Vaginal douching, condom use, and sexually transmitted infections among Chinese female sex workers

Sex Transm Dis. 2005 Nov;32(11):696-702. doi: 10.1097/


Background and objective: Vaginal douching has been hypothesized to increase a woman's risk for human immunodeficiency virus (HIV) infection. However, data on the prevalence of this practice and its association with condom use and sexually transmitted infections (STIs) are limited.

Study: A cross-sectional survey among 454 female sex workers (FSWs) in a Chinese county.

Results: Vaginal douching was reported by 64.7% of the women. The prevalence of self-reported history of STI and that of current STI was 19.4% and 41.5%, respectively. Fifteen percent of the women reported consistent use of condoms with their clients and 8.4% with their regular partners. Vaginal douching was significantly associated with decreased use of condoms (with clients: OR = 0.31; with regular partner(s): OR = 0.22) and increased rate of self-reported STI history (OR = 1.95). However, there was no direct relation between douching and current STI. Over one third of the women believed that douching can prevent STI/HIV.

Conclusion: Vaginal douching exposes FSWs to a high risk of STI/HIV. Medical professional and public health workers should correct women's misconception about the effectiveness of douching and discourage women from douching through educational activities.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • China / epidemiology
  • Condoms / statistics & numerical data*
  • Cross-Sectional Studies
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / transmission
  • Humans
  • Male
  • Prevalence
  • Risk Factors
  • Sex Work*
  • Sexual Partners
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / transmission
  • Vaginal Douching*