Table 2 Association of intravaginal practices (IVP) and biological factors with bacterial vaginosis (BV) infection
FactorBV prevalence n/N (%)Univariate OR (95% CI)Adjusted OR* (95% CI)
Intravaginal practices
Vaginal cleansing†p = 0.79; p trend = 0.34p = 0.36; p trend = 0.10
    Does not cleanse292/451 (64.7%)11
    Once daily47/74 (63.5%)0.95 (0.57 to 1.58)0.95 (0.56 to 1.62)
    Twice daily174/282 (61.7%)0.88 (0.64 to 1.19)0.78 (0.56 to 1.08)
    ⩾3 times/day293/473 (61.9%)0.89 (0.68 to 1.16)0.80 (0.60 to 1.07)
Usual method of cleansing†p = 0.39p = 0.20
    Does not cleanse292/451 (64.7%)11
    Water only86/142 (60.6%)0.84 (0.57 to 1.23)0.78 (0.52 to 1.18)
    Soap & water368/600 (61.3%)0.86 (0.67 to 1.11)0.78 (0.60 to 1.02)
    Other products60/87 (69.0%)1.21 (0.74 to 1.98)1.11 (0.66 to 1.87)
Insert substances for wet sex†p = 0.23p = 0.99
    No722/1158 (62.3%)11
    Yes84/124 (67.7%)1.27 (0.85 to 1.88)1.00 (0.66 to 1.52)
Insert substances for dry sex†p = 0.008p = 0.004
    No777/1220 (63.7%)11
    Yes29/62 (46.8%)0.50 (0.30 to 0.84)0.45 (0.26 to 0.78)
Any IVP in last 24 h‡p = 0.81; p trend = 0.81p = 0.89; p trend = 0.99
    No254/413 (61.5%)11
    13–24 h ago149/230 (64.8%)1.15 (0.82 to 1.61)1.05 (0.74 to 1.49)
    7–12 h ago164/255 (64.3%)1.13 (0.82 to 1.56)1.12 (0.80 to 1.57)
    ⩽6 h ago240/385 (62.3%)1.04 (0.78 to 1.38)0.98 (0.73 to 1.33)
Menstrual hygiene†p = 0.05p = 0.02
    Sanitary pads135/229 (59.0%)11
    Cloths/underwear/sponges623/988 (63.1%)1.19 (0.89 to 1.59)1.34 (0.97 to 1.85)
    Cotton wool/toilet paper39/51 (76.5%)2.26 (1.13 to 4.55)2.53 (1.23 to 5.24)
Last menstrual period†p = 0.38p = 0.40
    <7 days216/350 (61.7%)11
    7–13 days197/296 (66.6%)1.23 (0.89 to 1.71)1.23 (0.88 to 1.74)
    ⩾14 days382/612 (62.4%)1.03 (0.79 to 1.35)1.02 (0.77 to 1.36)
Biological factors
HIVp<0.001p = 0.002
    No483/813 (59.4%)11
    Yes324/470 (68.9%)1.52 (1.19 to 1.93)1.49 (1.16 to 1.92)
Trichomonas vaginalis† p<0.001p = 0.002
    No530/889 (59.6%)11
    Yes274/390 (70.3%)1.60 (1.24 to 2.06)1.54 (1.17 to 2.01)
Neisseria gonorrhoeaep = 0.13p = 0.60
    No758/1215 (62.4%)11
    Yes48/67 (71.6%)1.52 (0.88 to 2.62)1.16 (0.65 to 2.07)
Chlamydia trachomatisp = 0.37p = 0.11
    No754/1193 (63.2%)11
    Yes52/89 (58.4%)0.82 (0.53 to 1.27)0.69 (0.44 to 1.08)
Candidiasis†p = 0.61p = 0.59
    No718/1145 (62.7%)11
    Yes87/134 (64.9%)1.10 (0.76 to 1.60)1.12 (0.75 to 1.65)
HIV genital shedding§p = 0.14p = 0.20
    No161/223 (72.2%)11
    Yes162/246 (65.9%)0.74 (0.50 to 1.10)0.76 (0.50 to 1.15)
HSV-2 genital shedding¶p = 0.98p = 0.77
    No513/811 (63.3%)11
    Yes65/103 (63.1%)0.99 (0.65 to 1.52)0.93 (0.60 to 1.46)
  • *Adjusted for age, facility type, number of dependents, number of drinks per week, age at first sex, hormonal contraception and sex in the past 7 days; †data for vaginal cleansing are missing for 3 women. Data for inserting substances for sex are missing for 1 woman. Data for menstrual hygiene are missing for 15 women. Date of last menstrual period could not be remembered by 25 women. Results for Neisseria gonorrhoeae and Chlamydia trachomatis missing for 1 woman. Results for Trichomonas vaginalis and candidiasis missing for 4 women; ‡cleansing vagina or inserting substances for sex; §among 469 women HIV positive; ¶among 914 women (445 HIV negative and 469 HIV positive).