Year 2024,
, 67 - 74, 20.03.2024
Aytül Hadımlı
,
Mahide Demirelöz Akyüz
,
Serap Öner
,
Birsen Karaca Saydam
,
Esın Turfan
,
Neriman Soğukpınar
Project Number
905-16-ASYO-002
References
- Apay, S., E., Özdemir, F., Nazik, E., Potur, D., C., Hadımlı, A., Tanrıverdi, D., Alaca, C. (2014). Determination of the genital hygiene behaviours of women in seven different provinces: a multicentred cross-sectional study. Journal of Anatolia Nursing and Health Sciences, 17(4), 245-252. doi: 10.17049/ahsbd.05569
- Arslantas, D., Karabagli, H., Koc, F. (2010). Vaginal douching practice in Eskisehir in Turkey. Journal of Public Health and Epidemiology, 2(9), 245-250.
- Calik, K., Y., Erkaya, R., İnce, G., & Yildiz, N., K. (2020). Genital hygiene behaviors of women and their effect on vaginal infections. Clinical and Experimental Health Sciences, 10(3), 210-216. doi: 10.33808/clinexphealthsci.565845
- Coşkun, A.,M., Yakıt, E., Karakaya, E. (2017). Evaluation of the use of vaginal tampons and vaginal douche practices among women. Journal of Human Sciences, 14(1), 74-88. doi: https://10.14687/jhs.v14i1.4308
- Ege, E., Eryılmaz, G. (2006). The effect of planned education given to women on genital hygiene behaviors. Journal of Anatolia Nursing and Health Sciences, 9(3), 8-16.
- Ekpenyong, C.,E, Davies, K.,G. (2013). Associations between vaginal douching practice and lower genital tract symptoms and menstrual disorders among young women: a search for risk modulating factors. Advances in Sexual Medicine, 3(4), 76-84. doi: https://10.4236/asm.2013.34012
- Ekpenyong, C.,E, Daniel, N.,E., Akpan, E.,E. (2014). Vaginal douching behavior among young adult women and the perceived adverse health effects. Journal of Public Health and Epidemiology, 6(5), 182-191. doi: https://0.5897/JPHE2014.0622
- Esber, A., Rao, N., Norris, A., Reese, P. C., Kandodo, J., Nampandeni, P., ... & Turner, A. N. (2016). Intravaginal practices and prevalence of sexual and reproductive tract infections among women in rural Malawi. Sexually transmitted diseases, 43(12), 750. doi: https://0.1097/OLQ.0000000000000531
- Felix, T., C., de Araújo, L., B., de Brito Röder, D., V., D., & dos Santos Pedroso, R. (2020). Evaluation of vulvovaginitis and hygiene habits of women attended in primary health care units of the family. International Journal of Women's Health, 12, 49. doi: https://0.2147/IJWH.S229366
- Fiscella, K., Franks, P., Kendrick, J., Meldrum, M., Kieke, B. (2002). Risk of preterm birth that is associated with vaginal douching. Am J Obstet Gynecol, 186, 1345–1350. doi: https://10.1067/mob.2002.122406
- Guzel, A.,I., Kuyumcuoglu, U., Celik, Y. (2011). Vaginal douching practice and related symptoms in a rural area of Turkey. Arch Gynecol Obstet, 284, 1153–1156. doi: https://10.1007/s00404-010-1805-6
- Hadımlı, A., Öztürk Can, H., Soğukpınar, N., Demirel Bozkurt, Ö., Baykal Akmeşe, Z., Çakır Koçak, Y., Sarıcan, E. S., & Karaca Saydam, B. (2012). Do women make vaginal lavage with the aim of genital hygiene?. e-Journal of New World Sciences Academy, 7(3), 16-27.
- İlmihal (2014). TC. Diyanet İşleri Başkanlığı Kütüphanesi. Retrieved from https://kutuphane.diyanet.gov.tr/Files/document/%C4%B0lmihal,%20Diyanet%20Vakf%C4%B1.pdf.
- Koştu, N., & Taşçı, K. (2009). Determination of 15-49 year old married women's protecting attitude their reproductive health. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 12(1), 91-97.
- Luo, L., Xu, J. J., Wang, G., X., Ding, G., W., Wang, N., & Wang, H., B. (2016). Vaginal douching and association with sexually transmitted infections among female sex workers in a prefecture of Yunnan Province, China. International Journal of STD & AIDS, 27(7), 560-567. doi: https:// 10.1177/0956462415589044
- Luong, L., Libman, M., Dahhou, M., Chen, M.F., Kahn, S.R., Goulet, L., Séguin, L., Lydon, J., McNamara, H., Platt, R.,W., Kramer, M.,S. (2010). Vaginal douching, bacterial vaginosis, and spontaneous preterm birth. Journal of Obstetrics and Gynaecology Canada, 32(4), 313-32. doi: https://10.1016/S1701-2163(16)34474-7
- Martino, J.,L., Vermund, S.,H. (2002). Vaginal douching: Evidence for risks or benefits to women's health. Epidemiol Rev., 24(2), 109–124. doi: https://10.1093/epirev/mxf004
- Martino, J.,l., Youngpaıroj, S., Vermund, S.,H. (2004). Vaginal douching: personal practices and public policies. Journal of Women’s Health. 13(9), 1048-1065. doi: https://10.1089/jwh.2004.13.1048
- McKee, M.,D., Baquero, M., Anderson, M.,R., Alvarez, A., Karasz, A. (2009). Vaginal douching among latinas: practices and meaning. Maternal and Child Health Journal, 13(1), 98-106. doi: https://10.1007/s10995-008-0327-3
- National Survey of Family Growth - D Listing (2019). Retrieved from https://www.cdc.gov/nchs/nsfg/key_statistics/d_2015-2017.htm
- Okumuş, F., Demirci, N. (2014). The reality of vaginal douche in Turkey. Florence Nightingale Journal of Nursing, 22(1), 53-62.
- Oner, S., Turfan, E.,Ç. (2020). The effect of planned education given to the pregnant women on genital hygiene behaviour and the symptoms of urinary tract ınfection. Van Saglik Bilimleri Dergisi, 13(1), 10-18.
- Orak, N.,Ş., Canuygur, A. (2014). Investigation of the genital hygiene behavior of the hospitalized patients in department of gynecology. Balikesir Saglik Bil Derg, 3(3), 130-134. doi: https://10.5505/bsbd.2014.21043
- T.R. Ministry of Health Health Women Health Survey, ISBN: 978-975-590-491-7, Ankara.
- Sunay, D., Kaya, E., Ergün, Y. (2011). Vaginal douching behavior of women and relationship among vaginal douching and vaginal discharge and demographic factors. Journal of the Turkish Society of Gynecology and Obstetrics, 8(4), 264-71. doi: https://10.5505/tjod.2011.57805
- Süt, H. (2016). Investigation of Relationship between Genital Infection and Genital Hygiene Behaviors in Women Aged 18-49 Years. Journal of Duzce University Graduate School of Health Sciences, 6(1), 8-13.
- Wan, B., P., & Jacobs, C., K. (2018). Does vaginal douching cause bacterial vaginosis? Evidence-Based Practice, 21(6), 13. doi: 10.1097/01.EBP.0000545159.00070.00
- Yaman, H.,E., Aygün, M., Tosun, H. (2016). Traditional genital hygiene practices in Turkey. Indian Journal of Traditional Knowledge, 15(2), 214-218.
- Yanikkerem, E., Yasayan, A. (2016). Vaginal douching practice: Frequency, associated factors and relationship with vulvovaginal symptoms. J Pak Med Assoc, 66(4), 387-92.
- Yıldırım, R., Vural, G., & Koçoğlu, E. (2020). Effect of vaginal douching on vaginal flora and genital infection. Journal of the Turkish German Gynecological Association, 21(1), 29-34. doi: https://10.4274/jtgga.galenos.2019.2018.0133
Evaluation of Genital Hygiene Behaviors and Vaginal Douching Practices of Married Women Aged 15-49 in Fertile Period
Year 2024,
, 67 - 74, 20.03.2024
Aytül Hadımlı
,
Mahide Demirelöz Akyüz
,
Serap Öner
,
Birsen Karaca Saydam
,
Esın Turfan
,
Neriman Soğukpınar
Abstract
Objective: Analyzing the genital hygiene behaviors and vaginal douching practices of married women aged 15-49 in the fertile period. Materials and Methods: Married women aged 15-49 in the fertile period (N: 142) registered to the Family Health Center No 11 in Bornova District of İzmir province constituted the universe of the study, while 120 women accepting to participate in the study constituted its sample. Data were collected through the "Women's Descriptive Features Questionnaire" and "Genital Hygiene Behavior Inventory (GHBI)". The t-test, Kruskal-Wallis H test, and Mann-Whitney U test were used in independent samples with percentage calculations in evaluating data, while the correlation between variables was assessed with the chi-squared test. Results: The mean GHBI score of women is 78.36±9.3. A statistically significant difference between women’s educational background, income status, family type, vaginal douching, and complaints about a malodorous vaginal discharge experience among their socio-demographic features, and their mean GHBI score (p<0.05). Conclusion: The total score that the women obtained from the inventory reflects a mid-level genital hygiene behavior on their part. It can be suggested that training sessions be organized for their necessities and awareness on the issue be raised for them to earn correct genital hygiene behaviors. Keywords: Women’s health, Genital hygiene, Vaginal douching.
Ethical Statement
Ethical considerations
Necessary permits were obtained with the protocol no 111- 2017 numbered 02/58 from Ege University Scientific Research and Publication Ethics Committee to conduct the study, which was supported under Ege University Scientific Research Projects. Besides, to carry out the study, the application permit from the Turkish Ministry of Health İzmir Public Health Board, and the informed consent from the women participating in the study were obtained.
Supporting Institution
This study was supported by Ege University Scientific Research Projects Coordinator.
Project Number
905-16-ASYO-002
Thanks
The authors would like to extend their sincere thanks to anyone who contributed to this study.
References
- Apay, S., E., Özdemir, F., Nazik, E., Potur, D., C., Hadımlı, A., Tanrıverdi, D., Alaca, C. (2014). Determination of the genital hygiene behaviours of women in seven different provinces: a multicentred cross-sectional study. Journal of Anatolia Nursing and Health Sciences, 17(4), 245-252. doi: 10.17049/ahsbd.05569
- Arslantas, D., Karabagli, H., Koc, F. (2010). Vaginal douching practice in Eskisehir in Turkey. Journal of Public Health and Epidemiology, 2(9), 245-250.
- Calik, K., Y., Erkaya, R., İnce, G., & Yildiz, N., K. (2020). Genital hygiene behaviors of women and their effect on vaginal infections. Clinical and Experimental Health Sciences, 10(3), 210-216. doi: 10.33808/clinexphealthsci.565845
- Coşkun, A.,M., Yakıt, E., Karakaya, E. (2017). Evaluation of the use of vaginal tampons and vaginal douche practices among women. Journal of Human Sciences, 14(1), 74-88. doi: https://10.14687/jhs.v14i1.4308
- Ege, E., Eryılmaz, G. (2006). The effect of planned education given to women on genital hygiene behaviors. Journal of Anatolia Nursing and Health Sciences, 9(3), 8-16.
- Ekpenyong, C.,E, Davies, K.,G. (2013). Associations between vaginal douching practice and lower genital tract symptoms and menstrual disorders among young women: a search for risk modulating factors. Advances in Sexual Medicine, 3(4), 76-84. doi: https://10.4236/asm.2013.34012
- Ekpenyong, C.,E, Daniel, N.,E., Akpan, E.,E. (2014). Vaginal douching behavior among young adult women and the perceived adverse health effects. Journal of Public Health and Epidemiology, 6(5), 182-191. doi: https://0.5897/JPHE2014.0622
- Esber, A., Rao, N., Norris, A., Reese, P. C., Kandodo, J., Nampandeni, P., ... & Turner, A. N. (2016). Intravaginal practices and prevalence of sexual and reproductive tract infections among women in rural Malawi. Sexually transmitted diseases, 43(12), 750. doi: https://0.1097/OLQ.0000000000000531
- Felix, T., C., de Araújo, L., B., de Brito Röder, D., V., D., & dos Santos Pedroso, R. (2020). Evaluation of vulvovaginitis and hygiene habits of women attended in primary health care units of the family. International Journal of Women's Health, 12, 49. doi: https://0.2147/IJWH.S229366
- Fiscella, K., Franks, P., Kendrick, J., Meldrum, M., Kieke, B. (2002). Risk of preterm birth that is associated with vaginal douching. Am J Obstet Gynecol, 186, 1345–1350. doi: https://10.1067/mob.2002.122406
- Guzel, A.,I., Kuyumcuoglu, U., Celik, Y. (2011). Vaginal douching practice and related symptoms in a rural area of Turkey. Arch Gynecol Obstet, 284, 1153–1156. doi: https://10.1007/s00404-010-1805-6
- Hadımlı, A., Öztürk Can, H., Soğukpınar, N., Demirel Bozkurt, Ö., Baykal Akmeşe, Z., Çakır Koçak, Y., Sarıcan, E. S., & Karaca Saydam, B. (2012). Do women make vaginal lavage with the aim of genital hygiene?. e-Journal of New World Sciences Academy, 7(3), 16-27.
- İlmihal (2014). TC. Diyanet İşleri Başkanlığı Kütüphanesi. Retrieved from https://kutuphane.diyanet.gov.tr/Files/document/%C4%B0lmihal,%20Diyanet%20Vakf%C4%B1.pdf.
- Koştu, N., & Taşçı, K. (2009). Determination of 15-49 year old married women's protecting attitude their reproductive health. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 12(1), 91-97.
- Luo, L., Xu, J. J., Wang, G., X., Ding, G., W., Wang, N., & Wang, H., B. (2016). Vaginal douching and association with sexually transmitted infections among female sex workers in a prefecture of Yunnan Province, China. International Journal of STD & AIDS, 27(7), 560-567. doi: https:// 10.1177/0956462415589044
- Luong, L., Libman, M., Dahhou, M., Chen, M.F., Kahn, S.R., Goulet, L., Séguin, L., Lydon, J., McNamara, H., Platt, R.,W., Kramer, M.,S. (2010). Vaginal douching, bacterial vaginosis, and spontaneous preterm birth. Journal of Obstetrics and Gynaecology Canada, 32(4), 313-32. doi: https://10.1016/S1701-2163(16)34474-7
- Martino, J.,L., Vermund, S.,H. (2002). Vaginal douching: Evidence for risks or benefits to women's health. Epidemiol Rev., 24(2), 109–124. doi: https://10.1093/epirev/mxf004
- Martino, J.,l., Youngpaıroj, S., Vermund, S.,H. (2004). Vaginal douching: personal practices and public policies. Journal of Women’s Health. 13(9), 1048-1065. doi: https://10.1089/jwh.2004.13.1048
- McKee, M.,D., Baquero, M., Anderson, M.,R., Alvarez, A., Karasz, A. (2009). Vaginal douching among latinas: practices and meaning. Maternal and Child Health Journal, 13(1), 98-106. doi: https://10.1007/s10995-008-0327-3
- National Survey of Family Growth - D Listing (2019). Retrieved from https://www.cdc.gov/nchs/nsfg/key_statistics/d_2015-2017.htm
- Okumuş, F., Demirci, N. (2014). The reality of vaginal douche in Turkey. Florence Nightingale Journal of Nursing, 22(1), 53-62.
- Oner, S., Turfan, E.,Ç. (2020). The effect of planned education given to the pregnant women on genital hygiene behaviour and the symptoms of urinary tract ınfection. Van Saglik Bilimleri Dergisi, 13(1), 10-18.
- Orak, N.,Ş., Canuygur, A. (2014). Investigation of the genital hygiene behavior of the hospitalized patients in department of gynecology. Balikesir Saglik Bil Derg, 3(3), 130-134. doi: https://10.5505/bsbd.2014.21043
- T.R. Ministry of Health Health Women Health Survey, ISBN: 978-975-590-491-7, Ankara.
- Sunay, D., Kaya, E., Ergün, Y. (2011). Vaginal douching behavior of women and relationship among vaginal douching and vaginal discharge and demographic factors. Journal of the Turkish Society of Gynecology and Obstetrics, 8(4), 264-71. doi: https://10.5505/tjod.2011.57805
- Süt, H. (2016). Investigation of Relationship between Genital Infection and Genital Hygiene Behaviors in Women Aged 18-49 Years. Journal of Duzce University Graduate School of Health Sciences, 6(1), 8-13.
- Wan, B., P., & Jacobs, C., K. (2018). Does vaginal douching cause bacterial vaginosis? Evidence-Based Practice, 21(6), 13. doi: 10.1097/01.EBP.0000545159.00070.00
- Yaman, H.,E., Aygün, M., Tosun, H. (2016). Traditional genital hygiene practices in Turkey. Indian Journal of Traditional Knowledge, 15(2), 214-218.
- Yanikkerem, E., Yasayan, A. (2016). Vaginal douching practice: Frequency, associated factors and relationship with vulvovaginal symptoms. J Pak Med Assoc, 66(4), 387-92.
- Yıldırım, R., Vural, G., & Koçoğlu, E. (2020). Effect of vaginal douching on vaginal flora and genital infection. Journal of the Turkish German Gynecological Association, 21(1), 29-34. doi: https://10.4274/jtgga.galenos.2019.2018.0133