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Understanding intra-vaginal and labia minora elongation practices among women heads-of-households in Zambézia Province, Mozambique

Bibliographic Data

ID15099288
AuthorsCarolyn M Audet (0000-0002-4715-1346, Vanderbilt University Medical Center, corresponding author), Meridith Blevins (0000-0002-3861-9859, Vanderbilt University Medical Center), Charlotte Buehler Cherry (Institute for Global Health, Vanderbilt University Medical Center, Nashville, USA), Lázaro Gonzaléz-Calvo (Friends in Global Health, Impact and Project Evaluation Department, Quelimane, Mozambique), Lazáro Gonzaléz‐Calvo (0000-0002-5376-929X, Friends United), Ann Green (0000-0002-9248-2216, Institute for Global Health, Vanderbilt University Medical Center, Nashville, USA), Ann F Green, Troy D Moon (0000-0002-1637-829X, Vanderbilt University)
Year2017
Volume19
Issue5
Pages616-629
Publication date2017-05-04
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2016.1257739
PMID27921861
OpenAlexW2560522868
LanguageEN
Citations received1
References cited54

Intra-vaginal drying and tightening and labia minora elongation are commonly practised in some parts of southern Africa. We sought to capture data on these practices among women living in Zambézia province, Mozambique. Information was gathered from 3543 female heads of household on > 500 variables, including vaginal practices, in 2014. 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 antenatal care 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 antenatal care 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). Given documented associations between intra-vaginal substance use, vaginal infections and HIV acquisition, understanding the prevalence of vaginal practices is an essential component to addressing the epidemic

Biology · Gynecology · Labia · Labia minora · Logistic regression · Obstetrics · Odds · Odds ratio · Pregnancy · Vaginal delivery · Vulva · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Internal Medicine · Surgery

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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