Archives of Gynecology and Obstetrics

, Volume 283, Issue 3, pp 551–557 | Cite as

No change in adolescents’ neglect on contraceptive use over two decades

  • Finn Friis LauszusEmail author
  • Jacob Lauesgaard Nielsen
  • Jane Boelskifte
  • Jørgen Falk
  • Richard Farlie
  • Kjeld Leisgård Rasmussen
General Gynecology



The sexual activity and contraceptive use is evaluated over 21 years amongst Danish adolescents in ninth grade.


A repeated, cross-sectional questionnaire study in the municipality of Viborg, comparing the results of four consecutive surveys between 1986 and 2007.


In 2007, 40% of the pupils had sexual debut at an average age of 15.3 ± 1.5 years. At sexual debut condoms were used in 77% of the adolescents and the contraceptive pill in 15%. At their latest coitus 34% used any contraceptive pill as 27% of pupils changed from use of condom to the pill. Practical experience with condoms was found in 90% of both sexes at sexual debut. Fourteen percent of the adolescents used no contraception at all at debut in 2007, which is similar to 1986, 1993, and 2000. Eighteen percent of the pupils used no contraception at all at their last intercourse in 2007 and 2000.


Knowledge about and use of condoms is substantial amongst adolescents already at sexual debut. A shift is confirmed from condoms at first coitus to more frequent use of the pill later on. A considerable number of pupils (10–20%) are neither protected against sexually transmitted infections nor pregnancy at first or later intercourse.


Adolescents Sexual activity Contraception use 


Conflict of interest statement



  1. 1.
    Boelskifte J, Saval PM, Rasmussen KL (2002) Sexual activity and contraception habits among adolescents over the last 14 years. An investigation among 9th grade pupils in the municipality of Viborg. In Danish Ugeskr f Laeger 164:3207–3211Google Scholar
  2. 2.
    Wielandt HB, Jeune B (1992) Did debut of intercourse change after the safe-sex campaign? In Danish Ugeskr Laeger 154:271–275Google Scholar
  3. 3.
    Larsen SB, Kragstrup J (1997) Age at menarche and first intercourse. In Danish Ugeskr Laeger 159:6676–6679Google Scholar
  4. 4.
    Magnusson C (2001) Adolescent girls’ sexual attitudes and opposite-sex relations in 1970 and in 1996. J Adolesc Health 28:242–252CrossRefPubMedGoogle Scholar
  5. 5.
    National Board of Health’s homepage on Deliveries, Fertility treatment and abortion: Contraception and abortions 1993, congenital malformations 1992 and 1993. Informatics and health data. Publications on Health Statistics at:
  6. 6.
    Ostergaard L (1997) Sexual behaviour of adolescents before and after the advent of AIDS. Genitourin Med 73:448–452PubMedGoogle Scholar
  7. 7.
    Kraft P, Træen B, Rise J (1990) AIDS and contraception- increased use of condom at first intercourse amongst Norwegian adolescents. In Norwegian Tidsskr Nor Laegeforen 110:1490–1492Google Scholar
  8. 8.
    Narring F, Wydler H, Michaud PA (2000) First sexual intercourse and contraception: a cross-sectional survey on the sexuality of 16–20-year-olds in Switzerland. Schweiz Med Wochenschr 130:1389–1398PubMedGoogle Scholar
  9. 9.
    Manning WD, Longmore MA, Giordano PC (2000) The relationship context of contraceptive use at first intercourse. Fam Plann Perspect 32:104–110CrossRefPubMedGoogle Scholar
  10. 10.
    Tucker JS, Fitzmaurice AE, Imamura M, Penfold S, Penney GC, Teijlingen E et al (2007) The effect of the national demonstration project Healthy Respect on teenage sexual health behaviour. Eur J Public Health 17:33–41CrossRefPubMedGoogle Scholar
  11. 11.
    Häggström-Nordin E, Hanson U, Tydén T (2002) Sex behavior among high school students in Sweden: improvement in contraceptive use over time. J Adolesc Health 30:288–295CrossRefPubMedGoogle Scholar
  12. 12.
    Kirby D, Obasi A, Laris BA (2006) The effectiveness of sex education and HIV education interventions in schools in developing countries. World Health Organ Tech Rep Ser 938:103–150PubMedGoogle Scholar
  13. 13.
    Rasmussen KL, Knudsen HJK (1994) School children’s knowledge of, need for and use of contraception before and after the AIDS campaigns. Sexual activity and contraception habits. In Danish. Ugeskr Laeger 156:1447–1451Google Scholar
  14. 14.
    Rasmussen KL, Munk M (1986) Sexual activity and contraceptive habits among young people. A study among pupils of the 9th grade in the municipality of Viborg. In Danish Ugeskr Laeger 149:46–48Google Scholar
  15. 15.
    Graugaard CL, Rasmussen B, Boisen KA (2002) Sexual knowledge, attitudes and behavior among young Danes. A questionnaire study. In Danish Ugeskr Laeger 164:4810–4814Google Scholar
  16. 16.
    Morrison DM, Trocki K, Temple MT (1994) Sexual behaviour of American adolescents: results from a U.S. national survey. J Adolesc Health 15:117–125CrossRefPubMedGoogle Scholar
  17. 17.
    Wellings K, Wadsworth J, Johnson A, Field J, Whitaker L, Field B (1995) Provision of sex education and early sexual experience: the relation examined. BMJ 311:417–420PubMedGoogle Scholar
  18. 18.
    Grunseit A, Kippax S, Aggleton P, Baldo M, Slutkin G (1997) Sexuality education and young people’s sexual behavior: a review of studies. J Adolesc Res 12:421–453CrossRefPubMedGoogle Scholar
  19. 19.
    Wight D, Raab G, Henderson M, Abraham C, Buston K, Hart G et al (2002) Limits of teacher delivered sex education: interim behavioural outcomes from randomised trial. BMJ 324(7351):1430CrossRefPubMedGoogle Scholar
  20. 20.
    Stephenson J, Strange V, Forrest S, Oakley A, Copas A, Allen E et al (2004) Pupil-led sex education in England (RIPPLE study): cluster-randomised intervention trial. Lancet 364(9431):338–346CrossRefPubMedGoogle Scholar
  21. 21.
    Gómez MA, Sola A, Cortés MJ, Mira JJ (2007) Sexual behaviour and contraception in people under the age of 20 in Alicante, Spain. Eur J Contracept Reprod Health Care 12:125–130CrossRefPubMedGoogle Scholar
  22. 22.
    Michaud PA, Narring F, Ferron C (1999) Alternative methods in the investigation of adolescents’ sexual life. J Adolesc Health 25:84–90CrossRefPubMedGoogle Scholar
  23. 23.
    Skjeldested FE, Nilsen S (2008) Partner change among Norwegian teenage girls attending youth health clinics. Acta Obstet Gynecol Scand 87:1071–1076CrossRefGoogle Scholar
  24. 24.
    Wight D, Parkes A, Strange V, Allen E, Bonell C, Henderson M (2008) The quality of young people’s heterosexual relationships: a longitudinal analysis of characteristics shaping subjective experience. Perspect Sex Reprod Health 40:226–237CrossRefPubMedGoogle Scholar
  25. 25.
    Abma J, Driscoll A, Moore K (1998) Young women’s degree of control over first intercourse: an exploratory analysis. Fam Plann Perspect 30:12–18CrossRefPubMedGoogle Scholar
  26. 26.
    Trivedi D, Bunn F, Graham M, Wentz R (2007) Update on review of reviews on teenage pregnancy and parenthood; submitted as an addendum to the first evidence briefing 2003. In: Review of sex and relationship education (SRE) at school. Centre for Research in Primary and Community Care, University of Hertfordshire, on behalf of NICE, Hertfordshire. Download at:
  27. 27.
    Myklestad I, Rise J (2007) Predicting willingness to engage in unsafe sex and intention to perform sexual protective behaviors among adolescents. Health Educ Behav 34:686–699PubMedGoogle Scholar
  28. 28.
    Zimmer-Gembeck MJ, Siebenbruner J, Collins WA (2004) A prospective study of intraindividual and peer influences on adolescents’ heterosexual romantic and sexual behavior. Arch Sex Behav 33:381–389CrossRefPubMedGoogle Scholar
  29. 29.
    Kosunen E, Laippala P (1996) Factors related to choosing oral contraception at age 15. Health Educ Res 4:443–451CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Finn Friis Lauszus
    • 1
    Email author
  • Jacob Lauesgaard Nielsen
    • 1
  • Jane Boelskifte
    • 1
  • Jørgen Falk
    • 2
  • Richard Farlie
    • 1
  • Kjeld Leisgård Rasmussen
  1. 1.Department of GynaecologyHerning HospitalHerningDenmark
  2. 2.Family DepartmentMunicipality of ViborgHerningDenmark

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