Evidence map›Paper›PMID 31640583›Full record

ArticleBMC infectious diseases2019

Bacterial vaginosis, vulvovaginal candidiasis and trichomonal vaginitis among reproductive-aged women seeking primary healthcare in Sana'a city, Yemen.

Maha Abdul-Aziz, Mohammed A K Mahdy, Rashad Abdul-Ghani, Nuha A Alhilali, Leena K A Al-Mujahed, Salma A Alabsi, Fatima A M Al-Shawish, Noura J M Alsarari, Wala Bamashmos, Shahad J H Abdulwali and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  11. Antifungal susceptibility pattern ofFrontiers in cellular and infection microbiology · 2024
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  14. Contraceptive effects on the cervicovaginal microbiome: Recent evidence including randomized trials.American journal of reproductive immunology (New York, N.Y. : 1989) · 2023
    Review
  15. Article
  16. The Chitosan-Based System withPharmaceutics · 2022
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  17. Article
  18. Vaginal Infections' Etiologies in South-Eastern Gabon - An Overview.International journal of women's health · 2022
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Maha Abdul-AzizDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Mohammed A K MahdyTropical Disease Research Center, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen. alsharaby9@yahoo.com.ORCID http://orcid.org/0000-0002-8340-5219
Rashad Abdul-GhaniTropical Disease Research Center, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Nuha A AlhilaliMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Leena K A Al-MujahedMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Salma A AlabsiMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Fatima A M Al-ShawishMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Noura J M AlsarariMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Wala BamashmosMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Shahad J H AbdulwaliMedical Laboratory Sciences Program, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Mahdi Al KarawaniDepartment of Community Medicine, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
Abdullah A AlmikhlafyDepartment of Community Medicine, Faculty of Medicine, University of Science and Technology, Sana'a, Yemen.
University of Science and Technology · YE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Yemen, the underlying causes of infectious vaginitis have been neglected. Therefore, this study aimed to determine the prevalence and risk factors associated with bacterial vaginosis (BV), vulvovaginal candidiasis (VVC) and trichomonal vaginitis (TV) among non-pregnant reproductive-aged women.

methodsA cross-sectional study was conducted among 347 non-pregnant reproductive-aged women seeking primary healthcare in Sana'a city, Yemen. Data about sociodemographic characteristics, lifestyle-related behaviors, routine hygienic practices, menstrual care and history and type of contraceptive intake were collected using a structured questionnaire. Vaginal discharge samples were collected and examined for discharge characteristics and pH by a gynecologist. Then, samples were examined for BV, VVC and TV. Data were analyzed using suitable statistical tests.

resultsVaginal infections were prevalent among 37.6% of reproductive-aged women, where BV was the most prevalent (27.2%). VVC was significantly higher among symptomatic women and significantly associated with itching (P = 0.005). Using bivariate analysis, the age of < 25 years (odds ratio [OR] = 1.9, 95% confidence interval [CI]: 1.16-3.10; P = 0.010) and using intrauterine contraceptive devices (IUCDs) (OR = 1.8, 95% CI: 1.09-2.89; P = 0.020) were significantly associated with BV, while history of miscarriage was significantly associated with a lower risk of BV (OR = 0.5, 95% CI: 0.31-0.85, P = 0.009). However, polygyny was significantly associated with VVC (OR = 3.4, 95% CI: 1.33-8.66; P = 0.007). Multivariable analysis confirmed that age of < 25 years and using IUCD were the independent predictors of BV, while history of miscarriage was an independent protective factor against BV. On the other hand, marriage to a polygamous husband was the independent predictor of VVC.

conclusionsMore than a third of non-pregnant reproductive-aged women seeking PHC in Sana'a have single or mixed infections with BV, VVC or TV. BV is the most frequent cause of vaginitis and is significantly associated with the age of < 25 years and using IUCDs, while VVC is significantly higher among women with polygamous husbands. Health education of polygamous husbands and their wives, regular monitoring of BV among IUCD users and screening women for vaginitis before treatment are recommended.

Indexed as

AdolescentAdultCandidiasis, VulvovaginalCoinfectionCross-Sectional StudiesFemaleHumansIntrauterine DevicesMarriageMiddle AgedOdds RatioPrevalencePrimary Health CareRisk FactorsTrichomonas VaginitisVaginosis, BacterialBacterial vaginosisReproductive-aged womenTrichomonal vaginitisVaginitisVulvovaginal candidiasisYemen

Identifiers

PMID31640583
PMCPMC6805389
OpenAlexW2981586093

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.