Women at War

393 Pages·2015·3.956 MB·English

by  Elspeth Cameron Ritchie, Anne L Naclerio

WOMEN AT WAR

WOMEN AT WAR
Edited by
Elspeth Cameron Ritchie, MD, MPH
Chief Medical Officer
Department of Behavioral Health
Professor of Psychiatry, Uniformed Services
University of the Health Sciences
Washington, DC
Anne L. Naclerio, MD, MPH
Deputy Surgeon, United States Army Europe
Chair, Women’s Health Task Force, Office of the
Army Surgeon General
Associate Professor Pediatrics, Uniformed
Services University of the Health Sciences
Arlington, VA
1
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Library of Congress Cataloging-in-Publication Data
Women at war (Ritchie)
Women at war / [edited by] Elspeth Cameron Ritchie and Anne L. Naclerio.
p. ; cm.
Includes bibliographical references.
ISBN 978–0–19–934453–6 (alk. paper)
I. Ritchie, Elspeth Cameron, editor. II. Naclerio, Anne L., editor. III. Title.
[DNLM: 1. Military Personnel—United States. 2. Women’s Health—United States. 3. Sex Factors—
United States. 4. Veterans Health—United States. 5. War—United States. WA 309 AA1]
UB369
362.1086′97—dc23
2014033193
The science of medicine is a rapidly changing field. As new research and clinical experience broaden our
knowledge, changes in treatment and drug therapy occur. The author and publisher of this work have checked
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Printed in the United States of America
on acid-free paper
Contents
Foreword  ix
Contributors  xi
Introduction  xv
PART 1: BACKGROUND AND INTRODUCTION
1. Comparative Morbidity and Mortality of Women Serving in the
US Military During a Decade of Warfare  3
Robert F. DeFraites, David W. Niebuhr, Brigilda C. Teneza,
Leslie L. Clark, and Sharon L. Ludwig
2. Female Soldiers and Post-Traumatic Stress Disorder  22
Elspeth C. Ritchie, Michael R. Bell, M. Shayne Gallaway,
Michael Carino, Jeffrey L. Thomas, Paul Bliese, and Sharon McBride
3. Women and War: Australia  34
Beverley Raphael, Susan Neuhaus, and Samantha Crompvoets
PART 2: WOMEN AT WAR
4. Medical Issues for Women Warriors on Deployment  49
Anne L. Naclerio
5. Reproductive Health  78
Cara J. Krulewitch
vi CONTENTS
6. Issues in the Prevention of Malaria Among Women at War  93
Remington L. Nevin
7 Women, Ships, Submarines, and the US Navy  120
Heather D. Hellwig and Paulette T. Cazares
8. Female Combat Medics  134
Charles Figley, Barbara L. Pitts, Paula Chapman, and Christine Elnitsky
9. Human Sexuality and Women in the Area of Operations  147
Amy Canuso
PART 3: WOMEN HOME FROM WAR
10. Women Home from War  157
Elizabeth C. Henderson
11. Mothers in War  178
Amy Canuso
12. Building the Framework for Successful Deployment Reunions  196
Erin Simmons
13. Traumatic Brain Injury: Implications for Women in the Military  211
Victoria Tepe and Suzanne Garcia
PART 4: PSYCHOLOGICAL ISSUES FOR
ACTIVE DUTY WOMEN
14. Suicide-Related Ideation and Behaviors in Military Women  243
Marjan Ghahramanlou-Holloway, Brianne George,
Jaime T. Carreno-Ponce, and Jacqueline Garrick
15. Intimate Partner Violence, Military Personnel, and Veterans  266
Glenna Tinney and Melissa E. Dichter
PART 5: THE FEMALE VETERAN EXPERIENCE
16. The Woman Veteran Experience  301
Isabel D. Ross, Natara D. Garovoy, Susan J. McCutcheon, and
Jennifer L. Strauss
17. Mental Health of Women Warriors: The Power of Belonging  311
Kate McGraw
CONTENTS vii
18. The Veterans Health Administration Response to
Military Sexual Trauma  321
Margret E. Bell and Susan J. McCutcheon
19. Compensation, Pension, and Other Benefits for Women
Veterans with Disabilities  329
Jacqueline Garrick
Index 351

Foreword
Our nation and the military are stronger because we have embraced diversity, whether
it be race, color, ethnicity, religion, or gender. This truth is reflected in the vital role
that women have played throughout the history of the United States military. Since
the Revolutionary War, more than 2.5 million women have served with honor and self-
less dedication to the mission. Most recently, nearly 275,000 women have deployed in
support of Operations Iraqi Freedom, New Dawn, and Enduring Freedom. I have seen
firsthand the courageous work of these deployed women, and the value they bring to
the military each and every day.
Given recent policy changes, by January 2016 it is expected that all military occupa-
tions, positions, and units will be open to women, thus ensuring that they will play even
larger roles in future military operations. This begs the question, what is being done to
better understand and address the needs of our Servicewomen in both the garrison and
deployed environments?
In 2011, Army Medicine leaned forward and established the Women’s Health Task
Force (WHTF) to address the unique health concerns of women serving in the military.
This critical task force has introduced such initiatives as the Women’s Health Portal
and new clinical treatment algorithms, and is shaping education, equipment, and care
for the next generation of women in the military. While cutting-edge gender-specific
healthcare and research in support of combat forces are ongoing, it is more important
than ever for providers in all settings to have a full understanding of women’s medical
and psychological needs during and after deployments. This book is perfectly timed to
share these key insights.
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