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 am...
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2018
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Online Access: | https://curis.ku.dk/portal/da/publications/ecological-study-on-the-use-of-hormonal-contraception-abortions-and-births-among-teenagers-in-the-nordic-countries(39389a57-d08d-4717-9137-8963a787bd70).html https://doi.org/10.1136/bmjopen-2018-022473 https://curis.ku.dk/ws/files/222163103/e022473.full.pdf |
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ftcopenhagenunip:oai:pure.atira.dk:publications/39389a57-d08d-4717-9137-8963a787bd70 2024-04-28T08:25:45+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 2018 application/pdf https://curis.ku.dk/portal/da/publications/ecological-study-on-the-use-of-hormonal-contraception-abortions-and-births-among-teenagers-in-the-nordic-countries(39389a57-d08d-4717-9137-8963a787bd70).html https://doi.org/10.1136/bmjopen-2018-022473 https://curis.ku.dk/ws/files/222163103/e022473.full.pdf eng eng info:eu-repo/semantics/openAccess Hognert , H , Skjeldestad , F E , Gemzell-Danielsson , K , Heikinheimo , O , Milsom , I , Lidegaard , Ø & Lindh , I 2018 , ' Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries ' , BMJ Open , vol. 8 , no. 10 , e022473 , pp. 1-9 . https://doi.org/10.1136/bmjopen-2018-022473 article 2018 ftcopenhagenunip https://doi.org/10.1136/bmjopen-2018-022473 2024-04-11T00:22:39Z 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 University of Copenhagen: Research BMJ Open 8 10 e022473 |
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Open Polar |
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University of Copenhagen: Research |
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ftcopenhagenunip |
language |
English |
description |
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. |
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 |
publishDate |
2018 |
url |
https://curis.ku.dk/portal/da/publications/ecological-study-on-the-use-of-hormonal-contraception-abortions-and-births-among-teenagers-in-the-nordic-countries(39389a57-d08d-4717-9137-8963a787bd70).html https://doi.org/10.1136/bmjopen-2018-022473 https://curis.ku.dk/ws/files/222163103/e022473.full.pdf |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Hognert , H , Skjeldestad , F E , Gemzell-Danielsson , K , Heikinheimo , O , Milsom , I , Lidegaard , Ø & Lindh , I 2018 , ' Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries ' , BMJ Open , vol. 8 , no. 10 , e022473 , pp. 1-9 . https://doi.org/10.1136/bmjopen-2018-022473 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1136/bmjopen-2018-022473 |
container_title |
BMJ Open |
container_volume |
8 |
container_issue |
10 |
container_start_page |
e022473 |
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1797585443034759168 |