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Deprecated: Implicit conversion from float 278.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Cult+Health+Sex 2017 ; 19 (5): 616-29 Nephropedia Template TP
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Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique #MMPMID27921861
Audet CM; Blevins M; Buehler Cherry C; González-Calvo L; Green AF; Moon TD
Cult Health Sex 2017[May]; 19 (5): 616-29 PMID27921861show ga
Background: Intra-vaginal drying and tightening and labia minora elongation are commonly practiced in some parts of southern Africa. We sought to capture data on these practices among women living in Zambézia province, Mozambique. Methods: We gathered information from 3,543 female heads of household on >500 variables, including vaginal practices in 2014. Weighted percentages of survey responses are reported. Results: Women who planned to use intra-vaginal tightening substances had 1.84 times higher odds of ever receiving an HIV test (p<0.001) and 1.40 times higher odds of at least one ANC visit attended during last pregnancy (p=0.015). Women who had or planned to undergo labia minora elongation had 2.61 times higher odds of receiving an HIV test in the past (p<0.001) and 1.60 times higher odds of attending at least one ANC visit during their last pregnancy (p<0.001). There was little evidence for a relationship between self-reported HIV status and anticipated use of intra-vaginal tightening substances (p=0.21). Current or anticipated participation in labia elongation showed a protective effect on HIV infection (p=0.028). Conclusion: Given documented associations between intra-vaginal substance use, vaginal infections, and HIV acquisition, understanding the prevalence of vaginal practices may be an essential component to addressing the epidemic.