title: Why women douche and why they may or may not stop.
abstract: BACKGROUND
  Although douching is common, it is a potentially harmful habit.
  
  
  OBJECTIVE
  We studied attitudes and knowledge around the behavior of douching.
  
  
  METHODS
  Of 1,200 women enrolled in this multisite study, 532 douched and answered questions on a structured interview regarding douching behaviors.
  
  
  RESULTS
  Over half had douched for 5 or more years. Douching was most often initiated on the recommendation of female relatives and practiced for reasons of hygiene. Half of women considered douching to be healthy. Those who considered douching to be unhealthy reported that douching may disrupt vaginal flora but did not cite more serious risks. Nonetheless, women who had been advised by a health professional to stop douching were less likely to consider douching healthful and were more likely to have tried to stop.
  
  
  CONCLUSIONS
  Women had a limited understanding of potential adverse health consequences associated with douching. Targeted health messages may influence women to initiate douching cessation.
authors.affiliation: University of Pittsburgh, Pittsburgh, Pennsylvania, USA. repro@pitt.edu
authors.forename: Roberta B
authors.initials: RB
authors.lastname: Ness
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Hillier
authors.forename: Holly E
authors.initials: HE
authors.lastname: Richter
authors.forename: David E
authors.initials: DE
authors.lastname: Soper
authors.forename: Carol
authors.initials: C
authors.lastname: Stamm
authors.forename: Debra C
authors.initials: DC
authors.lastname: Bass
authors.forename: Richard L
authors.initials: RL
authors.lastname: Sweet
authors.forename: Peter
authors.initials: P
authors.lastname: Rice
authors.forename: Julie
authors.initials: J
authors.lastname: Downs
authors.forename: Sevgi
authors.initials: S
authors.lastname: Aral
mesh_terms: D000293:Adolescent; D000328:Adult; D000407:Alabama / Q000453:epidemiology; D001900:Boston / Q000453:epidemiology; D003120:Colorado / Q000453:epidemiology; D005260:Female; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D010414:Pennsylvania / Q000453:epidemiology; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000209:etiology / Q000382:microbiology; D013022:South Carolina / Q000453:epidemiology; D007507:Therapeutic Irrigation / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D014621:Vagina / Q000382:microbiology; D016387:Women's Health