Evidence map›Paper›PMID 31874964›Full record

Trial reportScientific reports2019

Sexual practices have a significant impact on the vaginal microbiota of women who have sex with women.

Erica L Plummer, Lenka A Vodstrcil, Christopher K Fairley, Sepehr N Tabrizi, Suzanne M Garland, Matthew G Law, Jane S Hocking, Katherine A Fethers, Dieter M Bulach, Gerald L Murray and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
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  12. Review
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  14. Article
  15. Unique roles of vaginalMicrobial genomics · 2021
    Article
  16. Review
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  18. 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

11 authors.

Erica L PlummerCentral Clinical School, Monash University, The Alfred Centre, Melbourne, Victoria, Australia. erica.plummer@monash.edu.
Lenka A VodstrcilCentral Clinical School, Monash University, The Alfred Centre, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-3679-9195
Christopher K FairleyCentral Clinical School, Monash University, The Alfred Centre, Melbourne, Victoria, Australia.
Sepehr N TabriziWomen's Centre for Infectious Diseases, The Royal Women's Hospital, Parkville, Victoria, Australia.
Suzanne M GarlandWomen's Centre for Infectious Diseases, The Royal Women's Hospital, Parkville, Victoria, Australia.
Matthew G LawKirby Institute, UNSW Australia, Kensington, NSW, Australia.
Jane S HockingMelbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia.
Katherine A FethersMelbourne Sexual Health Centre, Alfred Health, Carlton, Victoria, Australia.
Dieter M BulachMicrobiological Diagnostic Unit Public Health Laboratory, The Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Parkville, VIC, Australia.
Gerald L MurrayWomen's Centre for Infectious Diseases, The Royal Women's Hospital, Parkville, Victoria, Australia.
Catriona S BradshawCentral Clinical School, Monash University, The Alfred Centre, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Women-who-have-sex-with-women (WSW) are at increased risk of bacterial vaginosis (BV). We investigated the impact of practices and past BV on the vaginal microbiota within a two-year longitudinal cohort of Australian WSW. Self-collected vaginal swabs were used to characterise the vaginal microbiota using 16S-rRNA gene sequencing. Hierarchical clustering defined community state types (CSTs). Bacterial diversity was calculated using the Shannon diversity index and instability of the vaginal microbiota was assessed by change of CST and Bray-Curtis dissimilarity. Sex with a new partner increased the bacterial diversity (adjusted-coefficient = 0.41, 95%CI: 0.21,0.60, p < 0.001) and instability of the vaginal microbiota, in terms of both change of CST (adjusted-odds-ratio = 2.65, 95%CI: 1.34,5.22, p = 0.005) and increased Bray-Curtis dissimilarity (adjusted-coefficient = 0.21, 95%CI: 0.11,0.31, p < 0.001). Women reporting sex with a new partner were more likely than women reporting no new partner to have a vaginal microbiota characterised by Gardnerella vaginalis (adjusted-relative-risk-ratio[aRRR] = 3.45, 95%CI: 1.42,8.41, p = 0.006) or anaerobic BV-associated bacteria (aRRR = 3.62, 95%CI: 1.43,9.14, p = 0.007) relative to a Lactobacillus crispatus dominated microbiota. Sex with a new partner altered the vaginal microbiota of WSW by increasing the diversity and abundance of BV-associated bacteria. These findings highlight the influence of practices on the development of a non-optimal vaginal microbiota and provide microbiological support for the sexual exchange of bacteria between women.

Indexed as

Gardnerella vaginalisLactobacillus crispatusMicrobiotaSexual and Gender MinoritiesSexual BehaviorVaginosis, BacterialAdultFemaleHumansVagina

Identifiers

PMID31874964
PMCPMC6930205

What OpenQuestion holds

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Registered trials

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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.