Incidence of vulvovaginal candidiasis among Nigeria women in tight fitting underwears: The need for counseling and health education

This cross sectional study aimed at investigating the effect of tight fitting underwears on the incidence of vulvovaginal candidiasis among non-pregnant women between aged 16 to 35 years. The study took place in seven health institutions between January and July 2009 in Uyo Metropolis, Nigeria. About 191(76.4%) of the 250 participants who were selected by sequential randomization met the inclusion criteria. Structured questionnaire were used to assess their regular patterns of dressing for the past one year and associated gynaecologic problems. Vaginal smear/swabs were taken from each participant for microscopy and culture. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) Version 13, using chi square (c2) test to compare the differences between the effects of various parameters about the incidence of vulvovaginal candidiasis. Values of P<0.01 were considered statistically significant. A high incidence of vulvovaginal candidiasis (76.8%) with its associated symptoms were observed among women who regularly wore nylon tight and other synthetic pants than those who regularly wore cotton tight/cotton underwear/pants(42.9%). It can be concluded that women who predominantly wear nylon tight and other synthetic underwear/pants are at a higher risk of vulvovaginal candidiasis.   Key words: Gynaecologic problems, nylon tight pants, synthetic pants, Nigeria, vulvovaginal candidiasis.