The interrelationship between abnormal vaginal discharge, genital hygiene practices, and sexual behaviours among women of reproductive age in Ibadan, Nigeria
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20251568Keywords:
Abnormal vaginal discharge, Nigeria, Reproductive health, Sexual behaviours, Genital hygieneAbstract
Background: Abnormal vaginal discharge (AVD) is a common condition in women, often linked to infections and reproductive health complications. This study investigates the prevalence of AVD among women in Ibadan, Nigeria, and assesses its relationship with genital hygiene practices, and sexual behaviors.
Methods: A cross-sectional study was conducted among 366 women aged 18-49 using structured interviewer-administered questionnaires. Data were analyzed using Pearson correlation and linear regression models in statistical package for the social sciences (SPSS) 25.0.
Results: The prevalence of AVD was 42.1%, with 59.2% of affected women not seeking medical care due to financial constraints, stigma, or misconceptions. Poor genital hygiene (r=0.278, p=0.002) and risky sexual behaviours (r=-0.327, p=0.000) significantly increased AVD occurrence. Most women (90.2%) used water for genital cleaning, while 21.3% used soap and 16% relied on specialized hygiene products. Additionally, 41% of women used contraception, but only 27.1% used it consistently. Cultural influences such as: taboo, limited access to hygiene education, use of traditional herbs (OR=1.89, 95% CI: 1.02–3.51, p=0.042) also played a significant role in hygiene practices. Almost a quarter, 23.2%, of participants reported that AVD negatively affected their intimate relationships.
Conclusions: The findings underscore the necessity for public health initiatives that enhance genital hygiene education, promote safer sexual practices, and improve access to healthcare services. Addressing cultural and societal barriers such as stigma and religious norms is crucial to improving reproductive health outcomes and reducing complications associated with abnormal vaginal discharge among women in Ibadan.
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References
Murewanhema G, Moyo E, Mhango M, Chitungo I, Moyo P, Musuka G, et al. Abnormal Vaginal Discharge among Women of Reproductive Age in Sub-Saharan Africa: The Need for a Paradigm Shift from a Syndromic Approach to Specific Pathogen Identification and Directed Treatment. IJID Regions. 2022;5:165-8. DOI: https://doi.org/10.1016/j.ijregi.2022.10.006
Mammen S A, Singh S, Rajesh I, Goyal S. Perception and Correlates of Excessive Vaginal Discharge in Rural Women. Int J Reprod Contracept Obstet Gynecol. 2017;6(8):3502. DOI: https://doi.org/10.18203/2320-1770.ijrcog20173472
Shroff S. Infectious Vaginitis, Cervicitis, and Pelvic Inflammatory Disease. Med Clin North Am. 2023;107(2):299-315. DOI: https://doi.org/10.1016/j.mcna.2022.10.009
Das BB, Ronda J, Trent M. Pelvic inflammatory disease: improving awareness, prevention, and treatment. Infect Drug Resist. 2016;9:191-7. DOI: https://doi.org/10.2147/IDR.S91260
Van Gemert C, Hellard M, Bradshaw CS, Fowkes FJI, Agius P A, Stoove M, et al. Syndromic Management of Sexually Transmissible Infections in Resource-Poor Settings: A Systematic Review with Meta-Analysis of the Abnormal Vaginal Discharge Flowchart for Neisseria Gonorrhoea and Chlamydia Trachomatis. Sex Health. 2018;15(1):1. DOI: https://doi.org/10.1071/SH17070
Burka OA, Shumytskyi AV, Semeniuk LM, Koltok OD, Dobosh VY, Islamova HO. Practical approaches to examination of women with abnormal vaginal discharge: a review of evidence-based recommendations 2021: Literature review. Reprod Endocrinol. 2021;61:57-65. DOI: https://doi.org/10.18370/2309-4117.2021.61.57-65
Stewart J, Bukusi E, Celum C, Delany-Moretlwe S, Baeten JM. Sexually Transmitted Infections among African Women: An Opportunity for Combination Sexually Transmitted Infection/HIV Prevention. AIDS. 2020;34(5):651-8. DOI: https://doi.org/10.1097/QAD.0000000000002472
Kularatne R, Muller E, Maseko V, Dias BDC, Kufa T. Etiological Surveillance of Vaginal Discharge Syndrome in South Africa: 2019 to 2020. Sexual Trans Dis. 2022;49(8):565-70. DOI: https://doi.org/10.1097/OLQ.0000000000001646
Mushi M F, Olum R, Bongomin F. Prevalence, Antifungal Susceptibility and Etiology of Vulvovaginal Candidiasis in Sub–Saharan Africa: A Systematic Review with Meta-Analysis and Meta-Regression. Med Mycol. 2022;60(7):myac037. DOI: https://doi.org/10.1093/mmy/myac037
Uwakwe K, Duru CB, Obiajuru I, Madubueze UC. Prevalence, Pattern and Predictors of Abnormal Vaginal Discharge among Women Attending Health Care Institutions in Imo State, Nigeria. J Comm Med Prim Health Care. 2018;30:2.
Magaji A, Mahmud Z. Microbial Characterization and Risk Factors Associated with Abnormal Vaginal Discharge among Women in Katagum Local Government, Bauchi State Nigeria. UMYU Sci. 2024;3(3):38-44. DOI: https://doi.org/10.56919/usci.2433.005
Olawuyi O. P3-S7.03 The Prevalence of Bacterial Vaginosis among Young Women in Urban Areas in Nigeria and Its Major Risk Factors. Sex Transmitted Infect. 2011;87:A299-300. DOI: https://doi.org/10.1136/sextrans-2011-050108.486
Geng N, Wu W, Fan A, Han C, Wang C, Wang Y, et al. Analysis of the Risk Factors for Aerobic Vaginitis: A Case-Control Study. Gynecol Obstet Invest. 2016;81(2):148-54. DOI: https://doi.org/10.1159/000431286
Balakrishnan V, Yong KK, Tiong CK, Ng NJS, Ni Z. A Scoping Review of Knowledge, Awareness, Perceptions, Attitudes, and Risky Behaviors of Sexually Transmitted Infections in Southeast Asia. Healthcare. 2023;11(8):1093. DOI: https://doi.org/10.3390/healthcare11081093
Adams A, Eshete ES, Iddi H, Banjo O, Thiedeitz M, Mohamed F. Relationship Between Historic Evolution, Urbanization and Mobility in Ibadan, Nigeria. Tanzania J Engineer Technol. 2024;43(3):51-61. DOI: https://doi.org/10.52339/tjet.v43i3.1136
Rowley J, Vander Hoorn S, Korenromp E, Low N, Unemo M, Abu-Raddad, et al. Chlamydia, Gonorrhoea, Trichomoniasis and Syphilis: Global Prevalence and Incidence Estimates, 2016. Bull World Health Organ. 2019;97(8):548-62. DOI: https://doi.org/10.2471/BLT.18.228486
Phillips-Howard P A, Caruso B, Torondel B, Zulaika G, Sahin M, Sommer M. Menstrual Hygiene Management among Adolescent Schoolgirls in Low- and Middle-Income Countries: Research Priorities. Glob Health Action. 2016;9:10. DOI: https://doi.org/10.3402/gha.v9.33032
Ocaktan ME, Baran E, Akdur R. Evaluation of habitual behavior related to genital hygiene in women living in a health care center area. Saudi Med J. 2010;31(11):1251-6.
Sağlık C, Istek Z, Demirbaş A, Bozkurt FD, Gümüş EÇ. The Relationship between Health Literacy Levels and Genital Hygiene Behaviors in Female University Students. Eur J Clin Exp Med. 2024;22(3):589-96. DOI: https://doi.org/10.15584/ejcem.2024.3.20
Sezer NY, Aker MN. Determining the Facilities for Maintaining Genital Hygiene and Genital Hygiene Behaviors among Women of Reproductive Age. Genel Tıp Derg. 2023;33(5):517-22. DOI: https://doi.org/10.54005/geneltip.1300803
Habibi F, Khani S, Ahmadi M. Social Determinants of Reproductive Age Women’s Sexual Health: A Scoping Review. J Nurs Midwifery Sci. 2023;10:4. DOI: https://doi.org/10.5812/jnms-140898