Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017

Jodie G. Katon; Laurie Zephyrin; Anne Meoli; Avanthi Hulugalle; Jeane Bosch; Lisa Callegari; Ileana V. Galvan; Kristen E. Gray; Kristin O. Haeger; Claire Hoffmire; Silvina Levis; Erica W. Ma; Jennifer E. Mccabe; Yael I. Nillni; Suzanne L. Pineles; Shivani M. Reddy; David A. Savitz; Jonathan G. Shaw; Elizabeth W. Patton

doi:10.1055/s-0039-1678750

Seminars in Reproductive Medicine, Inhaltsverzeichnis

Semin Reprod Med 2018; 36(06): 315-322
DOI: 10.1055/s-0039-1678750

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017

Jodie G. Katon

¹US Department of Veterans Affairs (VA) Puget Sound Health Care System, Health Services Research and Development (HSR&D) Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, Washington

²Department of Health Services, University of Washington School of Public Health, Seattle, Washington

,

Laurie Zephyrin

³VA Office of Patient Care Services, Women's Health Services, Washington, District of Columbia

⁴Department of Obstetrics and Gynecology, VA Harbor Medical Center, New York City, New York

⁵Department of Obstetrics and Gynecology, New York School of Medicine, New York, NY

,

Anne Meoli

⁶VHA, SimLEARN National Simulation Center, Orlando, Florida

,

Avanthi Hulugalle

⁷New York University College of Global Public Health, New York City, New York

,

Jeane Bosch

⁸VA San Diego Healthcare System, San Diego, California

,

Lisa Callegari

¹US Department of Veterans Affairs (VA) Puget Sound Health Care System, Health Services Research and Development (HSR&D) Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, Washington

⁹Department of Obstetrics and Gynecology, University of Washington School of Medicine, Seattle, Washington

,

Ileana V. Galvan

³VA Office of Patient Care Services, Women's Health Services, Washington, District of Columbia

,

Kristen E. Gray

¹US Department of Veterans Affairs (VA) Puget Sound Health Care System, Health Services Research and Development (HSR&D) Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, Washington

²Department of Health Services, University of Washington School of Public Health, Seattle, Washington

,

Kristin O. Haeger

³VA Office of Patient Care Services, Women's Health Services, Washington, District of Columbia

,

Claire Hoffmire

¹⁰Rocky Mountain MIRECC for Suicide Prevention, VA Eastern Colorado Health Care System, Denver, Colorado

¹¹Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, Colorado

,

Silvina Levis

¹²Geriatric Research, Education and Clinical Center, Miami Veterans Affairs Medical Center, Miami, Florida

,

Erica W. Ma

¹US Department of Veterans Affairs (VA) Puget Sound Health Care System, Health Services Research and Development (HSR&D) Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, Washington

,

Jennifer E. Mccabe

¹³VA Puget Sound Healthcare System, Seattle, Washington

,

Yael I. Nillni

¹⁴National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts

¹⁵Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

,

Suzanne L. Pineles

¹⁴National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts

¹⁵Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts

,

Shivani M. Reddy

¹⁶VA Boston Healthcare System, Boston, Massachusetts

²²Center for Advanced Methods Development, RTI International, Waltham, Massachusetts

,

David A. Savitz

¹⁷Department of Epidemiology, Brown University, Providence, Rhode Island

,

Jonathan G. Shaw

¹⁸Division of Primary Care and Population Health, Stanford University School of Medicine, Palo Alto, California

¹⁹Center for Innovation to Implementation, VA Palo Alto Healthcare System, Palo Alto, California

,

Elizabeth W. Patton

²⁰Division of Gynecology, Department of Surgery, VA Boston Healthcare System, Boston, Massachusetts

²¹Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Massachusetts

› Institutsangaben

Abstract

The literature on the reproductive health and healthcare of women Veterans has increased dramatically, though there are important gaps. This article aims to synthesize recent literature on reproductive health and healthcare of women Veterans. We updated a literature search to identify manuscripts published between 2008 and July 1, 2017. We excluded studies that were not original research, only included active-duty women, or had few women Veterans in their sample. Manuscripts were reviewed using a standardized abstraction form. We identified 52 manuscripts. Nearly half (48%) of the new manuscripts addressed contraception and preconception care (n = 15) or pregnancy (n = 10). The pregnancy and family planning literature showed that (1) contraceptive use and unintended pregnancy among women Veterans using VA healthcare is similar to that of the general population; (2) demand for VA maternity care is increasing; and (3) women Veterans using VA maternity care are a high-risk population for adverse pregnancy outcomes. A recurrent finding across topics was that history of lifetime sexual assault and mental health conditions were highly prevalent among women Veterans and associated with a wide variety of adverse reproductive health outcomes across the life course. The literature on women Veterans' reproductive health is rapidly expanding, but remains largely observational. Knowledge gaps persist in the areas of sexually transmitted infections, infertility, and menopause.

Keywords

women Veterans - reproductive health - health services - deployment - women's health

Volltext

Referenzen

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