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Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries

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Harvard

Hognert, H, Skjeldestad, FE, 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, bind 8, nr. 10, s. e022473. https://doi.org/10.1136/bmjopen-2018-022473

APA

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, 8(10), e022473. https://doi.org/10.1136/bmjopen-2018-022473

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Author

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. I: BMJ Open. 2018 ; Bind 8, Nr. 10. s. e022473.

Bibtex

@article{3e5d7f17ccc44652a76965b691b18402,
title = "Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries",
abstract = "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.",
author = "Helena Hognert and Skjeldestad, {Finn Egil} and Kristina Gemzell-Danielsson and Oskari Heikinheimo and Ian Milsom and {\O}jvind Lidegaard and Ingela Lindh",
note = "{\circledC} Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2018",
month = "10",
day = "30",
doi = "10.1136/bmjopen-2018-022473",
language = "English",
volume = "8",
pages = "e022473",
journal = "BMJ Paediatrics Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group",
number = "10",

}

RIS

TY - JOUR

T1 - Ecological study on the use of hormonal contraception, abortions and births among teenagers in the Nordic countries

AU - Hognert, Helena

AU - Skjeldestad, Finn Egil

AU - Gemzell-Danielsson, Kristina

AU - Heikinheimo, Oskari

AU - Milsom, Ian

AU - Lidegaard, Øjvind

AU - Lindh, Ingela

N1 - © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2018/10/30

Y1 - 2018/10/30

N2 - 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.

AB - 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.

U2 - 10.1136/bmjopen-2018-022473

DO - 10.1136/bmjopen-2018-022473

M3 - Journal article

VL - 8

SP - e022473

JO - BMJ Paediatrics Open

JF - BMJ Paediatrics Open

SN - 2044-6055

IS - 10

ER -

ID: 55853730