Bacterial vaginosis epidemiology and demographics

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Overview

Bacterial vaginosis is the most common cause of vaginal symptoms among women, but it is not clear what role sexual activity plays in the development of BV. The prevalence in the United States is estimated to be 21.2 million (29.2%) among women ages 14–49.

Epidemiology

Bacterial vaginosis is the most common cause of vaginal symptoms among women, but it is not clear what role sexual activity plays in the development of BV. The prevalence in the United States is estimated to be 21.2 million (29.2%) among women ages 14–49

Prevalence

A 2013 systematic review reported that BV prevalence varies between and within countries worldwide.[1][2]

  • In South and East Africa have higher rates of BV (68 % in Mozambique, 51 % in Lesotho, 44 % in Kenya, 37 % in Gambia)
  • In Southeast Asia, Australia, New Zealand, and Indonesia have rates of BV that are typically greater than 30 %
  • In Norway (24 %), Turkey (23 %), and Poland (19 %) women have moderately high BV rates
  • In Latin America and the Caribbean have lower rates of BV, except in rural and antenatal populations in Jamaica and Peru (rates of −40 %)

Gender

As many as one-third of pregnant women in the United States have Bacterial vaginosis.

Associated condition

The prevalence of bacterial vaginosis have reported high among HIV-positive and infertile women.[3]

Race

  • The prevalence of bacterial vaginosis varies by race/ethnicity:[4]
    • African-American (51 %)
    • Hispanic (32 %)
    • Whites (23 %).

References

  1. Nugent RP, Krohn MA, Hillier SL (1991). "Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation". J Clin Microbiol. 29 (2): 297–301. PMC 269757. PMID 1706728.
  2. Kenyon C, Colebunders R, Crucitti T (2013). "The global epidemiology of bacterial vaginosis: a systematic review". Am J Obstet Gynecol. 209 (6): 505–23. doi:10.1016/j.ajog.2013.05.006. PMID 23659989.
  3. Lallar M, Nanda S, Nandal R (2015). "Lower Genital Tract Infections in HIV-Infected Women: Can We Afford to Miss?". J Obstet Gynaecol India. 65 (1): 45–9. doi:10.1007/s13224-014-0604-6. PMC 4342383. PMID 25737622.
  4. Yen S, Shafer MA, Moncada J, Campbell CJ, Flinn SD, Boyer CB (2003). "Bacterial vaginosis in sexually experienced and non-sexually experienced young women entering the military". Obstet Gynecol. 102 (5 Pt 1): 927–33. PMID 14672465.

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