High birth rates despite easy access to contraception and abortion: a cross‐sectional study
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| Title: | High birth rates despite easy access to contraception and abortion: a cross‐sectional study |
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| Authors: | Helena Hognert, Finn E. Skjeldestad, Kristina Gemzell‐Danielsson, Oskari Heikinheimo, Ian Milsom, Øjvind Lidegaard, Ingela Lindh |
| Source: | Acta Obstetricia et Gynecologica Scandinavica. 96:1414-1422 |
| Publisher Information: | Wiley, 2017. |
| Publication Year: | 2017 |
| Subject Terms: | Adult, Sweden, Contraception Behavior/statistics & numerical data, Adolescent, Induced/statistics & numerical data, Denmark, Abortion, Abortion, Induced, Middle Aged, 3. Good health, 03 medical and health sciences, Cross-Sectional Studies, 0302 clinical medicine, 5. Gender equality, Pregnancy, Humans, Female, Birth Rate, Contraception Behavior, Finland |
| Description: | IntroductionThe aim of this study was to describe and compare contraceptive use, fertility, birth, and abortion rates in the Nordic countries.Material and methodsNational data on births, abortions, fertility rate (1975–2013), redeemed prescriptions of hormonal contraceptives and sales figures of copper intrauterine devices (2008–2013) among women 15–49 years of age in the Nordic countries were collected and analyzed.ResultsUse of hormonal contraceptives and copper intrauterine devices varied between 31 and 44%. The highest use was in Denmark (39–44%) and Sweden (40–42%). Combined hormonal contraception followed by the levonorgestrel‐releasing intrauterine system were the most common methods. During 1975–2013 abortion rates decreased in Denmark (from 27/1000 women to 15/1000 women aged 15–44/1000 women) and Finland (from 20 to 10/1000 women), remained stable in Norway (≈16) and Sweden (≈20) and increased in Iceland (from 6 to 15/1000 women). Birth rates remained stable around 60/1000 women aged 15–44 in all countries except for Iceland where the birth rate decreased from 95 to 65/1000 women. Abortion rates were highest in the age group 20–24 years. In the same age group, Sweden had a lower contraceptive use (51%) compared with Denmark (59%) and Norway (56%) and a higher abortion rate 33/1000 compared with Denmark (25/1000) and Norway (27/1000).ConclusionsIn contrast to the declining average fertility and birth rates in Europe, rates in the Nordic countries remain high and stable despite high contraceptive use and liberal access to abortion on women's request. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1600-0412 0001-6349 |
| DOI: | 10.1111/aogs.13232 |
| Access URL: | https://obgyn.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/aogs.13232 https://pubmed.ncbi.nlm.nih.gov/28921518 https://pubmed.ncbi.nlm.nih.gov/28921518/ https://researchportal.helsinki.fi/en/publications/high-birth-rates-despite-easy-access-to-contraception-and-abortio https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.13232 https://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.13232 https://www.ncbi.nlm.nih.gov/pubmed/28921518 |
| Rights: | Wiley Online Library User Agreement |
| Accession Number: | edsair.doi.dedup.....efff33631363302781aecb7f3b574885 |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | IntroductionThe aim of this study was to describe and compare contraceptive use, fertility, birth, and abortion rates in the Nordic countries.Material and methodsNational data on births, abortions, fertility rate (1975–2013), redeemed prescriptions of hormonal contraceptives and sales figures of copper intrauterine devices (2008–2013) among women 15–49 years of age in the Nordic countries were collected and analyzed.ResultsUse of hormonal contraceptives and copper intrauterine devices varied between 31 and 44%. The highest use was in Denmark (39–44%) and Sweden (40–42%). Combined hormonal contraception followed by the levonorgestrel‐releasing intrauterine system were the most common methods. During 1975–2013 abortion rates decreased in Denmark (from 27/1000 women to 15/1000 women aged 15–44/1000 women) and Finland (from 20 to 10/1000 women), remained stable in Norway (≈16) and Sweden (≈20) and increased in Iceland (from 6 to 15/1000 women). Birth rates remained stable around 60/1000 women aged 15–44 in all countries except for Iceland where the birth rate decreased from 95 to 65/1000 women. Abortion rates were highest in the age group 20–24 years. In the same age group, Sweden had a lower contraceptive use (51%) compared with Denmark (59%) and Norway (56%) and a higher abortion rate 33/1000 compared with Denmark (25/1000) and Norway (27/1000).ConclusionsIn contrast to the declining average fertility and birth rates in Europe, rates in the Nordic countries remain high and stable despite high contraceptive use and liberal access to abortion on women's request. |
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| ISSN: | 16000412 00016349 |
| DOI: | 10.1111/aogs.13232 |