Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries
Objectives Compare hormonal contraceptive use, birth and abortion rates among teenagers in the Nordic countries. A secondary aim was to explore plausible explanations for possible differences between countries. Design Ecological study using national registry data concerning births and abortions amon...
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Online Access: | http://dx.doi.org/10.1136/bmjopen-2018-022473 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2018-022473 |
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crjcrbmj:10.1136/bmjopen-2018-022473 2024-09-30T14:37:15+00:00 Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries Hognert, Helena Skjeldestad, Finn Egil Gemzell-Danielsson, Kristina Heikinheimo, Oskari Milsom, Ian Lidegaard, Øjvind Lindh, Ingela National LUA/ALF grant Hjalmar Svensson’s Fund The University of Gothenburg Gothenburg Medical Society 2018 http://dx.doi.org/10.1136/bmjopen-2018-022473 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2018-022473 en eng BMJ BMJ Open volume 8, issue 10, page e022473 ISSN 2044-6055 2044-6055 journal-article 2018 crjcrbmj https://doi.org/10.1136/bmjopen-2018-022473 2024-09-19T04:13:00Z Objectives Compare hormonal contraceptive use, birth and abortion rates among teenagers in the Nordic countries. A secondary aim was to explore plausible explanations for possible differences between countries. Design Ecological study using national registry data concerning births and abortions among all women aged 15–19 years residing in Denmark, Finland, Iceland, Norway and Sweden 2008–2015. Age-specific data on prescriptions for hormonal contraceptives for the period 2008–2015 were obtained from national databases in Denmark, Norway and Sweden. Setting Denmark, Finland, Iceland, Norway and Sweden. Participants Women 15–19 years old in all Nordic countries (749 709) and 13–19 years old in Denmark, Norway and Sweden (815 044). Results Both annual birth rates and abortion rates fell in all the Nordic countries during the study period. The highest user rate of hormonal contraceptives among 15–19-year-olds was observed in Denmark (from 51% to 47%) followed by Sweden (from 39% to 42%) and Norway (from 37% to 41%). Combined oral contraceptives were the most commonly used methods in all countries. The use of long-acting reversible contraceptives (LARC), implants and the levonorgestrel-releasing intrauterine systems, were increasing, especially in Sweden and Norway. In the subgroup of 18–19-year-old teenagers, the user rates of hormonal contraceptives varied between 63% and 61% in Denmark, 56% and 61% in Norway and 54% and 56% in Sweden. In the same subgroup, the steepest increase of LARC was seen, from 2% to 6% in Denmark, 2% to 9% in Norway and 7% to 17% in Sweden. Conclusions Birth and abortion rates continuously declined in the Nordic countries among teenagers. There was a high user rate of hormonal contraceptives, with an increase in the use of LARC especially among the oldest teenagers. Article in Journal/Newspaper Iceland The BMJ Norway BMJ Open 8 10 e022473 |
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Objectives Compare hormonal contraceptive use, birth and abortion rates among teenagers in the Nordic countries. A secondary aim was to explore plausible explanations for possible differences between countries. Design Ecological study using national registry data concerning births and abortions among all women aged 15–19 years residing in Denmark, Finland, Iceland, Norway and Sweden 2008–2015. Age-specific data on prescriptions for hormonal contraceptives for the period 2008–2015 were obtained from national databases in Denmark, Norway and Sweden. Setting Denmark, Finland, Iceland, Norway and Sweden. Participants Women 15–19 years old in all Nordic countries (749 709) and 13–19 years old in Denmark, Norway and Sweden (815 044). Results Both annual birth rates and abortion rates fell in all the Nordic countries during the study period. The highest user rate of hormonal contraceptives among 15–19-year-olds was observed in Denmark (from 51% to 47%) followed by Sweden (from 39% to 42%) and Norway (from 37% to 41%). Combined oral contraceptives were the most commonly used methods in all countries. The use of long-acting reversible contraceptives (LARC), implants and the levonorgestrel-releasing intrauterine systems, were increasing, especially in Sweden and Norway. In the subgroup of 18–19-year-old teenagers, the user rates of hormonal contraceptives varied between 63% and 61% in Denmark, 56% and 61% in Norway and 54% and 56% in Sweden. In the same subgroup, the steepest increase of LARC was seen, from 2% to 6% in Denmark, 2% to 9% in Norway and 7% to 17% in Sweden. Conclusions Birth and abortion rates continuously declined in the Nordic countries among teenagers. There was a high user rate of hormonal contraceptives, with an increase in the use of LARC especially among the oldest teenagers. |
author2 |
National LUA/ALF grant Hjalmar Svensson’s Fund The University of Gothenburg Gothenburg Medical Society |
format |
Article in Journal/Newspaper |
author |
Hognert, Helena Skjeldestad, Finn Egil Gemzell-Danielsson, Kristina Heikinheimo, Oskari Milsom, Ian Lidegaard, Øjvind Lindh, Ingela |
spellingShingle |
Hognert, Helena Skjeldestad, Finn Egil Gemzell-Danielsson, Kristina Heikinheimo, Oskari Milsom, Ian Lidegaard, Øjvind Lindh, Ingela Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries |
author_facet |
Hognert, Helena Skjeldestad, Finn Egil Gemzell-Danielsson, Kristina Heikinheimo, Oskari Milsom, Ian Lidegaard, Øjvind Lindh, Ingela |
author_sort |
Hognert, Helena |
title |
Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries |
title_short |
Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries |
title_full |
Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries |
title_fullStr |
Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries |
title_full_unstemmed |
Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries |
title_sort |
ecological study on the use of hormonal contraception, abortions and births among teenagers in the nordic countries |
publisher |
BMJ |
publishDate |
2018 |
url |
http://dx.doi.org/10.1136/bmjopen-2018-022473 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2018-022473 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
BMJ Open volume 8, issue 10, page e022473 ISSN 2044-6055 2044-6055 |
op_doi |
https://doi.org/10.1136/bmjopen-2018-022473 |
container_title |
BMJ Open |
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8 |
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10 |
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e022473 |
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1811640127542263808 |