Racial disparity in bacterial vaginosis: the role of socioeconomic status, psychosocial stress, and neighborhood characteristics, and possible implications for preterm birth

Paul, Kathleen; Boutain, Doris M.; Manhart, Lisa E.; Hitti, Jane

doi:10.1016/j.socscimed.2008.05.017

Cited by 56 publications

(52 citation statements)

References 46 publications

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“…Allostatic load can ultimately have long-term effects (McEwen and Seeman 1999). The physiologic load created by chronic exposure to stress over time can lead to an enhanced inflammatory response, initiating early delivery, contributing to preterm birth, compromised fetal development, and poorer health among pregnant women (James 1994;Baum, Garofalo, and Yali 1999;McEwen and Seeman 1999;Culhane et al 2002;Paul et al 2008). Prior work has found that redlining was positively associated with stress among black and Hispanic pregnant women (Mendez, Hogan, and Culhane 2013).…”

Section: Redlining Segregation and Preterm Birth Disparitiesmentioning

confidence: 99%

Institutional racism, neighborhood factors, stress, and preterm birth

2013

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Section: Redlining Segregation and Preterm Birth Disparitiesmentioning

confidence: 99%

Institutional racism, neighborhood factors, stress, and preterm birth

2013

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“…A recent study showed a higher number of stressful life events (such as socioeconomic status and psychosocial stress) was significantly associated with higher bacterial vaginosis prevalence, among both African-American and white American women. 26 Significant differences in cytokine concentrations between women with and without bacterial vaginosis have been dem-…”

Section: Discussionmentioning

confidence: 99%

“…40 However, many other factors may be involved in this context and may influence occurrences of vulvovaginitis, such as socioeconomic status. 26 Garcia-Closas et al demonstrated that the vaginal pH during menstruation (days 1-5) and the proliferative phase of the menstrual cycle tended to be higher than the pH during the secretory phase. 35 In our study, the nonwhite women were more likely to test positive for Candida during the secretory phase of the menstrual cycle than in the proliferative phase (1.74 versus 1.6), which may have been due to the high vaginal pH during the proliferative phase.…”

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Relationship between infectious agents for vulvovaginitis and skin color

et al. 2010

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CONTEXT AND Objective: Many factors influence occurrences of vulvovaginitis. The aims here were to assess skin color and age-related differences in the vaginal flora and occurrences of vulvovaginitis. DESIGN AND SETTING:Cross-sectional study; tertiary referral hospital (Universidade Federal do Triângulo Mineiro, Uberaba). METHODS:Healthy women who underwent routine outpatient gynecological assessments were assessed for vulvovaginitis and vaginal flora and then divided into whites (n = 13,881) and nonwhites (n = 5,295). Statistical analysis was performed using the X 2 test, logistic regression and odds ratios. RESULTS:The vaginal microflora was skin-color dependent, with greater occurrence of clue cells, Trichomonas vaginalis and coccobacilli in nonwhite women (P < 0.0001). Döderlein bacilli and cytolytic flora were more prevalent in white women (P < 0.0001 and P < 0.05, respectively). CONCLUSIONS: There are differences in vulvovaginitis occurrence relating to skin color, which may be associated with variations in vaginal flora.RESUMO CONTEXTO E OBJETIVO: Muitos fatores influenciam a ocorrência de vulvovaginites. Os objetivos foram avaliar diferenças relacionadas à cor da pele e idade na flora vaginal e vulvovaginites. TIPO DE ESTUDO E LOCAL: Estudo transversal; hospital de referência terciário (Universidade Federal do Triângulo Mineiro, Uberaba).MÉTODOS: Mulheres saudáveis em atendimento de rotina para exames ginecológicos foram divididas em brancas (n = 13.881) e não brancas (n = 5.295) e avaliadas quanto a vulvovaginites e flora vaginal. Para análise estatística, foram utilizados teste X 2 , regressão logística e odds ratio.RESULTADOS: Microflora vaginal foi dependente da cor da pele, com maior ocorrência de "clue cells", Trichomonas vaginalis e bacilos cocoides em não brancas (P < 0,0001); bacilos de Döderlein e flora citolítica foram mais prevalentes em brancas (P < 0,0001 e P < 0,05, respectivamente CONCLUSÕES: Há diferenças na ocorrência de vulvovaginites relacionadas com a cor da pele, podendo haver associação com variações na flora vaginal.

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“…Penelitian yang dilakukan oleh Paul, et al (2008) bahwa stres akibat peristiwa dalam kehidupan berhubungan secara signifikan dengan tingginya prevalensi BV pada wanita ras Amerika-Afrika sebesar 5,6% dibandingkan dengan kondisi normalnya yaitu 3,9% (p < 0,001) dan pada wanita Amerika kulit putih sebesar 4,1% dibandingkan dengan kondisi normalnya yaitu 2,1% (p < 0,001). Harville, et al (2005) menemukan bahwa 34% wanita yang memiliki tingkat stres tinggi mengalami BV dan 26% wanita dengan stres tinggi tetapi tidak mengalami BV.…”

Section: Pendahuluanunclassified

The Resilience and Stress on Bacterial Vaginosis among Reproductive Age Women in the Coastal area of Ampenan, Kota Mataram

Pratiwi

Hapsari

Pangastuti

2016

Nursing

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ABSTRAKPendahuluan: Bakteria Vaginosis (BV) secara umum merupakan kondisi vagina yang terjadi pertumbuhan berlebih dari bakteri anaerob. Stres dapat mengubah kesehatan reproduksi perempuan dalam banyak hal, salah satunya adalah meningkatkan risiko vaginosis bakteri. Kondisi kehidupan yang penuh stres memerlukan untuk menjaga fungsi optimal dan mencegah pengalaman traumatis. Metode: Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Kuesioner diberikan kepada 104 perempuan usia subur. Ketahanan dan stres dinilai menggunakan The Connor-Davidson Resilience Scale (CD-RISC) dan Self Reporting Questionnaire, dan status vaginosis bakteri didiagnosis dengan menggunakan kriteria Amsel. Analisis statistik dengan menggunakan uji chi square dan regresi logistik. Hasil: Analisis bivariat menunjukkan hubungan yang signifikan antara ketahanan (p = 0,005), stres (p = 0,002), frekuensi hubungan seksual dalam 1 minggu (p = 0,015) dengan kejadian vaginosis bakteri. Analisis multivariat menunjukkan stres merupakan faktor yang paling berpengaruh OR = 3,9 (95% CI = 1,478-10,562). Diskusi: Ketahanan dan stres secara signifikan dengan peningkatan risiko memiliki vaginosis bakteri. OR=3,9 (95% CI=1,562). Discussion: Resilience and stress were significantly with increased risk of having bacterial vaginosis

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Racial disparity in bacterial vaginosis: the role of socioeconomic status, psychosocial stress, and neighborhood characteristics, and possible implications for preterm birth

Cited by 56 publications

References 46 publications

Institutional racism, neighborhood factors, stress, and preterm birth

Institutional racism, neighborhood factors, stress, and preterm birth

Relationship between infectious agents for vulvovaginitis and skin color

The Resilience and Stress on Bacterial Vaginosis among Reproductive Age Women in the Coastal area of Ampenan, Kota Mataram

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