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Adolescent Pregnancy;
United States vs Sweden
Lisa Lemieux & Linda Rom
Adolescent
Pregnancy
 More common in countries where
individuals traditionally marry young
 Studies have found may compromise
education and financial opportunities
 Other studies find lower socioeconomic
and educational status cause of adolescent
pregnancy
 (Sledge et al., 2015)
 One in eight women become pregnant
before age 20
 (Kappeler, 2015)
At Risk Youth
 Risk of death 33% higher in women 15-19
compared to 20-24
 Higher risk factors for premature birth, obstructed
labor and fistula
 Risk for low birth weight
 Risk for premature labors
 (Sedge et al., 2015)
United States
 Highest rate of adolescent
pregnancies in developed
nations
 57 pregnancies per 1,000 women
 15 abortions per 1,000 women
 (Sedgh et al., 2015)
 Half of high school students
engage in risky sexual behavior
 Teen birth rate declining since
recent peak in 1990
 (Kappeler, 2015)
This Photo by Unknown Author is licensed under CC BY-SA
Prevention in the USA
 Increased education on contraceptive use
 Teen Pregnancy Prevention Month every May
 Office of Adolescent Health evidence-based task force
 Access to teen-centered health care
 (Kappeler, 2015)
 Education and early intervention in schools
 Assistance for trauma-effected adolescents
 Close healthcare disparity gaps
 (Burrus, 2018)
Sweden
 29 adolescent pregnancies per
1,000 women
 20 adolescent pregnancies per
1,000 women end in abortion
(69%)
 (Sledge et al., 2015)
 Antenatal healthcare is free of
charge, midwives main
providers
 Mean age at childbirth is 30.9
 (Stephansson et al., 2017)
Prevention in
Sweden
 Free access to abortions
 Government funded insurance
 Public health initiative on birth control,
reproduction, and human relations
 Premarital sex widely accepted, emphasis
on safe sex practices
 Education of young mothers to prevent
their children from also being young
parents
 (Coyne et al., 2013)
References
 Burrus, B. B. (2018). Decline in Adolescent Pregnancy in the United States: A Success Not Shared by All. American
Journal of Public Health, 108(Suppl 1), S5–S6. http://doi.org/10.2105/AJPH.2017.304273
 Coyne, C. A., Långström, N., Rickert, M. E., Lichtenstein, P., & D’Onofrio, B. M. (2013). The association between
teenage motherhood and poor offspring outcomes: A national cohort study across 30 years. Twin Research and
Human Genetics : The Official Journal of the International Society for Twin Studies, 16(3), 679–689.
http://doi.org/10.1017/thg.2013.23
 Kappeler, E. M. (2015). Adolescent Health and Teen Pregnancy in the United States: A Progress Report. Public Health
Reports, 130(3), 196–198.
 Sedgh, G., Finer, L. B., Bankole, A., Eilers, M. A., & Singh, S. (2015). Adolescent Pregnancy, Birth, and Abortion Rates
Across Countries: Levels and Recent Trends. The Journal of Adolescent Health : Official Publication of the Society for
Adolescent Medicine, 56(2), 223–230. http://doi.org/10.1016/j.jadohealth.2014.09.007
 Stephansson, O., Petersson, K., Björk, C., Conner, P., & Wikström, A. (2017). The Swedish Pregnancy Register - for
quality of care improvement and research. Acta Obstetricia Et Gynecologica Scandinavica,97(4), 466-476.
doi:10.1111/aogs.13266

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Adolescent pregnancy

  • 1. Adolescent Pregnancy; United States vs Sweden Lisa Lemieux & Linda Rom
  • 2. Adolescent Pregnancy  More common in countries where individuals traditionally marry young  Studies have found may compromise education and financial opportunities  Other studies find lower socioeconomic and educational status cause of adolescent pregnancy  (Sledge et al., 2015)  One in eight women become pregnant before age 20  (Kappeler, 2015)
  • 3. At Risk Youth  Risk of death 33% higher in women 15-19 compared to 20-24  Higher risk factors for premature birth, obstructed labor and fistula  Risk for low birth weight  Risk for premature labors  (Sedge et al., 2015)
  • 4. United States  Highest rate of adolescent pregnancies in developed nations  57 pregnancies per 1,000 women  15 abortions per 1,000 women  (Sedgh et al., 2015)  Half of high school students engage in risky sexual behavior  Teen birth rate declining since recent peak in 1990  (Kappeler, 2015) This Photo by Unknown Author is licensed under CC BY-SA
  • 5. Prevention in the USA  Increased education on contraceptive use  Teen Pregnancy Prevention Month every May  Office of Adolescent Health evidence-based task force  Access to teen-centered health care  (Kappeler, 2015)  Education and early intervention in schools  Assistance for trauma-effected adolescents  Close healthcare disparity gaps  (Burrus, 2018)
  • 6. Sweden  29 adolescent pregnancies per 1,000 women  20 adolescent pregnancies per 1,000 women end in abortion (69%)  (Sledge et al., 2015)  Antenatal healthcare is free of charge, midwives main providers  Mean age at childbirth is 30.9  (Stephansson et al., 2017)
  • 7. Prevention in Sweden  Free access to abortions  Government funded insurance  Public health initiative on birth control, reproduction, and human relations  Premarital sex widely accepted, emphasis on safe sex practices  Education of young mothers to prevent their children from also being young parents  (Coyne et al., 2013)
  • 8. References  Burrus, B. B. (2018). Decline in Adolescent Pregnancy in the United States: A Success Not Shared by All. American Journal of Public Health, 108(Suppl 1), S5–S6. http://doi.org/10.2105/AJPH.2017.304273  Coyne, C. A., Långström, N., Rickert, M. E., Lichtenstein, P., & D’Onofrio, B. M. (2013). The association between teenage motherhood and poor offspring outcomes: A national cohort study across 30 years. Twin Research and Human Genetics : The Official Journal of the International Society for Twin Studies, 16(3), 679–689. http://doi.org/10.1017/thg.2013.23  Kappeler, E. M. (2015). Adolescent Health and Teen Pregnancy in the United States: A Progress Report. Public Health Reports, 130(3), 196–198.  Sedgh, G., Finer, L. B., Bankole, A., Eilers, M. A., & Singh, S. (2015). Adolescent Pregnancy, Birth, and Abortion Rates Across Countries: Levels and Recent Trends. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 56(2), 223–230. http://doi.org/10.1016/j.jadohealth.2014.09.007  Stephansson, O., Petersson, K., Björk, C., Conner, P., & Wikström, A. (2017). The Swedish Pregnancy Register - for quality of care improvement and research. Acta Obstetricia Et Gynecologica Scandinavica,97(4), 466-476. doi:10.1111/aogs.13266