Knowledge and Use of Birth Control Methods in Active Duty Army Enlisted Medical Trainees

Battista, René M.; Creedon, Joseph F.; Salyer, Steven W.

doi:10.1093/milmed/164.6.407

Cited by 12 publications

(7 citation statements)

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“…These include lack of availability of chosen method while deployed, limited space in barracks for storage and privacy of contraception, and limited health care provider knowledge of contraception. 44,45 This is of increasing importance as the percentage of women serving in the military and serving in deployed status increases as unintended pregnancy remains a leading cause for service women’s evacuation from combat zones. 41,46 …”

Section: Discussionmentioning

confidence: 99%

Estimated Economic Impact of the Levonorgestrel Intrauterine System on Unintended Pregnancy in Active Duty Women

2014

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Unintended pregnancy is reportedly higher in active duty women; therefore, we sought to estimate the potential impact of the levonorgestrel-containing intrauterine system (LNG-IUS) could have on unintended pregnancy in active duty women. A decision tree model with sensitivity analysis was used to estimate the number of unintentional pregnancies in active duty women which could be prevented. A secondary cost analysis was performed to analyze the direct cost savings to the U.S. Government. The total number of Armed Services members is estimated to be over 1.3 million, with an estimated 208,146 being women. Assuming an age-standardized unintended pregnancy rate of 78 per 1,000 women, 16,235 unintended pregnancies occur each year. Using a combined LNG-IUS failure and expulsion rate of 2.2%, a decrease of 794, 1588, and 3970 unintended pregnancies was estimated to occur with 5%, 10% and 25% usage, respectively. Annual cost savings from LNG-IUS use range from $3,387,107 to $47,352,295 with 5% to 25% intrauterine device usage. One-way sensitivity analysis demonstrated LNG-IUS to be cost-effective when the cost associated with pregnancy and delivery exceeded $11,000. Use of LNG-IUS could result in significant reductions in unintended pregnancy among active duty women, resulting in substantial cost savings to the government health care system.

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Section: Discussionmentioning

confidence: 99%

Estimated Economic Impact of the Levonorgestrel Intrauterine System on Unintended Pregnancy in Active Duty Women

2014

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“…45 Many women, upon experiencing unwanted side effects, found it easier to discontinue contraceptive use than overcome multiple hurdles 27 such as lack of availability of their chosen method in areas of deployment, 45 inability to keep medications in the barracks due to limited space and privacy, and limited military health care provider knowledge of available contraceptives. 51–52 …”

Section: Active Duty Servicewomenmentioning

confidence: 99%

“…27 Furthermore, a survey of 244 Army women revealed that 26%, 44% and 44% had never heard of the contraceptive implant, IUD or emergency contraception, respectively. 51 In a study to assess reproductive health knowledge among 69 female Navy personnel, knowledge scores regarding contraceptives (21.2 on a 32 item scale) and IUDs (1.2 on a 4 item scale) was low. 53 …”

Section: Active Duty Servicewomenmentioning

confidence: 99%

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Unintended pregnancy and contraception among active-duty servicewomen and veterans

Goyal

Borrero

Schwarz

2012

American Journal of Obstetrics and Gynecology

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The number of women of childbearing age who are active duty service members or veterans of the U.S. military is increasing. These women may seek reproductive health care at medical facilities operated by the military, in the civilian sector or through the Department of Veterans Affairs. This article reviews the current data on unintended pregnancy and prevalence of and barriers to contraceptive use among active duty and veteran women. Active duty servicewomen have high rates of unintended pregnancy and low contraceptive use which may be due to official prohibition of sexual activity in the military, logistic difficulties faced by deployed women and limited patient and provider knowledge of available contraceptives. In comparison, little is known about rates of unintended pregnancy and contraceptive use among women veterans. Based on this review, research recommendations to address these issues are provided.

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“…The Army Pregnancy Survey showed that from 1992 to 1996, 25% of unintended pregnancies occurred among women with less than one year of active duty. 16 These figures underscore the substantial financial losses incurred when new recruits become pregnant and non-deployable.…”

Section: Unintended Pregnancy In the Militarymentioning

confidence: 99%

Damage Control: Unintended Pregnancy in the United States Military

Ponder

Nothnagle

2010

J. Law. Med. Ethics

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Women's access to reproductive health care is an ongoing source of conflict in U.S. politics; however, women in the military are often overlooked in these debates. Reproductive health care, including family planning, is a fundamental component of health care for women. Unintended pregnancy carries substantial health risks and financial costs, particularly for servicewomen. Compared with their civilian counterparts, women in the military experience greater challenges in preventing unwanted pregnancy and have less access to contraceptive services and abortion. Current military policies, federal laws, and health care practices are not always consistent with evidence-based research and patient-centered care. A multidisciplinary effort on the part of military personnel, lawmakers, and health care providers is needed to eliminate these disparities. We discuss recommendations in the following categories: improving contraceptive education and adherence, expanding research, broadening access to the full range of contraceptive options including emergency contraception, and ensuring access to safe abortion.

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Knowledge and Use of Birth Control Methods in Active Duty Army Enlisted Medical Trainees

Cited by 12 publications

References 0 publications

Estimated Economic Impact of the Levonorgestrel Intrauterine System on Unintended Pregnancy in Active Duty Women

Estimated Economic Impact of the Levonorgestrel Intrauterine System on Unintended Pregnancy in Active Duty Women

Unintended pregnancy and contraception among active-duty servicewomen and veterans

Damage Control: Unintended Pregnancy in the United States Military

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