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CONSUMERS

&

BRANDSContraceptionintheUnitedKingdom(UK)CHAPTER

01EuropeanoverviewRatingofaccesstomoderncontraceptioninEuropeancountriesin2024AccesstomoderncontraceptioninEurope2024,bycountryScoreofaccesstocontraception0%10%20%30%40%50%60%70%80%90%100%LuxembourgUnitedKingdomFrance94.2%94.1%93.2%91.1%BelgiumIreland87.2%SloveniaPortugalNetherlandsEstonia83.9%82.7%81.1%80.1%79.2%77.1%75.1%71.7%AlbaniaSwedenGermanyIceland3Description:Accesstomoderncontraceptionreliesonmultiplefactorssuchasaffordability,availability,andinformation.In2024,WesternandNorthernEuropehadmostlygoodaccesstocontraception,whereastheaccesswasmorelimitedinEasterncountries.Withscoresexceeding90percent,Belgium,France,Luxembourg,andtheUnitedKingdomhadthehighestscoresofaccesstocontraceptionduringthatyear.Poland,ontheotherhand,hadthelowestscoreinEuropeforaccesstocontraception.

ReadmoreNote(s):Europe;2024Source(s):EuropeanParliamentaryForumforSexual&ReproductiveRightsShareofwomenusinganymethodofcontraceptioninEuropein2022,bycountryWomenusingcontraceptioninEurope2022,bycountryShareofwomen40%0%10%20%30%50%60%70%80%90%NorwayCzechia85%84.5%Finland82%BulgariaMaltaSloveniaSlovakiaFrance80.9%79.3%79.3%78.5%78.1%77.2%76.3%74.5%DenmarkUnitedKingdomGreecePolandPortugal74.1%73.5%4Description:Asof2022,Norwayhadthehighestshareofwomenaged15to49yearsusingcontraceptioninEurope,with85percentusingsomeformofcontraception.CzechiaandFinlandbothhadhighlevelsofcontraceptionuseamongwomenat84.5and82percentrespectively.AroundaquarterofwomenusedanyformofcontraceptioninMontenegro,thelowestshareinEurope.ReadmoreNote(s):Europe;2022;WomenwhoaremarriedorinunionSource(s):PopulationReferenceBureauPrevalenceofwomenusinganymethodofcontraceptioninEuropein2022,bycountryWomenusingmoderncontraceptioninEurope2022,bycountryShareofwomen40%0%10%20%30%50%60%70%80%90%NorwayFinlandCzechiaFranceDenmarkAustria79%77.3%75.6%75.4%73.2%70.3%70.3%69.1%68.3%67.7%66.9%NetherlandsUnitedKingdomSwitzerlandSwedenGermanyBelgiumSlovenia66.4%66.4%5Description:InEurope,anaverageof61percentofwomenofreproductiveage(15to49years)usedamoderncontraceptivemethodin2022.TheprevalenceofcontraceptiveuseamongwomeninSouthernandEasternEuropeancountrieswaslowerthaninNorthernandWesterncountries,andthusvariedgreatlyfromonecountrytoanother.NorwayhadthehighestprevalenceinEurope,with79percentofwomenusingamoderncontraceptivemethod,whereastheprevalenceinAlbaniawasless[...]

ReadmoreNote(s):Europe;2022;15-49years;Womenofreproductiveage(15-49)Source(s):UNDESAShareofwomenusinganytraditionalmethodofcontraceptioninEuropein2022,bycountryWomenusingtraditionalcontraceptioninEurope2022,bycountryShareofwomen20%0%5%10%15%25%30%35%40%45%AlbaniaNorthMacedoniaSerbia39%34.3%30.6%BosniaandHerzegovinaCroatia29%24.9%24%22.6%GreeceBulgariaMaltaPoland16.6%16.3%Italy15.7%LithuaniaRomaniaUkraine14.7%13.4%13.4%6Description:Asof2022,AlbaniahadthehighestshareofwomeninEuropeaged15to49yearsusingtraditionalcontraception,suchasperiodicabstinenceandwithdrawal,withalmost40percentusingthisformofcontraception.NorthMacedoniaandSerbiabothhadrelativelyhighlevelsoftraditionalcontraceptionuseatover30percent.LessthanonepercentusetraditionalformsofcontraceptioninBelgiumandGermany.ReadmoreNote(s):Europe;2022;15-49years;WomenwhoaremarriedorinunionSource(s):PopulationReferenceBureauShareofwomenusingthecontraceptivepillinEuropein2022,bycountryWomenusingthecontraceptivepillinEurope2022,bycountryShareofwomen0%10%20%30%40%50%60%CzechiaNetherlandsPortugalGermanyFrance54.4%49%48.3%42.3%36.6%35.8%FinlandNorway31%Ireland26%BelgiumSlovakiaSwitzerlandEstonia25.5%22.3%22.1%21.7%Denmark21%7Description:Asof2022,CzechiahadthehighestshareinEuropeofwomenaged15to49yearsusingthebirthcontrolpill,withover54percentusingthisformofcontraception.Additionally,Netherlandshadahighlevelofcontraceptivepilluseat49percent.IntheBalkansthereislowusageofthebirthcontrolpillwithlessthantwopercentofwomenusingthepillinAlbania,Bosnia-Herzegovina,Montenegro,andNorthMacedonia.ReadmoreNote(s):Europe;2022;15-49years;WomenwhoaremarriedorinunionSource(s):PopulationReferenceBureauPrevalenceofmalecondomasthemaincontraceptivemethodamongwomeninEuropein2022,bycountryMalecondomasmaincontraceptionforwomeninEurope2022,bycountryShareofcondomuse15%

20%0%5%10%25%30%35%40%GreeceFinland33.9%30.7%PolandSpainSlovakiaRussia27.1%26.5%25.8%25%DenmarkBelarusLithuaniaUkraine24.3%24.2%24.2%24.2%UnitedKingdomRomaniaBulgaria23.2%22.6%22.3%8Description:Asof2022,GreecehadthehighestprevalenceinEuropeofwomenaged15to49yearsusingthemalecondomastheirmainformofcontraception,withalmost34percentdoingso.Additionally,FinlandandPolandhada30.7and27.1percentsharerespectivelyofwomenusingthemalecondomforcontraception.InAlbania,fewerthantwopercentofwomenusedcondomsastheirmaincontraceptionmethod.Condomsarecurrentlytheonlyformofcontraceptionthatpreventsboth[...]

ReadmoreNote(s):Europe;2022;15-49years;WomenwhoaremarriedorinunionSource(s):UnitedNationsPrevalenceofwomenusinganintrauterinedevice(IUD)forcontraceptioninEuropein2022,bycountryPrevalenceofIUDcontraceptionamongwomeninEurope2022Shareofwomen15%0%5%10%20%25%30%SwedenNorway27.5%23.3%BelgiumFrance21.8%21.5%Estonia15.4%15%NetherlandsHungaryIreland14.5%14.5%AustriaRussiaUkraine14.2%14%13.9%GermanySwitzerland12.3%11.9%9Description:Asof2022inSweden,23.3percentofwomenaged15to49yearswereusingintrauterinedevices(IUD),thehighestprevalenceofthisformofcontraceptioninEurope.NorwayandBelgiumfollowedwithjustunderaquarterofwomeninbothcountrieswithanIUD.WhileinAlbania,lessthanonepercentofwomenhadanIUDimplanted.ReadmoreNote(s):Europe;2022orlatestyear;15-49years;WomenwhoaremarriedorinunionSource(s):UNDPShareofEuropeanwomenaged15to49whowanttostopordelaychildbearingbutarenotusingamethodofcontraceptionin2021,bymaritalstatusShareofwomenwhohaveunmetneedsforfamilyplanninginEurope2021AllwomenMarriedwomen,orinunion0.12%0.1%11%9.2%8.5%8.5%0.08%0.06%0.04%0.02%0%6.7%6.5%6.3%5.7%5.2%4.6%SouthernEuropeEuropeEasternEuropeWesternEuropeNorthernEurope10Description:In2021,oversixpercentofwomeninEuropewanttostopordelaychildbearingbutarenotusingamethodofcontraception.TheunmetneedforfamilyplanningwasespeciallyhighinSouthernEuropewhere11percentofmarriedwomenwerenotusingacontraceptionmethodyetwantedtostopordelaychildbearing.NorthernandWesternEurope,ontheotherhand,showedlowerratesofunmetfamilyplanningneeds.ReadmoreNote(s):Europe;AsofJanuary1,2021Source(s):UNFPACHAPTER

02ContraceptivemethodsMethodsofcontraceptionusedbywomenintheUnitedKingdom(UK)in2022ContraceptionuseamongwomenintheUnitedKingdom2022Shareofuse30%0%10%20%40%50%60%70%80%MalecondomPill23.2%16.9%Sterilization,MaleIUD9.8%8.9%Sterilization,FemaleWithdrawal5.9%3.5%3%2.2%1.5%0.8%0.2%0.1%ImplantsInjectablesRhythmEmergencycontraceptionVaginalbarriermethodsFemalecondomAnymethod76.1%Anymodernmethod71.1%12Description:Asof2022,over23percentofwomenagedbetween15and49yearsintheUnitedKingdomusedthemalecondomastheirmainmethodofcontraception.While17percentusedthepillasthemainmethodofcontraceptionwithafurther10percentrelyingonmalesterilization.ReadmoreNote(s):UnitedKingdom;2022;15-49years;WomenwhoaremarriedorinunionSource(s):UnitedNationsRateofwomenwhowereprovidedemergencycontraceptivesbysexualandreproductivehealthservicesinEnglandin2022/23,byage(per1,000population)RateofemergencycontraceptivesprovidedbyservicesinEngland2022/23,byage121010896654332210013-141516-1718-1920-2425-3435-4445-54Total13Description:Amongwomenagedbetween18and19yearsold,tenper1,000wereprovidedemergencycontraceptivesbysexualandreproductivehealthservicesin2022/23.ThisstatisticshowstherateofwomenwhowereprovidedemergencycontraceptivesbysexualandreproductivehealthservicesinEnglandin2022/23,byage(per1,000population).ReadmoreNote(s):UnitedKingdom(England);Apr1,2022toMar31,2023;13-54yearsSource(s):NHSDigitalPercentageofwomenusingsexualandreproductivehealthservicesinEnglandin2022/23,bydeprivationdecileWomenusingreproductivehealthservicesinEngland2022/23,bydeprivationdecile0.07%6%0.06%0.05%0.04%0.03%0.02%0.01%0%5%5%5%4%4%4%4%3%3%1(mostdeprived)2345678910(leastdeprived)14Description:Theresultsshowthatin2022/23womeninthemoredeprivedareasweremorelikelytousesexualandreproductiveservices.Thisstatisticshowstheshareofwomenaged13-54usingsexualandreproductivehealthservicesinEnglandin2022/23,bydeprivationdecile.ReadmoreNote(s):UnitedKingdom(England);Apr1,2022toMar31,2023;13-54yearsSource(s):NHSDigitalNumberofemergencycontraceptionitemsprovidedbysexualhealthservicesandpharmacistsinEnglandfrom2010/11to2022/23(inthousands)EmergencycontraceptivesprovidedinEngland2010/11to2022/23DispensedinthecommunitySexualandreproductivehealthservices300250200150100502532452302152041861681541401361321301181141101059696919087838174554602010/112011/122012/132013/142014/152015/162016/172017/182018/192019/202020/212021/222022/2315Description:Therehasbeenageneraldeclineinthenumberofemergencycontraceptionitemsdispensedinthecommunityaswellasatsexualandreproductivehealthservicesovertheprovidedtimeinterval.ThisstatisticshowsthenumberofemergencycontraceptionitemsprovidedbysexualandreproductivehealthservicesandcommunitypharmacistsinEnglandfrom2010/11to2022/23.ReadmoreNote(s):UnitedKingdom(England);2010/11to2022/23Source(s):NHSDigitalDistributionofwomenusinguserdependentandlonglastingreversiblecontraceptives(LARCs)inEnglandin2022/23,byageContraceptiveuseamongwomeninEngland2022/23,bytypeandageUserDependentLARCs1.2%1%0.8%0.6%0.4%0.2%0%43%42%44%49%55%55%65%68%57%58%56%51%45%45%35%32%Under1616-1718-1920-2425-3435-4445andoverAllagesAgeinyears16Description:Intheperiod2022/23,58percentofwomeninEnglandaged16and17yearswhowereincontactwithsexualhealthserviceswereusinguserdependentcontraceptives,comparedto42percentwhowereusinglongactingreversiblecontraceptives(LARCs).Itisvisiblethatyoungeragegroupsweremorelikelytouseuser-dependentcontraceptivescomparedtoolderagegroups.

ReadmoreNote(s):UnitedKingdom(England);Apr1,2022toMar31,2023Source(s):NHSDigitalShareofwomenusinglongactingreversiblecontraceptivesinEnglandin2022/23,bymethodUseoflongactingreversiblecontraceptivesinEngland2022/230.25%0.2%22%16%0.15%10%0.1%0.05%0%7%IUdeviceIUsystemImplantInjectablecontraceptive17Description:Longactingreversiblecontraception(LARC)isatypeofbirthcontrolthatdoesnotrequiretheusertotakeanyactionsregardingcontraceptionforthetimethattheLARCisinplace.ThismakesLARCsaveryeffectivetypeofbirthcontrolmethod.InEnglandin2022/23,amongwomenincontactwithsexualandreproductivehealthservices,55percentwereusingLARCcomparedtouserdependentcontraceptivessuchasthepillorcondoms.Ofthe55percent,22percenthavetheimplant[...]

ReadmoreNote(s):UnitedKingdom(England);Apr1,2022toMar31,2023Source(s):NHSDigitalNumberofemergencycontraceptivesprovidedbysexualandreproductivehealthservicesinEnglandfrom2004/05to2022/23,bytype(inthousands)NumberofemergencycontraceptivesprovidedinEngland2004-2023,bytypeOralIUD20018016014012010080174.1164.5153.1137.8137134.2131.8129.8125112.5108.29989.487.682.276.271.56047.439402099.28.47.46.65.667.15.55.85.56.46.67.14.54.854.14.7018Description:Theresultsshowthattherehasbeenageneraldecreaseinthenumberoforalcontraceptivesprovidedovertheperiod,butanincreaseinthenumberofIUDsprovidedbysexualandreproductivehealthservicesinEngland.Afteralargedropin2020/21whichcouldbeaCOVID-relateddecreaseinhealthserviceusage,thenumbersofemergencycontraceptivesprovidedhaveincreased.Thisstatisticshowsthenumberofemergencycontraceptivesprovidedbysexualandreproductive[...]

ReadmoreNote(s):UnitedKingdom(England);2004/05to2022/23Source(s):NHSDigitalCHAPTER

03ConceptionsintheUKCruderateofbirthintheUnitedKingdom(UK)from2007to2022(per1,000population)CrudebirthrateintheUnitedKingdom(UK)2007-20221412.912.912.812.812.712.612.11211.911.81210811.41110.710.110.1106420200720082009201020112012201320142015201620172018201920202021202220Description:ThecrudebirthrateintheUnitedKingdomsawnosignificantchangesin2022incomparisontothepreviousyear2021andremainedataroundtenlivebirthsper1,000inhabitants.Yet2022sawthelowestrateintheUnitedKingdomwithtenlivebirthsper1,000inhabitants.ReadmoreNote(s):UnitedKingdom;2007to2022Source(s):WorldBankCrudebirthrateintheUnitedKingdomfrom1938to2021CrudebirthrateintheUK1938-20212321191715131197521Description:In2021thelivebirthrateoftheUnitedKingdomfellto10.4birthsper1,000population,thelowestithadbeenduringthistimeperiod.TheUK'sbirthratehasbeendecliningsteadilysince2010whenthebirthratewas12.9birthsper1,000population.After1938,theyearwiththehighestbirthrateintheUKwas1947,whenthecrudebirthratewas21.2birthsper1,000population.ReadmoreNote(s):UnitedKingdom;1938to2021Source(s):OfficeforNationalStatistics(UK)NumberoflivebirthsintheUnitedKingdomfrom1887to2021NumberoflivebirthsintheUK1887-20211,200,0001,100,0001,000,000900,000800,000700,000600,00022Description:Therewere694,685livebirthsrecordedintheUnitedKingdomin2021,comparedwith681,560inthepreviousyear.Between1887and2021theyearwiththehighestnumberoflivebirthswas1920whentherewereapproximately1.13millionbirths,whiletheyearwiththefewestbirthswas1977,whentherewerejust657,038births.ReadmoreNote(s):UnitedKingdom;1887to2021Source(s):OfficeforNationalStatistics(UK)ConceptionrateinEnglandandWalesfrom1990to2021,byagegroup(rateper1,000women)ConceptionratebyageinEnglandandWales1990-2021Under16Under18Under2020-2425-2930-3435-39Over4016014012010080604020023Description:InEnglandandWalesin2021,theconceptionrateamongwomenagedbetween30and34yearswasapproximately116.2per1,000women,meaningthisagegrouphadthehighestrateofconceptionsthatyear.Slightlylowerwastherateofconceptionsamong25to29-year-old'sat113.6conceptionsper1,000women,whiletherewere78.9conceptionsper1,000womenagedbetween20and24yearsofage.

ReadmoreNote(s):UnitedKingdom(England,Wales);1990to2021Source(s):OfficeforNationalStatistics(UK)PercentageofconceptionsleadingtoabortioninEnglandandWalesfrom1990to2021,byagegroupPercentageofconceptionsleadingtoabortioninEnglandandWales1990-2021Under2020-2425-2930-3435-39Over4055%50%45%40%35%30%25%20%15%10%5%24Description:In2021,overhalfofteenagepregnanciesinEnglandandWalesledtoanabortion,whileinthesameyear40.1percentofpregnanciesamong20to24-year-oldsalsoledtoanabortion.Theagegroupwiththelowestshareofconceptionsleadingtoabortionswasamong30to34-year-olds,at18.3percent.ReadmoreNote(s):UnitedKingdom(England,Wales);1990to2021Source(s):OfficeforNationalStatistics(UK)Shareofconceptionsofunder16yearoldgirlsleadingtoabortioninEnglandandWalesfrom2004to2021Abortionrateofpregnanciesofunder16yearoldsinEnglandandWales2004to20210.7%62.5%62.5%62.6%61.5%

61.5%61.6%61.5%61.6%61.8%60.7%60.2%59.8%59.8%59.8%59.5%59.8%0.6%0.5%0.4%0.3%0.2%0.1%0%57.2%

57.1%20042005200620072008200920102011201220132014201520162017201820192020202125Description:Thisstatisticshowstheshareofconceptionsofgirlsagedunder16yearsendinginabortioninEnglandandWalesfrom2004to2021.Theshareofterminatedpregnanciesinthisagegrouphasingeneralincreasedovertheprovidedtimeperiod.Althoughin2021,59.8percentofpregnanciesledtoabortion,thelowestsharesince2015.ReadmoreNote(s):UnitedKingdom(England,Wales);2004to2021;13-16yearsSource(s):OfficeforNationalStatistics(UK)RateofabortioninScotlandin2023,byageofwoman(per1,000women)AbortionrateinScotland2023,byageofwoman3529.33025201510524.31918.612.34.91.70Under16years*16-19years20-24years25-29years30-34years35-39years40yearsandover26Description:In2023,29.3abortionsper1,000womenwerecarriedoutinScotlandandwereperformedonwomenbetweentheagesof20and24.ThisagegroupaccountedforthehighestrateofabortionsperformedinScotland.Theagegroup25to29yearshadanabortionrateof24.3per1,000women.ꢀAbortionintherestoftheUKInEnglandandWalesin2020,theagegroup20to24yearshadthehighestrateofabortions,aswasthecaseinScotland.Therateof29.8abortionsper1,000women[...]

ReadmoreNote(s):UnitedKingdom(Scotland);2023;AllagesSource(s):NHSHealthScotlandNumberofterminatedpregnanciesinNorthernIrelandfrom2008/09to2021/22NorthernIreland:terminationofpregnancies2008-2022706063535150403020100474443363523221616131282007/08

2008/09

2009/10

2010/11

2011/12

2012/13

2013/14*

2014/15

2015/16

2016/17

2017/18

2018/19

2019/20

2020/21

2021/2227Description:ThisstatisticshowsthenumberofpregnanciesthatwereterminatedinNorthernIrelandfrom2008/09to2021/22.In2018/19,therewereeightpregnanciesterminatedinNorthernIreland,thelowestamountintheprovidedtimeinterval.Whilein2021/22,therewere53terminatedpregnancies.ReadmoreNote(s):UnitedKingdom(NorthernIreland);2008/09to2021/22Source(s):DepartmentofHealthCHAPTER

04SexualhealthservicesNumberofindividualsincontactwithsexualandreproductivehealthservicesinEnglandbetween2004/05and2022/23(inmillions)ContactwithsexualandreproductivehealthservicesinEngland2004/05-2022/23Males1.7Females1.561.81.61.41.21.00.80.60.40.20.01.631.551.281.241.231.21.191.161.120.40.350.310.290.260.220.180.150.150.10.12004/052005/062014/152015/162016/172017/182018/192019/202020/212021/222022/2329Description:In2022/23,approximately1.23millionfemaleswereincontactwithNHSsexualandreproductivehealthservicesinEngland.Thefiguresshowthatsignificantlymorefemaleswereincontactwithsexualandreproductivehealthservicesthanmalesthroughouttheyears.ThisstatisticshowsthenumberofindividualsincontactwithsexualandreproductivehealthservicesinEnglandbetween2004/05and2022/23.ReadmoreNote(s):UnitedKingdom(England);2004/05to2023/23Source(s):NHSDigitalNumberofcontactswithsexualandreproductivehealthservicesforcontraceptivereasonsinEnglandin2022/23,byage(inthousands)Reproductivehealthservices:contactforcontraceptivereasonsinEnglandin2022/23400347.735030025020015010050223.7183.387.184.568.425.50Under1616-1718-1920-24Ageinyears25-3435-4445andover30Description:BetweenApril2022andMarch2023,mostpeoplewhocontactedsexualandreproductivehealthservicesforcontraceptioninEnglandwereintheagegroup25to34years,withover347thousandcontacts.ThisstatisticshowsthenumberofcontactswithsexualandreproductivehealthservicesforcontraceptivereasonsinEnglandin2022/23,byage(inthousands).ReadmoreNote(s):UnitedKingdom(England);Apr1,2022toMar31,2023Source(s):NHSDigitalNumberofcontactsmadewithsexualandreproductiveservicesforemergencycontraceptioninEnglandin2022/23,byage(inthousands)NumberofcontactsrequestingemergencycontraceptioninEngland2022/23,byage3025.52522.920151058.37.351.60.90Under1616-1718-1920-24Ageinyears25-3435-4445andover31Description:BetweenApril2022andMarch2023,22.9thousandcontactsweremadewithsexualandreproductiveservicesforemergencycontraceptionfrompeopleagedbetween20and24years.Thisstatisticshowsthenumberofrequestsmadewithsexualandreproductivehealthservicesforeme

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