Changes in Reproductive and Sexual Health Diagnoses of Women Veterans Using Department of Veterans Affairs Health Care Between FY2010 and FY2018.

IF 2.5 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Womens Health Issues Pub Date : 2025-08-22 DOI:10.1016/j.whi.2025.07.004

Jessica K Friedman, Amanda M Johnson, Erica V Tartaglione, Jacob R Eleazer, Susan M Frayne, Kristin O Haeger, Alexandra K R Schule, Claudine Offer, Ciaran S Phibbs, Danielle Rose, Fay Saechao, Megha Shankar, Jonathan G Shaw, Elizabeth M Yano, Alicia Y Christy, Jodie G Katon

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引用次数: 0

Abstract

Background: Women veterans are the fastest growing group of new Veterans Health Administration (VA) users with more than half a million using VA care in 2018. VA has implemented policies and programs to meet the reproductive and sexual health (RSH) needs of women veterans who increasingly rely on VA to provide comprehensive care.

Objective: We aimed to describe changes in the prevalence of RSH diagnosis categories among women veterans using VA care in fiscal year (FY) 2010 and FY2018.

Methods: Repeated cross-sectional VA administrative data were used to identify women veterans using VA care in FY2010 and FY2018. RSH diagnosis categories were identified from International Classification of Diseases (ICD), Ninth (FY2010) and 10th (FY2018) revision codes for all VA-covered health care encounters. Standardized incidence ratios (SIRs) were used to adjust for age and compare the rates of 15 reproductive health diagnoses in FY2010 and FY2018.

Results: Women veterans using VA for RSH care increased by 61% between FY2010 (n = 317,122) and FY2018 (n = 520,179). Prevalence of common RSH diagnoses remained consistent across fiscal years, including urinary conditions (SIR = 1.02; 95% CI [1.02, 1.03]) and reproductive organ conditions (SIR = .96; 95% CI [.95, .97]). Conversely, there were larger than expected increases in diagnoses of female infertility (SIR = 1.71; 95% CI [1.70, 1.76]) and sexual dysfunction (SIR = 1.51; 95% CI [1.47, 1.54]).

Conclusion: As VA continues to build capacity to provide RSH care to women veterans, understanding changing needs is important for evaluating the impact of programs and policies designed to improve access to care.

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2010财年至2018财年，使用退伍军人事务部卫生保健服务的女性退伍军人生殖和性健康诊断的变化

背景：女性退伍军人是退伍军人健康管理局（VA）新用户中增长最快的群体，2018年有超过50万人使用VA护理。退伍军人事务部实施了政策和计划，以满足越来越依赖退伍军人事务部提供全面护理的女退伍军人的生殖和性健康（RSH）需求。目的：我们旨在描述2010财年和2018财年使用VA护理的女性退伍军人中RSH诊断类别患病率的变化。方法：使用重复的横截面VA管理数据来识别2010财年和2018财年使用VA护理的女性退伍军人。RSH诊断类别是从国际疾病分类（ICD）第九（2010财年）和第十（2018财年）修订代码中确定的，适用于所有va覆盖的卫生保健遭遇。标准化发病率（SIRs）用于调整年龄，并比较2010财年和2018财年15种生殖健康诊断的比率。结果：2010财年（n = 317,122）至2018财年（n = 520,179），使用VA进行RSH护理的女性退伍军人增加了61%。常见RSH诊断的患病率在各个财政年度保持一致，包括泌尿系统疾病（SIR = 1.02; 95% CI[1.02, 1.03]）和生殖器官疾病(SIR = 0.96; 95% CI[。95 .97点)。相反，女性不育症（SIR = 1.71; 95% CI[1.70, 1.76]）和性功能障碍（SIR = 1.51; 95% CI[1.47, 1.54]）的诊断率高于预期。结论：随着退伍军人事务部继续建设为女性退伍军人提供RSH护理的能力，了解不断变化的需求对于评估旨在改善护理机会的项目和政策的影响至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Womens Health Issues Multiple-

CiteScore

4.50

自引率

6.20%

发文量

审稿时长

32 days

期刊介绍： Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.