Intervention to Decrease Risk for Sexually Transmitted Diseases (STDs) and the Associated Negative Reproductive Health Outcomes in Women Aboard Ships: A Biopsychosocial Approach

Abstract

Unintended pregnancies (UIPs) and STDs with their sequelae of ectopic pregnancy continue to be epidemic among active duty enlisted women. Such reproductive health problems result in major morbidity among affected women as well as posing a potential threat to combat readiness. UIPs and STDs result from complex interactions between biological and behavioral factors in military women. The ultimate control in preventing such morbidities must rely on both behavioral and biologic strategies. The primary aim of the project is to develop, implement, and evaluate an intervention which emphasizes correct information, motivation and behavioral skills building (1MB Model) coupled with non-invasive screening using urine-based amplified DNA techniques to detect C trachomatis and N. gonorrhoeae and urine based pregnancy testing. A pre-test, post-test experimental design was employed to evaluate the impact of the behavioral intervention on the experimental group using both self-report questionnaires (UIP/STD psychosocial and behavioral risk factors) and results from the STD and pregnancy screening tests as measures. The control intervention will consist of a prevention program focusing on nutrition, breast cancer, fitness and injury prevention. Questionnaires and urine testing will be done at pre-test, mid-study, and post-test 6-12 months later. Subjects will include junior enlisted Marine women with N=lOOO in the experimental group and N-lOOO in the control group.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2000
Accession Number
ADA386486

Entities

People

  • Cherrie Boyer
  • Mary-ann Shafer

Organizations

  • University of California, San Francisco

Tags

DTIC Thesaurus Topics

  • Chlamydia
  • Combat Readiness
  • Contraception
  • Data Analysis
  • Diseases And Disorders
  • Health
  • Health Care
  • Health Services
  • Human Behavior
  • Infection
  • Medical Personnel
  • Public Health
  • Risk Factors
  • Sexually Transmitted Diseases
  • Social Psychology
  • Social Sciences
  • Surveys

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