Decline in Adolescent Condom Use Raises STI and Pregnancy Risks in Europe

New WHO/Europe report reveals high rates of unprotected sex among adolescents across Europe, with significant implications for health and safety

An urgent report from the WHO Regional Office for Europe reveals that condom use among sexually active adolescents has declined significantly since 2014, with rates of unprotected sex worryingly high. This is putting young people at significant risk of sexually transmitted infections and unplanned pregnancies. The new data were published as part of the multi-part Health Behaviour in School-aged Children (HBSC) study, which surveyed over 242,000 15-year-olds across 42 countries and regions in the period 2014 to 2022.

Far-reaching consequences of unprotected sex

Overall, the report highlights that a substantial proportion of sexually active 15-year-olds are engaging in unprotected sexual intercourse, which WHO warns can have far-reaching consequences for young people, including unintended pregnancies, unsafe abortions, and an increased risk of contracting sexually transmitted infections (STIs). The data indicate that the high prevalence of unprotected sex indicates significant gaps in age-appropriate comprehensive sexuality education, including sexual health education, and access to contraceptive methods.

Worrying decline in condom use

Compared to 2014 levels, the new data show a significant decline in the number of adolescents reporting condom use during last sexual intercourse. From the data, it is clear that the decrease in condom use is pervasive, spanning multiple countries and regions, with some experiencing more dramatic reductions than others.

The report underscores the urgent need for targeted interventions to...

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