Department of Obstetrics and Gynecology, Women and Infants' Hospital, Providence, RI 02905, USA.
Am J Obstet Gynecol. 2012 Jun;206(6):463-9. doi: 10.1016/j.ajog.2011.11.018. Epub 2011 Dec 1.
The number of women of childbearing age who are active-duty service members or veterans of the US military is increasing. These women may seek reproductive health care at medical facilities operated by the military, in the civilian sector, or through the Department of Veterans Affairs. This article reviews the current data on unintended pregnancy and prevalence of and barriers to contraceptive use among active-duty and veteran women. Active-duty servicewomen have high rates of unintended pregnancy and low contraceptive use, which may be due to official prohibition of sexual activity in the military, logistic difficulties faced by deployed women, and limited patient and provider knowledge of available contraceptives. In comparison, little is known about rates of unintended pregnancy and contraceptive use among women veterans. Based on this review, research recommendations to address these issues are provided.
美国军队中育龄现役和退伍女性的数量正在增加。这些女性可能会在军队运营的医疗设施、民用部门或通过退伍军人事务部寻求生殖保健服务。本文综述了现役和退伍女性意外怀孕、避孕措施使用的流行率和障碍方面的现有数据。现役女兵意外怀孕率高,避孕措施使用率低,这可能是由于军队禁止性行为、部署女性面临后勤困难以及患者和提供者对可用避孕药具的了解有限。相比之下,关于女退役军人意外怀孕和避孕措施使用的情况知之甚少。基于这一综述,提出了针对这些问题的研究建议。