Assessment and Intervention for the Reduction of Adverse Gynecologic and Obstetric Clinical Events in Naval Personnel Aboard Ship.
Final rept. 15 Nov 94-31 Jan 96,
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
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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.
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