女性退伍军人生殖健康结果的种族和民族差异:一项研究说明

Katherine Collison, J. Naftaly, Kathleen Colangelo
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摘要

越来越多的美国女性退伍军人。本研究的目的是检查生殖健康状况的频率,以及生殖健康问题中的种族/民族差异,这些女性退伍军人样本由初级保健提供者转介进行精神评估。横断面数据是从退伍军人医疗中心妇女健康诊所的701名女退伍军人中收集的。最常见的生殖健康状况是性交困难、盆腔疼痛和性传播感染。女性退伍军人报告的其他生殖健康状况包括子宫内膜异位症、多囊卵巢综合征(PCOS)和骨质疏松症。黑人女性退伍军人的子宫内膜异位症发病率明显高于其他种族/族裔群体。多囊卵巢综合征、性交困难、骨质疏松、性传播感染、骨盆疼痛、围产期损失和不孕症治疗的患病率在不同种族/民族之间没有差异。为女性退伍军人提供服务的卫生保健提供者应定期对所有人口群体的妇女进行生殖健康状况筛查。
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Racial and Ethnic Disparities in Reproductive Health Outcomes Among Women Veterans: A Research Note
There are a growing number of U. S. women veterans. The goal of this study was to examine the frequency of reproductive health conditions, as well as racial/ethnic disparities within reproductive health concerns, among a sample of women veterans who were referred by their primary care providers for a psychiatric evaluation. Cross-sectional data were collected from 701 women veterans in a Women’s Health Clinic at a VA Medical Center. The most commonly reported reproductive health conditions were dyspareunia, pelvic pain, and sexually transmitted infections (STIs). Other reproductive health conditions reported by women veterans included endometriosis, polycystic ovary syndrome (PCOS), and osteoporosis. Black women veterans had significantly higher rates of endometriosis compared with the other racial/ethnic groups. Prevalence of PCOS, dyspareunia, osteoporosis, STIs, pelvic pain, perinatal loss, and infertility treatment did not differ across race/ethnicity. Health care providers working with women veterans should engage in regular screening of reproductive health conditions for women across all demographic groups.
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