ArticleAIDS research and human retroviruses2014
An effective intervention to reduce intravaginal practices among HIV-1 uninfected Kenyan women.
Article in AIDS research and human retroviruses, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A bio-behavioral intervention to decrease intravaginal practices and bacterial vaginosis among HIV infected Zambian women, a randomized pilot study.BMC infectious diseases · 2017Trial
- Nanobiosensors: A Potential Tool to Decipher the Nexus Between SARS-CoV-2 Infection and Gut Dysbiosis.Sensors (Basel, Switzerland) · 2026Review
- The association between lifestyle factors and the composition of the vaginal microbiota: a review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024Review
- Douching cessation and molecular bacterial vaginosis: a reanalysis of archived specimens.Sexually transmitted infections · 2023Article
- "Feeling clean": stigma and intravaginal practices among female entertainment workers in Cambodia.BMC women's health · 2021Article
- Association between vaginal washing and detection ofSexually transmitted infections · 2019Article
- Effects of an over-the-counter lactic-acid containing intra-vaginal douching product on the vaginal microbiota.BMC microbiology · 2019Article
- Vaginal herb use andBMJ open · 2019Article
- Adolescent and young adult couples' views of intravaginal practices: a qualitative analysis of a pilot study.International journal of women's health · 2019Article
- Article
- A Summary of the First HIV Microbiome Workshop 2015.AIDS research and human retrovirusesArticle
- Exploring the Vaginal Microbiome and Intravaginal Practices in Postmenopausal Women.Nursing researchArticle
Corrections and comments
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Authors and funding
14 authors.
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Abstract
Intravaginal practices (IVP) are common among African women and are associated with HIV acquisition. A behavioral intervention to reduce IVP is a potential new HIV risk-reduction strategy. Fifty-eight HIV-1-uninfected Kenyan women reporting IVP and 42 women who denied IVP were followed for 3 months. Women using IVP attended a skill-building, theory-based group intervention occurring weekly for 3 weeks to encourage IVP cessation. Vaginal swabs at each visit were used to detect yeast, to detect bacterial vaginosis, and to characterize the vaginal microbiota. Intravaginal insertion of soapy water (59%) and lemon juice (45%) was most common among 58 IVP women. The group-counseling intervention led to a decrease in IVP from 95% (54/58) at baseline to 0% (0/39) at month 3 (p=0.001). After 3 months of cessation, there was a reduction in yeast on vaginal wet preparation (22% to 7%, p=0.011). Women in the IVP group were more likely to have a Lactobacillus iners-dominated vaginal microbiota at baseline compared to controls [odds ratio (OR), 6.4, p=0.006] without significant change in the microbiota after IVP cessation. The group counseling intervention was effective in reducing IVP for 3 months. Reducing IVP may be important in itself, as well as to support effective use of vaginal microbicides, to prevent HIV acquisition.
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