使用认知社会模型评估美国退伍军人服役前和后的生育意图
A M Racila1, Kenda R Stewart Steffensmeier1, Monica B Paez1
1Center for Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Medical Center, Iowa City, IA 52246, United States.
Military medicine
|November 15, 2025
概括
军事服务对退伍军人的生育计划产生影响. 诸如创伤和部署恐惧之类的因素会影响男性和女性的生育意图,影响生殖保健需求.
科学领域:
- 社会学 社会学 社会学
- 生殖健康 生殖健康
- 军事医学 军事医学
背景情况:
- 服兵役是成年早期重要的生命过渡.
- 现有研究表明,服兵役会推迟生育,尤其对女性来说.
- 生育意图的认知社会模型解释了生活事件如何影响计划生育.
研究的目的:
- 质量地探索影响美国退伍军人服役前后生育计划的因素.
- 将生育意图的认知社会模型应用于退伍军人的生育计划.
- 调查男性和女性退伍军人的生育意图,这是以前研究不足的领域.
主要方法:
- 对60次美国退伍军人半结构面试进行主题分析.
- 参与者根据生育状况和战斗相关的PTSD,军事性侵犯,毒素暴露或战斗伤害等经历进行了选择.
- 采访评估了影响计划生育决策的社会结构因素,包括服役前,服役期间和服役后的情况.
主要成果:
- 在服役前,退伍军人预计会组建家庭或没有生育期望.
- 在服役期间和服役后,伴侣关系,部署恐惧,年龄和军事创伤等因素激发了生育计划的动机.
- 男性和女性退伍军人都确定了类似的服务相关因素影响生育意图,包括创伤和服务需求.
结论:
- 定性发现可以为退伍军人健康管理局 (VHA) 的退伍军人生殖保健服务提供信息.
- 了解后军事生育意图支持VHA的整体健康方法.
- 更好的理解可以增强临床医生和退伍军人之间的沟通,并指导生殖保健政策.
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