evidence: • In Europe (excluding the former Soviet Bloc), the highest adolescent pregnancy rates are found in England and Wales (47 in 2011) and Scotland (46). [...] ADOLESCENT ABORTION IN DEVELOPED REGIONS • According to a recent review of 35 developed countries, the highest adolescent abortion rates are in England and Wales and Sweden (20 per 1,000 women aged 15–19 in 2011 and 2010, respectively). [...] • Compared with young people in the Netherlands, who have the second lowest adolescent pregnancy rate in Europe, U.S. adolescents are faced with greater societal disapproval regarding adolescent sexuality, less-consistent provision of sex education, and greater socioeconomic inequalities that underlie higher adolescent pregnancy rates among the most disadvantaged groups.