Contraceptive Provision in the VA Healthcare System to Women Who Report Military Sexual Trauma

Vinita Goyal, Kristin Mattocks, Eleanor Schwarz, Sonya Borrero, Melissa Skanderson, Laurie Zephyrin, Cynthia Brandt, Sally Haskell

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Women Veterans who suffered military sexual trauma (MST) may be at high risk for unintended pregnancy and benefit from contraceptive services. The objective of this study is to compare documented provision of contraceptives to women Veterans using the Department of Veterans Affairs (VA) health system who report or deny MST. Methods: This retrospective cohort study included women Veterans aged 18-45 years who served in Operation Enduring or Iraqi Freedom and had at least one visit to a VA medical center between 2002 and 2010. Data were obtained from VA administrative and clinical databases. Chi-squared tests and logistic regression were conducted to evaluate the association between MST, ascertained by routine clinical screening, and first documented receipt of hormonal or long-acting contraception. Results: Of 68,466 women Veterans, 13% reported, 59% denied and 28% had missing data for the MST screen. Among the entire study cohort, 30% of women had documented receipt of a contraceptive method. Women reporting MST were significantly more likely than those denying MST to receive a method of contraception (adjusted odds ratio [aOR] 1.12, 95% confidence interval [CI] 1.07-1.18) including an intrauterine device (odds ratio [OR] 1.29, 95% CI 1.17-1.41) or contraceptive injection (OR 1.17, 95% CI 1.05-1.29). Women who were younger, unmarried, seen at a women's health clinic, or who had more than one visit were more likely to receive contraception. Conclusions: A minority of women Veterans of reproductive age receive contraceptive services from the VA. Women Veterans who report MST, and particularly those who seek care at VA women's health clinics, are more likely to receive contraception.

Original languageEnglish (US)
Pages (from-to)740-745
Number of pages6
JournalJournal of Women's Health
Volume23
Issue number9
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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Veterans
Contraceptive Agents
Delivery of Health Care
Wounds and Injuries
Contraception
2003-2011 Iraq War
Odds Ratio
Women's Health
Confidence Intervals
Cohort Studies
Afghan Campaign 2001-
Veterans Health
High-Risk Pregnancy
Intrauterine Devices
Retrospective Studies
Logistic Models
Databases
Injections

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Contraceptive Provision in the VA Healthcare System to Women Who Report Military Sexual Trauma. / Goyal, Vinita; Mattocks, Kristin; Schwarz, Eleanor; Borrero, Sonya; Skanderson, Melissa; Zephyrin, Laurie; Brandt, Cynthia; Haskell, Sally.

In: Journal of Women's Health, Vol. 23, No. 9, 01.01.2014, p. 740-745.

Research output: Contribution to journalArticle

Goyal, V, Mattocks, K, Schwarz, E, Borrero, S, Skanderson, M, Zephyrin, L, Brandt, C & Haskell, S 2014, 'Contraceptive Provision in the VA Healthcare System to Women Who Report Military Sexual Trauma', Journal of Women's Health, vol. 23, no. 9, pp. 740-745. https://doi.org/10.1089/jwh.2013.4466
Goyal, Vinita ; Mattocks, Kristin ; Schwarz, Eleanor ; Borrero, Sonya ; Skanderson, Melissa ; Zephyrin, Laurie ; Brandt, Cynthia ; Haskell, Sally. / Contraceptive Provision in the VA Healthcare System to Women Who Report Military Sexual Trauma. In: Journal of Women's Health. 2014 ; Vol. 23, No. 9. pp. 740-745.
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AU - Haskell, Sally

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AB - Background: Women Veterans who suffered military sexual trauma (MST) may be at high risk for unintended pregnancy and benefit from contraceptive services. The objective of this study is to compare documented provision of contraceptives to women Veterans using the Department of Veterans Affairs (VA) health system who report or deny MST. Methods: This retrospective cohort study included women Veterans aged 18-45 years who served in Operation Enduring or Iraqi Freedom and had at least one visit to a VA medical center between 2002 and 2010. Data were obtained from VA administrative and clinical databases. Chi-squared tests and logistic regression were conducted to evaluate the association between MST, ascertained by routine clinical screening, and first documented receipt of hormonal or long-acting contraception. Results: Of 68,466 women Veterans, 13% reported, 59% denied and 28% had missing data for the MST screen. Among the entire study cohort, 30% of women had documented receipt of a contraceptive method. Women reporting MST were significantly more likely than those denying MST to receive a method of contraception (adjusted odds ratio [aOR] 1.12, 95% confidence interval [CI] 1.07-1.18) including an intrauterine device (odds ratio [OR] 1.29, 95% CI 1.17-1.41) or contraceptive injection (OR 1.17, 95% CI 1.05-1.29). Women who were younger, unmarried, seen at a women's health clinic, or who had more than one visit were more likely to receive contraception. Conclusions: A minority of women Veterans of reproductive age receive contraceptive services from the VA. Women Veterans who report MST, and particularly those who seek care at VA women's health clinics, are more likely to receive contraception.

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