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Sexual and reproductive health in military settings: A qualitative study.

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Title: Sexual and reproductive health in military settings: A qualitative study.
Authors: Vargas, Sara E.1,2 (AUTHOR) sara_vargas@brown.edu, Thornton, Kade3 (AUTHOR), Norris, Colby4 (AUTHOR), Gist, Galen4 (AUTHOR), Clark, Madison F.5 (AUTHOR), Ramirez, Leslie1 (AUTHOR), Guillen, Melissa1 (AUTHOR), Guthrie, Kate M.1,2,6 (AUTHOR), Landoll, Ryan R.4 (AUTHOR)
Source: Military Psychology. 2025, Vol. 37 Issue 2, p138-147. 10p.
Subject Terms: *PREVENTION of sexually transmitted diseases, *MEDICAL personnel -- United States, *REPRODUCTIVE health, *RESEARCH funding, *QUALITATIVE research, *MEDICAL care, *INTERVIEWING, *HUMAN sexuality, *PSYCHOLOGY of military personnel, *HELP-seeking behavior, *THEMATIC analysis, *SEX customs, *RESEARCH methodology, *UNPLANNED pregnancy, *MILITARY medicine, *HEALTH promotion, *SEXUAL health, *PSYCHOSOCIAL factors
Geographic Terms: UNITED States
Abstract: Mission readiness is critical to the operational success of the United States (US) military and includes having a healthy and fit fighting force. Service members and their dependents have access to a wide range of sexual and reproductive health services with no out-of-pocket costs. Despite this access, negative outcomes such as sexually transmitted infections (STIs) and unintended pregnancy persist. Semi-structured, in-depth interviews were conducted with service members and stakeholders (e.g. medical providers). Interviews explored the individual, interpersonal, organizational, and institutional factors that inform sexual norms, behaviors, and healthcare experiences in the US military. Interview transcripts were coded manually; data were summarized for themes related to unique aspects of military culture and healthcare affecting sexual and reproductive health. Twenty-five (25) service members and 15 stakeholders completed interviews. Four themes emerged: 1) despite free access, both general and military-specific barriers to sexual and reproductive healthcare persist; 2) general and military-specific cultural norms apply to sexual behavior and care seeking; 3) sexual and reproductive health-related norms can be perceived as confusing and contradictory within the military; and 4) resources addressing sexual assault are ubiquitous in military settings, but resources addressing prevention of STIs and unintended pregnancy are limited. Both general and military-specific norms, behavior, and healthcare experiences need to be considered in clinical care, public health campaigns, and other efforts to promote sexual and reproductive health in military settings. [ABSTRACT FROM AUTHOR]
Copyright of Military Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Sexual and reproductive health in military settings: A qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22Vargas%2C+Sara+E%2E%22">Vargas, Sara E.</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> sara_vargas@brown.edu</i><br /><searchLink fieldCode="AR" term="%22Thornton%2C+Kade%22">Thornton, Kade</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Norris%2C+Colby%22">Norris, Colby</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gist%2C+Galen%22">Gist, Galen</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Clark%2C+Madison+F%2E%22">Clark, Madison F.</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ramirez%2C+Leslie%22">Ramirez, Leslie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guillen%2C+Melissa%22">Guillen, Melissa</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guthrie%2C+Kate+M%2E%22">Guthrie, Kate M.</searchLink><relatesTo>1,2,6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Landoll%2C+Ryan+R%2E%22">Landoll, Ryan R.</searchLink><relatesTo>4</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Military+Psychology%22">Military Psychology</searchLink>. 2025, Vol. 37 Issue 2, p138-147. 10p.
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  Data: *<searchLink fieldCode="DE" term="%22PREVENTION+of+sexually+transmitted+diseases%22">PREVENTION of sexually transmitted diseases</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+personnel+--+United+States%22">MEDICAL personnel -- United States</searchLink><br />*<searchLink fieldCode="DE" term="%22REPRODUCTIVE+health%22">REPRODUCTIVE health</searchLink><br />*<searchLink fieldCode="DE" term="%22RESEARCH+funding%22">RESEARCH funding</searchLink><br />*<searchLink fieldCode="DE" term="%22QUALITATIVE+research%22">QUALITATIVE research</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br />*<searchLink fieldCode="DE" term="%22INTERVIEWING%22">INTERVIEWING</searchLink><br />*<searchLink fieldCode="DE" term="%22HUMAN+sexuality%22">HUMAN sexuality</searchLink><br />*<searchLink fieldCode="DE" term="%22PSYCHOLOGY+of+military+personnel%22">PSYCHOLOGY of military personnel</searchLink><br />*<searchLink fieldCode="DE" term="%22HELP-seeking+behavior%22">HELP-seeking behavior</searchLink><br />*<searchLink fieldCode="DE" term="%22THEMATIC+analysis%22">THEMATIC analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22SEX+customs%22">SEX customs</searchLink><br />*<searchLink fieldCode="DE" term="%22RESEARCH+methodology%22">RESEARCH methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22UNPLANNED+pregnancy%22">UNPLANNED pregnancy</searchLink><br />*<searchLink fieldCode="DE" term="%22MILITARY+medicine%22">MILITARY medicine</searchLink><br />*<searchLink fieldCode="DE" term="%22HEALTH+promotion%22">HEALTH promotion</searchLink><br />*<searchLink fieldCode="DE" term="%22SEXUAL+health%22">SEXUAL health</searchLink><br />*<searchLink fieldCode="DE" term="%22PSYCHOSOCIAL+factors%22">PSYCHOSOCIAL factors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22UNITED+States%22">UNITED States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Mission readiness is critical to the operational success of the United States (US) military and includes having a healthy and fit fighting force. Service members and their dependents have access to a wide range of sexual and reproductive health services with no out-of-pocket costs. Despite this access, negative outcomes such as sexually transmitted infections (STIs) and unintended pregnancy persist. Semi-structured, in-depth interviews were conducted with service members and stakeholders (e.g. medical providers). Interviews explored the individual, interpersonal, organizational, and institutional factors that inform sexual norms, behaviors, and healthcare experiences in the US military. Interview transcripts were coded manually; data were summarized for themes related to unique aspects of military culture and healthcare affecting sexual and reproductive health. Twenty-five (25) service members and 15 stakeholders completed interviews. Four themes emerged: 1) despite free access, both general and military-specific barriers to sexual and reproductive healthcare persist; 2) general and military-specific cultural norms apply to sexual behavior and care seeking; 3) sexual and reproductive health-related norms can be perceived as confusing and contradictory within the military; and 4) resources addressing sexual assault are ubiquitous in military settings, but resources addressing prevention of STIs and unintended pregnancy are limited. Both general and military-specific norms, behavior, and healthcare experiences need to be considered in clinical care, public health campaigns, and other efforts to promote sexual and reproductive health in military settings. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Military Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/08995605.2024.2324644
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      – Code: eng
        Text: English
    PhysicalDescription:
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        PageCount: 10
        StartPage: 138
    Subjects:
      – SubjectFull: UNITED States
        Type: general
      – SubjectFull: PREVENTION of sexually transmitted diseases
        Type: general
      – SubjectFull: MEDICAL personnel -- United States
        Type: general
      – SubjectFull: REPRODUCTIVE health
        Type: general
      – SubjectFull: RESEARCH funding
        Type: general
      – SubjectFull: QUALITATIVE research
        Type: general
      – SubjectFull: MEDICAL care
        Type: general
      – SubjectFull: INTERVIEWING
        Type: general
      – SubjectFull: HUMAN sexuality
        Type: general
      – SubjectFull: PSYCHOLOGY of military personnel
        Type: general
      – SubjectFull: HELP-seeking behavior
        Type: general
      – SubjectFull: THEMATIC analysis
        Type: general
      – SubjectFull: SEX customs
        Type: general
      – SubjectFull: RESEARCH methodology
        Type: general
      – SubjectFull: UNPLANNED pregnancy
        Type: general
      – SubjectFull: MILITARY medicine
        Type: general
      – SubjectFull: HEALTH promotion
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      – SubjectFull: SEXUAL health
        Type: general
      – SubjectFull: PSYCHOSOCIAL factors
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              Text: 2025
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