Evidence map›Paper›PMID 40677648›Full record

ReviewHealth equity2025

Racial and Ethnic Disparities in Reproductive Health Care and Outcomes Among Female Veterans: A Scoping Review.

Katrina S Nietsch, Samantha L Estevez, Nichole Goodsmith, Kristin O Haeger, Jill Inderstrodt, Sabra S Inslicht, Katherine A Kosman, Qiyan Mu, Yael I Nillni, Deirdre Quinn and 5 more

Abstract readReview
In one paragraph

Review in Health equity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Katrina S NietschIcahn School of Medicine at Mount Sinai, New York City, New York, USA.
Samantha L EstevezDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Nichole GoodsmithCenter for the Study of Health Care Innovation, Implementation, and Policy, VA Greater Los Angeles Health Care System, Los Angeles, California, USA.
Kristin O HaegerUS Department of Veterans Affairs, VA Office of Women's Health, Washington, District of Columbia, USA.
Jill InderstrodtIndiana University Fairbanks School of Public Health, Indianapolis, Indiana, USA.
Sabra S InslichtSan Francisco VA Health Care System, San Francisco, California, USA.
Katherine A KosmanVA Boston Health Care System, Boston, Massachusetts, USA.
Qiyan MuResearch & Simulation Division, Nursing Education, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, USA.
Yael I NillniNational Center for PTSD, Women's Health Sciences Division at VA Boston Healthcare System, Boston, Massachusetts, USA.
Deirdre QuinnCenter for Health Equity Research & Promotion (CHERP), VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Adriana RodriguezCenter for the Study of Health Care Innovation, Implementation, and Policy, VA Greater Los Angeles Health Care System, Los Angeles, California, USA.
Lauren SiffVirginia Commonwealth University School of Medicine, Richmond, Virginia, USA.
Krysttel C StryczekCenter of Innovation for the Study of Veteran-Centric and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.
Erica V TartaglioneCenter of Innovation for the Study of Veteran-Centric and Value-Driven Care, VA Puget Sound Health Care System, Seattle, Washington, USA.
Jodie G KatonCenter for the Study of Health Care Innovation, Implementation, and Policy, VA Greater Los Angeles Health Care System, Los Angeles, California, USA.ORCID https://orcid.org/0009-0007-7973-9041

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Female veterans are the fastest growing group of new Veterans Health Administration (VA) users, and 40% identify as belonging to a racialized group. It is unclear if racial/ethnic disparities in reproductive health care and outcomes observed among nonveterans are present among veterans. The purpose of this scoping review was to characterize patterns of racial/ethnic disparities in reproductive health care and outcomes among female veterans. Methods: A structured PubMed search was performed to extend a prior systematic review (from 2008-2017 to 2018-2023). We included original research on reproductive health care and outcomes in female veterans that also included a measure of association to race or ethnicity. Four hundred thirty-eight articles were identified for potential inclusion. Following PRISMA guidelines, titles and abstracts were screened in duplicate, and full articles were reviewed using a standardized abstraction form. Articles were sorted into six categories by topic (contraception, infertility, pregnancy, reproductive health screenings, gynecology, and menopause) and outcomes characterized as structural (e.g., organization of care), process (e.g., access to services), or clinical/behavioral (e.g., low birthweight) measures per Donabedian's model. Results: After title and abstract screening, 53 articles were reviewed in full. Four additional articles were excluded for a final sample of 49 articles. All articles described results from observational studies, which were almost exclusively focused on veterans using VA care (94%, Conclusion: Consistent with literature regarding other types of VA care, racial/ethnic disparities were more prevalent for clinical and behavioral outcome measures versus process measures, highlighting that access is necessary but not sufficient for reaching health equity. Understanding the racial/ethnic health disparities and their relationships with different measures of health care quality is essential for achieving health equity for female veterans.

Indexed as

female veteranshealth equityracial disparitiesreproductive healthwomen veterans

Identifiers

PMID40677648
PMCPMC12270534

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.