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Modernizing Sexual Health and Reproductive Health Education to Optimize Military Readiness
Christine M Bacsa1, Molly J Bried1, Matthew R Beymer1
1Defense Centers for Public Health-Aberdeen, Defense Health Agency, Aberdeen Proving Ground, MD 21010, United States.
Military Medicine
|June 16, 2026
Summary
Interactive digital interventions (IDIs) and interactive computer-based interventions (ICBIs) show promise for improving sexual health education in the military. Standardizing this training can enhance service member health and military readiness.
Area of Science:
- Public Health
- Military Medicine
- Health Education
Background:
- Sexually transmitted infections (STIs) represent over half of reportable medical events in the military health system.
- Syphilis cases increased 98% and chlamydia/gonorrhea rates rose significantly in the Army between 2015-2023 and 2015-2019, respectively.
- The military lacks a standardized, evidence-based sexual and reproductive health education curriculum.
Purpose of the Study:
- To evaluate the potential of interactive digital interventions (IDIs) and interactive computer-based interventions (ICBIs) for military sexual health education.
- To address the rising rates of STIs within the military population.
- To propose a standardized, evidence-based approach to sexual health training.
Main Methods:
- Review of civilian studies on interactive digital interventions (IDIs) and interactive computer-based interventions (ICBIs).
- Analysis of meta-analyses reporting on the efficacy of IDIs and ICBIs in behavior and knowledge modification.
- Assessment of the scalability and cost-effectiveness of digital intervention platforms.
Main Results:
- Meta-analyses indicate IDIs effectively changed sexual health behaviors and perceptions in 75% of studies.
- ICBIs demonstrated positive impacts on knowledge, intention, and prevention behaviors.
- IDIs and ICBIs offer standardized, scalable, and cost-effective delivery of sexual health information.
Conclusions:
- IDIs and ICBIs are efficacious for delivering sexual and reproductive health education.
- Modernizing military sexual education with digital tools can improve health literacy and readiness.
- Standardized digital interventions can reduce the burden on the military health system and enhance force health.
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