Women Veterans’ Reproductive Health Preferences and Experiences: A Focus Group Analysis

• Published in: Women's health issues 2011-03, Vol.21 (2), p.124-129
• Main Authors: Mattocks, Kristin M., PhD, Nikolajski, Cara, MPH, Haskell, Sally, MD, Brandt, Cynthia, MD, McCall-Hosenfeld, Jennifer, MD, Yano, Elizabeth, PhD, Pham, Tan, MPH, Borrero, Sonya, MD
• Format: Article
• Language: English
• Subjects: Adult; Female; Focus Groups; Health care; Health Care Surveys; Health Services Needs and Demand; Humans; Middle Aged; Obstetrics and Gynecology; Patient Acceptance of Health Care; Patient Preference; Physician-Patient Relations; Preferences; Prejudice; Reproductive health; Reproductive Health Services - utilization; United States; United States Department of Veterans Affairs; Veterans; Veterans - psychology; Women; Women - psychology; Women's Health Services - standards; Women's Health Services - utilization; Women's issues
• ISSN: 1049-3867; 1878-4321
• DOI: 10.1016/j.whi.2010.11.002

Abstract Objective Although women veterans are seeking care at the Veterans Administration (VA) in record numbers, there is little information regarding women veterans’ experiences and preferences for reproductive health care services. We sought to characterize women veterans’ experiences with, and preferences for, reproductive health services in the VA. Methods We conducted five focus groups with a total of 25 participants using a semistructured interview guide to elicit women veterans’ experiences and preferences with reproductive health care. Women veterans’ utilizing VA health care at two VA facilities who responded to advertisements were selected on a first-come basis to participate in the study. We analyzed transcripts of these audiorecorded sessions using the constant comparative method of grounded theory. Results Five main themes emerged from the focus group discussions: 1) Women veterans prefer VA women’s clinics for comprehensive medical care; 2) Women veterans have had both positive and negative reproductive health experiences in the VA; 3) Women veterans experience knowledge gaps regarding VA coverage for reproductive health services; 4) Women veterans believe the VA should provide additional coverage for advanced infertility care and for newborns; and 5) Perceived gender discrimination shapes how women veterans view the VA. Conclusion As the VA continues to tailor its services to women veterans, attention should be given to women’s reproductive health care needs.