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Swedish teenager perceptions of teenage pregnancy, abortion, sexual behavior, and contraceptive habits - A focus group study among 17-year-old female high-school students

Ekstrand, Maria LU orcid ; Larsson, Margareta ; von Essen, Louise and Tydén, Tanja (2005) In Acta Obstetricia et Gynecologica Scandinavica 84(10). p.980-986
Abstract
Background. Sweden has the highest abortion numbers among the Nordic countries. Since 1995, the abortion rate among teenagers has increased by nearly 50%. We therefore undertook a study where the overall aim was to gain a deeper understanding on which factors female teenagers believe may explain the increasing numbers of teenage abortions. Teenagers' perceptions of teenage pregnancy, abortion, sexual behavior, and contraceptive habits were investigated. Methods. Six focus group interviews with 17-year-old Swedish girls were conducted. The interviews were tape-recorded, transcribed verbatim, and analyzed by manifest content analysis. Results. Negative attitudes toward teenage pregnancy and supportive attitudes toward abortion were... (More)
Background. Sweden has the highest abortion numbers among the Nordic countries. Since 1995, the abortion rate among teenagers has increased by nearly 50%. We therefore undertook a study where the overall aim was to gain a deeper understanding on which factors female teenagers believe may explain the increasing numbers of teenage abortions. Teenagers' perceptions of teenage pregnancy, abortion, sexual behavior, and contraceptive habits were investigated. Methods. Six focus group interviews with 17-year-old Swedish girls were conducted. The interviews were tape-recorded, transcribed verbatim, and analyzed by manifest content analysis. Results. Negative attitudes toward teenage pregnancy and supportive attitudes toward abortion were expressed. Risk-taking behaviors such as negligence in contraceptive use and intercourse under the influence of alcohol were suggested as main reasons behind the increasing numbers of abortions among Swedish teenagers. The contemporary, sexualized, media picture was believed to influence adolescents' sexual behavior, and liberal attitudes toward casual sex were expressed. Girls were perceived as more obliged than boys in taking responsibility for contraceptive compliance and avoidance of pregnancy. The apprehension that hormonal contraceptives cause negative side-effects was widely spread, and the participants were found to have a somewhat limited knowledge of abortion. The majority were unsatisfied with the quality of sexual education provided by the schools. Conclusion. Possible reasons for increased abortion numbers among teenagers in Sweden could be liberal attitudes toward casual sex in combination with negligence in contraceptive use, use of alcohol followed by sexual risk-taking, fear of hormonal contraceptives, and a deterioration of sexual education in the schools. © Acta Obstet Gynecol Scand 84 2005. (Less)
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publication status
published
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keywords
Abortion, Attitudes, Contraceptives, Sexual risk-taking, Teenage pregnancy, adolescence, adolescent, adolescent pregnancy, alcohol consumption, article, contraception, controlled study, female, health behavior, hormonal contraception, human, human experiment, normal human, perception, priority journal, risk, risk factor, sexual behavior, Abortion, Induced, Adolescent, Adolescent Health Services, Contraception Behavior, Female, Focus Groups, Humans, Interviews, Pregnancy, Pregnancy in Adolescence, Sexual Behavior, Sweden
in
Acta Obstetricia et Gynecologica Scandinavica
volume
84
issue
10
pages
980 - 986
publisher
Wiley-Blackwell
external identifiers
  • scopus:25844502474
ISSN
1600-0412
DOI
10.1111/j.0001-6349.2005.00809.x
language
English
LU publication?
no
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Export Date: 05 December 2025; Cited By: 57
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6c351ce9-7248-4218-8c8e-5df25a84d5ee
date added to LUP
2025-12-05 10:18:45
date last changed
2025-12-06 04:01:42
@article{6c351ce9-7248-4218-8c8e-5df25a84d5ee,
  abstract     = {{Background. Sweden has the highest abortion numbers among the Nordic countries. Since 1995, the abortion rate among teenagers has increased by nearly 50%. We therefore undertook a study where the overall aim was to gain a deeper understanding on which factors female teenagers believe may explain the increasing numbers of teenage abortions. Teenagers' perceptions of teenage pregnancy, abortion, sexual behavior, and contraceptive habits were investigated. Methods. Six focus group interviews with 17-year-old Swedish girls were conducted. The interviews were tape-recorded, transcribed verbatim, and analyzed by manifest content analysis. Results. Negative attitudes toward teenage pregnancy and supportive attitudes toward abortion were expressed. Risk-taking behaviors such as negligence in contraceptive use and intercourse under the influence of alcohol were suggested as main reasons behind the increasing numbers of abortions among Swedish teenagers. The contemporary, sexualized, media picture was believed to influence adolescents' sexual behavior, and liberal attitudes toward casual sex were expressed. Girls were perceived as more obliged than boys in taking responsibility for contraceptive compliance and avoidance of pregnancy. The apprehension that hormonal contraceptives cause negative side-effects was widely spread, and the participants were found to have a somewhat limited knowledge of abortion. The majority were unsatisfied with the quality of sexual education provided by the schools. Conclusion. Possible reasons for increased abortion numbers among teenagers in Sweden could be liberal attitudes toward casual sex in combination with negligence in contraceptive use, use of alcohol followed by sexual risk-taking, fear of hormonal contraceptives, and a deterioration of sexual education in the schools. © Acta Obstet Gynecol Scand 84 2005.}},
  author       = {{Ekstrand, Maria and Larsson, Margareta and von Essen, Louise and Tydén, Tanja}},
  issn         = {{1600-0412}},
  keywords     = {{Abortion; Attitudes; Contraceptives; Sexual risk-taking; Teenage pregnancy; adolescence; adolescent; adolescent pregnancy; alcohol consumption; article; contraception; controlled study; female; health behavior; hormonal contraception; human; human experiment; normal human; perception; priority journal; risk; risk factor; sexual behavior; Abortion, Induced; Adolescent; Adolescent Health Services; Contraception Behavior; Female; Focus Groups; Humans; Interviews; Pregnancy; Pregnancy in Adolescence; Sexual Behavior; Sweden}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{980--986}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Obstetricia et Gynecologica Scandinavica}},
  title        = {{Swedish teenager perceptions of teenage pregnancy, abortion, sexual behavior, and contraceptive habits - A focus group study among 17-year-old female high-school students}},
  url          = {{http://dx.doi.org/10.1111/j.0001-6349.2005.00809.x}},
  doi          = {{10.1111/j.0001-6349.2005.00809.x}},
  volume       = {{84}},
  year         = {{2005}},
}