Evidence map›Paper›PMID 40875605›Full record

SynthesisMilitary medicine2026

Reproductive and Female Health in the Australian Defence Force 2002-2023: A Systematic Review and Synthesis.

Natasha Kinsman, Helen Kelsall, Dunya Tomic, Alex Collie, Zoe Jenkins, Jace Drain, Julian Saboisky, Karen Walker-Bone

Abstract readSystematic Review
In one paragraph

Synthesis in Military medicine, 2026. 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

8 authors.

Natasha KinsmanMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.ORCID 0000-0002-0847-605X
Helen KelsallMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.ORCID 0000-0003-0664-3376
Dunya TomicMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.ORCID 0000-0003-2471-2523
Alex CollieHealthy Working Lives Research Group, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.ORCID 0000-0003-2617-9339
Zoe JenkinsDirectorate of Health Research, Joint Health Command, Department of Defence, Canberra, Australian Capital Territory, 2609, Australia.
Jace DrainDirectorate of Health Research, Joint Health Command, Department of Defence, Canberra, Australian Capital Territory, 2609, Australia.ORCID 0000-0002-7945-0041
Julian SaboiskyDirectorate of Health Research, Joint Health Command, Department of Defence, Canberra, Australian Capital Territory, 2609, Australia.ORCID 0000-0002-9450-6023
Karen Walker-BoneMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.ORCID 0000-0002-5992-1459

Funding

Australian Government Department of Defence ID11922
6 · The paper itself

Abstract

introductionMilitary service involves potential exposure to a range of physical, chemical, and biological hazards that could impact reproductive health. Females represent 20% of Australian Defence Force (ADF) members and, like many military services, the ADF is prioritizing their recruitment and retention. However, given that females have different physiology and anthropometry, specific female occupational research is essential. This systematic review aimed to retrieve and summarize the findings of research involving currently serving ADF personnel with outcomes relevant to male or female reproductive health or any aspect of female health. MATERIALS AND

methodsReproductive and female health studies between January 2002 and April 2023 that included serving ADF members were identified through a systematic search of 5 scientific databases. Data were extracted and synthesized, alongside a risk of bias assessment following PRISMA-ScR guidelines.

resultsOverall, 8 studies relating to reproductive health and 14 studies related to female health were identified. Studies were methodologically heterogeneous: few studies were at low risk of bias and few covered the same health outcome, preventing pooling of data. Four studies of males concluded that deployment to the Middle East was not associated with risk of infertility or birth defects. Female reproductive health studies provided very limited data. Other female health research primarily covered musculoskeletal disorders and injuries from basic training.

conclusionsStudies of reproductive and female health in ADF members do not currently provide a cohesive or comprehensive body of evidence in either area. This review serves as a systematic map of the existing evidence to identify gaps and set future strategic research agendas. More high-quality longitudinal studies with sex-stratified analyses are urgently needed, as is a strategic focus on health outcomes that may affect military preparedness and fitness for deployment.

Indexed as

Military PersonnelReproductive HealthWomen's HealthAustraliaFemaleHumansMale

Identifiers

PMID40875605
PMCPMC13016714

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.