Oral Contraceptive Use Among Women in the Military and the General U.S. Population

Enewold, Lindsey; Brinton, Louise A.; McGlynn, Katherine A.; Zahm, Shelia Hoar; Potter, John F.; Zhu, Kangmin

doi:10.1089/jwh.2009.1706

Cited by 28 publications

(14 citation statements)

References 38 publications

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“…Using the Military Health System Management Analysis and Reporting Tool, we retrieved medical encounters data and medication fill histories. The Military Health System Management Analysis and Reporting Tool is a powerful tool that has been used in health care administration, [12][13][14] use, 12,15,16 and outcomes research. 17,18 The data include the full spectrum of clinical care regardless of point-of-service location or affiliation 12,14,19 : 1.…”

Section: Methodsmentioning

confidence: 99%

Association of Statin Use With Cataracts

et al. 2013

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Section: Methodsmentioning

confidence: 99%

Association of Statin Use With Cataracts

et al. 2013

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“…Using the Military Health System Management Analysis and Reporting Tool (M2), we retrieved all inpatient and outpatient medical encounters, diagnoses, and drug fill histories. The M2 database is a powerful tool that has been used in administrative and leadership decision making as well as in research …”

Section: Methodsmentioning

confidence: 99%

“…The M2 database is a powerful tool that has been used in administrative and leadership decision making as well as in research. [13][14][15][16][17] The M2 database encompasses the full spectrum of clinical care including outpatient electronic medical records, inpatient electronic medical records, medical benefits claims data, laboratory data, and pharmacy data. Outpatient medical records contain all outpatient service activities.…”

Section: Methodsmentioning

confidence: 99%

Psychologic Disorders and Statin Use: A Propensity Score‐Matched Analysis

et al. 2013

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Study Objective To evaluate the association between statin therapy and risk of psychological disorders including schizophrenia, psychosis, major depression, and bipolar disorder in a military population. Design Retrospective, observational, population-based, propensity score-matched, cohort study. Setting Database of a patient population enrolled in the San Antonio Military Multi-Market Area as Tricare Prime or Plus. Patients Medical records were reviewed from 46249 patients aged 30 to 85 years who were continuously enrolled in the San Antonio Military Multi-Market Area as Tricare Prime or Plus from October 1, 2003 to March 1, 2010. Data were obtained from the Military Health System Management Analysis and Reporting Tool (M2). Based on medication fills during fiscal year 2005, patients were stratified as statin users (N=13626 who received at least 90-days supply of statin) or non-users (N=32623 who never received a statin during the study period). A propensity score-matched cohort of 6972 statin users and 6972 non-users from this population was created. Measurements and Main Results The occurrence of psychological disorders between October 1, 2005 and March 1, 2010 was determined using pre-specified groups of International Classification of Diseases, 9th Revision, Clinical Modification codes: 1) Psych1: schizophrenia, schizoaffective disorders, and other psychosis; 2) Psych2: major depression and bipolar disorder; 3) Psych3: all psychological disorders as identified by the Agency for Health Research and Quality-Clinical Classifications (except for categories of childhood or developmental psychiatric disorders). Among matched pairs of statin users and non-users, the odds ratios and 95% confidence intervals (OR, 95%CI) were as follows: Psych1 (0.9, 0.75–1.05), Psych2 (1.02, 0.94–1.11), and Psych3 (1.02, 0.96–1.1). Conclusion The risk of developing psychological disorders was similar in this cohort of propensity score-matched statin users and non-users.

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“…A large study (n=83 181) that used data from the US Military Health System Management Analysis and Reporting Tool reported that overall OC use was 34% among servicewomen aged 18–39 years, and OC use increased with age 20. Of note, none of these studies assessed risk factors for non-adherence of OC.…”

Section: Discussionmentioning

confidence: 99%

Adherence to no-cost oral contraceptives among active-duty servicewomen

Rottenstreich

Drukker

Reichman

et al. 2019

BMJ Sex Reprod Health

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BackgroundWe aimed to evaluate the adherence to no-cost oral contraceptives (OC) among young single women and to identify factors associated with non-adherence.MethodsRetrospective cohort study included all single female soldiers who received free-of-charge OCs from military pharmacies in Israel between 2006 and 2015. Military pharmacies’ dispensing registries were queried to assess the number of OC packages dispensed. Women were included in the study if their service continued for a period of at least 12 months from the time of receiving their first OC pack. Study outcomes were twelve cycles medication possession ratio (MPR), which is defined as the number of OC packs dispensed over a 12-cycle period divided by 12, presented as a percentage, and factors associated with the OC MPR as evaluated by multivariable regression analysis.ResultsDuring the study period, there were 3 05 923 active servicewomen aged 18–24 years. A total of 82 203 (26.9%) women were dispensed at least one pack of OCs. The mean MPR was 51.8% (35.2%). Only 14% of women had good adherence (MPR ≥90%). Multivariate regression models showed that non-adherence (MPR <90%) was more common among servicewomen (adjusted OR (95% CI)): who failed to graduate from high school (1.9 (1.54–2.33)) and with combat or combat-support type of service (1.66 (1.30–2.13)). Other social/ethnic factors, including first-generation immigrant (1.13 (1.05–1.21)), sub-Saharan African origin (1.28 (1.04–1.58)), lower IQ scores (1.28 (1.22–1.34)) and combat-support type of service (1.22 (1.12–1.34)) were associated with non-adherence, but to smaller degrees. Neither income nor health status predicted adherence in this population receiving no-cost OCs.ConclusionsOverall, 12 cycles OC adherence was universally low among active servicewomen. Adherence demonstrated small, but significant, associations with sociodemographic factors, with the lowest levels of adherence predicted by low educational attainment and combat service.

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Oral Contraceptive Use Among Women in the Military and the General U.S. Population

Cited by 28 publications

References 38 publications

Association of Statin Use With Cataracts

Association of Statin Use With Cataracts

Psychologic Disorders and Statin Use: A Propensity Score‐Matched Analysis

Adherence to no-cost oral contraceptives among active-duty servicewomen

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