SEXUAL AND REPRODUCTIVE HEALTH OF ADOLESCENTS – WHERE WE ARE IN SLOVENIA?
Abstract
Background. The rate of adolescent pregnancies (15–19 years) in Slovenia have been decreasing in the last twenty years. In 1981 the birth rate was 37/1000 and the abortion rate was 24/1000. In 2000 the birth rate was 8/1000 and the abortion rate was 12/1000. The abortion rates have been perisisted around 12/1000 since 1992. Why the abortion rate among adolescents does not decrease?
The comparison with European countries, in which abortion rate is low (around 5/1000) shows, that the reasons should be searched in the low prevalence of oral contraceptive (OC) use in Slovenia. In Slovenia OCs are used in only 14% of secondary-school students, but in the countries with the lowest abortion rates OCs are used in 40–60%. Therefore, the use of OCs among adolescents should be encouraged to decrease the number of unintended pregnancies.
At the Center for adolescents at University Department of Ob/ Gyn in Ljubljana and in the network for sexual and reproductive health of adolescents a lot of acitivites have been carried out in the last years in the field of education of health workers and teachers, in establishing the communication between health workers and teachers and in delivering information to lay population. However, there has been no rise in the use of effective contraception.
Conclusions. We determine that we need wider professional and political support to improve the accessability od adolescent service and to improve the reproductive health of adolescents
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References
World Health Organisation. Promoting the sexual and reproductive health needs and rights of adolescents. Progress in reproductive health research 2002; 58: 2–3.
Olausson PO, Cnattingius S, Haglund B. Teenage pregnancies and risk of late fetal death and infant mortality. Br J Obstet Gynaecol 1999; 106: 116– 21.
Davis S. Pregnancy in adolescents. Pediatr Clin North Am 1989; 36: 665–80.
UNICEF. A league table of teenage births in rich nations. Innocenti Report Card 2001; 3: 1–32.
Pinter B. Varovanje reproduktivnega zdravja mladostnikov. In: Kako smo dosegli, da nam dojenčki ne umirajo več. Simpozij v počastitev 70-letnice akad. prof. dr. Lidije Andolšek-Jeras. 8. september 1999. Zbornik predavanj. Ljubljana: Klinični center Ljubljana, Ginekološka klinika, 1999: 41–2.
Anon. Perinatalni informacijski sistem Slovenije. Primerjava podatkov med regijami in porodnišnicami za leto 2000. Zdrav Var 2002; 41: Suppl 5.
Anon. Informacijski sistem spremljanja fetalnih smrti v Sloveniji. Primerjava podatkov med zdravstvenimi zavodi in regijami za leto 2000. Zdrav Var 2002; 41 Suppl 8.
Pinter B. Adolescent abortion in Europe. In: Bruni V, Dei M eds. Pediatric and adolescent gynecology. IX. European Congress of Pediatric and Adolescent Gynecology, Florence (Italy) December 2–5, 2002. Rome: CIC Edizioni Internazionali, 2003: 338–41.
Pinter B, Tomori M. Spolno vedenje slovenskih srednješolcev. Zdrav Var 1998; 37: Suppl: 133–6.
Pinter B, Tomori M. Sexual behavior of secondary-school students in Slovenia. The European Journal of Contraception and Reproductive Health Care 2000; 5: 71–6.
Creatsas GK, Vekemans M, Horejsi J, Uzel R, Lauritzen C, Osler M et al. Adolescent sexuality in Europe: a multicentric study. Adolsc Pediatr Gynecol 1995; 8: 59–63.
Creatsas G. Improving adolescent sexual behaviour: a tool for better fertility outcome and safe motherhood. Int J Gynecol Obstet 1997; 58: 85–92.
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