Exploring Contraceptive Care and Access Experiences of Veterans.

Rand health quarterly Pub Date : 2026-03-05 eCollection Date: 2026-03-01
Julia Rollison, Skye A Miner, Elaine Li, Michael W Robbins, Daniel Shinnick, Danielle Schlang
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Abstract

Practical access to contraceptive care and the ability to choose care that meets one's needs and preferences are important for an individual's health and well-being in the United States. Although a significant amount of research has been done to examine access to contraceptive care, particularly among civilian women, there is significantly less understanding about the needs, preferences, and experiences of veterans. The body of evidence on veterans' contraceptive use and knowledge of and experiences with contraceptive care shows significant gaps. Additionally, veterans' ability to use their preferred methods of contraception is uneven and influenced by the quality of counseling they receive, the availability of trained providers, and systemic disparities in access. To address these gaps, the authors of this study conducted a nationally representative survey of men and women veterans' access to, knowledge of, and use of contraception and contraceptive care within and outside the Veterans Health Administration (VHA) and its network of community care providers. This survey was supplemented by in-depth interviews. The authors aimed to better understand gaps in contraceptive access and choice for U.S. veterans of reproductive age and how these gaps might vary by certain characteristics, such as sex or where veterans receive or access care. The authors also present recommendations for care providers and veteran-serving organizations to address gaps in contraceptive knowledge, access, and care for veteran men and women.

探讨退伍军人避孕护理和获取经验。
在美国,获得避孕护理的实际途径和选择符合个人需求和偏好的护理的能力对个人的健康和福祉非常重要。虽然已经做了大量的研究来检查避孕护理的获取情况,特别是在平民妇女中,但对退伍军人的需求、偏好和经历的了解却少得多。关于退伍军人避孕药具使用情况以及避孕护理知识和经验的大量证据显示存在重大差距。此外,退伍军人使用他们喜欢的避孕方法的能力是不平衡的,并受到他们接受咨询的质量、训练有素的提供者的可用性以及获得避孕方法的系统性差异的影响。为了解决这些差距,本研究的作者进行了一项具有全国代表性的调查,调查了退伍军人健康管理局(VHA)及其社区护理提供者网络内外的男女退伍军人对避孕和避孕护理的获取、知识和使用情况。这项调查还辅以深度访谈。作者旨在更好地了解美国育龄退伍军人在避孕方法获取和选择方面的差距,以及这些差距如何因某些特征而变化,例如性别或退伍军人接受或获得护理的地点。作者还为护理提供者和退伍军人服务组织提出了建议,以解决退伍军人在避孕知识、获取和护理方面的差距。
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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