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Contraceptive use and access among deployed US servicewomen: findings from an online survey.
BMJ Sexual & Reproductive Health ( IF 3.3 ) Pub Date : 2021-01-01 , DOI: 10.1136/bmjsrh-2019-200569
Jane W Seymour 1 , Laura Fix 2 , Daniel Grossman 3 , Kate Grindlay 2
Affiliation  

Background/introduction This study aimed to survey US servicewomen on their contraceptive access and use during deployment. Methods Between June 2016 and July 2017, we conducted a cross-sectional online survey among a convenience sample of current and former members of the US Military, National Guard and Reserves who had a deployment ending in 2010 or later. Participants were asked open-ended and closed-ended questions about their demographics and contraceptive use and access before and during their last deployment. Descriptive statistics were run on closed-ended questions and responses to open-ended questions were inductively coded. Results A total of 353 participants were included. Sixty-five per cent reported using contraception during all or part of their last deployment. Nearly half (49.3%) did not have or remember having a discussion with a military care provider about contraception prior to deployment. Both prior to and during deployment, the free or low cost of birth control and ability to get a full supply for deployment facilitated contraceptive use. Difficulty obtaining an appointment and the inability to get a full supply of birth control were barriers to contraception access both before and during deployment. Half (49.1%) of respondents who had to start or refill contraception during deployment said it was somewhat or very difficult to do so. Conclusions For at least some servicewomen, there are barriers to contraceptive access and use prior to and during overseas deployment. Programmes to increase contraceptive access should be expanded and monitoring systems should be implemented to ensure all servicemembers receive predeployment contraceptive counselling.

中文翻译:

部署的美国女服务人员的避孕使用和获取情况:在线调查的结果。

背景/简介本研究旨在调查美国女服务员在部署过程中避孕药具的使用和使用情况。方法在2016年6月至2017年7月之间,我们对方便部署的样本进行了在线横截面调查,这些样本包括现役和退役的现役和退役美军,国民警卫队和预备役,他们的部署于2010年或更晚。在最后一次部署之前和部署过程中,向参与者询问有关其人口统计学以及避孕药具使用和使用的开放性和封闭性问题。对封闭式问题进行描述性统计,并对开放式问题的回答进行归纳编码。结果共纳入353名参与者。65%的人报告在上次部署的全部或部分期间使用了避孕措施。近一半(49。3%)在部署之前没有或从未与军事护理提供者就避孕进行过讨论。在部署之前和部署过程中,节育的免费或低成本以及能够获得充足的部署使用量促进了避孕的使用。获得任命的困难以及无法获得充足的节育措施,都是在部署之前和部署过程中使用避孕措施的障碍。在部署期间必须开始或补充避孕的受访者中有一半(49.1%)表示这样做有些困难或非常困难。结论对于至少某些女服务人员,在海外部署之前和期间,避孕药具的使用和使用存在障碍。
更新日期:2021-01-12
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