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Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study

BACKGROUND: The risk factors for urinary tract infections (UTIs) from developed countries are not applicable to women from developing world. OBJECTIVE: To analyze the behavioral practices and psychosocial aspects pertinent to women in our region and assess their association with acute first time or...

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Autores principales: Mishra, Bharti, Srivastava, Richa, Agarwal, Jyotsna, Srivastava, Sugandha, Pandey, Amita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746950/
https://www.ncbi.nlm.nih.gov/pubmed/26917870
http://dx.doi.org/10.4103/0970-0218.170962
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author Mishra, Bharti
Srivastava, Richa
Agarwal, Jyotsna
Srivastava, Sugandha
Pandey, Amita
author_facet Mishra, Bharti
Srivastava, Richa
Agarwal, Jyotsna
Srivastava, Sugandha
Pandey, Amita
author_sort Mishra, Bharti
collection PubMed
description BACKGROUND: The risk factors for urinary tract infections (UTIs) from developed countries are not applicable to women from developing world. OBJECTIVE: To analyze the behavioral practices and psychosocial aspects pertinent to women in our region and assess their association with acute first time or recurrent UTI. MATERIALS AND METHODS: Sexually active premenopausal women with their first (145) and recurrent (77) cystitis with Escherichia coli as cases and women with no prior history of UTI as healthy controls (257) were enrolled at a tertiary care hospital in India, between June 2011 and February 2013. Questionnaire-based data was collected from each participant through a structured face-to-face interview. RESULTS: Using univariate and multivariate regression models, independent risk factors for the first episode of cystitis when compared with healthy controls were (presented in odds ratios [ORs] with its 95% confidence interval [CI]): Anal sex (OR = 3.68, 95% CI = 1.59-8.52), time interval between last sexual intercourse and current episode of UTI was <5 days (OR = 2.27, 95% CI = 1.22-4.23), use of cloth during menstrual cycle (OR = 2.36, 95% CI = 1.31-4.26), >250 ml of tea consumption per day (OR = 4.73, 95% CI = 2.67-8.38), presence of vaginal infection (OR = 3.23, 95% CI = 1.85-5.62) and wiping back to front (OR = 2.52, 95% CI = 1.45-4.38). Along with the latter three, history of UTI in a first-degree female relative (OR = 10.88, 95% CI = 2.41-49.07), constipation (OR = 4.85, 95% CI = 1.97-11.92) and stress incontinence (OR = 2.45, 95% CI = 1.18-5.06) were additional independent risk factors for recurrent cystitis in comparison to healthy controls. CONCLUSION: Most of the risk factors for initial infection are potentially modifiable but sufficient to also pose risk for recurrence. Many of the findings reflect the cultural and ethnic practices in our country.
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spelling pubmed-47469502016-02-25 Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study Mishra, Bharti Srivastava, Richa Agarwal, Jyotsna Srivastava, Sugandha Pandey, Amita Indian J Community Med Original Article BACKGROUND: The risk factors for urinary tract infections (UTIs) from developed countries are not applicable to women from developing world. OBJECTIVE: To analyze the behavioral practices and psychosocial aspects pertinent to women in our region and assess their association with acute first time or recurrent UTI. MATERIALS AND METHODS: Sexually active premenopausal women with their first (145) and recurrent (77) cystitis with Escherichia coli as cases and women with no prior history of UTI as healthy controls (257) were enrolled at a tertiary care hospital in India, between June 2011 and February 2013. Questionnaire-based data was collected from each participant through a structured face-to-face interview. RESULTS: Using univariate and multivariate regression models, independent risk factors for the first episode of cystitis when compared with healthy controls were (presented in odds ratios [ORs] with its 95% confidence interval [CI]): Anal sex (OR = 3.68, 95% CI = 1.59-8.52), time interval between last sexual intercourse and current episode of UTI was <5 days (OR = 2.27, 95% CI = 1.22-4.23), use of cloth during menstrual cycle (OR = 2.36, 95% CI = 1.31-4.26), >250 ml of tea consumption per day (OR = 4.73, 95% CI = 2.67-8.38), presence of vaginal infection (OR = 3.23, 95% CI = 1.85-5.62) and wiping back to front (OR = 2.52, 95% CI = 1.45-4.38). Along with the latter three, history of UTI in a first-degree female relative (OR = 10.88, 95% CI = 2.41-49.07), constipation (OR = 4.85, 95% CI = 1.97-11.92) and stress incontinence (OR = 2.45, 95% CI = 1.18-5.06) were additional independent risk factors for recurrent cystitis in comparison to healthy controls. CONCLUSION: Most of the risk factors for initial infection are potentially modifiable but sufficient to also pose risk for recurrence. Many of the findings reflect the cultural and ethnic practices in our country. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4746950/ /pubmed/26917870 http://dx.doi.org/10.4103/0970-0218.170962 Text en Copyright: © 2016 Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Mishra, Bharti
Srivastava, Richa
Agarwal, Jyotsna
Srivastava, Sugandha
Pandey, Amita
Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study
title Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study
title_full Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study
title_fullStr Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study
title_full_unstemmed Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study
title_short Behavioral and Psychosocial Risk Factors Associated with First and Recurrent Cystitis in Indian Women: A Case-control Study
title_sort behavioral and psychosocial risk factors associated with first and recurrent cystitis in indian women: a case-control study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746950/
https://www.ncbi.nlm.nih.gov/pubmed/26917870
http://dx.doi.org/10.4103/0970-0218.170962
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