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Year : 2008  |  Volume : 26  |  Issue : 2  |  Page : 132--137

Prevalence and correlates of bacterial vaginosis among young women of reproductive age in Mysore, India

P Madhivanan1, K Krupp3, V Chandrasekaran3, C Karat2, A Arun3, CR Cohen4, AL Reingold6, JD Klausner4 
1 Division of Epidemiology, School of Public Health, University of California, Berkeley, USA; Public Health Research Institute, Mysore - 570020, India
2 Department of Obstetrics and Gynecology, CSI Holdsworth Memorial Hospital, Mysore - 570 021, Karnataka, India
3 Vikram Hospital, Mysore - 570 020, India
4 University of California, San Francisco, USA

Correspondence Address:
P Madhivanan
Division of Epidemiology, School of Public Health, University of California, Berkeley, USA; Public Health Research Institute, Mysore - 570020, India

Purpose: Bacterial vaginosis (BV) is the most common cause of abnormal vaginal discharge among women of childbearing age and is associated with STI/HIV and adverse birth outcomes. The objective of this study was to determine the prevalence and correlates of BV among young women of reproductive age in Mysore, India. Methods: Between October 2005 and December 2006, 898 sexually active women of 15-30 years of age were enrolled from two reproductive health clinics in Mysore. The women underwent an interview followed by physical examination, HSV-2 serologic testing, endocervical culture for Neisseria gonorrhoeae , and vaginal swabs for diagnosis of BV, Trichomonas vaginalis infection and candidiasis. Statistical analyses included conventional descriptive statistics and multivariable analysis using logistic regression. Results: Of the 898 women, 391 (43.5%) were diagnosed with ≥1 endogenous reproductive tract infection and 157 (17.4%) with ≥1 sexually transmitted infection. Only 863 women had Gram-stained vaginal smears available, out of which 165 (19.1, 95% confidence interval [CI]: 16.3%-22.2%) were found to have BV and 133 (15.4, 95% CI: 12.9%-18.3%) were in the «SQ»intermediate«SQ» stage. BV was related to concurrent infections with T. vaginalis (odds ratio [OR] = 4.07, 95% CI: 2.45-6.72) and HSV-2 seropositivity (OR = 2.22, 95% CI: 1.39-3.53). Conclusions: In this population, the prevalence of BV at 19% was relatively low. Coinfection with T. vaginalis , however, was common. BV was independently associated with concurrent T. vaginalis infection and partner«SQ»s alcohol use. Muslim women had reduced odds of BV as compared to non-Muslim women. Further research is needed to understand the role of T. vaginalis infection in the pathogenesis of BV and the sociocultural context surrounding the condition in India.

How to cite this article:
Madhivanan P, Krupp K, Chandrasekaran V, Karat C, Arun A, Cohen C R, Reingold A L, Klausner J D. Prevalence and correlates of bacterial vaginosis among young women of reproductive age in Mysore, India.Indian J Med Microbiol 2008;26:132-137

How to cite this URL:
Madhivanan P, Krupp K, Chandrasekaran V, Karat C, Arun A, Cohen C R, Reingold A L, Klausner J D. Prevalence and correlates of bacterial vaginosis among young women of reproductive age in Mysore, India. Indian J Med Microbiol [serial online] 2008 [cited 2019 Dec 11 ];26:132-137
Available from: http://www.ijmm.org/article.asp?issn=0255-0857;year=2008;volume=26;issue=2;spage=132;epage=137;aulast=Madhivanan;type=0