Studies of the prevalence of and risk factors for bacterial vaginosis
are flawed by imprecision in diagnosis, failure to study large and wel
l-characterized populations, selection bias, and failure to correct fo
r confounding variables. Prevalences range from 5% for women without a
ny symptoms to 25% for those with gynecologic symptoms. Although bacte
rial vaginosis is associated with nonwhite race and intrauterine contr
aceptive device use, these may represent surrogate markers for other p
resently unappreciated risk factors.