Intervention to Decrease Risk for Sexually Transmitted Diseases (STDs) and the Associated Negative Reproductive Health Outcomes in Women Aboard Ships: A Biophysical 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. 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 (IMB 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 randomized controlled trial design was employed to evaluate the impact of the intervention on the experimental group using both self-report questionnaires (psychosocial and behavioral risk factors) and results from the STD and pregnancy screening tests as measures. The control intervention consisted of a prevention program focusing on nutrition, breast cancer, fitness and injury prevention Questionnaires and biologic testing were completed at baseline, 24 weeks, 9-12 months post intervention. Participants (N=2157) were women enrolled in recruit training for the U.S. Marine Corps.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2002
Accession Number
ADA419500

Entities

People

  • Cherrie B. Boyer
  • Mary-ann Shafer

Organizations

  • University of California, San Francisco

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Acquisition
  • African Americans
  • Bacterial Infections
  • Combat Readiness
  • Contraception
  • Diseases And Disorders
  • Education
  • Health Services
  • Human Behavior
  • Infection
  • Intervention
  • Marine Corps
  • Microbiology
  • Papillomavirus Infections
  • Sexually Transmitted Diseases
  • United States

Fields of Study

  • Medicine

Readers

  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
  • Women's Health and Cancer Risk Research: African American Women and Pregnancy Outcomes.

Technology Areas

  • Biotechnology