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Cited by 96Urinary Tract Infections ManagementReproductive tract infections researchUrinary Bladder and Prostate Research

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

Association between use of spermicide-coated condoms and Escherichia coli urinary tract infection in young women.

Fihn, S. D., Boyko, E. J., Normand, E. H., Chen, C.-L., Grafton, J. R., Hunt, M., Yarbro, P., Scholes, D., Stergachis, A.·1996·American Journal of Epidemiology
DOI 10.1093/oxfordjournals.aje.a008958
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Abstract

Diaphragm/spermicide use increases the risk of urinary tract infection (UTI). To determine whether spermicide-coated condoms are also associated with an increased risk of UTI, the authors conducted a case-control study at a large health maintenance organization in Seattle, Washington. Cases were sexually active young women with acute UTI caused by Escherichia coli, identified from computerized laboratory files during 1990-1993. Age-matched controls were randomly selected from the enrollment files of the plan. Of 1,904 eligible women, 604 cases and 629 controls (65%) were interviewed. During the previous year, 40% of the cases and 31% of the controls had been exposed to any type of condom. The unadjusted odds ratio for UTI increased with frequency of condom exposure from 0.91 (95% confidence interval (CI) 0.65-1.28) for weekly or less during the previous month to 2.11 (95% CI 1.37-3.26) for more than once weekly. Exposure to spermicide-coated condoms conferred a higher risk of UTI, with odds ratios ranging from 1.09 (95% CI 0.58-2.05) for use weekly or less to 3.05 (95% CI 1.47-6.35) for use more than once weekly. In multivariate analyses, intercourse frequency (odds ratio (OR) = 1.14 per weekly episode), history of UTI (OR = 2.64), and frequency of spermicide-coated condom exposure (OR = 3.34 for more than once weekly and 5.65 for use more than twice weekly) were independent predictors of UTI. Spermicide-coated condoms were responsible for 42% of the UTIs among women who were exposed to these products.

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Crossref · 10.1093/oxfordjournals.aje.a008958

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  • N-9 use has been associated with an increased risk for bacterial urinary tract infections among women.

    “N-9 use also has been associated with an increased risk for bacterial urinary tract infections among women (53,54).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [54]

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Metadata

Authors
Fihn, S. D., Boyko, E. J., Normand, E. H., Chen, C.-L., Grafton, J. R., Hunt, M., Yarbro, P., Scholes, D., & Stergachis, A.
Affiliations
  • United States Department of Veterans Affairs (US)
  • University of Washington (US)
  • Group Health Cooperative (US)
Corresponding author
Fihn, S. D.
ORCID
Boyko, E. J.
Venue
American Journal of Epidemiology
Publisher
Oxford University Press (OUP)
Published
1996-09-01
Volume
144
Issue
5
Pages
512-520
ISSN
  • 0002-9262 (ISSN-L)
  • 1476-6256
DOI
10.1093/oxfordjournals.aje.a008958
OpenAlex
W2127077110
Cited by
96
References
17
Citations by year
2025: 2 · 2024: 4 · 2023: 3 · 2021: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2015: 3 · 2014: 5 · 2013: 2 · 2012: 4
FWCI
2.98
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Washington
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK431341-02, R01 DK431341-03)
Topics
  • Health Sciences › Medicine › Urology › Urinary Tract Infections Management
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords
urinary tract infection, Escherichia coli, young women, condom use, diaphragm, sexual frequency, risk factors
MeSH terms
Adolescent, Adult, Escherichia coli Infections, Female, Humans, Interviews as Topic, Risk Factors, Spermatocidal Agents, Urinary Tract Infections, Washington, Confounding Factors, Epidemiologic, Case-Control Studies, Condoms

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