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It should be a matter of concern that such a high proportion of unplanned pregnancies are due to contraceptive failure (which comprises technical failure and misuse of contraception). To gain an insight into the effectiveness of contraception in preventing teenage pregnancies at a population level I have examined the relation between trends in the use of condoms among teenagers and trends in teenage conception rates during 1975-91. I used data from the national survey of sexual behaviour2 to estimate the proportion of male teenagers who used condoms at first sexual intercourse during the period. The percentage who report having used condoms at
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