Vaginal douching among latinas: Practices and meaning

Melissa D. McKee, María Baquero, Matthew R. Anderson, Adelyn Alvarez, Alison Karasz

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objectives: Vaginal douching is widely practiced by American women, particularly among minority groups, and is associated with increased risk of pelvic and vaginal infections. This research sought to investigate vaginal hygiene practices and meaning associated with them among Latina women and adolescents. Study results would guide development of an intervention to decrease douching among Latinas. Methods: In depth qualitative interviews conducted with English- and Spanish-speaking women aged 16-40, seeking care for any reason who reported douching within the last year (n = 34). Interviews were audiotaped, transcribed and analyzed using qualitative methods. One-third of interviews were conducted in Spanish. Results: Two explanatory models for douching motives emerged: one stressed cosmetic benefits; the other, infection prevention and control. Most women reported douching to eliminate menstrual residue; a small number reported douching in context of sexual intercourse or vaginal symptoms. Many were unaware of associated health risks. Respondents typically learned about douching from female family members and friends. Male partners were described as having little to no involvement in the decision to douche. Women varied in their willingness to stop douching. Two-thirds reported receiving harm reduction messages about "overdouching". About half indicated previous discussion about douching with health care providers; some had reduced frequency in response to counseling. A number of previously unreported vaginal hygiene practices and products were described, including use of a range of traditional hygiene practices, and products imported from outside the US. Conclusions: Respondents expressed a range of commitment to douching. Counseling messages acknowledging benefits women perceive as well as health risks should be developed and delivered tailored to individual beliefs. Further research is needed to assess prevalence and safety of previously unreported practices.

Original languageEnglish (US)
Pages (from-to)98-106
Number of pages9
JournalMaternal and Child Health Journal
Volume13
Issue number1
DOIs
StatePublished - 2009

Fingerprint

Vaginal Douching
Therapeutic Irrigation
Hispanic Americans
Hygiene
Interviews
Counseling
Pelvic Infection
Harm Reduction
Minority Groups
Coitus
Health
Infection Control
Research
Cosmetics
Health Personnel

Keywords

  • Feminine hygiene
  • Latinas
  • Qualitative research
  • Vaginal douching

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Vaginal douching among latinas : Practices and meaning. / McKee, Melissa D.; Baquero, María; Anderson, Matthew R.; Alvarez, Adelyn; Karasz, Alison.

In: Maternal and Child Health Journal, Vol. 13, No. 1, 2009, p. 98-106.

Research output: Contribution to journalArticle

McKee, Melissa D. ; Baquero, María ; Anderson, Matthew R. ; Alvarez, Adelyn ; Karasz, Alison. / Vaginal douching among latinas : Practices and meaning. In: Maternal and Child Health Journal. 2009 ; Vol. 13, No. 1. pp. 98-106.
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