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Reproductive health access among deployed U.S. servicewomen: a qualitative study.

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  • معلومة اضافية
    • المصدر:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2018- : Oxford : Oxford University Press
      Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-
    • الموضوع:
      Contraceptive Agents, Female* ; Health Services Accessibility* ; Military Personnel* ; Patient Acceptance of Health Care* ; Reproductive Health Services*; Adolescent ; Adult ; Confidentiality ; Female ; Humans ; Menstruation ; Pregnancy ; Pregnancy, Unplanned ; Qualitative Research ; Social Stigma ; United States ; Young Adult
    • نبذة مختصرة :
      Servicewomen's reproductive health experiences during deployment are important given that the majority of women in the U.S. military are of reproductive age and that this population experiences a disproportionately high rate of unintended pregnancy. Few studies have explored women's reproductive health experiences and their perceived barriers and facilitators to health care access during deployment. From May 2011 to January 2012, we conducted 22 in-depth interviews with women in the U.S. military about their reproductive health experiences during deployment, including their access to health services. Participants identified a range of barriers to accessing medical care in deployment settings, including confidentiality concerns, lack of female providers, and health-seeking stigma, which were reported to disproportionately impact reproductive health access. Some participants experienced challenges obtaining contraceptive refills and specific contraceptive methods during deployment, and only a few participants received predeployment counseling on contraception, despite interest in both menstruation suppression and pregnancy prevention. These findings highlight several policy and practice changes that could be implemented to increase contraceptive access and reduce unintended pregnancy during deployment, including mandated screening for servicewomen's contraceptive needs before operational duty and at least annually, and increasing the number of female providers in deployed settings.
      (Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.)
    • الرقم المعرف:
      0 (Contraceptive Agents, Female)
    • الموضوع:
      Date Created: 20140606 Date Completed: 20150831 Latest Revision: 20171206
    • الموضوع:
      20221213
    • الرقم المعرف:
      10.7205/MILMED-D-13-00302
    • الرقم المعرف:
      24902132