Assessment and Intervention for the Reduction of Adverse Gynecologic and Obstetric Clinical Events in Naval Personnel Aboard Ship.

Abstract

Unplanned pregnancies (UPs) and sexually transmitted diseases (STDs) in active-duty women result in morbidity and high financial costs, and adversely impact combat readiness. This study ascertained the prevalence of UPs and STDs in 314 U.S. Navy enlisted women, and defined demographic and behavioral correlates for these outcomes. Urine was collected for pregnancy and chiamydia screening, and a self-report questionnaire was administered. The mean age of our study population was 25.9 years, and approximately half were married (50.6%). Most of the women were E-4 or above (69.7%) with an average of 5.3 years in the military. The average age of sexual debut was 16.8 years with a mean of 10 lifetime sexual partners; one third (36.6%) had a history of STDs. Pregnancy screening was positive in 29 (9.2%); 48% were unplanned. 23% of the sexually active women listed "no method" as their contraceptive choice. 4.2% of the cohort were positive for chiamydia infection. The majority of this subgroup reported having a new sex partner in the last six months (57%) and 43% had multiple partners in the last six months. Demographic and behavioral correlates can be determined for this high-risk population, and noninvasive, urine-based screening can be applied to identify and treat asymptomatic infection as well as to target prevention efforts.

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Document Details

Document Type
Technical Report
Publication Date
Mar 01, 1996
Accession Number
ADA327526

Entities

People

  • Stephanie K. Brodine

Organizations

  • Naval Health Research Center

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Active Duty
  • Chlamydia
  • Combat Readiness
  • Contraception
  • Diseases And Disorders
  • Health Services
  • Human Behavior
  • Infection
  • Intervention
  • Ligation
  • Medical Personnel
  • Morbidity
  • Pregnancy
  • Sexually Transmitted Diseases
  • Surveys
  • United States
  • Wound Infections

Fields of Study

  • Medicine

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