The DOI matches its Crossref record, with a small difference in title or year; 22 of the 22 references it cites were found in a registry or an index.
Risk Factors for Vulvovaginal Candidiasis: A Case- Control Study among University Students
Abstract
Vulvovaginal candidiasis (VVC) is a common inflammatory condition caused by vaginal overgrowth of Candida albicans. Typical symptoms include pruritus and discharge. To test the association between several hypothesized risk factors and VVC, we conducted a case-control study among university students, with both clinic and population controls. Symptomatic, culture-proven VVC was associated with receptive oral sex twice or more in the previous 2 weeks [vs not at all, odds ratio (OR) = 3.5; 95% confidence interval (CI) = 1.7-7.0]; oral contraceptive use (OR = 1.8; 95% CI = 0.95-3.6); spermicide use (OR = 3.3; 95% CI = 1.6-6.8); a prior diagnosis of VVC in the previous year (OR = 3.0; 95% CI = 1.5-5.9); and black (OR = 6.8; 95% CI = 3.1-15) and "other" race (OR = 2.2; 95% CI = 1.0-4.6). Estimates are from a cases vs population controls logistic regression model including all five variables; results for cases vs clinic controls were similar. After adjusting for these factors, many other hypothesized risk factors, such as antibiotic use, menstrual hygiene practices, and vaginal intercourse, had little association with VVC.
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“Black or African American women also had a 7-fold higher risk of having vulvovaginal candidiasis (VVC) than other racial groups among university students [116], in 1 study.”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [116]
Citations
Cites
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A Dosing Study of Nonoxynol-9 and Genital Irritation
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Haley, L. D. (1961) · American Journal of Clinical Pathology · doi:10.1093/ajcp/36.3.227 · Cited by 216
The Effects of Frequent Nonoxynol-9 Use on the Vaginal and Cervical Mucosa
Niruthisard, S., Roddy, R. E., & Chutivongse, S. (1991) · Sexually Transmitted Diseases · doi:10.1097/00007435-199107000-00010 · Cited by 205
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Escherichia coli Bacteriuria and Contraceptive Method
Hooton, T. M. (1991) · JAMA · doi:10.1001/jama.1991.03460010064032 · Cited by 168
The epidemiology of vulvovaginal candidiasis: risk factors.
Foxman, B. (1990) · American Journal of Public Health · doi:10.2105/ajph.80.3.329 · Cited by 133
Self-citationEffects of recent sexual activity and use of a diaphragm on the vaginal microflora.
Hooton, T. M., Roberts, P. L., & Stamm, W. E. (1994) · Clinical Infectious Diseases · doi:10.1093/clinids/19.2.274 · Cited by 117
Effect of the Contraceptive Sponge on Chlamydial Infection, Gonorrhea, and Candidiasis
Rosenberg, M. J. (1987) · JAMA · doi:10.1001/jama.1987.03390170064029 · Cited by 106
Cited by
Sorted by citations
Sobel, J. D. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60917-9 · Cited by 1,270
Candida Infections of the Genitourinary Tract
Achkar, J. M., & Fries, B. C. (2010) · Clinical Microbiology Reviews · doi:10.1128/cmr.00076-09 · Cited by 736
Vulvovaginal candidiasis: Epidemiologic, diagnostic, and therapeutic considerations
Sobel, J. D., Faro, S., Force, R. W., Foxman, B., Ledger, W. J., Nyirjesy, P., Reed, B. D., & Summers, P. R. (1998) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(98)80001-x · Cited by 694
Self-citationVulvovaginal candidiasis: Epidemiology, microbiology and risk factors
Gonçalves, B., Ferreira, C., Alves, C. T., Henriques, M., Azeredo, J., & Silva, S. (2016) · Critical Reviews in Microbiology · doi:10.3109/1040841x.2015.1091805 · Cited by 669
Sobel, J. D. (1997) · New England Journal of Medicine · doi:10.1056/nejm199712253372607 · Cited by 446
Metadata
- Authors
- Geiger, A. M., & Foxman, B.
- Affiliations
- University of Michigan (US)
- Venue
- Epidemiology
- Published
- 1996-03
- Volume
- 7
- Issue
- 2
- Pages
- 182-187
- ISSN
- 1044-3983 (ISSN-L)
- OpenAlex
- W1970326156
- Cited by
- 154
- References
- 22
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 2 · 2015: 5 · 2014: 7 · 2013: 5 · 2012: 7
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2r01dk035368-08a1)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK35368)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
- Health Sciences › Medicine › Urology › Urinary Tract Infections Management
- Keywords
- vaginal candidiasis, risk factors, Candida albicans, oral contraceptive use, recurrent candidiasis, race, university students
- MeSH terms
- Adult, Candidiasis, Vulvovaginal, Clothing, Contraception Behavior, Cross-Sectional Studies, Female, Humans, Hygiene, Michigan, Risk, Sexual Behavior, Students, Incidence, Case-Control Studies
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