A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

Ana S. Salazar; Nicholas F. Nogueira; Violeta J. Rodriguez; Alejandro Mantero; Emily M. Cherenack; Patricia Raccamarich; Marissa Maddalon; Theodora Brophy; Emily Montgomerie; Nichole Klatt; Deborah L. Jones; Maria L. Alcaide

doi:10.1007/s10461-022-03634-4

A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

Ana S. Salazar, Nicholas F. Nogueira, Violeta J. Rodriguez, Alejandro Mantero, Emily M. Cherenack, Patricia Raccamarich, Marissa Maddalon, Theodora Brophy, Emily Montgomerie, Nichole Klatt, Deborah L. Jones, Maria L. Alcaide

Research output: Contribution to journal › Article › peer-review

Abstract

Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18–45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women’s risk of acquiring HIV.

Original language	English (US)
Journal	AIDS and Behavior
DOIs	https://doi.org/10.1007/s10461-022-03634-4
State	Accepted/In press - 2022
Externally published	Yes

Keywords

Bacterial vaginosis
HIV
Sexually transmitted infections
Syndemic

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s10461-022-03634-4

Cite this

A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis. / Salazar, Ana S.; Nogueira, Nicholas F.; Rodriguez, Violeta J.; Mantero, Alejandro; Cherenack, Emily M.; Raccamarich, Patricia; Maddalon, Marissa; Brophy, Theodora; Montgomerie, Emily; Klatt, Nichole; Jones, Deborah L.; Alcaide, Maria L.

In: AIDS and Behavior, 2022.

Research output: Contribution to journal › Article › peer-review

@article{a9a6a6cf30274977b4c76f78258cf9e9,

title = "A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis",

abstract = "Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18–45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women{\textquoteright}s risk of acquiring HIV.",

keywords = "Bacterial vaginosis, HIV, Sexually transmitted infections, Syndemic",

author = "Salazar, {Ana S.} and Nogueira, {Nicholas F.} and Rodriguez, {Violeta J.} and Alejandro Mantero and Cherenack, {Emily M.} and Patricia Raccamarich and Marissa Maddalon and Theodora Brophy and Emily Montgomerie and Nichole Klatt and Jones, {Deborah L.} and Alcaide, {Maria L.}",

note = "Funding Information: Research reported in this publication was supported by R01AI138718 to MLA, the University of Miami Center for AIDS Research, grant No. P30A1073961, and grant No. P30MH116867 through the Center for HIV and Research in Mental Health from the National Institutes of Health (NIH). VJR{\textquoteright}s work on this study was partially supported by a Ford Foundation Fellowship, administered by the National Academies of Science, a PEO Scholar Award from the PEO Sisterhood, and a grant from the National Institute of Mental Health of the NIH [R36MH127838]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or these Institutions. Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",

year = "2022",

doi = "10.1007/s10461-022-03634-4",

language = "English (US)",

journal = "AIDS and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

}

TY - JOUR

T1 - A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

AU - Salazar, Ana S.

AU - Nogueira, Nicholas F.

AU - Rodriguez, Violeta J.

AU - Mantero, Alejandro

AU - Cherenack, Emily M.

AU - Raccamarich, Patricia

AU - Maddalon, Marissa

AU - Brophy, Theodora

AU - Montgomerie, Emily

AU - Klatt, Nichole

AU - Jones, Deborah L.

AU - Alcaide, Maria L.

N1 - Funding Information: Research reported in this publication was supported by R01AI138718 to MLA, the University of Miami Center for AIDS Research, grant No. P30A1073961, and grant No. P30MH116867 through the Center for HIV and Research in Mental Health from the National Institutes of Health (NIH). VJR’s work on this study was partially supported by a Ford Foundation Fellowship, administered by the National Academies of Science, a PEO Scholar Award from the PEO Sisterhood, and a grant from the National Institute of Mental Health of the NIH [R36MH127838]. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or these Institutions. Publisher Copyright: © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

PY - 2022

Y1 - 2022

N2 - Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18–45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women’s risk of acquiring HIV.

AB - Bacterial vaginosis (BV) is the most common genital infection in women and is associated with an increased risk of sexually transmitted infections and HIV. This study uses a syndemic approach to evaluate factors associated with BV. Non-pregnant, HIV-negative, sexually active, cis-gender women aged 18–45 years living in Miami, Florida were recruited from Nov.2018- Jun.2021. Participants completed a sociodemographic and behavioral questionnaire along with gynecological examinations. BV was diagnosed by Amsel criteria and confirmed by a Nugent score ≥ 4. A syndemic score was calculated as the sum of factors associated with BV. The association between syndemic score and BV was assessed using logistic regression. Of 166 women included, 60.2% had BV. Race, ethnicity, education, vaginal sex, recent cannabis use, and reasons for intravaginal practices were included in the syndemic score. Higher odds of BV were found in women with a score of ≥ 3 compared to women with a score of 0/1. A higher syndemic score was associated with increased odds of having BV. Multilevel interventions to decrease BV are needed to decrease women’s risk of acquiring HIV.

KW - Bacterial vaginosis

KW - HIV

KW - Sexually transmitted infections

KW - Syndemic

UR - http://www.scopus.com/inward/record.url?scp=85127578902&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85127578902&partnerID=8YFLogxK

U2 - 10.1007/s10461-022-03634-4

DO - 10.1007/s10461-022-03634-4

M3 - Article

AN - SCOPUS:85127578902

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -

A Syndemic Approach to Explore Factors Associated with Bacterial Vaginosis

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this