Contraceptive use and childbirth rates by service branch during the first 24 months on active duty in the United States military from 2013 to 2018: a retrospective cohort analysis

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From: Contraception(Vol. 100, Issue 2)
Publisher: Elsevier B.V.
Document Type: Report
Length: 510 words

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Keywords Military personnel; Contraception; Pregnancy; Female Abstract Objective To measure the association of military branch-specific contraceptive education and access policy during basic training with contraceptive use and childbirth among new recruits. Study design Secondary analysis of insurance records from 92,072 active duty servicewomen who started basic training between 2013 and 2017. Results Exposure to reproductive health education and access to contraception during basic training differ by military branch. Highly effective contraception use (pills, patch, ring, shot, implants or intrauterine contraception) at 6 months on active duty [Army (18.1%), Air Force (27.4%), Marines (26.5%) and Navy (37.6%), p Conclusion Variation in branch-specific contraceptive education and access policy during basic training is associated with differences in rates of contraceptive use at 6 months on active duty and childbirth prior to 24 months on active duty. This occurs despite all recruits having access to an identical medical benefit including no-cost access to contraception after completing initial training. Further study is needed to determine the etiology of these differences. Implications Guidelines for contraceptive education and access during basic training, highly effective contraception use after 6 months of service and childbirth in the first 24 months of service vary among branches of the United States military. Reducing this variability may reduce childbirth rates and improve the reproductive health of junior enlisted servicewomen. Author Affiliation: (a) Division of Adolescent Medicine, Children's Mercy Hospital, University of Missouri, Kansas City, School of Medicine (b) Division of Adolescent Medicine, San Antonio Military Medical Center, Fort Sam Houston, Texas (c) Department of Obstetrics and Gynecology, San Antonio Military Medical Center, Fort Sam Houston, Texas * Corresponding author. Tel.: +1 757 647 4796. Article History: Received 14 January 2019; Revised 3 April 2019; Accepted 3 April 2019 (footnote)[white star] Funding source: This project was supported by a grant from the Uniformed Services University Health Services Research Program, HJF Award Number: 308687-8.00-65048. The funding source had no role in the study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. (footnote)[white star][white star] Disclaimer: The views expressed are solely those of the authors and do not reflect the official policy or position of the US Army, US Navy, US Air Force, the Department of Defense or the US Government. Byline: Timothy A Roberts [taroberts@cmh.edu] (a,*), Joshua M Smalley (b), Larissa F Weir (c), William P Adelman (a)

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Gale Document Number: GALE|A592335800