Journal of Pediatric and Adolescent Gynecology
Volume 24, Issue 1 , Pages 42-47 , February 2011

Longitudinal Changes in Vaginal Microbiota Composition Assessed by Gram Stain Among Never Sexually Active Pre- and Postmenarcheal Adolescents in Rakai, Uganda

  • Marie E. Thoma, PhD, MHS

      Affiliations

    • Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockville, Maryland, USA
    • Corresponding Author InformationAddress correspondence to: Marie E. Thoma, PhD, DESPR/NICHD/NIH, 6100 Executive Blvd, Room 7B13E. Bethesda, MD 20892-7510.
    • ,
  • Ronald H. Gray, MD, MSc

      Affiliations

    • Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
    • ,
  • Noah Kiwanuka, MB ChB, PhD

      Affiliations

    • Makerere University School of Public Health and Rakai Health Sciences Program, Kampala, Uganda
    • ,
  • Simon Aluma, SLT, BBLT

      Affiliations

    • Rakai Health Sciences Program, Kalisizo, Uganda
    • ,
  • Mei-Cheng Wang, PhD

      Affiliations

    • Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
    • ,
  • Nelson Sewankambo, MB ChB, MMed, MSc

      Affiliations

    • Makerere University College of Health Sciences, Kampala, Uganda
    • ,
  • Maria J. Wawer, MD, MHS

      Affiliations

    • Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA

References 

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  3. Hay P. Life in the littoral zone: lactobacilli losing the plot. Sex Transm Infect. 2005;81:100
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  13. Brabin L, Fairbrother E, Mandal D, et al. Biological and hormonal markers of chlamydia, human papillomavirus, and bacterial vaginosis among adolescents attending genitourinary medicine clinics. Sex Transm Infect. 2005;81:128
  14. Yamamoto T, Zhou X, Williams CJ, et al. Bacterial populations in the vaginas of healthy adolescent women. J Pediatr Adolesc Gynecol. 2009;22:11
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  16. Bukusi EA, Cohen CR, Meier AS, et al. Bacterial vaginosis: risk factors among Kenyan women and their male partners. Sex Transm Dis. 2006;33:361
  17. Howe LD, Hargreaves JR, Huttly SR. Issues in the construction of wealth indices for the measurement of socio-economic position in low-income countries. Emerg Themes Epidemiol. 2008;5:3
  18. Nugent RP, Krohn MA, Hillier SL. Reliability of diagnosing bacterial vaginosis is improved by a standardized method of gram stain interpretation. J Clin Microbiol. 1991;29:297
  19. Diggle P, Heagarty P, Liang K, et al. Analysis of Longitudinal Data. 2nd ed.. Oxford: Oxford University Press; 2002;
  20. Cleveland WS, Devlin SJ. Locally weighted regression - an approach to regression-analysis by local fitting. J Am Stat Assoc. 1988;83:596
  21. Brabin L, Roberts SA, Fairbrother E, et al. Factors affecting vaginal pH levels among female adolescents attending genitourinary medicine clinics. Sex Transm Infect. 2005;81:483
  22. Stevens-Simon C, Jamison J, McGregor JA, et al. Racial variation in vaginal pH among healthy sexually active adolescents. Sex Transm Dis. 1994;21:168
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PII: S1083-3188(10)00210-X

doi: 10.1016/j.jpag.2010.07.002

Journal of Pediatric and Adolescent Gynecology
Volume 24, Issue 1 , Pages 42-47 , February 2011

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