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Impact of Deployment on Reproductive Health in US Active-Duty Servicewomen and Veterans

机译：部署对美国活跃妇女和退伍军人生殖健康的影响

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Reproductive-age women are a fast-growing component of active-duty military personnel who experience deployment and combat more frequently than previous service-era women Veterans. With the expansion of the number of women and their roles, the United States Departments of Defense and Veterans Affairs have prioritized development and integration of reproductive services into their health systems. Thus, understanding associations between deployments or combat exposures and short- or long-term adverse reproductive health outcomes is imperative for policy and programmatic development. Servicewomen and women Veterans may access reproductive services across civilian and military or Veteran systems and providers, increasing the need for awareness and communication regarding deployment experiences with a broad array of providers. An example is the high prevalence of military sexual trauma reported by women Veterans and the associated mental health diagnoses that may lead to a lifetime of high risk-coping behaviors that increase reproductive health risks, such as sexually transmitted infections, unintended pregnancies, and others. Care coordination models that integrate reproductive healthcare needs, especially during vulnerable times such as at the time of military separation and in the immediate postdeployment phase, may identify risk factors for early intervention with the potential to mitigate lifelong risks.
机译：生殖器时代妇女是一个快速增长的积极军事人员，他们比以前的服务时代女性退伍军人更频繁地经历部署和战斗。随着妇女人数及其角色的扩大，美国国防部和退伍军人事务部门将生殖服务的发展和整合到其卫生系统。因此，了解部署或战斗曝光和短期或长期不利生殖健康结果之间的协会对政策和计划的发展是必不可少的。 Servicewomen和女性退伍军人可以通过平民和军事或资深制度和提供者​​获得生殖服务，增加了对具有广泛供应商的部署经验的认识和沟通的必要性。一个例子是妇女退伍军人报告的军事性创伤的普及和相关的心理健康诊断，可能导致高风险应对行为的一生，以增加生殖健康风险，例如性传播感染，意外怀孕等。关心协调模型，即整合生殖医疗保健需求，特别是在弱势群体中，例如在军事分离时和直接的职业部署阶段，可以确定早期干预的危险因素，可能会减轻终身风险。

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