Accession Number : ADA327345

Title :   Collaborative Research and Support of Fitzsimmons Army Medical Center Defense Women's Health Research Program Projects Relationships Between a Female Soldier's Military Occupational Specialty (MHOS) and Birth Outcomes.

Descriptive Note : Final rept. 1 Feb 95-31 Aug 96,

Corporate Author : FACILITATORS OF APPLIED CLINICAL TRIALS SAN ANTONIO TX

Personal Author(s) : Mulligan, Hugh ; Creedon, Joseph, Jr

PDF Url : ADA327345

Report Date : OCT 1996

Pagination or Media Count : 75

Abstract : This study compared the unplanned pregnancy rate in soldiers against wives and daughters of soldiers. In addition, this investigation evaluated the relationships between a soldier's job, classified into specific job categories, as well as, some of the more common military occupational specialties and spontaneous abortion, small for gestational age, and preterm birth. This investigation found that pregnant soldiers who reside in the barracks demonstrated an unplanned pregnancy rate of 77.9 percent. The odds ratio for unplanned pregnancy in barracks residents was 4.32(3.24-5.78) and the odds ratio for pregnant barracks residents and never previously utilizing oral contraceptives was 2.55(1.87-3.48). These results may suggest access barriers to health care. Soldiers in the logistics job category demonstrated an increased risk of spontaneous abortion, the odds ratio was 1.87(1.20-2.93), within the logistics job category soldiers in MOS 92A demonstrated an odds ratio of 2.55(1.48-4.37). No other occupations were found to be at risk for spontaneous abortion. Soldiers were not, and no soldier job categories were identified at increased risk of S% or preterm birth. The most important predictors of SGA were Asian race 1.75(1.06-2.88), Black race 2.32(1.72-3.13), cigarette use 1/2 to 1 pack per day 2.17(1.45-3.26), and cigarette use more than 1 pack per day 2.71(1.17-6.29). The most important predictors of preterm birth were Black race 2.32(1.72-3.13) and cigarette use less than 1/2 per day 1.59(1.05-2.39).

Descriptors :   *JOBS, *MEDICAL SERVICES, *PREGNANCY, *MILITARY OCCUPATIONAL SPECIALTIES, RISK, PREDICTIONS, ARMY PERSONNEL, ARMY FACILITIES, RATES, BARRIERS, LOGISTICS, ACCESS, ABORTION, PREVENTIVE MEDICINE.

Subject Categories : Personnel Management and Labor Relations
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE