Loading…
Counseling of Female Veterans About Risks of Medication-Induced Birth Defects
ABSTRACT BACKGROUND Medications that may increase risk of birth defects if used during pregnancy or immediately preconception are dispensed to approximately half of female Veterans who fill prescriptions at a VA pharmacy. OBJECTIVE To assess receipt of counseling about risk of medication-induced bir...
Saved in:
| Published in: | Journal of general internal medicine : JGIM 2013-07, Vol.28 (Suppl 2), p.598-603 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53 |
| container_end_page | 603 |
| container_issue | Suppl 2 |
| container_start_page | 598 |
| container_title | Journal of general internal medicine : JGIM |
| container_volume | 28 |
| creator | Schwarz, Eleanor Bimla Mattocks, Kristin Brandt, Cynthia Borrero, Sonya Zephyrin, Laurie C. Bathulapalli, Harini Haskell, Sally |
| description | ABSTRACT
BACKGROUND
Medications that may increase risk of birth defects if used during pregnancy or immediately preconception are dispensed to approximately half of female Veterans who fill prescriptions at a VA pharmacy.
OBJECTIVE
To assess receipt of counseling about risk of medication-induced birth defects among female Veterans of reproductive age and to examine Veterans’ confidence that their healthcare provider would counsel them about teratogenic risks.
DESIGN AND PARTICIPANTS
Cross-sectional analysis of data provided by 286 female Veterans of Operation Iraqi Freedom and/or Operation Enduring Freedom who completed a mailed survey between July 2008 and October 2010.
MAIN MEASURES
We examined associations between demographic, reproductive, and health service utilization variables and female Veterans' receipt of counseling and confidence that they would receive such counseling.
KEY RESULTS
The response rate was 11 %; the large majority (89 %) of responding female Veterans reported use of a prescription medication in the last 12 months. Most (90 %) of the 286 female Veterans who reported medication use were confident that they would be told by their healthcare provider if a medication might cause a birth defect. However, only 24 % of women who received prescription medications reported they had been warned of teratogenic risks. Female Veterans who used medications that are known to be teratogenic were not more likely than women using other medications to report having been warned about risks of medication-induced birth defects, and fewer were confident that their health care providers would provide teratogenic risk counseling when needed.
CONCLUSIONS
Female Veterans may not receive appropriate counseling when medications that can cause birth defects are prescribed. |
| doi_str_mv | 10.1007/s11606-012-2240-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1381094522</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1381094522</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMoun78AC9S8OIlOpO0TXrU9RNcBFGvIW0nWu22mrQH_71ZdhURhEAI88w7k4exfYRjBFAnATGHnAMKLkQKHNbYBDORcUwLtc4moHXKtZLpFtsO4RUApRB6k20JqUGBwgmbTfuxC9Q23XPSu-SS5ral5IkG8rYLyWnZj0Ny34S3sCjPqG4qOzR9x2-6eqyoTs4aP7wk5-SoGsIu23C2DbS3unfY4-XFw_Sa395d3UxPb3mVYjbwHItMKkxVZeOKsnA2PklS6WQOZV7mqDNSwmbWOV3UWGrpIP6YRDxUZnKHHS1z333_MVIYzLwJFbWt7agfg0GpEYo0EyKih3_Q1370XdwuUkqAiK4WgbikKt-H4MmZd9_Mrf80CGbh2ixdm-jaLFwbiD0Hq-SxnFP90_EtNwJiCYRY6p7J_xr9b-oX8uWG_g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1372021495</pqid></control><display><type>article</type><title>Counseling of Female Veterans About Risks of Medication-Induced Birth Defects</title><source>Springer Link</source><source>PubMed Central</source><creator>Schwarz, Eleanor Bimla ; Mattocks, Kristin ; Brandt, Cynthia ; Borrero, Sonya ; Zephyrin, Laurie C. ; Bathulapalli, Harini ; Haskell, Sally</creator><creatorcontrib>Schwarz, Eleanor Bimla ; Mattocks, Kristin ; Brandt, Cynthia ; Borrero, Sonya ; Zephyrin, Laurie C. ; Bathulapalli, Harini ; Haskell, Sally</creatorcontrib><description>ABSTRACT
BACKGROUND
Medications that may increase risk of birth defects if used during pregnancy or immediately preconception are dispensed to approximately half of female Veterans who fill prescriptions at a VA pharmacy.
OBJECTIVE
To assess receipt of counseling about risk of medication-induced birth defects among female Veterans of reproductive age and to examine Veterans’ confidence that their healthcare provider would counsel them about teratogenic risks.
DESIGN AND PARTICIPANTS
Cross-sectional analysis of data provided by 286 female Veterans of Operation Iraqi Freedom and/or Operation Enduring Freedom who completed a mailed survey between July 2008 and October 2010.
MAIN MEASURES
We examined associations between demographic, reproductive, and health service utilization variables and female Veterans' receipt of counseling and confidence that they would receive such counseling.
KEY RESULTS
The response rate was 11 %; the large majority (89 %) of responding female Veterans reported use of a prescription medication in the last 12 months. Most (90 %) of the 286 female Veterans who reported medication use were confident that they would be told by their healthcare provider if a medication might cause a birth defect. However, only 24 % of women who received prescription medications reported they had been warned of teratogenic risks. Female Veterans who used medications that are known to be teratogenic were not more likely than women using other medications to report having been warned about risks of medication-induced birth defects, and fewer were confident that their health care providers would provide teratogenic risk counseling when needed.
CONCLUSIONS
Female Veterans may not receive appropriate counseling when medications that can cause birth defects are prescribed.</description><identifier>ISSN: 0884-8734</identifier><identifier>ISSN: 1525-1497</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1007/s11606-012-2240-0</identifier><identifier>PMID: 23807071</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abnormalities, Drug-Induced - prevention & control ; Adult ; Afghan Campaign 2001 ; Birth defects ; Counseling ; Counseling - methods ; Counseling - utilization ; Cross-Sectional Studies ; Female ; Humans ; Internal Medicine ; Iraq War, 2003-2011 ; Longitudinal Studies ; Medicine ; Medicine & Public Health ; Original Research ; Pregnancy ; Prenatal Care - methods ; Prenatal Care - utilization ; Prescription drugs ; Prospective Studies ; Risk Factors ; Veterans ; Womens health</subject><ispartof>Journal of general internal medicine : JGIM, 2013-07, Vol.28 (Suppl 2), p.598-603</ispartof><rights>Society of General Internal Medicine 2012</rights><rights>Society of General Internal Medicine 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53</citedby><cites>FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23807071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwarz, Eleanor Bimla</creatorcontrib><creatorcontrib>Mattocks, Kristin</creatorcontrib><creatorcontrib>Brandt, Cynthia</creatorcontrib><creatorcontrib>Borrero, Sonya</creatorcontrib><creatorcontrib>Zephyrin, Laurie C.</creatorcontrib><creatorcontrib>Bathulapalli, Harini</creatorcontrib><creatorcontrib>Haskell, Sally</creatorcontrib><title>Counseling of Female Veterans About Risks of Medication-Induced Birth Defects</title><title>Journal of general internal medicine : JGIM</title><addtitle>J GEN INTERN MED</addtitle><addtitle>J Gen Intern Med</addtitle><description>ABSTRACT
BACKGROUND
Medications that may increase risk of birth defects if used during pregnancy or immediately preconception are dispensed to approximately half of female Veterans who fill prescriptions at a VA pharmacy.
OBJECTIVE
To assess receipt of counseling about risk of medication-induced birth defects among female Veterans of reproductive age and to examine Veterans’ confidence that their healthcare provider would counsel them about teratogenic risks.
DESIGN AND PARTICIPANTS
Cross-sectional analysis of data provided by 286 female Veterans of Operation Iraqi Freedom and/or Operation Enduring Freedom who completed a mailed survey between July 2008 and October 2010.
MAIN MEASURES
We examined associations between demographic, reproductive, and health service utilization variables and female Veterans' receipt of counseling and confidence that they would receive such counseling.
KEY RESULTS
The response rate was 11 %; the large majority (89 %) of responding female Veterans reported use of a prescription medication in the last 12 months. Most (90 %) of the 286 female Veterans who reported medication use were confident that they would be told by their healthcare provider if a medication might cause a birth defect. However, only 24 % of women who received prescription medications reported they had been warned of teratogenic risks. Female Veterans who used medications that are known to be teratogenic were not more likely than women using other medications to report having been warned about risks of medication-induced birth defects, and fewer were confident that their health care providers would provide teratogenic risk counseling when needed.
CONCLUSIONS
Female Veterans may not receive appropriate counseling when medications that can cause birth defects are prescribed.</description><subject>Abnormalities, Drug-Induced - prevention & control</subject><subject>Adult</subject><subject>Afghan Campaign 2001</subject><subject>Birth defects</subject><subject>Counseling</subject><subject>Counseling - methods</subject><subject>Counseling - utilization</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Iraq War, 2003-2011</subject><subject>Longitudinal Studies</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Research</subject><subject>Pregnancy</subject><subject>Prenatal Care - methods</subject><subject>Prenatal Care - utilization</subject><subject>Prescription drugs</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Veterans</subject><subject>Womens health</subject><issn>0884-8734</issn><issn>1525-1497</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LxDAQhoMoun78AC9S8OIlOpO0TXrU9RNcBFGvIW0nWu22mrQH_71ZdhURhEAI88w7k4exfYRjBFAnATGHnAMKLkQKHNbYBDORcUwLtc4moHXKtZLpFtsO4RUApRB6k20JqUGBwgmbTfuxC9Q23XPSu-SS5ral5IkG8rYLyWnZj0Ny34S3sCjPqG4qOzR9x2-6eqyoTs4aP7wk5-SoGsIu23C2DbS3unfY4-XFw_Sa395d3UxPb3mVYjbwHItMKkxVZeOKsnA2PklS6WQOZV7mqDNSwmbWOV3UWGrpIP6YRDxUZnKHHS1z333_MVIYzLwJFbWt7agfg0GpEYo0EyKih3_Q1370XdwuUkqAiK4WgbikKt-H4MmZd9_Mrf80CGbh2ixdm-jaLFwbiD0Hq-SxnFP90_EtNwJiCYRY6p7J_xr9b-oX8uWG_g</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Schwarz, Eleanor Bimla</creator><creator>Mattocks, Kristin</creator><creator>Brandt, Cynthia</creator><creator>Borrero, Sonya</creator><creator>Zephyrin, Laurie C.</creator><creator>Bathulapalli, Harini</creator><creator>Haskell, Sally</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20130701</creationdate><title>Counseling of Female Veterans About Risks of Medication-Induced Birth Defects</title><author>Schwarz, Eleanor Bimla ; Mattocks, Kristin ; Brandt, Cynthia ; Borrero, Sonya ; Zephyrin, Laurie C. ; Bathulapalli, Harini ; Haskell, Sally</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abnormalities, Drug-Induced - prevention & control</topic><topic>Adult</topic><topic>Afghan Campaign 2001</topic><topic>Birth defects</topic><topic>Counseling</topic><topic>Counseling - methods</topic><topic>Counseling - utilization</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Iraq War, 2003-2011</topic><topic>Longitudinal Studies</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Research</topic><topic>Pregnancy</topic><topic>Prenatal Care - methods</topic><topic>Prenatal Care - utilization</topic><topic>Prescription drugs</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Veterans</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwarz, Eleanor Bimla</creatorcontrib><creatorcontrib>Mattocks, Kristin</creatorcontrib><creatorcontrib>Brandt, Cynthia</creatorcontrib><creatorcontrib>Borrero, Sonya</creatorcontrib><creatorcontrib>Zephyrin, Laurie C.</creatorcontrib><creatorcontrib>Bathulapalli, Harini</creatorcontrib><creatorcontrib>Haskell, Sally</creatorcontrib><collection>Springer_OA刊</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwarz, Eleanor Bimla</au><au>Mattocks, Kristin</au><au>Brandt, Cynthia</au><au>Borrero, Sonya</au><au>Zephyrin, Laurie C.</au><au>Bathulapalli, Harini</au><au>Haskell, Sally</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Counseling of Female Veterans About Risks of Medication-Induced Birth Defects</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><stitle>J GEN INTERN MED</stitle><addtitle>J Gen Intern Med</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>28</volume><issue>Suppl 2</issue><spage>598</spage><epage>603</epage><pages>598-603</pages><issn>0884-8734</issn><issn>1525-1497</issn><eissn>1525-1497</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>ABSTRACT
BACKGROUND
Medications that may increase risk of birth defects if used during pregnancy or immediately preconception are dispensed to approximately half of female Veterans who fill prescriptions at a VA pharmacy.
OBJECTIVE
To assess receipt of counseling about risk of medication-induced birth defects among female Veterans of reproductive age and to examine Veterans’ confidence that their healthcare provider would counsel them about teratogenic risks.
DESIGN AND PARTICIPANTS
Cross-sectional analysis of data provided by 286 female Veterans of Operation Iraqi Freedom and/or Operation Enduring Freedom who completed a mailed survey between July 2008 and October 2010.
MAIN MEASURES
We examined associations between demographic, reproductive, and health service utilization variables and female Veterans' receipt of counseling and confidence that they would receive such counseling.
KEY RESULTS
The response rate was 11 %; the large majority (89 %) of responding female Veterans reported use of a prescription medication in the last 12 months. Most (90 %) of the 286 female Veterans who reported medication use were confident that they would be told by their healthcare provider if a medication might cause a birth defect. However, only 24 % of women who received prescription medications reported they had been warned of teratogenic risks. Female Veterans who used medications that are known to be teratogenic were not more likely than women using other medications to report having been warned about risks of medication-induced birth defects, and fewer were confident that their health care providers would provide teratogenic risk counseling when needed.
CONCLUSIONS
Female Veterans may not receive appropriate counseling when medications that can cause birth defects are prescribed.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>23807071</pmid><doi>10.1007/s11606-012-2240-0</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0884-8734 |
| ispartof | Journal of general internal medicine : JGIM, 2013-07, Vol.28 (Suppl 2), p.598-603 |
| issn | 0884-8734 1525-1497 1525-1497 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1381094522 |
| source | Springer Link; PubMed Central |
| subjects | Abnormalities, Drug-Induced - prevention & control Adult Afghan Campaign 2001 Birth defects Counseling Counseling - methods Counseling - utilization Cross-Sectional Studies Female Humans Internal Medicine Iraq War, 2003-2011 Longitudinal Studies Medicine Medicine & Public Health Original Research Pregnancy Prenatal Care - methods Prenatal Care - utilization Prescription drugs Prospective Studies Risk Factors Veterans Womens health |
| title | Counseling of Female Veterans About Risks of Medication-Induced Birth Defects |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T10%3A59%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Counseling%20of%20Female%20Veterans%20About%20Risks%20of%20Medication-Induced%20Birth%20Defects&rft.jtitle=Journal%20of%20general%20internal%20medicine%20:%20JGIM&rft.au=Schwarz,%20Eleanor%20Bimla&rft.date=2013-07-01&rft.volume=28&rft.issue=Suppl%202&rft.spage=598&rft.epage=603&rft.pages=598-603&rft.issn=0884-8734&rft.eissn=1525-1497&rft_id=info:doi/10.1007/s11606-012-2240-0&rft_dat=%3Cproquest_cross%3E1381094522%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c415t-619537147ca08839fa537e3ebf360b6b6185e72a5aff89d1b83f0100e20e2eb53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1372021495&rft_id=info:pmid/23807071&rfr_iscdi=true |