Among countries with incomplete estimates, rates were high in Azerbaijan 67 , Georgia 62 , and Romania Among countries with reliable evidence, the highest rate among to year olds was in Hungary. Results Among the 21 countries with complete statistics, the pregnancy rate among to year olds was the highest in the United States 57 pregnancies per 1, females and the lowest rate was in Switzerland 8. Additional details on the countries with incomplete statistics and those with restrictive abortion laws follow. Methods To estimate teen 2 and early adolescent pregnancy rates, we require data on numbers of births, abortions, and females 10—14 and 15—19 years old.
Table 1 Adolescent birth, abortion, and pregnancy rates and percentage of pregnancies ending in abortion among females 15—19 years old, or most recent prior year Country. Adolescent pregnancy rates were far higher in Mexico and the Sub-Saharan African countries than in any other countries in this review, ranging from Ethiopia to Burkina Faso. Additional details on the countries with incomplete statistics and those with restrictive abortion laws follow. Earlier reviews of adolescent pregnancy and childbearing rates across countries covered trends up to the mids and found that these events were becoming less common in the majority of countries for which evidence was available [ 8 , 9 ]. The only exception is Kenya, for which we report an estimate for because that is the only year for which relevant information is available. We examine trends in these rates since the mids through — where data allow. Adolescent pregnancy, birth, and abortion rates are the number of events per 1, females 15—19 years old. The previously published data included only births and abortions; we estimated numbers of miscarriages in the mids to render the pregnancy estimates comparable with those for If information was not available for , we sought estimates for an earlier time period but not earlier than We examine pregnancy incidence among adolescents 15—19 years old and young adolescents 10—14 years old in all developed and developing countries for which recent data on teen births and abortions could be obtained. Even where incidence is low, data on teen pregnancies can highlight remaining unmet needs for information and services to help adolescents prevent unintended pregnancies. Results Among the 21 countries with liberal abortion laws and complete teen pregnancy estimates for —, the rate was the highest in the United States 57 pregnancies per 1, adolescents in , followed by New Zealand 51 and England and Wales 47 Table 1. Regional estimates for the developing world indicated that adolescent birth rates were especially high in Sub-Saharan Africa [ 3 ]. Alternate sources of information were used if needed and available. Countries with incomplete statistics For countries with incomplete abortion statistics, pregnancy rates and the proportions of pregnancies that end in abortion presented here are lower than the true values because the numbers of abortions are undercounted. Country-specific estimates of pregnancy, birth, and abortion levels among adolescents can motivate policy and programmatic responses to teen pregnancies and help monitor progress toward reducing their incidence. The data sources used for each component in each country are presented in Appendix Table 1. We present estimates primarily for and compare them to estimates published for the mids. Those with liberal abortion laws and incomplete abortion statistics, or for which completeness of reports is uncertain. The pregnancy rate has declined since the mids in the majority of the 16 countries where trends could be assessed. Classifications of the completeness of abortion reports were based on expert assessments obtained for a recent study of abortion incidence [ 13 ]. Conclusions Despite recent declines, teen pregnancy rates remain high in many countries. The risk of death associated with pregnancy is about a third higher among to year olds than among to year olds [ 7 ]. In addition, comparisons with estimates from alternate sources, such as surveys of women, were made when such sources were available. Results Among the 21 countries with complete statistics, the pregnancy rate among to year olds was the highest in the United States 57 pregnancies per 1, females and the lowest rate was in Switzerland 8. Among countries with reliable evidence, the highest rate among to year olds was in Hungary.
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