The association between ethnicity and vaginal microbiota composition in Amsterdam, the Netherlands

To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women. Women (18-34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, S...

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Bibliographic Details
Published inPloS one Vol. 12; no. 7; p. e0181135
Main Authors Borgdorff, Hanneke, van der Veer, Charlotte, van Houdt, Robin, Alberts, Catharina J, de Vries, Henry J, Bruisten, Sylvia M, Snijder, Marieke B, Prins, Maria, Geerlings, Suzanne E, Schim van der Loeff, Maarten F, van de Wijgert, Janneke H H M
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 11.07.2017
Public Library of Science (PLoS)
Subjects
Adolescent
Adult
Bacteria
Bifidobacterium - genetics
Bifidobacterium - physiology
Bioinformatics
Biology and Life Sciences
Composition
Confidence intervals
Contraception
Corynebacterium - genetics
Corynebacterium - physiology
Cytokines
Deoxyribonucleic acid
Disease control
DNA
Enterobacteriaceae - genetics
Enterobacteriaceae - physiology
Ethnicity
Female
Health aspects
Health care
Health services
Human papillomavirus
Humans
Infections
Infectious diseases
Internal medicine
Laboratories
Lactobacilli
Lactobacillus - genetics
Lactobacillus - physiology
Medicine and Health Sciences
Microbiota (Symbiotic organisms)
Microbiota - genetics
Microbiota - physiology
Minority & ethnic groups
Netherlands
Nucleotide sequence
People and Places
Phylogenetics
Population studies
Pregnancy
Proteus - genetics
Proteus - physiology
Public health
RNA, Ribosomal, 16S - genetics
rRNA 16S
Sociodemographics
Staphylococcus - genetics
Staphylococcus - physiology
Streptococcus - genetics
Streptococcus - physiology
Studies
Teaching hospitals
Vagina
Vagina - microbiology
Vaginosis
Women's health
Womens health
Young Adult
Netherlands
Online AccessGet full text

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Abstract To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women. Women (18-34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, South-Asian Surinamese, Turkish, Moroccan, and Ghanaian) were sampled from the population-based HELIUS study. Sampling was performed irrespective of health status or healthcare seeking behavior. DNA was extracted from self-sampled vaginal swabs and sequenced by Illumina MiSeq (16S rRNA gene V3-V4 region). The overall prevalence of VMBs not dominated by lactobacilli was 38.5%: 32.2% had a VMB resembling bacterial vaginosis and another 6.2% had a VMB dominated by Bifidobacteriaceae (not including Gardnerella vaginalis), Corynebacterium, or pathobionts (streptococci, staphylococci, Proteus or Enterobacteriaceae). The most prevalent VMB in ethnically Dutch women was a Lactobacillus crispatus-dominated VMB, in African Surinamese and Ghanaian women a polybacterial G. vaginalis-containing VMB, and in the other ethnic groups a L. iners-dominated VMB. After adjustment for sociodemographic, behavioral and clinical factors, African Surinamese ethnicity (adjusted odds ratio (aOR) 5.1, 95% confidence interval (CI) 2.1-12.0) and Ghanaian ethnicity (aOR 4.8, 95% CI 1.8-12.6) were associated with having a polybacterial G. vaginalis-containing VMB, and African Surinamese ethnicity with a L. iners-dominated VMB (aOR 2.8, 95% CI 1.2-6.2). Shorter steady relationship duration, inconsistent condom use with casual partners, and not using hormonal contraception were also associated with having a polybacterial G. vaginalis-containing VMB, but human papillomavirus infection was not. Other sexually transmitted infections were uncommon. The overall prevalence of having a VMB not dominated by lactobacilli in this population-based cohort of women aged 18-34 years in Amsterdam was high (38.5%), and women of sub-Saharan African descent were significantly more likely to have a polybacterial G. vaginalis-containing VMB than Dutch women independent of modifiable behaviors.
AbstractList To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women. Women (18-34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, South-Asian Surinamese, Turkish, Moroccan, and Ghanaian) were sampled from the population-based HELIUS study. Sampling was performed irrespective of health status or healthcare seeking behavior. DNA was extracted from self-sampled vaginal swabs and sequenced by Illumina MiSeq (16S rRNA gene V3-V4 region). The overall prevalence of VMBs not dominated by lactobacilli was 38.5%: 32.2% had a VMB resembling bacterial vaginosis and another 6.2% had a VMB dominated by Bifidobacteriaceae (not including Gardnerella vaginalis), Corynebacterium, or pathobionts (streptococci, staphylococci, Proteus or Enterobacteriaceae). The most prevalent VMB in ethnically Dutch women was a Lactobacillus crispatus-dominated VMB, in African Surinamese and Ghanaian women a polybacterial G. vaginalis-containing VMB, and in the other ethnic groups a L. iners-dominated VMB. After adjustment for sociodemographic, behavioral and clinical factors, African Surinamese ethnicity (adjusted odds ratio (aOR) 5.1, 95% confidence interval (CI) 2.1-12.0) and Ghanaian ethnicity (aOR 4.8, 95% CI 1.8-12.6) were associated with having a polybacterial G. vaginalis-containing VMB, and African Surinamese ethnicity with a L. iners-dominated VMB (aOR 2.8, 95% CI 1.2-6.2). Shorter steady relationship duration, inconsistent condom use with casual partners, and not using hormonal contraception were also associated with having a polybacterial G. vaginalis-containing VMB, but human papillomavirus infection was not. Other sexually transmitted infections were uncommon. The overall prevalence of having a VMB not dominated by lactobacilli in this population-based cohort of women aged 18-34 years in Amsterdam was high (38.5%), and women of sub-Saharan African descent were significantly more likely to have a polybacterial G. vaginalis-containing VMB than Dutch women independent of modifiable behaviors.
Objective To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women. Methods Women (18–34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, South-Asian Surinamese, Turkish, Moroccan, and Ghanaian) were sampled from the population-based HELIUS study. Sampling was performed irrespective of health status or healthcare seeking behavior. DNA was extracted from self-sampled vaginal swabs and sequenced by Illumina MiSeq (16S rRNA gene V3-V4 region). Results The overall prevalence of VMBs not dominated by lactobacilli was 38.5%: 32.2% had a VMB resembling bacterial vaginosis and another 6.2% had a VMB dominated by Bifidobacteriaceae (not including Gardnerella vaginalis), Corynebacterium, or pathobionts (streptococci, staphylococci, Proteus or Enterobacteriaceae). The most prevalent VMB in ethnically Dutch women was a Lactobacillus crispatus-dominated VMB, in African Surinamese and Ghanaian women a polybacterial G. vaginalis-containing VMB, and in the other ethnic groups a L. iners-dominated VMB. After adjustment for sociodemographic, behavioral and clinical factors, African Surinamese ethnicity (adjusted odds ratio (aOR) 5.1, 95% confidence interval (CI) 2.1–12.0) and Ghanaian ethnicity (aOR 4.8, 95% CI 1.8–12.6) were associated with having a polybacterial G. vaginalis-containing VMB, and African Surinamese ethnicity with a L. iners-dominated VMB (aOR 2.8, 95% CI 1.2–6.2). Shorter steady relationship duration, inconsistent condom use with casual partners, and not using hormonal contraception were also associated with having a polybacterial G. vaginalis-containing VMB, but human papillomavirus infection was not. Other sexually transmitted infections were uncommon. Conclusions The overall prevalence of having a VMB not dominated by lactobacilli in this population-based cohort of women aged 18–34 years in Amsterdam was high (38.5%), and women of sub-Saharan African descent were significantly more likely to have a polybacterial G. vaginalis-containing VMB than Dutch women independent of modifiable behaviors.
Objective To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women. Methods Women (18–34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, South-Asian Surinamese, Turkish, Moroccan, and Ghanaian) were sampled from the population-based HELIUS study. Sampling was performed irrespective of health status or healthcare seeking behavior. DNA was extracted from self-sampled vaginal swabs and sequenced by Illumina MiSeq (16S rRNA gene V3-V4 region). Results The overall prevalence of VMBs not dominated by lactobacilli was 38.5%: 32.2% had a VMB resembling bacterial vaginosis and another 6.2% had a VMB dominated by Bifidobacteriaceae (not including Gardnerella vaginalis ), Corynebacterium , or pathobionts (streptococci, staphylococci, Proteus or Enterobacteriaceae ). The most prevalent VMB in ethnically Dutch women was a Lactobacillus crispatus -dominated VMB, in African Surinamese and Ghanaian women a polybacterial G . vaginalis -containing VMB, and in the other ethnic groups a L . iners -dominated VMB. After adjustment for sociodemographic, behavioral and clinical factors, African Surinamese ethnicity (adjusted odds ratio (aOR) 5.1, 95% confidence interval (CI) 2.1–12.0) and Ghanaian ethnicity (aOR 4.8, 95% CI 1.8–12.6) were associated with having a polybacterial G . vaginalis -containing VMB, and African Surinamese ethnicity with a L . iners -dominated VMB (aOR 2.8, 95% CI 1.2–6.2). Shorter steady relationship duration, inconsistent condom use with casual partners, and not using hormonal contraception were also associated with having a polybacterial G . vaginalis -containing VMB, but human papillomavirus infection was not. Other sexually transmitted infections were uncommon. Conclusions The overall prevalence of having a VMB not dominated by lactobacilli in this population-based cohort of women aged 18–34 years in Amsterdam was high (38.5%), and women of sub-Saharan African descent were significantly more likely to have a polybacterial G . vaginalis -containing VMB than Dutch women independent of modifiable behaviors.
OBJECTIVETo evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women.METHODSWomen (18-34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, South-Asian Surinamese, Turkish, Moroccan, and Ghanaian) were sampled from the population-based HELIUS study. Sampling was performed irrespective of health status or healthcare seeking behavior. DNA was extracted from self-sampled vaginal swabs and sequenced by Illumina MiSeq (16S rRNA gene V3-V4 region).RESULTSThe overall prevalence of VMBs not dominated by lactobacilli was 38.5%: 32.2% had a VMB resembling bacterial vaginosis and another 6.2% had a VMB dominated by Bifidobacteriaceae (not including Gardnerella vaginalis), Corynebacterium, or pathobionts (streptococci, staphylococci, Proteus or Enterobacteriaceae). The most prevalent VMB in ethnically Dutch women was a Lactobacillus crispatus-dominated VMB, in African Surinamese and Ghanaian women a polybacterial G. vaginalis-containing VMB, and in the other ethnic groups a L. iners-dominated VMB. After adjustment for sociodemographic, behavioral and clinical factors, African Surinamese ethnicity (adjusted odds ratio (aOR) 5.1, 95% confidence interval (CI) 2.1-12.0) and Ghanaian ethnicity (aOR 4.8, 95% CI 1.8-12.6) were associated with having a polybacterial G. vaginalis-containing VMB, and African Surinamese ethnicity with a L. iners-dominated VMB (aOR 2.8, 95% CI 1.2-6.2). Shorter steady relationship duration, inconsistent condom use with casual partners, and not using hormonal contraception were also associated with having a polybacterial G. vaginalis-containing VMB, but human papillomavirus infection was not. Other sexually transmitted infections were uncommon.CONCLUSIONSThe overall prevalence of having a VMB not dominated by lactobacilli in this population-based cohort of women aged 18-34 years in Amsterdam was high (38.5%), and women of sub-Saharan African descent were significantly more likely to have a polybacterial G. vaginalis-containing VMB than Dutch women independent of modifiable behaviors.
To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been shown for American women. Women (18-34 years, non-pregnant, N = 610) representing the six largest ethnic groups (Dutch, African Surinamese, South-Asian Surinamese, Turkish, Moroccan, and Ghanaian) were sampled from the population-based HELIUS study. Sampling was performed irrespective of health status or healthcare seeking behavior. DNA was extracted from self-sampled vaginal swabs and sequenced by Illumina MiSeq (16S rRNA gene V3-V4 region). The overall prevalence of VMBs not dominated by lactobacilli was 38.5%: 32.2% had a VMB resembling bacterial vaginosis and another 6.2% had a VMB dominated by Bifidobacteriaceae (not including Gardnerella vaginalis), Corynebacterium, or pathobionts (streptococci, staphylococci, Proteus or Enterobacteriaceae). The most prevalent VMB in ethnically Dutch women was a Lactobacillus crispatus-dominated VMB, in African Surinamese and Ghanaian women a polybacterial G. vaginalis-containing VMB, and in the other ethnic groups a L. iners-dominated VMB. After adjustment for sociodemographic, behavioral and clinical factors, African Surinamese ethnicity (adjusted odds ratio (aOR) 5.1, 95% confidence interval (CI) 2.1-12.0) and Ghanaian ethnicity (aOR 4.8, 95% CI 1.8-12.6) were associated with having a polybacterial G. vaginalis-containing VMB, and African Surinamese ethnicity with a L. iners-dominated VMB (aOR 2.8, 95% CI 1.2-6.2). Shorter steady relationship duration, inconsistent condom use with casual partners, and not using hormonal contraception were also associated with having a polybacterial G. vaginalis-containing VMB, but human papillomavirus infection was not. Other sexually transmitted infections were uncommon. The overall prevalence of having a VMB not dominated by lactobacilli in this population-based cohort of women aged 18-34 years in Amsterdam was high (38.5%), and women of sub-Saharan African descent were significantly more likely to have a polybacterial G. vaginalis-containing VMB than Dutch women independent of modifiable behaviors.
Audience Academic
Author Alberts, Catharina J
van Houdt, Robin
Geerlings, Suzanne E
Bruisten, Sylvia M
Prins, Maria
van der Veer, Charlotte
de Vries, Henry J
Schim van der Loeff, Maarten F
Borgdorff, Hanneke
Snijder, Marieke B
van de Wijgert, Janneke H H M
AuthorAffiliation 8 Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands
9 Department of Internal Medicine, Division of Infectious Diseases, Academic Medical Center, Amsterdam, The Netherlands
1 Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands
4 Department of Medical Microbiology and Infection Control, VU University Medical Center, Amsterdam, The Netherlands
7 Department of Public Health, Academic Medical Center, Amsterdam, The Netherlands
2 Center for Infection and Immunity Amsterdam, Academic Medical Center, Amsterdam, The Netherlands
6 Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands
Fred Hutchinson Cancer Research Center, UNITED STATES
3 Public Health Laboratory, Public Health Service of Amsterdam (GGD), Amsterdam, The Netherlands
5 Department of Infectious Diseases, Public Health Service of Amsterdam (GGD), Amsterdam, the Netherlands
10 Department of Clinical Infection, Microbi
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– name: 8 Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, Amsterdam, The Netherlands
– name: Fred Hutchinson Cancer Research Center, UNITED STATES
– name: 10 Department of Clinical Infection, Microbiology and Immunology, Institute of Infection and Global Health, University of Liverpool, Liverpool, United Kingdom
– name: 5 Department of Infectious Diseases, Public Health Service of Amsterdam (GGD), Amsterdam, the Netherlands
– name: 6 Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands
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– name: 7 Department of Public Health, Academic Medical Center, Amsterdam, The Netherlands
– name: 9 Department of Internal Medicine, Division of Infectious Diseases, Academic Medical Center, Amsterdam, The Netherlands
– name: 1 Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/28700747$$D View this record in MEDLINE/PubMed
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Competing Interests: M. F. Schim van der Loeff received HPV research funding from Sanofi Pasteur MSD; he is a co-investigator in a Merck-funded investigator-initiated study on Gardasil; he is an investigator on a Sanofi Pasteur MSD sponsored HPV vaccine trial; he served on a HPV vaccine advisory board of GSK; he received in-kind contribution for another HPV study from Stichting Pathologie Onderzoek en Ontwikkeling (SPOO); and his institution receives HPV research funding from Janssen Infectious Diseases and Vaccines. This does not alter our adherence to PLOS ONE policies on sharing data and materials. The other authors report no competing interests.
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SSID ssj0053866
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Snippet To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as has been...
Objective To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as...
OBJECTIVETo evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as...
Objective To evaluate whether ethnicity is independently associated with vaginal microbiota (VMB) composition in women living in Amsterdam, the Netherlands, as...
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StartPage e0181135
SubjectTerms Adolescent
Adult
Bacteria
Bifidobacterium - genetics
Bifidobacterium - physiology
Bioinformatics
Biology and Life Sciences
Composition
Confidence intervals
Contraception
Corynebacterium - genetics
Corynebacterium - physiology
Cytokines
Deoxyribonucleic acid
Disease control
DNA
Enterobacteriaceae - genetics
Enterobacteriaceae - physiology
Ethnicity
Female
Health aspects
Health care
Health services
Human papillomavirus
Humans
Infections
Infectious diseases
Internal medicine
Laboratories
Lactobacilli
Lactobacillus - genetics
Lactobacillus - physiology
Medicine and Health Sciences
Microbiota (Symbiotic organisms)
Microbiota - genetics
Microbiota - physiology
Minority & ethnic groups
Netherlands
Nucleotide sequence
People and Places
Phylogenetics
Population studies
Pregnancy
Proteus - genetics
Proteus - physiology
Public health
RNA, Ribosomal, 16S - genetics
rRNA 16S
Sociodemographics
Staphylococcus - genetics
Staphylococcus - physiology
Streptococcus - genetics
Streptococcus - physiology
Studies
Teaching hospitals
Vagina
Vagina - microbiology
Vaginosis
Women's health
Womens health
Young Adult
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Title The association between ethnicity and vaginal microbiota composition in Amsterdam, the Netherlands
URI https://www.ncbi.nlm.nih.gov/pubmed/28700747
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http://dx.doi.org/10.1371/journal.pone.0181135
Volume 12
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