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    Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review

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    Author
    Forcey, DS; Vodstrcil, LA; Hocking, JS; Fairley, CK; Law, M; McNair, RP; Bradshaw, CS
    Date
    2015-12-16
    Source Title
    PLoS One
    Publisher
    PUBLIC LIBRARY SCIENCE
    University of Melbourne Author/s
    McNair, Ruth; Fairley, Christopher; Hocking, Jane; Bradshaw, Catriona; FORCEY, DANA; VODSTRCIL, LENKA
    Affiliation
    Melbourne School of Population and Global Health
    University General
    General Practice
    Metadata
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    Document Type
    Journal Article
    Citations
    Forcey, D. S., Vodstrcil, L. A., Hocking, J. S., Fairley, C. K., Law, M., McNair, R. P. & Bradshaw, C. S. (2015). Factors Associated with Bacterial Vaginosis among Women Who Have Sex with Women: A Systematic Review. PLOS ONE, 10 (12), https://doi.org/10.1371/journal.pone.0141905.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/258063
    DOI
    10.1371/journal.pone.0141905
    Abstract
    BACKGROUND: Women who have sex with women (WSW) have a higher burden of bacterial vaginosis (BV) than heterosexual women; studies of risk factors specific to this population are limited. We summarised current knowledge regarding risk factors for BV among WSW by systematic review. METHODS: This systematic review was conducted according to the PRISMA statement. PUBMED, EMBASE, Web of Science and The Cochrane Library were searched to 31st December, 2014. INCLUSION CRITERIA: 1) WSW included in the study population; 2) accepted BV diagnostic method; 3) investigated or could extrapolate factors(s) associated with BV acquisition, persistence or transmission in WSW specifically by comparing BV positive to BV negative women. Search was limited to English-language publications. RESULTS: A limited number of studies have investigated BV in WSW. Of 71 unique references, 18 full-text articles were assessed and 14 studies fulfilled inclusion criteria. BV was positively associated with higher numbers of female partners, both lifetime and in the three months prior to diagnosis, and confirmed BV in a female partner, but inconsistently associated with partners' BV history or symptoms. BV was not associated with ethnicity, vaginal douching or hormonal contraception. The impact of specific sexual activities, male sexual contact, smoking and the menstrual cycle varied considerably between study populations. CONCLUSION: BV in WSW is associated with increased numbers of recent and past female partners and confirmed BV in a female partner. There are limited studies of BV in WSW populations, and research is needed to further elucidate risk factors for BV among WSW. However these data provide epidemiological evidence that BV risk in women is directly related to exposure to other female partners and a partner with BV, providing support for the concept that BV is likely to be transmitted between women. SYSTEMATIC REVIEW REGISTRATION NUMBER: CRD42014009536 (PROSPERO).

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