Adolescent Pregnancy, Birth, and Abortion Rates Across Countries: Levels and Recent Trends
Adolescent Pregnancy, Birth, and Abortion Rates Across Countries: Levels and Recent Trends
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DOI：
10.1016/j.jadohealth.2014.09.007
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发表时间：
2015-02-01
影响因子：
7.6
通讯作者：
Singh, Susheela
中科院分区：
文献类型：
--
作者：
Sedgh, Gilda;Finer, Lawrence B.;Singh, Susheela
目的：检查所有国家15至19岁和10至14岁儿童的怀孕率和结果（分娩和堕胎），并检查自1990年代中期以来的趋势。方法：本研究中大多数国家的资料来自各国的人口动态统计报告和联合国统计司。如有需要和可用，则使用其他资料来源。我们主要给出2011年的估计，并将其与20世纪90年代中期公布的估计进行比较。结果：在有完全统计的21个国家中，15- 19岁女性的怀孕率以美国最高（57 / 1000），瑞士最低（8 / 1000）。在一些统计不完全的前苏联国家，这一比例更高；在墨西哥和撒哈拉以南非洲国家，这一比例最高。在有可靠证据的国家中，10至14岁儿童的自杀率最高的是匈牙利。以堕胎告终的少女怀孕比例从斯洛伐克的17%到瑞典的69%不等。在青少年怀孕率高的国家，以活产结束的怀孕比例往往更高（p = 0.02）。自20世纪90年代中期以来，在可以评估趋势的16个国家中，大多数国家的怀孕率都有所下降。结论：尽管最近有所下降，但在许多国家，青少年怀孕率仍然很高。对这些怀孕的计划状况和决定青少年如何解决怀孕问题的因素的研究可以进一步为项目和政策提供信息。(C) 2015年青少年健康和医学协会。Elsevier Inc.出版。
Purpose: To examine pregnancy rates and outcomes (births and abortions) among 15- to 19-year olds and 10- to 14-year olds in all countries for which recent information could be obtained and to examine trends since the mid-1990s.Methods: Information was obtained from countries' vital statistics reports and the United Nations Statistics Division for most countries in this study. Alternate sources of information were used if needed and available. We present estimates primarily for 2011 and compare them to estimates published for the mid-1990s.Results: Among the 21 countries with complete statistics, the pregnancy rate among 15- to 19-year olds was the highest in the United States (57 pregnancies per 1,000 females) and the lowest rate was in Switzerland (8). Rates were higher in some former Soviet countries with incomplete statistics; they were the highest in Mexico and Sub-Saharan African countries with available information. Among countries with reliable evidence, the highest rate among 10- to 14-year olds was in Hungary. The proportion of teen pregnancies that ended in abortion ranged from 17% in Slovakia to 69% in Sweden. The proportion of pregnancies that ended in live births tended to be higher in countries with high teen pregnancy rates (p = .02). The pregnancy rate has declined since the mid-1990s in the majority of the 16 countries where trends could be assessed.Conclusions: Despite recent declines, teen pregnancy rates remain high in many countries. Research on the planning status of these pregnancies and on factors that determine how teens resolve their pregnancies could further inform programs and policies. (C) 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc.