Back to Top Skip to main content Skip to sub-navigation

DOD initiatives address the sexual health of our military

Image of a bacterium What looks like a Kraken rising from the ocean’s depths is actually - Treponema pallidum, the spirochete (spiral-shaped) bacterium that causes syphilis. (Photo by Dr. David Cox, Centers for Diseases Control and Prevention.)

Recommended Content:

Armed Forces Health Surveillance Division | Health Readiness | Medical and Dental Preventive Care Fitness | Men's Health | Women's Health

When it comes to sexual health statistics and the military, there is promising news – and concerning news. However, the Department of Defense has initiatives in place to address the concerning news with broad efforts to promote sexual health among all personnel.

“Rates of viral infections like human papillomavirus [HPV] and genital herpes have been trending down in recent years,” explained Dr. Jose Sanchez, deputy chief of the Defense Health Agency's Armed Forces Health Surveillance Division, about the promising news.

Sanchez noted that from 2011 to 2019, the incidence of HPV infection decreased by almost 50 percent among all active component service members, likely as a result of the introduction of the HPV vaccine. Although the vaccine can be started as young as age 9, it’s typically recommended for children between 11 or 12 and everyone through age 26. In 2018, the U.S. Food and Drug Administration approved the vaccine for men and women up to age 45, based on their risk of infection.

In the military, the HPV vaccine is encouraged and recommended, but not mandatory. Sanchez said the percentage of eligible service men who initiated the HPV vaccine increased to about 3.1% in 2017 from almost zero in 2010. But the percentage of eligible service women who initiated the HPV vaccine declined over that same time – to 5.7% from 10.3%, he said.

“This could be due to more women receiving the HPV vaccine prior to military service,” Sanchez said. “But if fewer service women are initiating and completing the HPV vaccine prior to and during military service, this could result in a resurgence of infections.”

Another good news story is that the incidence of human immunodeficiency virus infection among service members has remained low in recent years, at around 2 per 10,000 tested, Sanchez said. This might be due in part to DHA’s initiatives to provide information and promote sexual health among all service members through their different clinical communities.

The concerning news is that rates of chlamydia and gonorrhea have generally been on the rise in the U.S. military. According to the Armed Forces Health Surveillance Branch’s Medical Surveillance Medical Report from March 2019, the incident rates of infection of chlamydia and gonorrhea among active U.S. military members between 2010 and 2018 showed an increase among both males and females in the latter half of the surveillance period.

“But at least rates in the military recently leveled off or decreased between 2018 and 2019, which is promising,” Sanchez said.

Military health personnel preparing tools for a medial procedure
Angelica Lopez, a medical assistant assigned to Naval Medical Center San Diego’s OB-GYN, prepares for a contraception procedure at the hospital Sept. 14. (Photo by Navy Seaman Luke Cunningham, Naval Medical Center San Diego.)

Sanchez said sexual health is highly relevant to the military because service members tend to be young – the most likely to be affected by sexually-transmitted infections. However, STIs are not unique to a specific age group or gender.

“STIs are increasing in older populations, when risk of pregnancy is gone, but the knowledge of safer sexual practices may not be as well known,” said Army Lt. Col. (Dr.) Erin Keyser, the Army representative for DHA’s Woman and Infant Clinical Community (WICC) at Brooke Army Medical Center, in San Antonio. “Education and screening related to STIs should occur across all the years of sexual activity.”

STIs are important to identify and treat because they can impact service members’ health and readiness, as well as their ability to perform their duties. DHA’s clinical communities work together to provide outreach, information, and educational material about common health concerns – such as STIs and overall sexual health – to ensure everyone gets the same message.

For example, the Military Specific Clinical Community, the Primary Care Clinical Community, and WICC work in partnership to share leading practices and standardized practice models on health issues common to all service members, such as sexual health. PCCC – with a mission to support routine and required screening of health care effective measures – identifies and treats STIs, including HIV, hepatitis C, and HPV, explained Keyser.

WICC leverages technology to provide information resources to beneficiaries more broadly. The Deployment Readiness Education for Service Women mobile application and handbook, anticipated for release in the fall, will make DRES content applicable to all services on Android and Apple platforms.

“The DRES app is designed to enhance the knowledge of women’s health and provide education on topics throughout the female lifespan, to include sexual health and safe sex practices for all types of couples,” said Keyser.

WICC has also partnered with the DHA Connected Health Branch to create a series of podcasts on women’s health issues to be released in the spring.

“The podcasts target providers taking care of active-duty female service members and female beneficiaries and focus on clinical and deployment readiness, including information on the HPV vaccine, female deployment, breastfeeding, postpartum depression, and infertility, among others,” said Keyser.

WICC’s focus is mainly for female beneficiaries, with an emphasis on empowering women through knowledge. “When we teach women and empower them about sexual health, women can then share and discuss this knowledge with all those around them including their partners, friends, colleagues, and communities,” said Air Force Lt. Col. (Dr.) Larissa Weir, Air Force representative for WICC at BAMC.

“Sexual health is an individual responsibility and a shared responsibility within a couple. Empowering both partners expands knowledge and healthy behaviors,” added Weir.

Community-based care

To make this knowledge available to all MHS beneficiaries, there are over 30 DOD walk-in contraception clinics across MHS. These provide STI screening and treatment as well as allow women immediate access to a full spectrum of contraception.

Additionally, many of the military treatment facilities provide local sexual health awareness and services. At Naval Medical Center Camp Lejeune, in Camp Lejeune, North Carolina, the Community Health Clinic (CHC) provides STI testing, treatment, and prevention services, including medication such as HIV Pre-Exposure Prophylaxis for active-duty service members at moderate to high risk, said Navy Petty Officer 2nd Class Kameron Jacobs, hospital corpsman at the clinic who leads the command’s Sexual Health Awareness and Responsibility Program.

Image of a stack of IUDs in round containers
An intrauterine device, shown at Naval Medical Center San Diego. There are more than 30 DOD walk-in contraception clinics across Military Health System that provide STI screening and treatment as well as allow women immediate access to a full spectrum of contraception. (Photo by Navy Seaman Luke Cunningham, Naval Medical Center San Diego.)

“This walk-in clinic has provided high-quality disease intervention and care to over 6,000 patients since its opening in April of 2019,” said Jacobs. “Additionally, SHARP regularly conducts trainings for health care providers and others to ensure medical teams are proficient and equitable in their practice.”

Following the Center for Disease Control and Prevention’s “Talk. Test. Treat.” campaign for decreasing instances of STIs, the CHC offers tailored in-person preventive counseling and education to each patient who walks in the door, preventive “conscious checks” or screening testing for active-duty service members to check-up on their sexual health, and highly effective treatment as soon as possible to significantly reduce their chance of spreading STIs and preventing chronic, irreversible conditions from developing.

“Taking the time to talk with service members about their sexual health and identifying areas where risk can be reduced is an essential step in disease prevention,” said Jacobs. “Service members come from all over the United States with a variety of sexual health education backgrounds. Establishing a baseline of knowledge and encouraging safer goal behaviors continues to be the primary mission of community health at both the personal and enterprise level.”

MARSH Study

For Air Force Maj. (Dr.) Ryan Landoll, assistant dean for preclinical sciences at the Uniformed Services University for Health Sciences and principal investigator of the Military Active-duty Reproductive & Sexual Health (MARSH) research program, inclusivity is another important aspect.

“It’s very important that we think of comprehensive sexual and reproductive health that is considerate of all our service members,” said Landoll. “The focus is on total force health.”

The MARSH study broadly focuses on working to decrease STIs and unplanned pregnancies using a mobile health intervention application to target health risky sexual behaviors. Landoll and his team developed the innovative Mission Wellness mobile app to provide all service members an array of interactive educational tools and information on sexual health with a focus on motivation and behavioral skills, such as future-oriented thinking.

The app includes narrative videos and interactive activities to facilitate difficult conversations surrounding sexual health with a partner, a supervisor, or a health care provider and to spur users to think about the consequences that unhealthy sexual behaviors today could have on their lives and careers. While the app is only available for download for participants in the MARSH study, the hope upon completion is that it will serve as an equitable resource where all service members can anonymously and in their own time advocate for their own sexual health.

“The user has the ability to design their own avatar to walk through the app with, and all the education elements have been designed with a very intentional focus on inclusivity,” said Landoll. “Our app is always focused on behaviors, understanding that there are risky behaviors, not risky identities or individuals.”

You also may be interested in...

Wounded Warriors and Caregivers Online Resources

Article
11/29/2021
Airmen race for a loose ball during an Air Force Wounded Warrior basketball game

The Defense Department programs listed here are staffed with nearly 800 recovery care coordinators and case managers who are standing by to respond to individual queries.

Recommended Content:

Health Readiness | Warrior Care

Mental Stress is like a ‘Check Engine Light’ Flashing–Don’t Ignore It

Article
11/29/2021
Air Force Chief Master Sgt. Jason David talks about his  journey of recovery through the Air Force Wounded Warrior Program during a video conversation with Defense Health Agency Command Sgt. Major Michael Gragg.

Air Force Chief Master Sgt. Jason David speaks about his own journey of recovery through the Air Force Wounded Warrior Program.

Recommended Content:

Health Readiness | Warrior Care | Warrior Care – A Virtual Show of Strength | Psychological Fitness

How Health Care for New Mothers is Improving Across the MHS

Article
11/24/2021
Photo of a medical provider checking out a pregnant woman

The post-partum hemorrhage bundle campaign trained all clinicians that provide OB services at military hospitals, giving them resources and tools to provide patients and staff information and/or training about PPH and how to respond in the event of a PPH event.

Recommended Content:

Women's Health | Postpartum Hemorrhage

Sudden Infant Death Syndrome: How to Keep Babies Safe While Sleeping

Article
11/24/2021
baby boy asleep on his back in a crib

Don’t co-sleep with babies; that’s a SIDS risk factor teaser

Recommended Content:

Women's Health | Children's Health

Army Recovery Care Coordinator Guides Veterans, Caregivers in Recovery

Article
11/12/2021

A warrior care coordinator shares how she supports recovering service members, their families and caregivers.

Recommended Content:

Health Readiness | IHD COVID-19 Vaccine Resource Center for Health Care Personnel | Immunization Healthcare

MHS reaches 6 million doses of vaccine against COVID-19

Photo
11/10/2021
Airmen of the 139th Airlift Wing, Missouri Air National Guard, receive COVID-19 immunizations as a part of the federal mandate at Rosecrans Air National Guard Base, St. Joseph, Missouri, Oct. 2, 2021. The 139th Medical Group oversees the operation. .

An airman receives a COVID-19 immunizations as a part of the federal mandate at Rosecrans Air National Guard Base, St. Joseph, Missouri, Oct. 2, 2021.

Recommended Content:

Health Readiness

MHS Reaches 6 Million Doses of Vaccine Against COVID

Article
11/10/2021
Airmen of the 139th Airlift Wing, Missouri Air National Guard, receive COVID-19 immunizations as a part of the federal mandate at Rosecrans Air National Guard Base, St. Joseph, Missouri, Oct. 2, 2021. The 139th Medical Group oversees the operation. .

Military passes 6 million mark for COVID-19 shots administered across the Military Health System.

Recommended Content:

Health Readiness | Coronavirus | COVID-19 Vaccine Efforts | Getting the COVID-19 Vaccine | COVID-19 Information for Military Treatment Facility Directors

Giving Back Helps Veteran Caregiver Connect with Military Caregivers

Article
11/10/2021
Veteran caregiver, Diane Hupko with U.S. Army veteran she cares for smile at camera

Giving back helps veteran caregiver connect with other military caregivers to build a community of support.

Recommended Content:

Health Readiness

Antibiotic Resistant Bacteria and How to Counter Them

Article
11/10/2021
Graphic image of a skeleton

Doctors are increasingly concerned about the potential for a “post-antibiotic” era when the highly effective drugs that we have relied on for many years to cure some of the most common illnesses will become ineffective.

Recommended Content:

Armed Forces Health Surveillance Division | Pandemic Diseases

Are You Prepared for Flu Season? Let TRICARE Help.

Article
11/1/2021
A hospital corpsman administers an influenza vaccination to an airman as part of a seasonal shot exercise onboard Naval Air Station Sigonella.

Flu season is here once again. Are you prepared? With the COVID-19 Delta variant​ continuing to spread and our health care system overburdened, it’s important for all of us to help combat the spread of flu. And the best way to do so is to get a flu shot.

Recommended Content:

Health Readiness | Total Force Fitness | Changes to TRICARE

New MHS Podcast Explores Women’s Health in the Military

Article
10/27/2021

The new podcast series, Wise Health for Women Warriors, aims to help servicewomen overcome the specific health care obstacles they encounter.

Recommended Content:

Health Readiness

Pregnancy Health Alert: COVID-19 Vaccine is Strongly Recommended

Article
10/20/2021
Pregnant women gets the COVID-19 vaccine

Get vaccinated for COVID-19 if you’re pregnant or trying, DOD and CDC and advise.

Recommended Content:

COVID-19 Vaccine Toolkit | Women's Health

WICC Podcast

Photo
10/18/2021

Today’s female service member population is now at 17%.

Recommended Content:

Health Readiness | Warrior Care | Total Force Fitness

Expeditionary Medical Force Brings Optimal Readiness in Pacific Region

Article Around MHS
10/18/2021
A male soldier talks about a chart to to a female sailor.

The 121st Field Hospital of the 549th Hospital Center recently introduced an innovative way to increase medical Soldiers’ proficiency and competency by enhancing access to the field hospital equipment.

Recommended Content:

Health Readiness | Combat Support

No More Suck It Up and Press on -- Preventing Injury is Hard Science

Article
10/18/2021
Military personnel working on a crane

The best way to reduce work related musculoskeletal injury risk factors is through using tools like dollies, carts, lifts, and power tools.

Recommended Content:

Injury Prevention for Mission Fitness | Medical and Dental Preventive Care Fitness | Total Force Fitness
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 52

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.