{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:13:16Z","timestamp":1758874396971},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T00:00:00Z","timestamp":1553644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University of Colorado Obstetrics and Gynecology Resident Research Fund"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to evaluate if thong use is associated with a higher report of urogenital infections, including urinary tract infections, yeast vaginitis and bacterial vaginosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey regarding underwear preferences and infectious history was designed and distributed to women via a crowdsourcing service. All survey questions related to the last 12\u2009months. Parametric and nonparametric statistical methods were used to compare responses between thong wearers and nonthong wearers. Thong wearers were defined as women who wore a thong equal to or more than 50 % of the time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine hundred and eighty\u2010six respondents met inclusion criteria and completed the survey; 186 (18.9%) were defined as thong wearers and 800 (81.1%) were defined as nonthong wearers in the last 12\u2009months. Reported rates of urogenital infections in the last 12\u2009months were not significantly different for thong wearers versus nonthong wearers. Thong use was not an independent predictor of any urogenital infection in this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this large cross\u2010sectional study we found that oral sex was the only independent predictor of urinary tract infection and bacterial vaginosis, and that wearing noncotton crotch underwear was associated with yeast vaginitis. Wearing thong underwear was not associated with any urogenital infections. Medical providers should discuss sexual practices and underwear fabric, rather than style, with their patients when there is concern for urogenital infection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13958","type":"journal-article","created":{"date-parts":[[2019,3,27]],"date-time":"2019-03-27T20:49:05Z","timestamp":1553719745000},"page":"1190-1196","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Brief versus Thong Hygiene in Obstetrics and Gynecology (B\u2010THONG): A survey study"],"prefix":"10.1111","volume":"45","author":[{"given":"Alyssa A.","family":"Hamlin","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanelle","family":"Sheeder","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyler M.","family":"Muffly","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Colorado School of Medicine  Aurora Colorado USA"},{"name":"Department of Obstetrics and Gynecology Denver Health and Hospital Authority  Denver Colorado USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(02)01054-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318169f6ef"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318074e565"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199608153350703"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a114708"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.75.11.1308"},{"key":"e_1_2_6_8_1","unstructured":"Online Archive of California. Rudi Gernreich papers 1891\u20131993.2016. Available from URL:http:\/\/www.oac.cdlib.org\/findaid\/ark:\/13030\/tf4r29n9q2\/entire_text\/(accessed 2 January 2019)."},{"key":"e_1_2_6_9_1","first-page":"491","article-title":"Clothing factors and vaginitis","volume":"19","author":"Heidrich FEBA","year":"1984","journal-title":"J Fam Pract"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3109\/1040841X.2015.1091805"},{"key":"e_1_2_6_11_1","unstructured":"American College of Obstetricians and Gynecologists. Urinary Tract Infections (UTIs).2015. Available from URL:https:\/\/www.acog.org\/Patients\/FAQs\/Urinary-Tract-Infections-UTIs?IsMobileSet=false(accessed 2 January 2019)."},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1086\/515209"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1756287214542097"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1047-2797(00)00072-7"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0030633"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.74.2.95"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1086\/315065"},{"key":"e_1_2_6_19_1","unstructured":"American Congress of Obstetricians and Gynecologists. Disorders of the Vulva.2015. Available from URL:https:\/\/www.acog.org\/ResourcesAndPublications\/PatientEducationPamphlets\/Files\/DisordersoftheVulva.aspx(accessed 2 January 2019)."},{"key":"e_1_2_6_20_1","unstructured":"Center for Disease Control. Vaginal Candidiasis.2017. Available from URL:https:\/\/www.cdc.gov\/fungal\/diseases\/candidiasis\/genital\/index.html(accessed 2 January 2019)."},{"key":"e_1_2_6_21_1","unstructured":"AndersonMPA. 13% of Americans don't use the internet. Who are they?2016. Available from URL:http:\/\/www.pewresearch.org\/fact-tank\/2016\/09\/07\/some-americans-dont-use-the-internet-who-are-they\/(accessed 2 January 2019)."},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.334.6054.307"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-021815-093623"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-135-1-200107030-00004"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/105477380000900204"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.20.2701"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.13958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.13958","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T08:47:03Z","timestamp":1694335623000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.13958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,27]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1111\/jog.13958"],"URL":"https:\/\/doi.org\/10.1111\/jog.13958","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,27]]},"assertion":[{"value":"2018-10-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}