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- W3178236095 abstract "<h3>Background</h3> Pelvic inflammatory disease (PID) leads to long-term reproductive consequences for cisgender women. Bacterial vaginosis (BV) and behavioral factors may play a role in PID pathogenesis. We assessed associations between BV, behavioral factors and incident PID in a large prospective cohort. <h3>Methods</h3> We analyzed data (n=2,956) from the NIH Longitudinal Study of Vaginal Flora, a cohort of non-pregnant cisgender women followed quarterly for 12 months. PID was defined by at least one of the following: cervical motion tenderness, uterine tenderness, or adnexal tenderness (160 cases). We tested associations between BV (measured using Nugent’s and Amsel’s criteria) and PID at the subsequent visit using Cox proportional hazards models. Baseline sociodemographic factors (age, race, highest education level, marital status, monthly household income), time-varying sexual behaviors (condom use frequency, number of sexual partners, sexual partner concurrence), vaginal douching, and Chlamydia trachomatis (CT), untreated at baseline and concurrent with BV, were covariates. Adjusting for the few Neisseria gonorrhea and Trichomonas vaginalis cases did not alter results. <h3>Results</h3> The 2,956 participants contributed a total 2516.2 person-years, with a median 349 days per participant. In multivariable modeling, Nugent-BV (aHR=1.53, 95% CI:1.05–2.21), symptomatic Amsel-BV (aHR=2.15, 95% CI:1.23–3.75) and vaginal douching (aHR=1.47, 95% CI:1.03–2.09) were associated with greater risk of incident PID. Other factors associated with incident PID included baseline untreated CT, douching, and being married. <h3>Conclusions</h3> BV was associated with incident PID in a large prospective cohort, controlling for behavioral factors and sexually transmitted infections (STIs). Larger studies on how BV, STIs, behaviors, and host responses interactively affect PID risk are needed." @default.
- W3178236095 created "2021-07-19" @default.
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- W3178236095 date "2021-07-01" @default.
- W3178236095 modified "2023-09-27" @default.
- W3178236095 title "O03.1 Bacterial vaginosis and behavioral factors associated with incident pelvic inflammatory disease in the longitudinal study of vaginal flora" @default.
- W3178236095 doi "https://doi.org/10.1136/sextrans-2021-sti.62" @default.
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