A Survey of Women's Health Care Needs on U.S. Navy Ships

Means-Markwell, Melissa; Hawkins, Robert J.; Reichow, Karen; Gaglione, Margaret Mackrell; Holmboe, Eric S.; Malone, John D.; Hyams, Kenneth C.

doi:10.1093/milmed/163.7.439

Cited by 3 publications

(4 citation statements)

References 4 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only 27% of the Sexual Health 8 women reported that a condom was always used. (Means-Markwell et al, 1998) Condom Use with High-Risk Populations…”

Section: Condom Usementioning

confidence: 99%

See 1 more Smart Citation

The Experiences of U.S. Army Primary Care Providers Meeting Sexual Health Care Needs During Post-Vietnam Deployments

Prior¹,

Weskamp²

2002

PsycEXTRA Dataset

View full text Add to dashboard Cite

Public reporting burden for the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. The purpose of this study was to explore the experiences of U.S. Army primary care providers meeting sexual health care needs during post-Vietnam deployments and associated ethical issues providing care in an atmosphere that forbids sexual contact. As the Army has sought to add the role of advanced practice nurses to deployments, they will potentially find themselves faced with providing sexual health care in the field. A phenomenological approach was used in this study for the purpose of understanding, interpreting, and describing provider experiences during deployment. Purposeful sampling was used and dialogical engagements were conducted with six U.S. Army primary care providers who had served in post-Vietnam deployments. The Parse method was adapted to synthesize 21 core concepts and four structures that enabled the researchers to describe the experiences of the providers. The four structures are: provider experiences, soldier experiences, command experiences, and ethical experiences. Recommendations for further areas of research include rates of STI and pregnancy, feminine hygiene needs in the field, suppression of sexuality in the field, and ethical decision making among military providers. Colonel Turner has spent untold hours on this project. This research would not have been completed if not for her mentoring and constant guidance.We would like to thank our thesis committee Dr. Janice Agazio, and CommanderEvelyn Lewis for their invaluable support of this project.Our thanks to our research participants. We have found their commitment to providing the highest quality of patient care in the most austere environments inspiring.Thanks most of all to our families--Maria, Madison, Garrett, Jackson and Libbie and Matthew--for all of the sacrificed weekends and evenings that this thesis required.Their faith and support has been unwavering. vi AbstractThe purpose of this study was to explore the experiences of U.S. Army primary care providers meeting sexual health care needs during post-Vietnam deployments and associated ethical issues providing care in an atmosphere that forbids sexual contact. As the Army has sought to add the role of advanced practice nurses to deployments, they will potentially find ...

show abstract

“…Only 27% of the Sexual Health 8 women reported that a condom was always used. (Means-Markwell et al, 1998) Condom Use with High-Risk Populations…”

Section: Condom Usementioning

confidence: 99%

“…(Malone et al, 1994;Means-Markwell et al, 1998) However, no published studies were found that addressed the sexual risk behavior, or rates of STI and unplanned pregnancies during post-Vietnam U.S. Army deployments.…”

Section: Introductionmentioning

confidence: 99%

The Experiences of U.S. Army Primary Care Providers Meeting Sexual Health Care Needs During Post-Vietnam Deployments

Prior¹,

Weskamp²

2002

PsycEXTRA Dataset

View full text Add to dashboard Cite

show abstract

“…15 A later study surveyed 628 female and 526 male sailors at the completion of four separate deployments lasting 10-180 days and found that women visited sick call 189/1000 per week vs. 117/1000 per week for men (a ratio of 1.61:1). 16 In the Perceptions of Wellness and Readiness study, questionnaire data was obtained from 9859 active duty shore based Marine Corps and Navy personnel. The study found that women tended to have higher rates of physical and mental illness, poorer perceptions of their health status and greater health care and medication use than their male counterparts.…”

Section: Health Care Usage Ratesmentioning

confidence: 99%

“…The most common gynecological visits were requests for contraceptive pills, vaginal discharge, menstrual cramps or abnormalities, and pregnancy checks. 16 A 1990 study by Hughey revealed 2.7 gynecological visits per female crewmember per year (excludes routine prenatal care), 8% of which required consultation to a specialist. 107 Nice and Hilton surveyed sick call visits on 23 ships in 1988-89 and found a gynecological visit rate of 1.2 per female crewmember per year.…”

Section: General Gynecological Needsmentioning

confidence: 99%

The Medical Implications of Women On Submarines

Kane¹,

Horn²

2001

View full text Add to dashboard Cite

Public reporting burder for this collection of information is estibated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burder to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 26-11-2001 2. REPORT TYPE Technical 3. DATES COVERED (FROM -TO) 01-01-2001 to 26-11-2001 4. TITLE AND SUBTITLE The Medical Implications of Women On Submarines Unclassified 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Kane, John L. ; Horn, Wayne G. ; 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME AND ADDRESS Naval Submarine Research Laboratory Naval Submarine Base New London Box 900 Groton, CT06349-5900 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME AND ADDRESS Naval Submarine Medical Research Laboratory Naval Submarine Base New Groton, CT06349-5900 10. SPONSOR/MONITOR'S ACRONYM(S) 11. SPONSOR/MONITOR'S REPORT NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT APUBLIC RELEASE , 13. SUPPLEMENTARY NOTES 14. ABSTRACT The review highlights traditionally important medical conditions for submariners along with the unique consequence of women?s healthcare on the submarine. The information covered includes a review of the history of women in the military followed by a discussion of how women have been integrated into submarines in foreign navies and in space travel. The bulk of the document, then, consists of a literature review that examines gender differences in health care usage as well as in health problems that have traditionally been problematic for submarines including cardiac disease, anemia, asthma, headaches, peptic ulcer disease, orthopedic problems, and psychiatric disease. Gynecological and pregnancy related issues constitute the final area of review. Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden REPORT DATE (DD-MM-YYYY) REPORT DOCUMENTATION PAGE SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'...

show abstract

Health Promotion in Active-Duty Military Women with Children

et al. 2002

View full text Add to dashboard Cite

The purpose of this study was to determine the extent to which selected demographic characteristics, definition of health, perceived health status, perceived self-efficacy, and resources are related to the health promoting behaviors of active-duty women with children and to describe qualitatively the experience of being an active-duty mother. Grounded in Pender's (1996) Health Promotion Model, this study used methodological triangulation to test a hypothesized model. A sample of 141 active-duty women with children using military health services participated. Resource availability and commitment were key components of being successful at balancing home and work demands.

show abstract

A Survey of Women's Health Care Needs on U.S. Navy Ships

Cited by 3 publications

References 4 publications

The Experiences of U.S. Army Primary Care Providers Meeting Sexual Health Care Needs During Post-Vietnam Deployments

The Experiences of U.S. Army Primary Care Providers Meeting Sexual Health Care Needs During Post-Vietnam Deployments

The Medical Implications of Women On Submarines

Health Promotion in Active-Duty Military Women with Children

Contact Info

Product

Resources

About