A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

Ana S. Salazar; Nicholas F. Nogueira; Violeta J. Rodriguez; Alejandro Mantero; Emily M. Cherenack; Patricia Raccamarich; Marissa Maddalon; Theodora Brophy; Emily Montgomerie; Nichole R. Klatt; Deborah L. Jones; Maria L. Alcaide

doi:10.1007/s10461-022-03634-4

A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

Ana S. Salazar, Nicholas F. Nogueira, Violeta J. Rodriguez, Alejandro Mantero, Emily M. Cherenack, Patricia Raccamarich, Marissa Maddalon, Theodora Brophy, Emily Montgomerie, Nichole R. Klatt, Deborah L. Jones, Maria L. Alcaide

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Abstract

Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18–45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women’s risk of acquiring HIV.

Original language	English (US)
Pages (from-to)	3110-3118
Number of pages	9
Journal	AIDS and Behavior
Volume	26
Issue number	9
DOIs	https://doi.org/10.1007/s10461-022-03634-4
State	Published - Sep 2022

Bibliographical note

Funding Information:
Research reported in this publication was supported by R01AI138718 to MLA, the University of Miami Center for AIDS Research, grant No. P30A1073961, and grant No. P30MH116867 through the Center for HIV and Research in Mental Health from the National Institutes of Health (NIH). VJR’s work on this study was partially supported by a Ford Foundation Fellowship, administered by the National Academies of Science, a PEO Scholar Award from the PEO Sisterhood, and a grant from the National Institute of Mental Health of the NIH [R36MH127838]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or these Institutions.

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

Bacterial vaginosis
HIV
Sexually transmitted infections
Syndemic

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-022-03634-4

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abstract = "Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18–45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women{\textquoteright}s risk of acquiring HIV.",

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A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

Abstract

Bibliographical note

Keywords

UN SDGs

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