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Adolescent sexual behavior during periods of increase and decrease in the abortion rate.

Kobra Falah-Hassani1, Elise Kosunen, Rahman Shiri

  • 1From the Tampere School of Public Health and the Medical School, University of Tampere, Tampere, Finland; the Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland; and the Department of Health Care, Helsinki Metropolia University of Applied Sciences, Helsinki, Finland.

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Summary
This summary is machine-generated.

Adolescent sexual behaviors, including intercourse and contraception nonuse, increased in the 1990s and decreased in the 2000s, mirroring abortion rate shifts. However, sexual activity intensity rose among experienced teens as abortion rates fell.

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Area of Science:

  • Public Health
  • Adolescent Health
  • Reproductive Health

Background:

  • Adolescent sexual behavior patterns are influenced by societal factors and reproductive health policies.
  • Understanding trends in sexual activity and contraception use among adolescents is crucial for public health interventions.
  • Previous research indicates shifts in adolescent sexual behaviors correlating with changes in abortion rates.

Purpose of the Study:

  • To examine adolescent sexual behavior changes during periods of increasing and decreasing abortion rates.
  • To analyze trends in noncoital and coital sexual experiences and contraception nonuse among adolescents.
  • To investigate the relationship between abortion rate fluctuations and adolescent sexual activity intensity.

Main Methods:

  • Annual school surveys using self-administered questionnaires for 8th and 9th graders (N=286,665) were conducted in 1996/1997 and 2006/2007.
  • Data collected included proportions of respondents reporting noncoital and coital sexual experiences and nonuse of contraception.
  • Statistical trend analysis was performed to identify significant changes over time.

Main Results:

  • Both coital and noncoital sexual experiences and contraception nonuse increased from 1996-1997 to 2000-2001, then decreased thereafter.
  • Among sexually experienced adolescents, coital experiences and contraception nonuse rose before 2000-2001.
  • Post-2000, sexual activity intensity, specifically intercourse frequency, continued to increase among sexually experienced adolescents.

Conclusions:

  • Adolescent sexual behaviors and contraception nonuse mirrored abortion rate trends, increasing in the 1990s and decreasing in the 2000s.
  • The decline in abortion rates coincided with increased sexual activity intensity among experienced adolescents.
  • These findings suggest improved contraception use and sexual education may contribute to falling abortion rates.