Kuperman-Shani Adi, Bader Tarif, Glassberg Elon, Klaitman Vered
Medical Corps, Israel Defense Forces, Hashita 130, Omer, Israel.
Surgeon General's Headquarters, 1101 Wootton Pkwy, Rockville, 20852, MD, USA.
Isr J Health Policy Res. 2019 Feb 4;8(1):21. doi: 10.1186/s13584-019-0292-x.
Israel has compulsory military service, beginning at the age of 18. Women serve about two years and men for about three years. However, de facto only some of the potential service entrants are recruited. Among women, those who enlist are mainly secular Jews who are unmarried; among men, most of the ultra-Orthodox Jews do not enlist. In addition, only a fraction of the recruits chooses to turn the military service into a career and sign up for additional service as professional military personal (officers and non-commissioned officers). Thus, military personnel are not representative of the general Israeli population, even after controlling for age.The rate of pregnancies among female soldiers (obligatory service) in the Israeli army is low, but almost all pregnancies in this group are unplanned and most result in termination of pregnancy. An unplanned pregnancy carries a direct impact on the service of that female soldier and consequently on the military's routine.In a recent article in the Israel Journal of Health Policy Research (IJHPR), Rottenstreich et al. (IJHPR 7:42, 2018) describe a retrospective cohort study designed to evaluate the prevalence and risk factors for repeated unintended pregnancies among this population of female soldiers.This commentary presents the current IDF policy intended to further reduce unplanned pregnancies and repeat unplanned pregnancies rates. We also suggest additional tools to support evidence-based strategy planning in this field.
以色列实行义务兵役制，18岁开始服役。女性服役约两年，男性服役约三年。然而，实际上只有部分潜在服役人员被征召入伍。在女性中，应征入伍的主要是未婚的世俗犹太女性；在男性中，大多数极端正统派犹太男性不服役。此外，只有一小部分新兵选择将服兵役作为职业，并报名额外服役成为职业军人（军官和士官）。因此，即使在考虑年龄因素之后，军事人员也不能代表以色列的普通民众。以色列军队中义务服役的女兵怀孕率较低，但该群体中几乎所有怀孕都是意外怀孕，且大多数以终止妊娠告终。意外怀孕会直接影响该女兵的服役，进而影响军队的日常运作。在《以色列卫生政策研究杂志》（IJHPR）最近发表的一篇文章中，罗滕施特赖希等人（IJHPR 7:42, 2018）描述了一项回顾性队列研究，旨在评估这群女兵中反复意外怀孕的患病率和风险因素。本评论介绍了以色列国防军目前旨在进一步降低意外怀孕率和反复意外怀孕率的政策。我们还建议采用其他工具来支持该领域基于证据的战略规划。
