{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:09:19Z","timestamp":1787242159125,"version":"build-2736575974"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1-2","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"College of Health and Human Services SDSU","award":["260003"],"award-info":[{"award-number":["260003"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>As the number of women veterans grows, so does the need to ensure they receive timely health care, including preventive reproductive health screenings such as cervical cancer screenings and mammograms. However, little is known about the rates of reproductive health screenings among veterans and what factors may be related to screening. The objectives of this cross-sectional study were to (1) understand healthcare treatment-seeking experiences among women veterans, (2) determine the rate of adherence to screening guidelines for cervical and breast cancers, and (3) examine potential correlates of adherence to clinical reproductive health screening guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Women veterans completed an electronically administered survey, which assessed personal characteristics, psychological health symptoms, military service history, health insurance status, healthcare-seeking experiences (e.g., barriers to and satisfaction with care), and receipt of cervical and breast cancer screenings. Multivariable logistic regression identified factors associated with adherence to clinical guidelines for cervical and breast cancer screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 90 women (mean age\u2009=\u200938.78; SD\u2009=\u200912.19) who participated, 64 (71.10%) reported meeting all age-applicable screening guidelines. The most common barriers to obtaining women\u2019s healthcare were availability of convenient appointment times, finding time in your schedule to make and go to an appointment, and long wait times for appointments. Multivariable logistic regression revealed veterans without a regular women\u2019s health provider were less likely to adhere to guidelines than those with a regular provider (OR\u2009=\u20090.16; 95% CI, 0.04-0.57).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Many women veterans are unable to receive reproductive health screenings; continued efforts are needed to determine how to increase adherence in this unique population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/milmed\/usac036","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T06:01:17Z","timestamp":1646114477000},"page":"42-48","source":"Crossref","is-referenced-by-count":13,"title":["An Examination of Factors That Influence Receipt of Reproductive Health Screenings Among Female Veterans"],"prefix":"10.1093","volume":"188","author":[{"given":"Madisen","family":"Ferras","sequence":"first","affiliation":[{"name":"School of Public Health, San Diego State University , San Diego, CA 92182, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Dye","sequence":"additional","affiliation":[{"name":"School of Nursing, San Diego State University , San Diego, CA 92182, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guadalupe X","family":"Ayala","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University , San Diego, CA 92182, USA"},{"name":"Institute for Behavioral and Community Health , San Diego, California; 9245 Sky Park Court, Suite 221,San Diego, CA 92123-4311, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Schmied","sequence":"additional","affiliation":[{"name":"School of Public Health, San Diego State University , San Diego, CA 92182, USA"},{"name":"Institute for Behavioral and Community Health , San Diego, California; 9245 Sky Park Court, Suite 221, San Diego, CA 92123-4311, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,28]]},"reference":[{"key":"2023010800080091500_R1","article-title":"Women veterans report: the past, present, and the future of women veterans","volume-title":"National Center for Veterans Analysis and Statistics, Department of Veterans Affairs, Washington, DC","author":"U.S. Department of Veterans Affairs","year":"2017"},{"key":"2023010800080091500_R2","article-title":"Screening for cervical cancer: US preventive services task force recommendation statement","author":"U.S. Preventive Services Task Force [USPSTF]","year":"2018","journal-title":"JAMA"},{"key":"2023010800080091500_R3","article-title":"Screening for breast cancer: U.S. Preventive services task force recommendation statement","author":"U.S. Preventive Services Task Force [USPSTF]","year":"2016","journal-title":"Ann Intern Med"},{"issue":"6","key":"2023010800080091500_R4","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1055\/s-0039-1678750","article-title":"Reproductive health of women veterans: a systematic review of the literature from 2008 to 2017","volume":"36","author":"Katon","year":"2018","journal-title":"Semin Reprod Med"},{"issue":"9","key":"2023010800080091500_R5","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1089\/jwh.2012.3644","article-title":"Current challenges in female veterans\u2019 health","volume":"21","author":"Resnick","year":"2012","journal-title":"J Women\u2019s Health"},{"issue":"2","key":"2023010800080091500_R6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.7205\/MILMED-D-13-00425","article-title":"Female veterans of operations enduring and Iraq Freedom: status and future directions","volume":"179","author":"Rivera","year":"2014","journal-title":"Mil Med"},{"key":"2023010800080091500_R7","article-title":"Diseases associated with ionizing radiation exposure","volume-title":"U.S. Department of Veterans Affairs: Public Health","author":"U.S. Department of Veterans Affairs","year":"2015"},{"issue":"6","key":"2023010800080091500_R8","doi-asserted-by":"crossref","first-page":"1740","DOI":"10.1158\/1055-9965.EPI-09-0041","article-title":"Cancer incidence in the U.S. Military population: comparison with rates from the SEER program","volume":"18","author":"Zhu","year":"2009","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"2023010800080091500_R9","article-title":"State of reproductive health in women veterans\u2014VA reproductive health diagnoses and organization of care","volume-title":"Women\u2019s Health Services, Veterans Health Administration, Department of Veterans Affairs","author":"Zephyrin","year":"2014"},{"key":"2023010800080091500_R10","doi-asserted-by":"crossref","first-page":"S63","DOI":"10.1097\/MLR.0000000000000295","article-title":"Reproductive health diagnoses of women veterans using department of veterans affairs health care","volume":"53","author":"Katon","year":"2015","journal-title":"Med Care"},{"issue":"20","key":"2023010800080091500_R11","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1089\/jwh.2018.6936","article-title":"Cancer among women treated in the veterans affairs healthcare system","volume":"28","author":"Zullig","year":"2019","journal-title":"J Women\u2019s Health"},{"issue":"11","key":"2023010800080091500_R12","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1089\/jwh.2015.5552","article-title":"Increasing receipt of women\u2019s preventive services","volume":"24","author":"Stolp","year":"2015","journal-title":"J Womens Health"},{"issue":"4 Suppl 1","key":"2023010800080091500_R13","doi-asserted-by":"crossref","first-page":"S47","DOI":"10.1097\/MLR.0000000000000323","article-title":"Associations between provider designation and female-specific cancer screening in women Veterans","volume":"53","author":"Bean-Mayberry","year":"2015","journal-title":"Med Care"},{"issue":"Suppl S3","key":"2023010800080091500_R14","doi-asserted-by":"crossref","first-page":"S82","DOI":"10.1111\/j.1525-1497.2006.00380.x","article-title":"The state of women veterans\u2019 health research. 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