{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T09:05:28Z","timestamp":1777539928175,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,10,15]],"date-time":"2013-10-15T00:00:00Z","timestamp":1381795200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To study cross\u2010country and regional variations and trends in reported teenage pregnancies in the context of legislation and youth sexual and reproductive health (<jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content>) services in Europe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Data were collected on teenage live births and induced abortions, abortion legislation and youth <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Population\u2010based statistics from the European Union (<jats:styled-content style=\"fixed-case\">EU<\/jats:styled-content>) member states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Fifteen\u2010 to nineteen\u2010year\u2010old female teenagers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Detailed statistical information for each member state about teenage live births, induced abortions, abortion legislation and youth <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> services were compiled relying on national and international data sources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The annual reported pregnancies per 1000 women aged 15\u201319\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Teenage pregnancy rates have declined since 2001, although progress has been uneven across regions and countries. Eastern Europe has a higher average teenage pregnancy rate (41.7\/1000) than Northern (30.7\/1000), Western (18.2\/1000) and Southern Europe (17.6\/1000). While data on teenage live births are available across Europe, data on teenage abortions are unavailable or incomplete in more than one\u2010third of <jats:styled-content style=\"fixed-case\">EU<\/jats:styled-content> countries. Reported teenage pregnancy rates are generally lower for countries where parental consent for abortion is not required, youth <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> services are available in all areas and contraceptives are subsidized for all minors, compared with countries where these conditions are not met.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The collection of standardized teenage pregnancy statistics is critically needed in the <jats:styled-content style=\"fixed-case\">EU<\/jats:styled-content>. The remarkable variability in teenage pregnancy rates across the <jats:styled-content style=\"fixed-case\">EU<\/jats:styled-content> is likely to be explained, among other factors, by varying access to abortion and youth <jats:styled-content style=\"fixed-case\">SRH<\/jats:styled-content> services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12253","type":"journal-article","created":{"date-parts":[[2013,9,4]],"date-time":"2013-09-04T14:18:59Z","timestamp":1378304339000},"page":"1395-1406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Teenage pregnancies in the European Union in the context of legislation and youth sexual and reproductive health services"],"prefix":"10.1111","volume":"92","author":[{"given":"Kai","family":"Part","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Tartu Tartu Estonia"},{"name":"Doctoral School of Clinical Medicine University of Tartu Tartu University Hospital Tartu Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Moreau","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health Baltimore MD USA"},{"name":"Gender, Sexual and Reproductive Health CESP Center for Research in Epidemiology and Population Health Kremlin Bic\u00eatre France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serena","family":"Donati","sequence":"additional","affiliation":[{"name":"National Institute for Health Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[{"name":"National Institute for Health and Welfare Helsinki Finland"},{"name":"Nordic School of Public Health Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In\u00eas","family":"Fronteira","sequence":"additional","affiliation":[{"name":"Institute for Hygiene and Tropical Medicine New University of Lisbon Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helle","family":"Karro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Tartu Tartu Estonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the REPROSTAT group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,10,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60367-5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2307\/3030191"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03189.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.04.008"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2133525"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckm014"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)60371-7"},{"key":"e_1_2_8_9_1","volume-title":"Adolescent friendly health services: an agenda for change","author":"McIntyre P","year":"2002"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625180802460509"},{"key":"e_1_2_8_11_1","first-page":"269","article-title":"Integrating sexual and reproductive health in primary health care in Europe: position paper of the European Forum for Primary Care","volume":"18","author":"Ketting E","year":"2010","journal-title":"Qual Prim Care"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2011.607690"},{"key":"e_1_2_8_13_1","unstructured":"Eurostat: live births by mothers age at last birthday; 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