阴毛修饰对女性性健康的影响：系统评价和荟萃分析

Effects of pubic hair grooming on women’s sexual health: a systematic review and meta-analysis

——原载《BMC女性健康》2024年第24卷，论文编号：117——

<BMC Women's Health>, Volume 24, article No 171, 2024

【摘要】背景：阴毛修饰涉及部分或全部去除阴毛，是男性和女性的常见做法。 女性更普遍进行美容，她们采用剃须、打蜡和激光脱毛等各种方法。然而，它与不同比例的梳理后不良后果相关，包括撕裂和性传播感染（STI）。据我们所知，这是第一次系统回顾和荟萃分析，比较女性与不打扮女性的性健康结果。方法：我们遵循MOOSE指南，并使用（PubMed、Web of Science、Scopus 和 Ovid Medline）进行基于计算机的搜索，截至2022年6月20日，使用相关关键词进行符合条件的研究； （阴毛修饰）或（阴毛去除或生殖器无毛或比基尼脱毛或阴毛脱毛）。横断面研究包括从动机和健康结果方面比较女性的美容习惯。女性的满意度和性传播感染的发生率分别汇总为标准化平均差（SMD）和比值比（OR）。结果：我们的综述中纳入了22项横断面研究，涉及73,091名参与者。发现阴毛美容师患有革兰氏阴性淋病和衣原体感染的几率具有统计学意义（OR = 1.55，95% CI [1.31，1.84] , P < 0.001) (OR = 1.56, 95% CI [1.32, 1.85], P < 0.001)。美容师和非美容师女性在生殖器疱疹等病毒感染方面没有差异 (OR = 1.40, 95% CI [0.56, 3.50], P = 0.47) 和尖锐湿疣 (OR = 1.75, 95% CI [0.51, 6.01], P = 0.37)。最常见的美容副作用是生殖器瘙痒（患病率 = 26.9%, P < 0.001）。与黑人女性（患病率 = 12.2%）相比，非电动剃须刀（患病率 = 69.3%，P < 0.001）是最常见的修饰方法。女性对阴毛进行完全梳理（50.3％，P < 0.001）的频率高于部分梳理（33.1％，P < 0.001）。两组之间女性的满意度没有差异。0.12, 95% CI [-0.16, 0.40], P = 0.39)。结论：这篇综述与之前关于阴毛修饰的性健康结果的观察性研究一致。有必要提高女性对阴毛修饰安全做法的认识，强调澄清危害和好处。

【关键词】阴毛、仪容仪表、性传播感染、女性健康、荟萃分析

[Abstract] Background: Pubic hair grooming involves the partial or complete removal of pubic hair, and it is a common practice among men and women. Grooming is more prevalent in women, who employ various methods such as shaving, waxing and laser removal. However, it is associated with variable rates of post-grooming adverse outcomes including lacerations and sexually transmitted infections (STIs). To the best of our knowledge, this is the first systematic review and meta-analysis comparing women’s sexual health outcomes between those who groom and those who don’t. Methods: We followed the MOOSE guidelines and conducted a computerized-based search using (PubMed, Web of Science, Scopus, and Ovid Medline), till June 20th, 2022, for eligible studies using the relevant keywords; (pubic hair grooming) OR (pubic hair removal OR Genital hairless OR Bikini hair removal OR pubic hair depilation). Cross-sectional studies included which compared grooming practices among women in terms of motivation and health outcomes. Women’s satisfaction and incidence of STIs were pooled as standardized mean difference (SMD) and odds ratio (OR) respectively. Results: Twenty-Two cross-sectional studies were included in our review with 73,091 participant. The odds of having gram-negative gonorrheal and chlamydial infection in Pubic hair groomers were found to be statistically significant (OR = 1.55, 95% CI [1.31, 1.84], P < 0.001) (OR = 1.56, 95% CI [1.32, 1.85], P < 0.001] respectively. There was no difference between groomer and non-groomer women regarding viral infections such as genital herpes (OR = 1.40, 95% CI [0.56, 3.50], P = 0.47) and Condyloma acuminata (OR = 1.75, 95% CI [0.51, 6.01], P = 0.37). The most common grooming side effect is genital itching (prevalence = 26.9%, P < 0.001). Non-electrical razor (prevalence = 69.3%, P < 0.001) is the most common grooming method. White women (prevalence = 80.2%, P < 0.001) remove pubic hair more frequently compared to black women (prevalence = 12.2%, P < 0.001). Women practice complete grooming (50.3%, P < 0.001) of the pubic hair more frequently than partial grooming (33.1%, P < 0.001). There are no differences in women’s satisfaction between the two groups (SMD = 0.12, 95% CI [-0.16, 0.40], P = 0.39). Conclusion: This review aligns with previous observational studies regarding sexual health outcomes of pubic hair grooming. There is a need to raise awareness among women regarding the safe practice of pubic hair grooming, emphasizing the clarification of hazards and benefits.

[Key words] Pubic Hair, Grooming, STI, Women’s Health, Meta-analysis

论文原文：Asmaa Eltobgy, Ahmed Aljabali, Ahmed Farag, Mohammad Elshorbgy, Mona Hamed, Esraa Hamouda, Heba Hamouda, Neveen Refaey, Marwa Kabeel, Sarah Amro, Toka Abouheseba & Mohammed Tarek (2024).  Effects of pubic hair grooming on women’s sexual health: a systematic review and meta-analysis. BMC Women's Health, Volume 24, article number 171, March 2024.

https://doi.org/10.1186/s12905-024-02951-1

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