Accession Number : ADA299601

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

Descriptive Note : Annual rept.,

Corporate Author : NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA

Personal Author(s) : Brodine, Stephanie K.

PDF Url : ADA299601

Report Date : 25 AUG 1995

Pagination or Media Count : 30

Abstract : Unplanned pregnancies (UPs) and sexually transmitted diseases (STDs) continue to be epidemic in active-duty women, resulting in morbidity and high financial costs with an adverse impact on combat readiness. However, the exact rates and the predisposing factors are not clearly defined. This project will document the prevalence and incidence of UPs and STDs in women assigned to two commands and define the demographic and behavioral correlates for both of these outcomes. Participants are screened for STDs and pregnancy at the time of enrollment and followed prospectively. Gynecological screening consists of pregnancy testing and newer, noninvasive assays for chlamydia and gonorrhea. Serologies for syphilis and hepatitis B also are being performed. Behavioral risk factors are being measured through a self-report questionnaire, which includes demographics, STD and pregnancy history, sexual history, and contraceptive use. Progress to date includes finalization of the survey instrument, human use approval, and identification 0 2 study cohorts -- a shore-based command and a submarine tender (AS). The based enrollment procedures have been completed in 132 enlisted personnel, and the AS enrollment is in progress. Preliminary analysis documents this to be a high- risk population with early sexual debut, multiple lifetime partners, and high rate of prior STDs and UPs.

Descriptors :   *RISK, *DISEASES, *PREGNANCY, *HEPATITIS, *SEX, *GYNECOLOGY, TEST AND EVALUATION, HIGH RATE, HIGH COSTS, COMBAT READINESS, NAVAL PERSONNEL, HUMANS, POPULATION, SURVEYS, HISTORY, ADVERSE CONDITIONS, USER NEEDS, INSTRUMENTATION, ACTIVE DUTY, BEHAVIOR, LIFE SPAN(BIOLOGY), WOMEN, ASSAYING, FINANCE, SYPHILIS, SHORES, TENDERS(VESSELS), GONORRHEA.

Subject Categories : Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE