Determination of factors affecting relapse of vaginitis among reproductive-aged women
An experimental study
Keywords:
Relapse of vaginitis, Reproductive-aged women, Health promotion, LifestyleAbstract
Introduction: Vaginitis is a common problem for women, especially in reproductive-aged women. It is a worldwide health problem with many side effects but could be prevented by a health-promoting lifestyle related to vagina health. The aim of this study was to determine the factors affecting relapse of vaginitis.
Methods: In this experimental study, 350 reproductive-aged women with vaginitis were selected from 10 health centers in Kermanshah (Iran) during 2015 and were equally included in the intervention and control groups. To collect data, a researcher-created questionnaire, which included sociodemographic and health-promoting lifestyle questions, was used. The educational intervention was performed over 20 sessions, each lasting 25-35 minutes. An intervention group was educated by face-to-face education, pamphlets, phone contacts, text messages, and social media. Another group continued the routine clinic education and treatment without contacting the intervention group. Data were analyzed through chi-square and a logistics regression model using IBM-SPSS version 20.
Results: The results of the study indicated a significant relation between sociodemographic characteristics such as women and their husbands’ literacy, job, family size, income, area for each member of family, tendency of pregnancy, body mass index (BMI), and caesarean experience (p<0.001) and vaginitis. In addition, significant relationships between health-promoting lifestyle dimensions and prevention of vaginitis were identified. Relapse after intervention in the intervention group was 27.7% and 72.3% in the control group. According to the logistic regression analysis, chance for relapse of vaginitis in the group that did not receive intervention was more than the same chance in the intervention group (OR=5.14).
Conclusion: Health-promoting lifestyle intervention influences prevention of vaginitis. Health-promoting lifestyle, literacy promotion, prevention of caesarian, and obesity are beneficial to improvement in lifestyle dimensions associated with vagina health could be implemented as a successful prevention method. Therefore, it seems that applying a health-promoting lifestyle is essential for a healthy vagina and prevention of vaginitis.
References
Kimberly A Workowski, Stuart Berman. Sexually transmitted diseases treatment guidelines. Centers for
Disease Control and Prevention (CDC). 2015; 64(3): 1-137.
Karaer A, Boylu M, Avsar AF. Vaginitis in Turkish women: symptoms, epidemiologic-microbiologic
association. Eur J Obstet Gynecol Reprod Biol. 2005; 121(2): 211-5. doi: 10.1016/j.ejogrb.2004.11.030.
PMID: 16054964.
Karasz A, Anderson M. The vaginitis monologues: women's experiences of vaginal complaints in a
primary care setting. Soc Sci Med. 2003; 56(5): 1013-21. PMID: 12593874.
Gor HB, Rivlin ME. Vaginitis Treatment & Management. Medscape. 2015.
Tempera G. Vaginal infections: epidemiology and risk factors. Giorn It Ost Gin. 2005; 7-8.
Koumans EH, Sternberg M, Bruce C, Mc Quillan G, Kendrick J, Sutton M, et al. The prevalence of
bacterial vaginosis in the United States, 2001-2004; associations with symptoms, sexual behaviors, and
reproductive health. Sex Transm Dis. 2007; 34(11): 864-9. doi: 10.1097/OLQ.0b013e318074e565. PMID:
Al-Aali KY. Prevalence of Vaginal Candidiasis among Pregnant Women Attending Al-Hada Military
Hospital, Western Region, Taif, Saudi Arabia. IJSR. 2015; 4(5).
Centers for Disease Control and Prevention. Genital/vulvovaginal candidiasis statistics. Retrieved March
, 2012. Available from: http://www.cdc.gov/disease/candidiasis/genital/statistics.html)
Sutton M, Sternberg M, Koumans EH, McQuillan G, Berman S, Markowitz L. The prevalence of
Trichomonas vaginalis infection among reproductive-age women in the United States, 2001-2004. Clin
Infect Dis. 2007; 45(10): 1319-26. doi: 10.1086/522532. PMID: 17968828.
Prospero FD. Focus on candida, trichomonas, bacteria and atrophic vaginitis.
WHO. Sexually transmitted and other reproductive tract infections: a guide to essential practice. 2005.
World Health Organization (WHO). Sexually Transmitted Infections (STIs): the importance of a
renewed commitment to STI prevention and control in achieving global sexual and reproductive health.
Hafner LM, Pelzer ES. Tubal damage, infertility and tubal ectopic pregnancy: chlamydia trachomatis and
other microbial etiologies: INTECH Open Access Publisher. 2011.
Xia DY, Liao SS, He QY, Choi KH, Mandel JS. Self-reported symptoms of reproductive tract infections
among rural women in Hainan, China: prevalence rates and risk factors. Sex Transm Dis. 2004; 31(11):
-9. doi: 10.1097/01.olq.0000143111.33741.40. PMID: 15502670.
Msuya SE, Mbizvo E, Stray-Pedersen B, Sundby J, Sam NE, Hussain A. Reproductive tract infections and
the risk of HIV among women in Moshi, Tanzania. Acta Obstet Gynecol Scand. 2002; 81(9): 886-93. doi:
1034/j.1600-0412.2002.810916.x. PMID: 12225308.
Hillier SL, Nugent RP, Eschenbach DA, Krohn MA, Gibbs RS, Martin DH, et al. Association between
bacterial vaginosis and preterm delivery of a low-birth-weight infant. The Vaginal Infections and
Prematurity Study Group. N Engl J Med. 1995; 333(26): 1737-42. doi: 10.1056/NEJM199512283332604.
PMID: 7491137.
Neggers YH, Nansel TR, Andrews WW, Schwebke JR, Yu KF, Goldenberg RL, et al. Dietary Intake of
Selected Nutrients Affects Bacterial Vaginosis in Women. J Nutr. 2007; 137(9): 2128-33. doi:
1258/ijsa.2011.011012. PMID: 17709453, PMCID: PMC2663425.
Ehrstrom SM, Kornfeld D, Thuresson J, Rylander E. Signs of chronic stress in women with recurrent
candida vulvovaginitis. Am J Obstet Gynecol. 2005; 193(4): 1376-81. doi: 10.1016/j.ajog.2005.03.068.
PMID: 16202729.
Chapple A, Hassell K, Nicolson M, Cantrill J. 'You don't really feel you can function normally': Women's
perceptions and personal management of vaginal thrush. J Reprod Infant Psychol. 2000; 18(4): 309-19. doi:
1080/713683045.
Pirzadeh A, Sharifirad G, Kamran A. Healthy lifestyle in teachers. J Educ Health Promot. 2012; 1: 46. doi:
4103/2277-9531.104816. PMID: 23555149, PMCID: PMC3577411.
Sharma R, Biedenharn KR, Fedor JM, Agarwal A. Lifestyle factors and reproductive health: taking control
of your fertility. Reprod Biol Endocrinol. 2013; 11: 66. doi: 10.1186/1477-7827-11-66. PMID: 23870423,
PMCID: PMC3717046.
Feldman LP, Hornik J. The use of time: An integrated conceptual model. J Consum Res. 1981: 7(4): 407- 19. doi: 10.1177/0961463X96005003007.
Chiou AF, Hsu SP, Hung HF. Predictors of health-promoting behaviors in Taiwanese patients with
coronary artery disease. Appl Nurs Res. 2016; 30: 1-6. doi: 10.1016/j.apnr.2015.08.008. PMID: 27091244.
Enjezab B, Farajzadegan Z, Taleghani F, Aflatoonian A, Morowatisharifabad MA. Health promoting
behaviors in a population-based sample of middle-aged women and its relevant factors in Yazd, Iran. Int J
Prev Med. 2012; 3(1): 191-8. PMID: 22826765, PMCID: PMC3399308.
Motlagh Z, Mazloomy-Mahmoodabad S, Momayyezi M. Study of health-promotion behaviors among
university of medical science students. ZJRMS. 2011; 13(4): 29-34.
Tol A, Tavassoli E, Shariferad GR, Shojaeezadeh D. Health-promoting lifestyle and quality of life among
undergraduate students at school of health, Isfahan University of medical sciences. J Educe Health
Promote. 2013; 2: 11. doi: 10.4103/2277-9531.108006. PMID: 24083261, PMCID: PMC3778574.
Watt RG. Strategies and approaches in oral disease prevention and health promotion. Bull World Health
Organ. 2005; 83(9): 711-8. doi: S0042-96862005000900018. PMID: 16211164, PMCID: PMC2626336.
Chamberlain J, Watt S, Mohide P, Muggah H, Trim K, Bantebya Kyomuhendo G. Women's perception of
self-worth and access to health care. Int J Gynaecol Obstet. 2007; 98(1): 75-9. doi:
1016/j.ijgo.2007.03.019. PMID: 17459386.
Ray K, Muralidhar S, Bala M, Kumari M, Salhan S, Gupta S, et al. Comparative study of syndromic and
etiological diagnosis of reproductive tract infections/sexually transmitted infections in women in Delhi. Int
J Infect Dis. 2009; 13(6): 352-9. doi: 10.1016/j.ijid.2008.11.021. PMID: 19237304.
Rahimi Foroushani A, Estebsari F, Mostafaei D, Eftekhar Ardebili H, Shojaeizadeh D, Dastoorpour M, et
al. The Effect of Health Promoting Intervention on Healthy Lifestyle and Social Support in Elders: A
Clinical Trial Study. Iran Red Crescent Med J. 2014; 16(8): e18399. doi: 10.5812/ircmj.18399. PMID:
, PMCID: PMC4222012.
Faraji R, Rahimi M, Assarehzadegan M. Prevalence of Vaginal Candidiasis infection in women referred to
Kermanshah hygienic centers, Iran in 2010. Life Sci J. 2012; 9(4): 1280-3.
Ebrahimi Tavani M, Ghofranipour F, Hajizadeh E, Abedini M. Assessment of educational needs among
women of reproductive age with common genital tract infections (vaginitis): The first step for developing a
self-care educational package. IJWHR. 2015; 3(4): 201-7. doi: 10.15296/ijwhr.2015.42.
Barot S. Sexual and Reproductive Health and Rights Are Key to Global Development: The Case for
Ramping Up Investment. Guttmacher Policy Review. 2015; 18(1): 1-7.
Golmakani N, Khadem N, Arabipoor A, Kerigh BF, Esmaily H. Behavioral intervention program versus
vaginal cones on stress urinary incontinence and related quality of life: a randomized clinical trial. Oman
Med J. 2014; 29(1): 32-8. doi: 10.5001/omj.2014.08. PMID: 24498480, PMCID: PMC3910410.
Zando, Escultur. W.H.O, World Health Organization 2009. Health PROMOTION, Milestones in Health
Promotion Statements from Global Conferences Statements from global conferences: Geneva. World
Health Organization. 2009.
Al-Ghazzewi FH, Tester RF. Biotherapeutic agents and vaginal health. Journal of Applied Microbiology.
; 121(1): 18-27. doi: 10.1111/jam.13054. Available from:
http://onlinelibrary.wiley.com/doi/10.1111/jam.13054/full
Mirghafourvand M, Sehhati F, Rahimi M. Health-promoting Lifestyle and its Demographic Predictors in
Infertile Couples Referred to Infertility Clinic of Tabriz Al-Zahra Hospital, 2013. J Caring Sci. 2014; 3(3):
-84. doi: 10.5681/jcs.2014.019. PMID: 25276761, PMCID: PMC4171816.
Walker SN, Kerr MJ, Pender NJ, Sechrist KR. A Spanish language version of the health-promoting
lifestyle profile. Nurs Res. 1990; 39(5): 268-73. PMID: 2399130.
Fiocco AJ, Scarcello S, Marzolini S, Chan A, Oh P, Proulx G, et al. The effects of an exercise and lifestyle
intervention program on cardiovascular, metabolic factors and cognitive performance in middle-aged adults
with type II diabetes: a pilot study. Can J Diabetes. 2013; 37(4): 214-9. 2013.
doi:0.1016/j.jcjd.2013.03.369. PMID: 24070883.
Jiang Zm, Li Yy, Wu Jq, Li Wy, Wen Zy, Gao Es, et al. An Intervention study of reproductive tract
infections among married women of reproductive age in Shanghai. Journal of Reproduction and
Contraception. 2007; 18(2): 110-20. doi: 10.1016/S1001-7844(07)60014-5.
Dale H, Brassington L, King K. The impact of healthy lifestyle interventions on mental health and
wellbeing: a systematic review. Mental Health Review J. 2014; 19(1): 1361-9322. doi:
5812/ircmj.18399.
Abedi P, Jordi M, Afshari P. Evaluation of the Health Promotion Lifestyle and its Related Factors in
Reproductive Aged Women in Ahvaz, Iran. J Epidemiol Community Health. 2015; 9(1). doi: 10.1136/jech- 2015-206800.
Ebrahimi Tavani M, Ghofranipour F, Hajizadeh E, Abedini M. Assessment of Educational Needs Among
Women of Reproductive Age With Common Genital Tract Infections (Vaginitis): The First Step for
Developing a Self-care Educational Package, International. J Womens Health. 2015; 3(4): 201-7. doi:
15296/ijwhr.2015.42.
Campbell NC, Murray E, Darbyshire J, Emery J, Farmer A, Griffiths F, et al. Designing and evaluating
complex interventions to improve health care. BMJ. 2007; 334(7591): 455-9. doi:
1136/bmj.39108.379965.BE. PMID: 17332585, PMCID: PMC1808182.
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