title: Douching behavior in high-risk adolescents. What do they use, when and why do they douche?
abstract: OBJECTIVE
  To describe feminine hygiene practices and douching behavior in adolescent women.
  
  
  METHODS
  A cross-sectional anonymous survey.
  
  
  METHODS
  Adolescents (majority rural) admitted to a correctional institution for girls.
  
  
  METHODS
  Description of feminine hygiene practices, prevalence of vaginal douching, types of substances used, reported reasons for, and timing of douching.
  
  
  RESULTS
  In a period of 16 weeks, 104 girls were surveyed within a week of admission. The mean age was 15.4 (SD 1.5; range 12-18) yr, and age at sexual debut 13.1 (SD 1.4) yr. Use of feminine hygiene products was reported by: 9% for feminine suppository, 33% towelettes, 40% spray, 67% feminine wash; only 18% reported no use of those feminine hygiene products listed. A history of ever having douched was reported by 79%; the mean first douching age was 14.0 (SD 1.3; range 11-16). Douching product users were significantly more likely to know someone who douches regularly (P <.0001) and have watched douche commercials (P =.0001) than those who did not douche. A majority used store-bought products, vinegar in water and scented solution being the most popular; baking soda, Betadine, Pine-sol, and Lysol were other products used. Commonly cited reasons for douching included to feel good and fresh (60%), and to rid of odor and of blood (47% each). Other reasons cited were to please partner (12%) and to avoid going to a doctor (6%). Timing of douching included: after period (69%), after sex (52%), before sex (16%), before going to a doctor (17%). Among those who douched, 51% douched once a month, and an additional 32% more often than that.
  
  
  CONCLUSIONS
  This study provides troublesome findings regarding the feminine hygiene practices of mostly rural southern teenagers who have been incarcerated.
authors.affiliation: Department of Pediatrics, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35233-1711, USA. mkoh@uab.edu
authors.forename: M Kim
authors.initials: MK
authors.lastname: Oh
authors.forename: Jeanne S
authors.initials: JS
authors.lastname: Merchant
authors.forename: Pernell
authors.initials: P
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D000407:Alabama; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006920:Hygiene; D011330:Prisons; D018570:Risk Assessment; D012725:Sexual Behavior / Q000523:psychology*; D014621:Vagina