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. 1995 Aug;85(8 Pt 1):1146–1148. doi: 10.2105/ajph.85.8_pt_1.1146

The epidemiology of vulvovaginal candidiasis among university students.

A M Geiger 1, B Foxman 1, B W Gillespie 1
PMCID: PMC1615808  PMID: 7625516

Abstract

Vulvovaginal candidiasis affects approximately 20% of women annually, but it is not well characterized epidemiologically. Of 1027 respondents to two mailed cross-sectional surveys at a large university, 37.5% reported a prior clinical diagnosis of vulvovaginal candidiasis. The frequency of first diagnosis increased rapidly after age 17, with an estimated 54.7% of women experiencing the condition by age 25. In a proportional hazards model of age at first diagnosis, vulvovaginal candidiasis was associated with initiation of sexual activity (rate ratio [RR] = 2.9; 95% confidence interval [CI] = 2.2, 3.8), oral contraceptive use (RR = 1.7; CI = 1.4, 2.2), and White (RR = 3.1; CI = 1.7, 5.7) and Black (RR = 5.9; CI = 3.0, 11.5) race vs Asian.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aral S. O., Mosher W. D., Cates W., Jr Vaginal douching among women of reproductive age in the United States: 1988. Am J Public Health. 1992 Feb;82(2):210–214. doi: 10.2105/ajph.82.2.210. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Berg A. O., Heidrich F. E., Fihn S. D., Bergman J. J., Wood R. W., Stamm W. E., Holmes K. K. Establishing the cause of genitourinary symptoms in women in a family practice. Comparison of clinical examination and comprehensive microbiology. JAMA. 1984 Feb 3;251(5):620–625. [PubMed] [Google Scholar]
  3. Foxman B. The epidemiology of vulvovaginal candidiasis: risk factors. Am J Public Health. 1990 Mar;80(3):329–331. doi: 10.2105/ajph.80.3.329. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Jensen H. K., Hansen P. A., Blom J. Incidence of Candida albicans in women using oral contraceptives. Acta Obstet Gynecol Scand. 1970;49(3):293–296. doi: 10.3109/00016347009157254. [DOI] [PubMed] [Google Scholar]
  5. Kaufman R. H., Hammill H. A. Vaginitis. Prim Care. 1990 Mar;17(1):115–125. [PubMed] [Google Scholar]
  6. Lossick J. G. Sexually transmitted vaginitis. Semin Adolesc Med. 1986 Jun;2(2):131–142. [PubMed] [Google Scholar]
  7. Markos A. R., Wade A. A., Walzman M. Oral sex and recurrent vulvo-vaginal candidiasis. Genitourin Med. 1992 Feb;68(1):61–62. doi: 10.1136/sti.68.1.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Oates J. K. Recurrent vaginitis and oral sex. Lancet. 1979 Apr 7;1(8119):785–785. doi: 10.1016/s0140-6736(79)91248-0. [DOI] [PubMed] [Google Scholar]
  9. Pumpianski R., Ganor S. Vulvovaginal candidosis and oral contraceptives. Mykosen. 1974 Aug 1;17(8):173–178. doi: 10.1111/j.1439-0507.1974.tb04322.x. [DOI] [PubMed] [Google Scholar]
  10. Reed B. D. Risk factors for Candida vulvovaginitis. Obstet Gynecol Surv. 1992 Aug;47(8):551–560. doi: 10.1097/00006254-199208000-00015. [DOI] [PubMed] [Google Scholar]
  11. Reed B. D., Slattery M. L., French T. K. The association between dietary intake and reported history of Candida vulvovaginitis. J Fam Pract. 1989 Nov;29(5):509–515. [PubMed] [Google Scholar]
  12. Riley V. C., Odds F. C., Fisk P. E., Webster C. E. Finger nails as a reservoir for Candida albicans in recurrence of vaginal candidosis. Genitourin Med. 1986 Oct;62(5):358–358. doi: 10.1136/sti.62.5.358. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Spinillo A., Pizzoli G., Colonna L., Nicola S., De Seta F., Guaschino S. Epidemiologic characteristics of women with idiopathic recurrent vulvovaginal candidiasis. Obstet Gynecol. 1993 May;81(5 ):721–727. [PubMed] [Google Scholar]
  14. Staerfelt F., Gundersen T. J., Halsos A. M., Barlinn C., Johansen A. G., Nørregaard K. M., Eng J. A survey of genital infections in patients attending a clinic for sexually transmitted diseases. Scand J Infect Dis Suppl. 1983;40:53–57. [PubMed] [Google Scholar]
  15. Tanfer K., Cubbins L. A., Brewster K. L. Determinants of contraceptive choice among single women in the United States. Fam Plann Perspect. 1992 Jul-Aug;24(4):155-61, 173. [PubMed] [Google Scholar]
  16. White W., Spencer-Phillips P. J. Recurrent vaginitis and oral sex. Lancet. 1979 Mar 17;1(8116):621–621. doi: 10.1016/s0140-6736(79)91065-1. [DOI] [PubMed] [Google Scholar]
  17. Willmott F. E. Genital yeasts in female patients attending a VD clinic. Br J Vener Dis. 1975 Apr;51(2):119–122. doi: 10.1136/sti.51.2.119. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wilson J. D., Jones B. M., Kinghorn G. R. Bread-making as a source of vaginal infection with Saccharomyces cerevisiae. Report of a case in a woman and apparent transmission to her partner. Sex Transm Dis. 1988 Jan-Mar;15(1):35–36. doi: 10.1097/00007435-198801000-00008. [DOI] [PubMed] [Google Scholar]

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