Douching practices among HIV infected and uninfected adolescents in the United States.
OBJECTIVE
To characterize sexual behaviors and sociodemographic factors that are associated with douching among geographically diverse adolescent women with and without HIV infection.


METHODS
HIV infected subjects recruited preferentially and behaviorally comparable high-risk HIV uninfected subjects were enrolled in a prospective HIV study from 15 sites in 13 U.S. cities. Baseline interview data from 1996 to 1999 for females aged 12 to 19 years were analyzed using one-way analysis of variance and multiple logistic regression.


RESULTS
Among the 342 females/young women, 74.9% were black (non-Hispanic), 11.1% Hispanic/Latina, and 14.0% white or other race/ethnicity; 63.5% were HIV infected. Young women who had dropped out of high school comprised 23.4% of subjects. In the 3 months before the interview, 179 (52.3%) adolescents had douched at least once. In a multivariable logistic regression model, recent douching was more common among sexually active females (OR = 2.2; 95% CI: 1.2-4.2), Blacks (OR = 2.2; 95% CI: 1.2-4.1 vs. Hispanics/Whites/others), females who dropped out of high school (OR = 2.1; 95% CI: 1.2-3.7), and HIV infected females (OR = 1.7; 95% CI: 1.04-2.7).


CONCLUSIONS
In this nationwide study, adolescents who are sexually active, African-American, dropped out of high school, and HIV infected were most likely to douche. Interventions to discourage douching should pay special attention to these populations.
Vermund
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University of Alabama at Birmingham, Birmingham, Alabama 35294-2170, USA. sten@uab.edu
Sarr
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Murphy
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Levin
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Abdalian
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Crowley-Nowick
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Wilson
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D000293:Adolescent; D000294:Adolescent Behavior; D001741:Black or African American / Q000523:psychology; D002648:Child; D003466:Cultural Characteristics; D004522:Educational Status; D005006:Ethnicity; D005260:Female; D006801:Humans; D011446:Prospective Studies; D012307:Risk Factors; D012725:Sexual Behavior; D013332:Student Dropouts / Q000523:psychology; D007507:Therapeutic Irrigation / Q000523:psychology*