Switching emergency contraceptives to non-prescription status and unwanted pregnancy among adult and teenage women: A long-term European comparative study

South Eastern European Journal of Public Health (SEEJPH)

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Field Value
 
Title Switching emergency contraceptives to non-prescription status and unwanted pregnancy among adult and teenage women: A long-term European comparative study
 
Creator Italia, Salvatore
Schröder-Bäck, Peter
Brand, Helmut
 
Subject Emergency contraceptives
Europe, levonorgestrel
over-the-counter
prescription status
ulipristal acetate
 
Description Abstract
 
Aim: Unwanted pregnancy is an important social issue, not least among teenagers. Emergency contraceptives (EMCs) can prevent from unintended pregnancy, if taken quickly after unprotected sex. This study’s objective was assessing abortion/birth rates among adult and teenage women in Europe before/after an EMC switch to non-prescription status.
Methods: National authorities were consulted for EMC consumption data and abortion/live birth statistics. Rates (n=26 countries) in the year before the switch (= year of reference) were compared with rates before/after the change (up to ±15 years). The focus was laid on the European Union and further countries closely related to the European Union.
Results: All countries with available data (n=12) experienced a substantial increase of EMC consumption after the switch. On average, abortion rates among women aged 15–49 years were 83% higher 15 years before (compared with the year of reference) and 14% lower 15 years after the switch. Correspondingly, teenage abortion rates were 35% higher 15 years before and 40% lower 15 years after the switch. In 2017, no country had higher teen abortion rates than at time of the switch. Teen birth rates continued decreasing at almost the same rate after the switch as before.
Conclusion: An EMC switch to non-prescription status increases EMC use and may contribute reducing unwanted pregnancy among teenage girls.
 
Conflicts of interest: None declared.
 
 
 
 
Publisher Jacobs Verlag
 
Date 2020-01-17
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier https://www.seejph.com/index.php/seejph/article/view/3277
10.4119/seejph-3277
 
Source South Eastern European Journal of Public Health (SEEJPH); Volume XIII, 2020
South Eastern European Journal of Public Health (SEEJPH); Volume XIII, 2020
2197-5248
 
Language eng
 
Relation https://www.seejph.com/index.php/seejph/article/view/3277/3363
 
Rights Copyright (c) 2020 Salvatore Italia, Peter Schröder-Bäck, Helmut Brand
https://creativecommons.org/licenses/by/4.0
 

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