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  1. Article ; Online: The Role of Adverse Pregnancy Outcomes in Conventional Cardiovascular Risk Prediction.

    Reddy, Shivani M / Wiecha, Nathaniel / Nguyen, Crystal T / Barch, Daniel H

    Maternal and child health journal

    2023  Volume 27, Issue 10, Page(s) 1774–1786

    Abstract: Objective: Approximately one-third of women in the U.S. experience an adverse pregnancy outcome (APO), which are recognized as sex-specific cardiovascular disease (CVD) risk factors. We examine if APOs confer additional CVD risk beyond that of ... ...

    Abstract Objective: Approximately one-third of women in the U.S. experience an adverse pregnancy outcome (APO), which are recognized as sex-specific cardiovascular disease (CVD) risk factors. We examine if APOs confer additional CVD risk beyond that of traditional CVD risk factors.
    Methods: Women, age 40-79, with a pregnancy history and no pre-existing CVD were identified in the electronic health record of one health system (n = 2306). APOs included any APO, hypertensive disease of pregnancy (HDP), and gestational diabetes (GDM). Hazard ratios of time to CVD event were estimated from survival models using Cox proportional hazard regression. Discrimination, calibration, and net reclassification of re-estimated CVD risk prediction models including APOs were examined.
    Results: There was no significant association between any APO, HDP, or GDM and time to CVD outcome in survival models (95% confidence intervals all include 1). Including any APO, HDP, GDM in the CVD risk prediction model did not significantly improve discrimination and there were no clinically relevant changes in net reclassification of cases and non-cases. The strongest predictor of time to CVD event in the survival models was Black race, with hazard ratios ranging from 1.59 to 1.62, statistically significant for all three models.
    Conclusion: Women with APOs did not have an additional risk of CVD, controlling for traditional risk factors in the PCE and this sex-specific factor did not improve risk prediction. Black race was consistently a strong predictor of CVD even with data limitations. Further study of APOs can help determine how to best use this information for CVD prevention in women.
    MeSH term(s) Male ; Pregnancy ; Female ; Humans ; Adult ; Middle Aged ; Aged ; Pregnancy Outcome/epidemiology ; Cardiovascular Diseases/epidemiology ; Risk Factors ; Heart Disease Risk Factors ; Diabetes, Gestational/epidemiology
    Language English
    Publishing date 2023-06-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1339905-6
    ISSN 1573-6628 ; 1092-7875
    ISSN (online) 1573-6628
    ISSN 1092-7875
    DOI 10.1007/s10995-023-03725-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pregnancy-related factors may signal additional protection or risk of future cardiovascular diseases.

    Reddy, Shivani M / Tsujimoto, Tamy H M / Qaqish, Bajhat F / Fine, Jason P / Nicholson, Wanda K

    BMC women's health

    2022  Volume 22, Issue 1, Page(s) 528

    Abstract: Background: Cardiovascular disease (CVD) guidelines recommend using the Pooled Cohort Equation (PCE) to assess 10-year CVD risk based on traditional risk factors. Pregnancy-related factors have been associated with future CVD. We examined the ... ...

    Abstract Background: Cardiovascular disease (CVD) guidelines recommend using the Pooled Cohort Equation (PCE) to assess 10-year CVD risk based on traditional risk factors. Pregnancy-related factors have been associated with future CVD. We examined the contribution of two pregnancy-related factors, (1) history of a low birthweight (LBW) infant and (2) breastfeeding to CVD risk accounting for traditional risk factors as assessed by the PCE.
    Methods: A nationally representative sample of women, ages 40-79, with a history of pregnancy, but no prior CVD, was identified using NHANES 1999-2006. Outcomes included (1) CVD death and (2) CVD death plus CVD surrogates. We used Cox proportional hazards models to adjust for PCE risk score.
    Results: Among 3,758 women, 479 had a LBW infant and 1,926 reported breastfeeding. Mean follow-up time was 12.1 years. Survival models showed a consistent reduction in CVD outcomes among women with a history of breastfeeding. In cause-specific survival models, breastfeeding was associated with a 24% reduction in risk of CVD deaths (HR 0.76; 95% CI 0.45─1.27, p = 0.30) and a 33% reduction in risk of CVD deaths + surrogate CVD, though not statistically significant. (HR 0.77; 95% CI 0.52─1.14, p = 0.19). Survival models yielded inconclusive results for LBW with wide confidence intervals (CVD death: HR 0.98; 95% CI 0.47─2.05; p = 0.96 and CVD death + surrogate CVD: HR 1.29; 95% CI 0.74─2.25; p = 0.38).
    Conclusion: Pregnancy-related factors may provide important, relevant information about CVD risk beyond traditional risk factors. While further research with more robust datasets is needed, it may be helpful for clinicians to counsel women about the potential impact of pregnancy-related factors, particularly the positive impact of breastfeeding, on cardiovascular health.
    MeSH term(s) Pregnancy ; Infant, Newborn ; Female ; Humans ; Adult ; Middle Aged ; Aged ; Cardiovascular Diseases/epidemiology ; Nutrition Surveys ; Risk Factors ; Proportional Hazards Models ; Infant, Low Birth Weight
    Language English
    Publishing date 2022-12-17
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2050444-5
    ISSN 1472-6874 ; 1472-6874
    ISSN (online) 1472-6874
    ISSN 1472-6874
    DOI 10.1186/s12905-022-02125-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Unraveling Monkeypox: An Emerging Threat in Global Health.

    Shehryar, Abdullah / Halappa Nagaraj, Raghu / Kanwal, Fnu / Reddy, Shivani M / Grezenko, Han / Raut, Yogesh / Fareed, Muhammad U / Abdur Rehman / Şahin, Defne / Bakht, Danyal / Ramteke, Palash

    Cureus

    2023  Volume 15, Issue 8, Page(s) e43961

    Abstract: Monkeypox, a viral zoonotic ailment originating in the Central and West African regions, has escalated into a global health issue of growing concern. The current analysis offers an exhaustive examination of monkeypox, emphasizing its historical ... ...

    Abstract Monkeypox, a viral zoonotic ailment originating in the Central and West African regions, has escalated into a global health issue of growing concern. The current analysis offers an exhaustive examination of monkeypox, emphasizing its historical progression, etiology, epidemiological patterns, pathophysiological mechanisms, clinical manifestations, diagnostic methodologies, treatment modalities, and preventive strategies. The worldwide discontinuation of smallpox vaccination has contributed to an increased incidence of monkeypox, driven by the expansion of vulnerable host populations. Significant strides in diagnostic procedures, prospective antiviral treatments, and vaccine development exhibit potential in managing this affliction, yet obstacles remain in terms of disease control, prevention, and treatment. Additionally, the international propagation of monkeypox underscores the need for robust public health initiatives and the significant role played by global health institutions in disease containment. Prospective research endeavors should strive to enhance our comprehension of the natural reservoirs of monkeypox and its transmission dynamics, evaluate sustained immune responses to novel vaccines, and investigate the potential impact of One Health strategies. This analysis underscores the pressing necessity for increased research and synchronized global efforts to tackle this emergent infectious malady.
    Language English
    Publishing date 2023-08-23
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.43961
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Comparison of a traditional systematic review approach with review-of-reviews and semi-automation as strategies to update the evidence.

    Reddy, Shivani M / Patel, Sheila / Weyrich, Meghan / Fenton, Joshua / Viswanathan, Meera

    Systematic reviews

    2020  Volume 9, Issue 1, Page(s) 243

    Abstract: Background: The exponential growth of the biomedical literature necessitates investigating strategies to reduce systematic reviewer burden while maintaining the high standards of systematic review validity and comprehensiveness.: Methods: We compared ...

    Abstract Background: The exponential growth of the biomedical literature necessitates investigating strategies to reduce systematic reviewer burden while maintaining the high standards of systematic review validity and comprehensiveness.
    Methods: We compared the traditional systematic review screening process with (1) a review-of-reviews (ROR) screening approach and (2) a semi-automation screening approach using two publicly available tools (RobotAnalyst and AbstrackR) and different types of training sets (randomly selected citations subjected to dual-review at the title-abstract stage, highly curated citations dually reviewed at the full-text stage, and a combination of the two). We evaluated performance measures of sensitivity, specificity, missed citations, and workload burden RESULTS: The ROR approach for treatments of early-stage prostate cancer had a poor sensitivity (0.54) and studies missed by the ROR approach tended to be of head-to-head comparisons of active treatments, observational studies, and outcomes of physical harms and quality of life. Title and abstract screening incorporating semi-automation only resulted in a sensitivity of 100% at high levels of reviewer burden (review of 99% of citations). A highly curated, smaller-sized, training set (n = 125) performed similarly to a larger training set of random citations (n = 938).
    Conclusion: Two approaches to rapidly update SRs-review-of-reviews and semi-automation-failed to demonstrate reduced workload burden while maintaining an acceptable level of sensitivity. We suggest careful evaluation of the ROR approach through comparison of inclusion criteria and targeted searches to fill evidence gaps as well as further research of semi-automation use, including more study of highly curated training sets.
    MeSH term(s) Automation ; Mass Screening ; Publications ; Workload ; Systematic Reviews as Topic
    Language English
    Publishing date 2020-10-19
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2662257-9
    ISSN 2046-4053 ; 2046-4053
    ISSN (online) 2046-4053
    ISSN 2046-4053
    DOI 10.1186/s13643-020-01450-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Revolutionizing Inflammatory Bowel Disease Management: A Comprehensive Narrative Review of Innovative Dietary Strategies and Future Directions.

    Saeed, Shahzeb / Ekhator, Chukwuyem / Abdelaziz, Ali M / Naveed, Husnain / Karski, Amanda / Cook, Daniel E / Reddy, Shivani M / Affaf, Maryam / Khan, Salman J / Bellegarde, Sophia B / Rehman, Abdur / Hasan, Abdul Haseeb / Shehryar, Abdullah

    Cureus

    2023  Volume 15, Issue 8, Page(s) e44304

    Abstract: This comprehensive narrative review delves into the intricate interplay between diet and inflammatory bowel disease (IBD), shedding light on the potential impact of dietary interventions in disease management. By analyzing nutritional interventions, ... ...

    Abstract This comprehensive narrative review delves into the intricate interplay between diet and inflammatory bowel disease (IBD), shedding light on the potential impact of dietary interventions in disease management. By analyzing nutritional interventions, risks, challenges, and future perspectives, this review serves as a vital resource for clinicians, researchers, and patients alike. The amalgamation of evidence underscores the significance of customizing dietary strategies for individual patients, considering disease phenotype and cultural factors. Through an exploration of dietary components' effects on IBD, including exclusive enteral nutrition and omega-3 fatty acids, this review offers pragmatic implementation advice and outlines avenues for further research. Bridging the gap between research findings and clinical applications, the review facilitates informed decision-making and patient-centric care. In the face of escalating IBD prevalence, this review emerges as an indispensable guide for healthcare professionals, empowering them to navigate the complexities of dietary management while enabling patients to actively participate in their care trajectory. Ultimately, this narrative review advances the understanding of diet's pivotal role in IBD management, fostering a more integrated approach to patient care and paving the way for improved research and policy initiatives in the field of inflammatory bowel diseases.
    Language English
    Publishing date 2023-08-29
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.44304
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans.

    Reddy, Shivani M / Portnoy, Galina A / Bathulapalli, Harini / Womack, Julie / Haskell, Sally G / Mattocks, Kristin / Brandt, Cynthia A / Goulet, Joseph L

    Medical care

    2019  Volume 57, Issue 7, Page(s) 536–543

    Abstract: Objective: To examine factors associated with HIV screening among women veterans receiving health care in the Department of Veterans Affairs.: Materials and methods: Cross-sectional study of women veterans receiving Veterans Affairs care between 2001 ...

    Abstract Objective: To examine factors associated with HIV screening among women veterans receiving health care in the Department of Veterans Affairs.
    Materials and methods: Cross-sectional study of women veterans receiving Veterans Affairs care between 2001 and 2014 derived from the Women Veteran's Cohort Study. Descriptive and bivariate statistics were calculated comparing patients with and without an HIV screen. Generalized estimating equations were conducted to estimate the odds of HIV screening among women screened for military sexual trauma (MST) and the subset with a positive MST screen. Multivariable analyses were adjusted for demographic characteristics, mental health diagnoses, pregnancy, HIV risk factors, and facility level clustering.
    Results: Among the 113,796 women veterans in the sample, 84.3% were screened for MST and 13.2% were screened for HIV. Women screened for MST were over twice as likely to be tested for HIV (odds ratio, 2.8; 95% confidence interval, 2.2-3.5). A history of MST was inversely associated with HIV screening (odds ratio, 0.9; 95% confidence interval, 0.8-0.9).
    Conclusions: Women veterans screened for sexual trauma received more comprehensive preventive health care in the form of increased HIV screening.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Female ; HIV Infections/diagnosis ; Humans ; Longitudinal Studies ; Mass Screening ; Military Personnel/psychology ; Sex Offenses ; United States ; United States Department of Veterans Affairs ; Veterans/psychology
    Language English
    Publishing date 2019-07-29
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 411646-x
    ISSN 1537-1948 ; 0025-7079
    ISSN (online) 1537-1948
    ISSN 0025-7079
    DOI 10.1097/MLR.0000000000001130
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Provision of family planning to women with cardiovascular risk factors.

    Reddy, Shivani M / Ramachandran, Ambili / Cabral, Howard / Kazis, Lewis

    Journal of the American Board of Family Medicine : JABFM

    2015  Volume 28, Issue 1, Page(s) 105–114

    Abstract: Background: Cardiovascular risk factors (CVRFs) in reproductive-aged women can lead to pregnancy complications and fetal anomalies.: Methods: We performed a cross-sectional analysis using data from the National Ambulatory Medical Care Survey, 2009- ... ...

    Abstract Background: Cardiovascular risk factors (CVRFs) in reproductive-aged women can lead to pregnancy complications and fetal anomalies.
    Methods: We performed a cross-sectional analysis using data from the National Ambulatory Medical Care Survey, 2009-2010. The study sample included visits by reproductive-aged women with CVRFs diabetes, hypertension, hyperlipidemia, obesity, or tobacco use. The comparison group was visits by reproductive-aged women with no chronic disease. Family planning action was defined as counseling, medication, or procedure.
    Results: Among an estimated 223,407,070 ambulatory visits, 30.8% were associated with at least 1 CVRF, and 17.2% had at least 1 family planning action. There was no increased frequency of family planning for visits by women with CVRFs compared with those with no chronic disease (17.4% vs 17.1%, respectively). In the multivariable model, the odds ratio (OR) of a woman with a CVRF receiving family planning was 1.2 (95% confidence interval [CI], 0.9-1.5). Visits for preventive care (OR, 2.3; 95% CI, 1.8-3.1), as well as gynecologic and sexual health care (OR, 2.6; 95% CI, 1.9-3.7), were significantly associated with increased odds of family planning.
    Conclusion: There are low rates of family planning during visits by reproductive-aged women overall, with no significant difference for visits by women with CVRFs. Comprehensive preventive visits in primary care may especially benefit women of reproductive age with CVRFs, reducing the risk of poor pregnancy outcomes.
    MeSH term(s) Adolescent ; Adult ; Cardiovascular Diseases ; Cross-Sectional Studies ; Family Planning Services/statistics & numerical data ; Female ; Humans ; Models, Statistical ; Risk Factors ; Young Adult
    Language English
    Publishing date 2015-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2239939-2
    ISSN 1558-7118 ; 1557-2625
    ISSN (online) 1558-7118
    ISSN 1557-2625
    DOI 10.3122/jabfm.2015.01.140016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The Role of Organizational Factors in the Provision of Comprehensive Women's Health in the Veterans Health Administration.

    Reddy, Shivani M / Rose, Danielle E / Burgess, James F / Charns, Martin P / Yano, Elizabeth M

    Women's health issues : official publication of the Jacobs Institute of Women's Health

    2016  Volume 26, Issue 6, Page(s) 648–655

    Abstract: Background: Increasing numbers of women veterans present an organizational challenge to a health care system that historically has served men. Women veterans require comprehensive women's health services traditionally not provided by the Veterans Health ...

    Abstract Background: Increasing numbers of women veterans present an organizational challenge to a health care system that historically has served men. Women veterans require comprehensive women's health services traditionally not provided by the Veterans Health Administration.
    Objective: Examine the association of organizational factors and adoption of comprehensive women's health care.
    Study design: Cross-sectional analysis of the 2007 Veterans Health Administration National Survey of Women Veterans Health Programs and Practices.
    Methods: Dependent measures included a) model of women's health care: separate women's health clinic (WHC), designated women's health provider in primary care (DWHP), both (WHC+DWHP), or neither and b) the availability of five women's health services: cervical cancer screening and evaluation and management of vaginitis, menstrual disorders, contraception, and menopause. Exposure variables were organizational factors drawn from the Greenhalgh model of diffusion of innovations including measures of structure, absorptive capacity, and system readiness for innovation.
    Results: The organizational factors of a gynecology clinic, an academic affiliation with a medical school, a women's health representative on one or more high-impact committees, and a greater caseload of women veterans were more common at sites with WHCs and WHC+DWHPs, compared with sites relying on general primary care with or without a DWHP. Academic affiliation and high-impact committee involvement remained significant in multivariable analysis. Sites with WHCs or WHC+DWHPs were more likely to offer all five women's health services.
    Conclusion: Facilities with greater apparent absorptive capacity (academic affiliation and women's health representation on high-impact committees) are more likely to adopt WHCs. Facilities with separate WHCs are more likely to deliver a package of women's health services, promoting comprehensive care for women veterans.
    Language English
    Publishing date 2016-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1085396-0
    ISSN 1878-4321 ; 1049-3867
    ISSN (online) 1878-4321
    ISSN 1049-3867
    DOI 10.1016/j.whi.2016.09.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Screening for Lung Cancer With Low-Dose Computed Tomography: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

    Jonas, Daniel E / Reuland, Daniel S / Reddy, Shivani M / Nagle, Max / Clark, Stephen D / Weber, Rachel Palmieri / Enyioha, Chineme / Malo, Teri L / Brenner, Alison T / Armstrong, Charli / Coker-Schwimmer, Manny / Middleton, Jennifer Cook / Voisin, Christiane / Harris, Russell P

    JAMA

    2021  Volume 325, Issue 10, Page(s) 971–987

    Abstract: Importance: Lung cancer is the leading cause of cancer-related death in the US.: Objective: To review the evidence on screening for lung cancer with low-dose computed tomography (LDCT) to inform the US Preventive Services Task Force (USPSTF).: Data ...

    Abstract Importance: Lung cancer is the leading cause of cancer-related death in the US.
    Objective: To review the evidence on screening for lung cancer with low-dose computed tomography (LDCT) to inform the US Preventive Services Task Force (USPSTF).
    Data sources: MEDLINE, Cochrane Library, and trial registries through May 2019; references; experts; and literature surveillance through November 20, 2020.
    Study selection: English-language studies of screening with LDCT, accuracy of LDCT, risk prediction models, or treatment for early-stage lung cancer.
    Data extraction and synthesis: Dual review of abstracts, full-text articles, and study quality; qualitative synthesis of findings. Data were not pooled because of heterogeneity of populations and screening protocols.
    Main outcomes and measures: Lung cancer incidence, lung cancer mortality, all-cause mortality, test accuracy, and harms.
    Results: This review included 223 publications. Seven randomized clinical trials (RCTs) (N = 86 486) evaluated lung cancer screening with LDCT; the National Lung Screening Trial (NLST, N = 53 454) and Nederlands-Leuvens Longkanker Screenings Onderzoek (NELSON, N = 15 792) were the largest RCTs. Participants were more likely to benefit than the US screening-eligible population (eg, based on life expectancy). The NLST found a reduction in lung cancer mortality (incidence rate ratio [IRR], 0.85 [95% CI, 0.75-0.96]; number needed to screen [NNS] to prevent 1 lung cancer death, 323 over 6.5 years of follow-up) with 3 rounds of annual LDCT screening compared with chest radiograph for high-risk current and former smokers aged 55 to 74 years. NELSON found a reduction in lung cancer mortality (IRR, 0.75 [95% CI, 0.61-0.90]; NNS to prevent 1 lung cancer death of 130 over 10 years of follow-up) with 4 rounds of LDCT screening with increasing intervals compared with no screening for high-risk current and former smokers aged 50 to 74 years. Harms of screening included radiation-induced cancer, false-positive results leading to unnecessary tests and invasive procedures, overdiagnosis, incidental findings, and increases in distress. For every 1000 persons screened in the NLST, false-positive results led to 17 invasive procedures (number needed to harm, 59) and fewer than 1 person having a major complication. Overdiagnosis estimates varied greatly (0%-67% chance that a lung cancer was overdiagnosed). Incidental findings were common, and estimates varied widely (4.4%-40.7% of persons screened).
    Conclusions and relevance: Screening high-risk persons with LDCT can reduce lung cancer mortality but also causes false-positive results leading to unnecessary tests and invasive procedures, overdiagnosis, incidental findings, increases in distress, and, rarely, radiation-induced cancers. Most studies reviewed did not use current nodule evaluation protocols, which might reduce false-positive results and invasive procedures for false-positive results.
    MeSH term(s) Aged ; Aged, 80 and over ; Cause of Death ; Early Detection of Cancer/adverse effects ; False Positive Reactions ; Humans ; Lung/diagnostic imaging ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/epidemiology ; Lung Neoplasms/mortality ; Medical Overuse ; Middle Aged ; Practice Guidelines as Topic ; Risk Factors ; Sensitivity and Specificity ; Smoking/adverse effects ; Tomography, X-Ray Computed ; Unnecessary Procedures
    Language English
    Publishing date 2021-03-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, Non-P.H.S. ; Systematic Review
    ZDB-ID 2958-0
    ISSN 1538-3598 ; 0254-9077 ; 0002-9955 ; 0098-7484
    ISSN (online) 1538-3598
    ISSN 0254-9077 ; 0002-9955 ; 0098-7484
    DOI 10.1001/jama.2021.0377
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  10. Article ; Online: Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017.

    Katon, Jodie G / Zephyrin, Laurie / Meoli, Anne / Hulugalle, Avanthi / Bosch, Jeane / Callegari, Lisa / Galvan, Ileana V / Gray, Kristen E / Haeger, Kristin O / Hoffmire, Claire / Levis, Silvina / Ma, Erica W / Mccabe, Jennifer E / Nillni, Yael I / Pineles, Suzanne L / Reddy, Shivani M / Savitz, David A / Shaw, Jonathan G / Patton, Elizabeth W

    Seminars in reproductive medicine

    2019  Volume 36, Issue 6, Page(s) 315–322

    Abstract: The literature on the reproductive health and healthcare of women Veterans has increased dramatically, though there are important gaps. This article aims to synthesize recent literature on reproductive health and healthcare of women Veterans. We updated ... ...

    Abstract The literature on the reproductive health and healthcare of women Veterans has increased dramatically, though there are important gaps. This article aims to synthesize recent literature on reproductive health and healthcare of women Veterans. We updated a literature search to identify manuscripts published between 2008 and July 1, 2017. We excluded studies that were not original research, only included active-duty women, or had few women Veterans in their sample. Manuscripts were reviewed using a standardized abstraction form. We identified 52 manuscripts. Nearly half (48%) of the new manuscripts addressed contraception and preconception care (
    MeSH term(s) Contraception ; Contraception Behavior ; Female ; Health Services Needs and Demand ; Humans ; Maternal Health Services ; Reproductive Health ; Veterans ; Veterans Health ; Women's Health
    Language English
    Publishing date 2019-04-19
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, Non-P.H.S. ; Systematic Review
    ZDB-ID 2042479-6
    ISSN 1526-4564 ; 1526-8004
    ISSN (online) 1526-4564
    ISSN 1526-8004
    DOI 10.1055/s-0039-1678750
    Database MEDical Literature Analysis and Retrieval System OnLINE

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