Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review.
Women who have sex with women (WSW) have a higher burden of bacterial vaginosis (BV) than heterosexual women; studies of risk factors specific to this population are limited. We summarised current knowledge regarding risk factors for BV among WSW by systematic review.This systematic review was condu...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Public Library of Science (PLoS)
2015-01-01
|
Series: | PLoS ONE |
Online Access: | http://europepmc.org/articles/PMC4682944?pdf=render |
_version_ | 1818924952678563840 |
---|---|
author | Dana S Forcey Lenka A Vodstrcil Jane S Hocking Christopher K Fairley Matthew Law Ruth P McNair Catriona S Bradshaw |
author_facet | Dana S Forcey Lenka A Vodstrcil Jane S Hocking Christopher K Fairley Matthew Law Ruth P McNair Catriona S Bradshaw |
author_sort | Dana S Forcey |
collection | DOAJ |
description | Women who have sex with women (WSW) have a higher burden of bacterial vaginosis (BV) than heterosexual women; studies of risk factors specific to this population are limited. We summarised current knowledge regarding risk factors for BV among WSW by systematic review.This systematic review was conducted according to the PRISMA statement. PUBMED, EMBASE, Web of Science and The Cochrane Library were searched to 31st December, 2014.1) WSW included in the study population; 2) accepted BV diagnostic method; 3) investigated or could extrapolate factors(s) associated with BV acquisition, persistence or transmission in WSW specifically by comparing BV positive to BV negative women. Search was limited to English-language publications.A limited number of studies have investigated BV in WSW. Of 71 unique references, 18 full-text articles were assessed and 14 studies fulfilled inclusion criteria. BV was positively associated with higher numbers of female partners, both lifetime and in the three months prior to diagnosis, and confirmed BV in a female partner, but inconsistently associated with partners' BV history or symptoms. BV was not associated with ethnicity, vaginal douching or hormonal contraception. The impact of specific sexual activities, male sexual contact, smoking and the menstrual cycle varied considerably between study populations.BV in WSW is associated with increased numbers of recent and past female partners and confirmed BV in a female partner. There are limited studies of BV in WSW populations, and research is needed to further elucidate risk factors for BV among WSW. However these data provide epidemiological evidence that BV risk in women is directly related to exposure to other female partners and a partner with BV, providing support for the concept that BV is likely to be transmitted between women.CRD42014009536 (PROSPERO). |
first_indexed | 2024-12-20T02:33:30Z |
format | Article |
id | doaj.art-9453af3cdc164e0b8308172f89ec5bd4 |
institution | Directory Open Access Journal |
issn | 1932-6203 |
language | English |
last_indexed | 2024-12-20T02:33:30Z |
publishDate | 2015-01-01 |
publisher | Public Library of Science (PLoS) |
record_format | Article |
series | PLoS ONE |
spelling | doaj.art-9453af3cdc164e0b8308172f89ec5bd42022-12-21T19:56:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011012e014190510.1371/journal.pone.0141905Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review.Dana S ForceyLenka A VodstrcilJane S HockingChristopher K FairleyMatthew LawRuth P McNairCatriona S BradshawWomen who have sex with women (WSW) have a higher burden of bacterial vaginosis (BV) than heterosexual women; studies of risk factors specific to this population are limited. We summarised current knowledge regarding risk factors for BV among WSW by systematic review.This systematic review was conducted according to the PRISMA statement. PUBMED, EMBASE, Web of Science and The Cochrane Library were searched to 31st December, 2014.1) WSW included in the study population; 2) accepted BV diagnostic method; 3) investigated or could extrapolate factors(s) associated with BV acquisition, persistence or transmission in WSW specifically by comparing BV positive to BV negative women. Search was limited to English-language publications.A limited number of studies have investigated BV in WSW. Of 71 unique references, 18 full-text articles were assessed and 14 studies fulfilled inclusion criteria. BV was positively associated with higher numbers of female partners, both lifetime and in the three months prior to diagnosis, and confirmed BV in a female partner, but inconsistently associated with partners' BV history or symptoms. BV was not associated with ethnicity, vaginal douching or hormonal contraception. The impact of specific sexual activities, male sexual contact, smoking and the menstrual cycle varied considerably between study populations.BV in WSW is associated with increased numbers of recent and past female partners and confirmed BV in a female partner. There are limited studies of BV in WSW populations, and research is needed to further elucidate risk factors for BV among WSW. However these data provide epidemiological evidence that BV risk in women is directly related to exposure to other female partners and a partner with BV, providing support for the concept that BV is likely to be transmitted between women.CRD42014009536 (PROSPERO).http://europepmc.org/articles/PMC4682944?pdf=render |
spellingShingle | Dana S Forcey Lenka A Vodstrcil Jane S Hocking Christopher K Fairley Matthew Law Ruth P McNair Catriona S Bradshaw Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. PLoS ONE |
title | Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. |
title_full | Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. |
title_fullStr | Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. |
title_full_unstemmed | Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. |
title_short | Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. |
title_sort | factors associated with bacterial vaginosis among women who have sex with women a systematic review |
url | http://europepmc.org/articles/PMC4682944?pdf=render |
work_keys_str_mv | AT danasforcey factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview AT lenkaavodstrcil factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview AT janeshocking factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview AT christopherkfairley factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview AT matthewlaw factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview AT ruthpmcnair factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview AT catrionasbradshaw factorsassociatedwithbacterialvaginosisamongwomenwhohavesexwithwomenasystematicreview |