Accession Number : ADA327526

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

Descriptive Note : Final rept. 15 Nov 94-31 Jan 96,

Corporate Author : NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA

Personal Author(s) : Brodine, Stephanie K.

PDF Url : ADA327526

Report Date : MAR 1996

Pagination or Media Count : 28

Abstract : Unplanned pregnancies (UPs) and sexually transmitted diseases (STDs) in active-duty women result in morbidity and high financial costs, and adversely impact combat readiness. This study ascertained the prevalence of UPs and STDs in 314 U.S. Navy enlisted women, and defined demographic and behavioral correlates for these outcomes. Urine was collected for pregnancy and chiamydia screening, and a self-report questionnaire was administered. The mean age of our study population was 25.9 years, and approximately half were married (50.6%). Most of the women were E-4 or above (69.7%) with an average of 5.3 years in the military. The average age of sexual debut was 16.8 years with a mean of 10 lifetime sexual partners; one third (36.6%) had a history of STDs. Pregnancy screening was positive in 29 (9.2%); 48% were unplanned. 23% of the sexually active women listed "no method" as their contraceptive choice. 4.2% of the cohort were positive for chiamydia infection. The majority of this subgroup reported having a new sex partner in the last six months (57%) and 43% had multiple partners in the last six months. Demographic and behavioral correlates can be determined for this high-risk population, and noninvasive, urine-based screening can be applied to identify and treat asymptomatic infection as well as to target prevention efforts.

Descriptors :   *HIGH COSTS, *PREGNANCY, *SEX, *PREVENTIVE MEDICINE, RISK, IMPACT, COMBAT READINESS, NAVAL PERSONNEL, ENLISTED PERSONNEL, DISEASES, TARGETS, POPULATION, INFECTIOUS DISEASES, WOMEN, FINANCE, URINE.

Subject Categories : Economics and Cost Analysis
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE