This study tests the hypothesis that vaginal douching among women of reproductive age is associated with exposure to intimate partner violence (IPV).
The data source is a cross-sectional population-based sample of 2,002 women ages 18–45 in the Central Pennsylvania Women’s Health Study. The survey included measures of IPV, douching behavior, and relevant sociodemographic and health-related covariates.
Six percent of the sample reported experiencing any type of IPV in the past year, and 23% reported douching in the past year. IPV is significantly associated with douching after controlling for sociodemographic and health-related covariates. This finding holds for women with and without current reproductive capacity.
This is the first study to identify an association between vaginal douching and IPV. Because vaginal douching is a risk factor for sexually transmitted infections, bacterial vaginosis, and adverse pregnancy outcomes, the findings could have important implications for prevention. Further research is needed to identify the reasons why women who have been exposed to IPV are more likely to douche.
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- Fertility, family planning, and women’s health: New data from the 1995 National Survey of Family Growth.Vital Health Statistics. 1997; 23: 1-114
- Vaginal douche practices among black women at risk: Exploring douching prevalence, reasons for douching, and sexually transmitted disease infection.Sexually Transmitted Diseases. 2006; 33: 215-219
- Is vaginal douching associated with preterm delivery?.Epidemiology. 2002; 13: 328-333
- Vaginal douching and associated factors among married women attending a family planning clinic or a gynecology clinic.European Journal of ObstetricsGynecologyand Reproductive Biology. 2006; 127: 244-251
- Bacterial vaginosis in pregnancy: Diagnosis and treatment practices of physicians in San Diego, California, 1999.Sexually Transmitted Diseases. 2003; 30: 645-649
- Fertility, family planning, and reproductive health of U.S. women: data from the 2002 National Survey of Family Growth.Vital Health Statistics. 2005; 23: 1-160
- Health concerns across a woman’s lifespan: The Commonwealth Fund 1998 survey of women’s health.The Commonwealth Fund, New York1999
- Risk of preterm birth that is associated with vaginal douching.American Journal of Obstetrics and Gynecology. 2002; 186: 1345-1350
- Racial differences in vaginal douching knowledge, attitude, and practices among sexually active adolescents.Journal of Pediatric and Adolescent Gynecology. 2001; 14: 29-33
- Vaginal douching practices among women attending a university in the southern United States.Journal of American College Health. 2002; 50: 390-395
- Douching beliefs and practices among black and white women.Journal of Womens Health and Gender Based Medicine. 2002; 11: 29-37
- Why do women douche?.Maternal and Child Health Journal. 2001; 5: 153-160
- Vaginal douches and other feminine hygiene products: women’s practices and perceptions of product safety.Maternal and Child Health Journal. 2006; 10: 303-310
- An intervention to reduce vaginal douching among adolescent and young adult women: A randomized, controlled trial.Sexually Transmitted Diseases. 2005; 32: 752-758
- Epidemiology of pelvic inflammatory disease.Epidemiology. 1994; 5: 234-242
- Factors linked to bacterial vaginosis in nonpregnant women.American Journal of Public Health. 2001; 91: 1664-1670
- Vaginal douching: Evidence for risks or benefits to women’s health.Epidemiologic Reviews. 2002; 24: 109-124
- Women’s experiences with violence: A national study.Women’s Health Issues. 2007; 17: 3-12
- Why women douche and why they may or may not stop.Sexually Transmitted Diseases. 2003; 30: 71-74
- Early onset of vaginal douching is associated with false beliefs and high-risk behavior.Sexually Transmitted Diseases30. 2003; : 689-693
- Douching behavior in high-risk adolescents.Journal of Pediatric and Adolescent Gynecology. 2002; 15: 83-88
- Behaviors associated with Neisseria gonorrhoeae and Chlamydia trachomatis: Cervical infection among young women attending adolescent clinics.Clinical Pediatrics (Philadelphia). 2000; 39: 173-177
- The CES-D scale: A self-report depression scale for research in the general population.Applied Psychological Measurement. 1977; 1: 385-401
- Randomized field trial of vaginal douching, pelvic inflammatory disease and pregnancy.Epidemiology. 2003; 14: 340-348
- Vaginal douching as a risk factor for acute pelvic inflammatory disease.Obstetrics and Gynecology. 1993; 81: 601-606
- Predictors of bacterial vaginosis in adolescent women who douche.Sexually Transmitted Diseases. 2004; 31: 433-436
- Psychological distress, unmet need, and barriers to mental health care for women.Womens Health Issues. 2001; 11: 231-243
- Y-STR DNA amplification as biological evidence in sexually assaulted female victims with no cytological detection of spermatozoa.Forensic Science International. 2002; 125: 212-216
- Vaginal douching among adolescent and young women: more challenges than progress.Journal of Pediatric and Adolescent Gynecology. 2004; 17: 249-255
- Measuring intrafamily conflict and violence: The Conflict Tactics Scale.Journal of Marriage and the Family. 1979; 41: 75-88
Sutton, M. Y., Bruce, C., Sternberg, M. R., McQuillan, G., Kendrick, J. S., Koumans, E., et al. (2006, May 8–11). Prevalence and correlates of vaginal douching among women in the United States, 2001–2002. 2006 National STD Prevention Conference, Jacksonville, FL.
- Intimate partner violence: Prevalence, types, and chronicity in adult women.American Journal of Preventive Medicine. 2006; 30: 447-457
- Multistate analysis of factors associated with intimate partner violence.American Journal of Preventive Medicine. 2002; 22: 156-164
- Preconceptional health: Risks of adverse pregnancy outcomes by reproductive life stage in the Central Pennsylvania Women’s Health Study (CePAWHS).Women’s Health Issues. 2006; 16: 216-224
Carol S. Weisman, PhD, is Professor of Public Health Sciences and Obstetrics and Gynecology at the Pennsylvania State University College of Medicine; Director of the Central Pennsylvania Center of Excellence for Research on Pregnancy Outcomes; and Principal Investigator of the Central Pennsylvania Women’s Health Study (CePAWHS). She is a sociologist whose research focuses on women’s health, health care, and policy.
Diane M. Grimley, PhD, is Associate Professor and Chair of the Department of Health Behavior, School of Public Health, at the University of Alabama, Birmingham. She is a health psychologist whose research interests include STD/HIV prevention, intervention, and control, and other reproductive health issues.
Lucy Annang, PhD, MPH, is Assistant Professor of Health Behavior at the University of Alabama at Birmingham School of Public Health. Her areas of research include STI prevention, women’s reproductive health, adolescent risk prevention, and minority health.
Marianne M. Hillemeier, PhD, is Assistant Professor of Health Policy and Administration and Demography at the Pennsylvania State University. She is Co-Principal Investigator of the Central Pennsylvania Women’s Health Study (CePAWHS). Her research interests include socioeconomic and race/ethnic disparities in health status and access and utilization of health care.
Gary A. Chase, PhD, is Professor in the Division of Biostatistics at Penn State College of Medicine. He has served as principal statistician on a number of projects related to public health and infant outcomes including the Central Pennsylvania Women’s Health Study (CePAWHS) of the Central Pennsylvania Center of Excellence for Research on Pregnancy Outcomes.
Anne-Marie Dyer, MS, is a biostatistician whose interests include the analysis of categorical data in cross-sectional and longitudinal studies.
Published online: August 03, 2007
Accepted: May 14, 2007
Received: January 31, 2007
© 2007 Jacobs Institute of Women’s Health. Published by Elsevier Inc. All rights reserved.