A longitudinal study of vaginal douching and bacterial vaginosis--a marginal structural modeling analysis.

@article{Brotman2008ALS,
  title={A longitudinal study of vaginal douching and bacterial vaginosis--a marginal structural modeling analysis.},
  author={Rebecca M Brotman and Mark A Klebanoff and Tonja R Nansel and William W. Andrews and Jane R. Schwebke and Jun Zhang and Kai Fun Yu and Jonathan M. Zenilman and Daniel O Scharfstein},
  journal={American journal of epidemiology},
  year={2008},
  volume={168 2},
  pages={188-96}
}
The etiology of bacterial vaginosis is unknown, and there are no long-term therapies for preventing this frequently recurring condition. Vaginal douching has been reported to be associated with bacterial vaginosis in observational studies. However, this association may be due to confounding by indication--that is, confounding by women douching in response to vaginal symptoms associated with bacterial vaginosis. The authors used marginal structural modeling to estimate the causal effect of… CONTINUE READING

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