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Updated: Aug 25, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Promoting Military Women's Health Through Research Design
Stacey E Iobst1, Natasha Best2, Denise C Smith3
1Department of Nursing, Towson University College of Health Professions, Towson, MD 21252, USA.
Abstract:
Although active duty women (ADW) represent over 17% of the total U.S. Armed Forces, there are few evidence-based guidelines to promote the health of women who serve in contemporary military roles. The existing body of evidence does not support guideline development because much of the evidence is not generalizable to ADW. The authors of this commentary recently conducted seven scoping reviews of the literature relevant to ADW's health and healthcare. While completing the literature reviews, it was noted that a substantial proportion of military studies either do not include ADW as research participants or fail to examine findings according to sex and/or active duty status. The authors of this commentary outline a rigorous, step-by-step approach to research design in which ADW are accounted for at every stage of the process. Furthermore, this team of authors identifies opportunities for key stakeholders to provide oversight of the research process to ensure rigorous methodology that includes ADW. Implementing these strategies is critical to building the evidence on which to support the health and healthcare of ADW, who represent a substantial and growing component of the U.S. Military. Optimizing the health of this population is critical to maintaining the strength and readiness of our U.S. Armed Forces.
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