Clinical Study

Determinants of Symptomatic Vulvovaginal Candidiasis among Human Immunodeficiency Virus Type 1 Infected Women in Rural KwaZulu-Natal, South Africa

Table 4

Univariate associations between variables of interest and symptomatic vulvovaginal candidiasis (VVC) among HIV-uninfected women ( ).

Variables of interestSymptomatic VVC ( )VVC colonization ( )P value
(%) (%)

Age in years, median (range)0.705
 21 (18–24)26 (68.4)43 (68.3)
 30 (25–34)6 (15.8)13 (20.6)
 40.2 (35–46)6 (15.8)7 (11.1)
History of antibiotic use within the past 3 months17 (44.7)32 (50.8)0.555
No history of condom use35 (92.1)52 (82.5)0.178
History of sexually transmitted infections within the past 3 months0.504
 Vaginal discharge syndrome14 (36.8)22 (34.9)
 Genital ulcer syndrome0 (0)2 (3.2)
 Mixed sexually transmitted infections3 (7.9)2 (3.2)
 No defined sexually transmitted infections21 (55.3)37 (58.7)
Currently isolated pathogens for STIs0.377
Trichomonas  vaginalis 5 (13.2)11 (17.5)0.333
Chlamydia  trachomatis 2 (5.3)2 (3.2)0.841
Neisseria  gonorrhoeae 2 (5.3)3 (4.8)0.835
Mycoplasma  genitalium 0 (0)1 (1.6)1
 Herpes simplex virus type 20 (0)0 (0)0.053
 STI caused by more than 1 aetiology3 (7.9)14 (22.2)1
 No STI pathogen identified26 (68.4)14 (22.2)1
Vaginal flora (Nugent’s scores)0.08
 Less than 7 (BV negative)13 (34.2)12 (19)
 ≥7 (BV positive)25 (65.8)51 (81)
Pregnancy12 (31.6)7 (11.1)0.011

BV: bacterial vaginosis.