Douching or Perineal Talc Use and Prevalent Fibroids in Young African American Women

Wright, Mark S.; Moore, Kristen R.; Upson, Kristen; Baird, Donna D.; Chin, Helen B

doi:10.1089/jwh.2020.8524

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…We note that only 25-30% of the SELF cohort reported regular use of vaginal products such as powder, douche, or lubricant over the previous 12 months, and use of fragrance-free panty liners, tampons, and pads was common. However, use of vaginal products was more common in this cohort when participants were younger [39]. Additional research that examines the use of both scented and fragrance-free products in conjunction with different types of discrimination (e.g., based on hairstyles or odor) is warranted.…”

Section: Discussionmentioning

confidence: 89%

Frequency of personal care product use among reproductive-aged Black individuals and associations with socio-demographic characteristics

Taylor,

Co,

Gaston

et al. 2024

J Expo Sci Environ Epidemiol

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Background Compared to White women, Black women in the United States are more likely to use personal care products (PCPs) with higher concentrations of endocrine-disrupting chemicals (EDCs) and harsher chemical formulations. This may contribute to differential health outcomes in Black women such as increased risk of breast cancer, cardiometabolic outcomes, adverse birth outcomes, and uterine fibroids. Objective Classify distinct PCP use patterns across multiple types of products and examine how patterns vary by socio-demographic characteristics. Methods The Study of Environment, Lifestyle and Fibroids is a cohort study of reproductive-aged Black individuals living around Detroit, Michigan. Using self-reported data on frequency of PCP collected between 2013–2018, we employed latent class analysis to identify distinct groups of participants with similar PCP use. Socio-demographic characteristics were compared across latent classes. Results Among 1562 participants, we identified 6 latent classes: Lower Overall; Higher Nailcare; Higher Skincare; Moderate Overall; Higher Makeup/Haircare/Skincare; Higher Overall. Makeup and nailcare usage were the most predictive for classifying participants into groups. Participants in classes with less frequent use of all PCPs and those with only high use of nailcare products, were more likely to report lower socio-economic status (SES), be current smokers, have a body mass index of ≥35 kg/m2, and have ≥3 births. In comparison, participants in classes with average and more frequent use of PCPs were more likely to report higher SES, be non-smokers, be nulliparous, and have ever used oral contraceptives. Impact statement This study is one of the first detailed assessments of PCP usage among a large cohort of young adult Black women that considers multiple product categories including makeup, hair, skin, nail, and vaginal products. Latent class analysis was used to capture complex patterns of PCP use and identify distinct groups of individuals with similar product use. Although the latent classes are specific to this study population, the identified socio-demographic characteristics or behaviors associated with latent classes may inform targeted and impactful exposure reduction strategies in similar populations.

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Section: Discussionmentioning

confidence: 89%

Frequency of personal care product use among reproductive-aged Black individuals and associations with socio-demographic characteristics

Taylor,

Co,

Gaston

et al. 2024

J Expo Sci Environ Epidemiol

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“…Using data from the Sister Study, we examined patterns of use and reliability of recall for two feminine hygiene products thought to be associated with gynecologic cancers 4,[17][18][19][20][21][22] and other reproductive health-related outcomes 2,23 : douche and powder applied to the genital area. More specifically, we describe how women of varying ages, racial and ethnic groups, and education levels use these products over their lifetimes and examine how reliably the use of such products can be recalled over time.…”

mentioning

confidence: 99%

Douching and Genital Talc Use: Patterns of Use and Reliability of Self-reported Exposure

et al. 2023

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Background: Feminine hygiene products contain chemicals that may be harmful to human health. Observational studies of the longterm health effects of such products largely rely on self-reported, recalled exposure. We sought to capture patterns of use over the life course and evaluate the reliability of self-reported data. Methods: We collected retrospective data on douching and genital talc use in the US-based Sister Study at two-time points and evaluated the consistency of reporting. At enrollment (2003)(2004)(2005)(2006)(2007)(2008)(2009), participants were asked to report use in the last year and during ages 10-13. On a follow-up questionnaire (2017-2019), participants were asked about their use of douche or genital talc over their lifetimes. Results: Among 36,202 women who completed both questionnaires, 14% initially reported ever douching and 27% initially reported ever using genital talc. On the follow-up questionnaire, 51% of participants reported ever douching and 32% reported ever using genital talc. Comparisons across the two questionnaires for use in the year before enrollment showed good consistency, with 90% providing the same responses about douching and 87% providing the same responses about genital talc use. Reliability did not vary by cancer status, race and ethnicity, attained education, or age, though there was some evidence of recall bias for genital talc use among ovarian cancer survivors. Conclusions: Classification of ever use of feminine hygiene products may be recalled with good consistency, but agreement was lower for specific time periods and trends may vary by subgroup. These potential differences warrant careful consideration in future studies.

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Association of genital talc and douche use in early adolescence or adulthood with uterine fibroids diagnoses

Ogunsina,

Sandler,

Murphy

et al. 2023

American Journal of Obstetrics and Gynecology

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Douching or Perineal Talc Use and Prevalent Fibroids in Young African American Women

Cited by 4 publications

References 42 publications

Frequency of personal care product use among reproductive-aged Black individuals and associations with socio-demographic characteristics

Frequency of personal care product use among reproductive-aged Black individuals and associations with socio-demographic characteristics

Douching and Genital Talc Use: Patterns of Use and Reliability of Self-reported Exposure

Association of genital talc and douche use in early adolescence or adulthood with uterine fibroids diagnoses

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