(29) |
0.66 |
4(22) |
0.83 |
| Self-reported history of gonorrhea |
5(8) |
5(21) |
0.08 |
5(28) |
0.02 |
| Self-reported history of trichomoniasis |
16 (25) |
7(29) |
0.86 |
5(28) |
0.78 |
| Self-reported history of pelvic inflammatory disease 3 (5) |
1 (4) |
0.93 |
1 (6) |
0.87 |
|
| Most Recent Pap Exam | |||||
| <2 years ago |
57 (88) |
23 (96) |
0.26 |
17 (94) |
0.41 |
| >2 years ago |
8(12) |
1 (4) |
1 (6) | ||
| Abnormal result of most recent Pap exam |
19 (30) |
7(29) |
0.93 |
6 (33) |
0.80 |
| Told to douche before Pap exam |
1 (2) |
1 (4) |
0.47 |
3(17) |
0.01 |
| Told not to douche before Pap exam |
11 (17) |
4(17) |
0.60 |
4(22) |
0.36 |
| Reasons for Douching | |||||
| After period |
60 (92) |
23 (96) |
0.56 |
16 (89) |
0.64 |
| After sex |
38 (58) |
16 (67) |
0.48 |
16 (89) |
0.02 |
| After discharge |
32 (49) |
18 (75) |
0.03 |
16 (89) |
<0.01 |
| Before sex |
20 (31) |
12 (50) |
0.09 |
9(50) |
0.13 |
| After Pap |
13 (20) |
12 (50) |
0.01 |
6 (33) |
0.24 |
| Before Pap |
15 (23) |
6(25) |
0.85 |
6 (33) |
0.38 |
| л Subtotals may be less than column total due to missing values. Percentages exclude missing values; * Pearson Chi-squared test | |||||
Nineteen (18%) women who had ever douched or nurse, three reported a friend, two reported a mother or grandmother and one woman reported her husband as the advisor. Five of the women who had ever douched reported they were told to douche before a Pap exam; three reported their mother, two reported their friend and one reported a nurse as the advisor. Frequent douchers compared with less frequent douchers were more likely to report that someone told them to douche before a Pap exam [ 17% (n=3)vs. 2%(n=l), P=0.01].
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Table 3. Comparison of douche preferences between women who douche >2 times per week with women who douche <2 times per week
| Douche <2 Times per Week (n=89) | Douche >2 Times per Week (n=18) | ||
|
Douching Preference |
n (%)** | n (%)** |
P ValueA |
| Makes Homemade Douches* |
24 |
7 |
|
| Water only |
4(17) |
0(0) |
|
| Vinegar only |
24 (100) |
7 (100) |
|
| Water and vinegar only |
18 (75) |
6 (86) |
|
| Baking soda and water |
5(21) |
4(57) |
0.06 |
| Other |
4(17) |
1 (14) |
|
| Buys Commercial Douches* |
81 |
16 |
|
| Water and vinegar |
75 (93) |
15 (94) |
|
| Baking soda and water |
15(19) |
5(31) |
|
| Scented |
25 (31) |
10 (63) |
0.03 |
| Medicated |
14(17) |
4(25) |
|
| Other |
2(2) |
2(13) |
Frequent douchers compared with less frequent douchers were more likely to report after sex [89% (n=16) vs. 58% (n=38), P=0.02] or after discharge [89% (n=16) vs. 49%) (n=32), P<0.01] as a reason for douching. Women who douche two times per month compared with less frequent douchers also were more likely to report after discharge [75% (n=18) vs. 49% (n=32), P=0.03] as a reason for douching. In an open-ended question asking participants the main reason they douched, 82% (88) expressed “maintaining freshness and stopping odors” as the predominant reason (data not shown).
After controlling for age, both frequent douchers and women who douche two times per month were more likely to report after discharge as a reason for douching compared with less frequent douchers (frequent douchers: OR 8.11, 95% CI: 1.64, 40.1; two times per month: OR 2.88, 95% CI: 0.98, 8.44). Frequent douchers compared with less frequent douchers were more likely to report after sex as a reason for douching (OR 5.35, 95% CI: 1.09, 26.2) and were more likely to self-report a history of gonorrhea (OR 4.87, 95% CI: 1.07, 22.2). Women who douche two times per month compared with less frequent douchers also were more likely to self-report a history of gonorrhea, although results were not as statistically significant (OR 3.10,95% CI: 0.79,12.1). Cialis Jelly
Table 3 presents the preferences of douches among less frequent douchers (n=89) and frequent douchers (n=18). Frequent douchers compared with less frequent douchers preferred a homemade solution of baking soda and water [57% (n=4) vs. 23% (n=5), P=0.06] and preferred over-the-counter, scented solutions [63% (n=10) vs. 31% (n=25), P=0.03].
































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