Integrative Literature Review: U.S. Military Women's Genitourinary and Reproductive Health

Braun, Lisa; Kennedy, Holly Powell; Womack, Julie A.; Wilson, Candy

doi:10.7205/milmed-d-15-00242

Cited by 15 publications

(7 citation statements)

References 64 publications

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“…Other deployment-related health factors may be alternative pathways to increased risk. For example, deployed service members may be at increased risk of genitourinary infections due to adverse hygiene and toileting conditions, and they may also be more vulnerable to sexually transmitted infection due to lack of availability or adherence to condom use during deployment (4). Regardless, our reassuring results that multiple deployments do not increase SPB risk in the absence of a recent return from deployment suggest that the increased risk observed among those with recent deployments is not the result of acquired chronic effects of exposures.…”

Section: Discussionmentioning

confidence: 99%

Deployment and Preterm Birth Among US Army Soldiers

Shaw

Nelson

Shaw

et al. 2018

American Journal of Epidemiology

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With increasing integration of women into combat roles in the US military, it is critical to determine whether deployment, which entails unique stressors and exposures, is associated with adverse reproductive outcomes. Few studies have examined whether deployment increases the risk of preterm birth; no studies (to our knowledge) have examined a recent cohort of servicewomen. We therefore used linked medical and administrative data from the Stanford Military Data Repository for all US Army soldiers with deliveries between 2011 and 2014 to estimate the associations of prior deployment, recency of deployment, and posttraumatic stress disorder with spontaneous preterm birth (SPB), adjusting for sociodemographic, military-service, and health-related factors. Of 12,877 deliveries, 6.1% were SPBs. The prevalence was doubled (11.7%) among soldiers who delivered within 6 months of their return from deployment. Multivariable discrete-time logistic regression models indicated that delivering within 6 months of return from deployment was strongly associated with SPB (adjusted odds ratio = 2.1, 95% confidence interval: 1.5, 2.9). Neither multiple past deployments nor posttraumatic stress disorder was significantly associated with SPB. Within this cohort, timing of pregnancy in relation to deployment was identified as a novel risk factor for SPB. Increased focus on servicewomen's pregnancy timing and predeployment access to reproductive counseling and effective contraception is warranted.

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Section: Discussionmentioning

confidence: 99%

Deployment and Preterm Birth Among US Army Soldiers

Shaw

Nelson

Shaw

et al. 2018

American Journal of Epidemiology

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“…50 The content of the social marketing (eg, poster photos) was adapted utilizing survey and focus group methods with Army troops to translate collegebased images to military-based images. Given the unique challenges to SRH in military settings, [19][20][21] and the importance of culturally adapting and tailoring behavioral health interventions, 56 it seems critical that any interventions targeted at military populations begin with formative and/or translational work (eg, expert review, stakeholder interviews) that will enhance the relevancy of content and delivery and provide a…”

Section: Sexual Assaultmentioning

confidence: 99%

“…5,7 Health-risking sexual behaviors such as binge drinking and multiple sexual partners, [15][16][17] as well as challenges to proper contraceptive use, 18 are well-documented among military personnel. Servicemembers may also face unique challenges [19][20][21] to maintaining SRH including military policies regulating sexual behavior, 22 lack of access to standardized sexual health education, 6,23,24 barriers to seeking health-care despite access, 25 and relatively high rates of sexual harassment and assault. 26,27 These challenges also serve as intervention targets for improving SRH in this population.…”

mentioning

confidence: 99%

Interventions to Improve Sexual and Reproductive Health in US Active Duty Military Service Members: A Systematic Review

et al. 2020

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Objective: To identify and describe behavioral interventions to promote sexual and reproductive health among US active duty military service members. Data Sources: Systematic searches of PubMed, CINAHL, and PsychINFO (N = 1609 records). Inclusion Criteria: English-language articles published between 1991 and 2018 and retrieved using search terms related to military service, interventions, and sexual and reproductive health. Exclusion Criteria: Articles excluded if not empirically based, not published in peer-reviewed journals, did not sample active duty US military personnel, and did not examine the effectiveness of specified preventive sexual or reproductive health intervention(s). Data Extraction: Teams of paired authors extracted study rationale; aims; design; setting; description of the intervention; measures; sample demographics; clinical, behavioral, and psychosocial outcomes; and conclusions. Data Synthesis: Given the heterogeneity of studies, narrative synthesis was performed. Results: Fifteen articles met inclusion criteria: 10 focused on sexually transmitted infection (STI) acquisition and/or unintended pregnancy and 5 on sexual assault. Studies that assessed clinical outcomes found that interventions were associated with lower rates of STIs and/or unintended pregnancy. Significant effects were found on knowledge-related outcomes, while mixed effects were found on attitudes, intentions, and behaviors. Conclusions: Current evidence on the effectiveness of sexual and reproductive health interventions in the US military is limited in quality and scope. Promoting sexual and reproductive health in this population is critical to maintaining well-being among servicemembers, their families, and the communities surrounding military installations.

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“…За даними Генерального штабу ЗСУ, з початку бойових дій на сході України станом на 28.10.2017 р. бойові втрати склали 10 710 осіб, з них 2333 -безповоротні (загиблі) та 8377 -санітарні (поранені). Небойові втрати склали 2700 військовослужбовців: 891 особа внаслідок хвороб, 318 -ДТП, 177 -нещасні випадки, 175 -отруєння (алкоголь, наркотики), 172 -необережне поводження зі зброєю, 101 випадок -порушення заходів безпеки, 228 -вбивства, 615самогубства [3,13].…”

Section: актуальні проблеми жінок-військовослужбовцівunclassified

The reproductive and somatic health of servicewomen and those who are in the military area in armed conflict

Назаренко¹,

Nazarenko²,

Дейнюк³

et al. 2019

Reproductive Endocrinology

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Integrative Literature Review: U.S. Military Women's Genitourinary and Reproductive Health

Abstract: Studies examining military gender-specific health care delivery are limited. Research to understand factors important for women in a changing military environment can improve health care delivery and outcomes, and military readiness.

Cited by 15 publications

References 64 publications

Deployment and Preterm Birth Among US Army Soldiers

Deployment and Preterm Birth Among US Army Soldiers

Interventions to Improve Sexual and Reproductive Health in US Active Duty Military Service Members: A Systematic Review

The reproductive and somatic health of servicewomen and those who are in the military area in armed conflict

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