Evidence map›Paper›PMID 22051790›Full record

ArticleJournal of pediatric and adolescent gynecology2012

Prevalence and correlates of recent vaginal douching among African American adolescent females.

R J Diclemente, A M Young, J L Painter, G M Wingood, E Rose, J M Sales

Registry-linked trialAbstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00279799 (HIV Prevention Maintenance for African American Teens), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00279799 phase3completednot on this map

HIV Prevention Maintenance for African American Teens

TypeinterventionalSponsorEmory UniversityRan2005 to 2013Enrolled701ConditionsSexually Transmitted DiseasesArmsAfiya HIV Prevention Intervention, Afiya HIV prevention intervention
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Vulvar Care: Reviewing Concepts in Daily Hygiene.Healthcare (Basel, Switzerland) · 2025
    Review
  5. Review
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

R J DiclementeDepartment of Behavioral Sciences and Health Education, Emory University, Atlanta, GA, USA. rdicelm@emory.edu
A M Young
J L Painter
G M Wingood
E Rose
J M Sales

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Hannah LF Cooper · 2002 to 2026
$74.0M
HIV Prevention Maintenance for African American Teens ContinuationR01MH070537 · NIMH · EMORY UNIVERSITY · PI DICLEMENTE, RALPH J · 2003 to 2012
$6.8M
Training a New Generation of VaccinologistsT32AI074492 · NIAID · EMORY UNIVERSITY · PI Rama Rao Amara, Benjamin A Lopman · 2009 to 2026
$6.4M
Factors Associated with Teens' Non-Responsiveness to HIV InterventionK01MH085506 · NIMH · EMORY UNIVERSITY · PI SALES, JESSICA A · 2009 to 2013
$686k
NIAID NIH HHS P30 AI050409NIAID NIH HHS T32 AI074492NIAID NIH HHS T32AI074492NIMH NIH HHS 5 R01 MH070537-08NIMH NIH HHS K01 MH085506NIMH NIH HHS R01 MH070537PHS HHS P30-A150409
6 · The paper itself

Abstract

STUDY

objectiveTo describe the prevalence and correlates of vaginal douching among urban African American adolescents and to examine the association between douching and sexually transmitted infection (STI) status.

designDemographic, psychosocial, and behavioral data were collected through cross-sectional, self-administered surveys. Self-collected vaginal swabs were assayed using nucleic acid amplification tests for trichomoniasis, chlamydia, and gonorrhea.

settingSexual health clinic in a large metropolitan area of the southeastern United States.

participantsAfrican American females (N = 701), ages 14-20, participating in a human immunodeficiency virus prevention intervention.

main outcome measureThe outcome of interest was the association between vaginal douching (lifetime, past 90 days, and past 7 days) with demographic characteristics (eg, age, education, and socioeconomic status), physical and mental health status, STI status, sexual behavior (eg, number of vaginal sexual partners, age of sex partners, consistent condom use in the past 90 days, sex while self/partner was high on drugs or alcohol), and psychosocial characteristics (eg, sexual adventurism, social support, peer norms, sexual satisfaction, self-efficacy for sex refusal, self-esteem, relationship power, risk avoidance).

resultsForty-three percent reported ever douching, and 29% reported douching in the past 90 days. In bivariate analyses, recent douching was associated with demographic, behavioral, and psychosocial variables, but not current STI status. In multivariate analyses, recent douching was associated with age (odds ratio [AOR] = 1.13, confidence interval [CI] = 1.02-1.25), lower socioeconomic status (AOR = 1.25, CI = 1.05-1.47), and having sex with much older partners (AOR = 1.87, CI = 1.22-2.86).

conclusionIncreased age, lower socioeconomic status, and older partners may be salient risk factors for douching behavior among African American young women.

Indexed as

AdolescentAge FactorsBlack or African AmericanCross-Sectional StudiesDemographyFemaleGeorgiaHumansLogistic ModelsPrevalenceSexually Transmitted DiseasesSexual PartnersSocioeconomic FactorsSurveys and QuestionnairesVaginal DouchingYoung Adult

Identifiers

PMID22051790
PMCPMC3252400

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.