May 2014 U.S. Teenage Pregnancies, Births and Abortions, 2010: National and State Trends by Age, Race and Ethnicity Kathryn Kost and Stanley Henshaw Table of Contents Introduction Key Findings Discussion Acknowledgments References National-Level Tables 1.1 Rates of pregnancy, birth and abortion, and abortion ratios, among women aged 15–19, by race or ethnicity, according to year, 1986–2010 2.1 Among women aged 15–19, rates of pregnancy, birth and abortion; numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 2.2 Among women aged 15–17, rates of pregnancy, birth and abortion; numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 2.3 Among women aged 18–19, rates of pregnancy, birth and abortion; numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 2.4 Among women aged 14 or younger, rates of pregnancy, birth and abortion; no. of pregnancies, births, abortion and miscarriages; and population, 1972–2010 2.5 Among women younger than 20, rates of pregnancy, birth and abortion; numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 2.6 Among women aged 20–24, rates of pregnancy, birth and abortion; numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 Map: Teen pregnancy rates, by state, 2010 2 2 5 7 7 9 10 11 12 13 14 15 16 State-Level Tables 3.1 State rankings by rates of pregnancy, birth and abortion among women aged 15–19; state rates by age-group; and state abortion ratios, 2010 3.2 Number of pregnancies, births, abortions and miscarriages among women younger than 20 in each state, by age-group, 2010 3.3 State-specific rates of pregnancy, birth and abortion among women aged 15–19, by year 3.4 State-specific rates of pregnancy, birth and abortion among women aged 15–19, by race and ethnicity, 2010 3.5 Number of pregnancies, births, abortions and miscarriages among women aged 15–19 in each state, by race and ethnicity, 2010 3.6 State-specific population estimates among women aged 15–19, by age-group and by race and ethnicity, 2010 19 About the Tables National-Level Methodology State-Level Methodology Interpreting the Data Footnotes References Data sources 23 23 24 25 25 26 26 17 18 20 21 22 Introduction This report contains the most recent and comprehensive statistics available—for 2010—on the incidence of teenage pregnancy, birth and abortion for the United States as a whole and for individual states. At the national level, we show trends since 1972. For states, we present trends since 1988. The report concludes with a discussion of the methodology and sources used to obtain the estimates. Our previously published statistics for national- and state-level estimates through 2008 were published in two separate reports.1,2 Counts of pregnancies include births, abortions, miscarriage and stillbirths. The National Center for Health Statistics (NCHS) provides annual counts of teen births in the United States, as reported in the National Vital Statistics System (via birth certificates).3 The estimates we present for 2010 are part of the Guttmacher Institute’s ongoing surveillance of teen pregnancy in the United States. Our national- and state-level teen pregnancy report is generally updated every two years and contains the only available estimates of teen pregnancy for all 50 states using counts of abortions from the Guttmacher Institute’s periodic national census of abortion providers. This census is widely recognized as the most accurate count of abortions performed annually in the United States.4 Through a collaborative agreement with NCHS, we also provide abortion data for the calculation of teen pregnancy rates at the national level for use in NCHS vital statistics reports. A demographic rate is defined as the number of events (in this case, pregnancies, births or abortions) divided by the number of individuals who could experience the event—the “population.” The pregnancy rate is composed of the rates of pregnancy outcomes (births, abortions and miscarriages) and is not synonymous with the birthrate. Trends in rates of births, abortions and pregnancies can move in different directions and may be affected by different social and economic factors. Unless otherwise indicated, in this report, the words “teenagers” and “teens” refer to women aged 15–19. The report also includes numbers, and in some cases rates, shown separately for women aged 14 and younger, 15–17-year-olds, 18–19-year-olds and all women younger than 20. We also present statistics by race and ethnicity when the data are sufficient to provide these estimates. Key Findings National levels and trends (Tables 1.1, 2.1-2.6) • In 2010, roughly 625,000 women younger than 20 became pregnant. Some 614,000 pregnancies were among teenagers (women aged 15–19), and another 11,000 were among those aged 14 and younger. • The pregnancy rate among teenagers was 57.4 pregnancies per 1,000 women; this means that about 6% of teens became pregnant in 2010. 2 • While 18–19-year-olds made up 41% of all 15–19-year-old women in 2010, they accounted for 69% of all teen pregnancies. The pregnancy rate among 18–19-year-olds was 96.2, while the rate among 15–17-year-olds was 30.1. • In 2010, the U.S. teenage pregnancy rate reached its lowest point in more than 30 years (57.4), down 51% from its peak in 1990 (116.9). Between 2008 and 2010 alone, the rate dropped 15%, from 67.8. • The pregnancy rate among sexually experienced teenagers (those who had ever had intercourse) was 126.6 pregnancies per 1,000 women aged 15–19), reflecting the fact that the overall teenage pregnancy rate includes a substantial proportion of young women who have never had sex. The pregnancy rate among sexually experienced teenagers has fallen 43% since 1990, when it was 223.1. • The teenage birthrate in 2010 was 34.4 births per 1,000 women. This was 44% lower than the peak rate of 61.8, reached in 1991. • The 2010 teenage abortion rate was 14.7 abortions per 1,000 women. This figure is the lowest since abortion was legalized and 66% lower than its peak in 1988 (43.5). • The long-term declines in teenage birth and abortion rates were interrupted by increases in 2006. By 2008, the declines had resumed, and they accelerated between 2008 and 2010. • From 1986 to 2010, the proportion of teenage pregnancies ending in abortion (i.e., the abortion ratio) declined by one-third, from 46% to 30%. National levels by race and ethnicity (Table 1.1) • Among non-Hispanic white teenagers, the pregnancy rate declined 56% between 1990 and 2010 (from 86.6 per 1,000 to 37.8). • The pregnancy rate among black women aged 15–19 fell 56% between 1990 and 2010 (from 223.8 per 1,000 to 99.5), but remains more than twice the non-Hispanic white rate. • Among Hispanic teenagers (of any race), the pregnancy rate fell 51% between its peak in 1992 and 2010 (from 169.7 per 1,000 to 83.5); this, too, is more than twice the rate for non-Hispanic white teenagers. In just two years, from 2008 to 2010, the teen pregnancy rate for Hispanic teens fell 23 rate points, from 106.6. • Wide differences in birth and abortion rates also persist across racial and ethnic groups. The birthrate in 2010 for non-Hispanic white teenagers (23.6) was about half the rate for black teenagers (51.4) and less than half the rate for Hispanic teenagers (55.6). The abortion rate among black teenagers (34.5) was more than three times the rate for non-Hispanic whites (8.5), while the rate among Hispanic teenagers (15.3) was almost twice that rate. 3 State levels in 2010 (Tables 3.1–3.3, 3.6)* • In 2010, New Mexico had the highest teenage pregnancy rate (80 pregnancies per 1,000 women); the next highest rates were in Mississippi (76), Texas (73), Arkansas (73), Louisiana (69) and Oklahoma (69). The lowest rates were in New Hampshire (28), Vermont (32), Minnesota (36), Massachusetts (37) and Maine (37). • In 2010, teenage birthrate was highest in Mississippi (55 per 1,000 in 2010), and the next highest rates were in New Mexico (53), Arkansas (53), Texas (52) and Oklahoma (50). The lowest rates were in New Hampshire (16), Massachusetts (17), Vermont (18), Connecticut (19) and New Jersey (20). • Teenage abortion rates in 2010 were highest in New York (32 abortions per 1,000 women), Delaware (28), New Jersey (24), Hawaii (23) and Maryland (22). The lowest rates were found in South Dakota (4) Utah (4), Kansas (5), Nebraska (5), Kentucky (6) and North Dakota (6). • More than half of teenage pregnancies (excluding miscarriages and stillbirths) ended in abortion in three states: New York (58%), New Jersey (55%) and Connecticut (52%). • In ascending order, the states with the lowest proportions of teenage pregnancies ending in abortion (15% or less) were South Dakota, Kansas, Kentucky, Oklahoma, Utah, Arkansas, Mississippi, Nebraska and Texas. • In general, states with the largest numbers of teenagers also had the greatest numbers of teenage pregnancies in 2010. California recorded the highest number of pregnancies among women aged 15–19 (80,970), followed by Texas, New York, Florida and Illinois (25,350–66,760 each). The states with the smallest numbers of teenage pregnancies (fewer than 1,600 each) were, in ascending order, Vermont, North Dakota, Wyoming, New Hampshire, South Dakota and Maine. State trends (Table 3.3) • Between 1988 and 2000, and again between 2000 and 2005, teenage pregnancy rates declined in every state. However, between 2005 and 2008, the rate decreased in 19 states, stayed the same in 5 and increased in 26 states. Between 2008 and 2010, the teenage pregnancy rate declined in all 50 states. • Arizona experienced the largest decrease in the teen pregnancy rate between 2008 and 2010, dropping from 82 to 60 pregnancies per 1,000 women aged 15–19, a 27% decline. Rates in Nevada, Delaware and Georgia also dropped substantially during that period—16, 14 and 14 rate points, respectively. West Virginia experienced the smallest decrease in its pregnancy rate, at only one rate point. Decreases for other states ranged from five to 13 rate points. * These observations exclude the District of Columbia, which is more comparable to a city than a state. 4 • In 2008–2010, birthrates among teenagers decreased most in Arizona (12 rate points) and Nevada (10 rate points). Only one state, North Dakota, experienced an increase in teen birthrates during this period (from 28 to 29 births per 1,000 women aged 15–19). • Between 2008 and 2010, abortion rates among teens decreased by two rate points or more in 35 states, and the six states that experienced declines of 5–6 rate points or more were Arizona, California, Connecticut, Illinois, New Jersey and New York. Abortion rates among teens increased in only two states—West Virginia and Alaska—with an increase of one and two rate points, respectively. State levels by race and ethnicity (Tables 3.4–3.6) • Many states did not have, or could not provide, data on the race or ethnicity of teenagers obtaining abortions. In others, race or ethnicity of the woman was missing for 20% or more of the abortions. Therefore, estimates of pregnancy rates among non-Hispanic white teenagers are available for 28 states, rates among black teenagers are available for 32 states and rates among Hispanic teenagers are available for 26 states. • Among states with data available, pregnancy rates for non-Hispanic white teenagers were highest in Southern states: West Virginia (64 pregnancies per 1,000 women aged 15–19), Arkansas (63), Kentucky (59), Oklahoma (59), Mississippi (56), Louisiana (51), South Carolina (51), Tennessee (51) and Alabama (49). The lowest rates were found in Minnesota (24), Wisconsin (26), New York (32), Vermont (32) and Colorado (33). • Pregnancy rates among black teenagers were highest in New York, and next highest in Delaware, Michigan, Iowa, Ohio, Wisconsin and Arkansas (101–114 per 1,000 women aged 15– 19). The lowest rate was in Maine, with the next lowest rates appearing in Vermont, Idaho, Arizona, Oregon and Utah (38–63 per 1,000). • Pregnancy rates among Hispanic teens were highest among states with data in Georgia (113 pregnancies per 1,000 women aged 15–19), Alabama (107), New York (101), and North Carolina (100). In contrast, pregnancy rates among Hispanic teenagers were low in Vermont and West Virginia (29 and 48, respectively). Discussion This report documents the long-term decline in rates of pregnancies, births and abortions among teenagers at both the national and state levels. Teen pregnancies have declined dramatically in the United States since their peak in the early 1990s, as have the births and abortions that result. In 2010, the teen pregnancy rate reached its lowest level in nearly 40 years,† with especially large declines from 2008 to 2010. There was a substantial drop in the teen pregnancy rate for both 15–17- and 18–19-year-olds between 2008 and 2010, yet pregnancies among 18–19-year-olds made up the majority of all teen pregnancies (69%). During this same time period, increasing proportions of women aged † And possibly ever; data reach back only to 1972. 5 18–19 reported having ever had sex,‡ yet fewer of them were getting pregnant. Changes in contraceptive use are likely driving this trend. There is evidence that contraceptive practices are improving among older teens: A recent study found that the proportion of 18–19-year-old women reporting use of long-acting reversible contraceptive methods tripled between 2007 and 2009,5 and promotion and acceptance of these methods for teens and young adult women has increased.6,7 Contraceptive use may also be associated with the large decline in the pregnancy rate among sexually experienced teens. This report demonstrates that, in fact, fewer teens are becoming pregnant than at any time since tracking of this data began—reflecting our finding that both birthrates and abortion rates among teens have steadily declined. We document that teen birthrates are continuing to decline and are reaching historic lows, a pattern also documented in recently released statistics from NCHS.8 But, it is important to recognize that declines in the rate of teen births do not necessarily result in lower pregnancy rates. In theory, if abortion rates increase, the pregnancy rate could remain constant even while birthrates are falling. In other words, teens who become pregnant could be increasingly likely to have an abortion, rather than a birth. From 2008 to 2010, pregnancy rates dropped dramatically not only among teens but also among young women aged 20–24: The pregnancy rate decreased by 15% among teenagers aged 15–19 and by 12% among 20–24-year-olds. In both 2009 and 2010, the birth and abortion rates among teenagers and young adult women reached historic lows. Recent data on births from the National Center for Health Statistics show continued declines in birthrates among teens and among women in their twenties in 2011 and 2012, even while the birthrate has increased among women aged 30–44.8 Abortion data are not yet available for these most recent years, so we are not yet able to calculate teen pregnancy rates, but increases in abortion are not expected, particularly given that the overall abortion rate among all U.S. women aged 15–44 in 2011 was the lowest in 40 years.9 Even with the recent reductions in rates of teenage pregnancies, births and abortions, the data presented here indicate that there are still large and long-standing disparities in rates by race and ethnicity. These disparities mirror those found among unintended pregnancy rates among all U.S. women of reproductive age, which are several times higher among women of color than among white women.10 Still, the gap in racial disparities has narrowed. Hispanic teens make up an increasing proportion of all teens, so with the historically elevated pregnancy rates among this group, we might have expected to see a trend toward higher, not lower, overall teen pregnancy rates. Instead, the overall decline in pregnancy rates for all teens was largely driven by the dramatic declines among Hispanics and blacks. Teen pregnancy rates in all 50 states have steadily declined over the past 20 years, and the dramatic decline from 2008 to 2010 in national rates of pregnancies, births and abortions reflects a decline in each of the 50 states. Yet even with long-term and ongoing declines, substantial disparities between states remain in these rates and in the patterns of pregnancy outcomes. A number of factors likely contribute to differences between states, including differences in the demographic characteristics of their populations, the availability of comprehensive sex ‡ In 2006–2008, 61% of women aged 18–19 reported having ever had sex, compared with 67% in 2008–2010 (tabulations from the 2006–2010 National Survey of Family Growth). 6 education, knowledge about and availability of contraceptive services, and cultural attitudes toward sexual behavior and childbearing. It is unlikely that state-level policies alone have led to the declines seen across all states. Indeed, adolescent pregnancy rates have been declining in a number of Western European countries, as well (though trend data for pregnancies, rather than births, are hard to find).11 In many settings, simultaneous declines in pregnancy rates among adolescents and young adults, which reflect later initiation of childbearing among women, suggest that similar causal factors may have influenced both age-groups. Some research suggests that fertility behaviors are affected by economic conditions, especially for teens, and that the recession beginning in 2008 may have played a role in the more recent decline.12 Trends in teenage and young adult pregnancy, birth and abortion will need to be closely monitored over the coming years to determine how the reproductive behaviors of young women and young men in the United States may be changing. Further research will be needed to understand the behavioral, social and economic factors that are affecting these trends. Specifically, research will need to address not just why fewer teens and young adult women are having births, but also why fewer are becoming pregnant. Acknowledgments This report was prepared by Kathryn Kost and Stanley Henshaw, with research assistance from Michelle Eilers and Isaac Maddow-Zimet and editing by Haley Ball. All are currently or formerly affiliated with the Guttmacher Institute. Heather Boonstra, Lawrence Finer, Rachel Jones, Laura Lindberg, Susheela Singh and Rebecca Wind provided valuable comments and suggestions. We gratefully acknowledge the numerous state health department staff who provided tabulations of their data. The Guttmacher Institute also gratefully acknowledges the general support it receives from individuals and foundations, including major grants from The William and Flora Hewlett Foundation and the David and Lucile Packard Foundation, which undergirds all of the Institute’s work. Suggested citation: Kost K and Henshaw S, U.S. Teenage Pregnancies, Births and Abortions, 2010: National and State Trends by Age, Race and Ethnicity, 2014, New York: Guttmacher Institute, <http://www.guttmacher.org/pubs/USTPtrends10.pdf>. References 1. Kost K and Henshaw S, U.S. Teenage Pregnancies, Births and Abortions, 2008: National Trends by Age, Race and Ethnicity, 2012, <http://www.guttmacher.org/pubs/USTPtrends08.pdf>, accessed Mar. 24, 2014. 2. Kost K and Henshaw S, U.S. Teenage Pregnancies, Births and Abortions, 2008: State Trends by Age, Race and Ethnicity, 2013, http://www.guttmacher.org/pubs/USTPtrendsState08.pdf, accessed Mar. 24, 2014. 7 3. Centers for Disease Control and Prevention (CDC), National Vital Statistics System, <http://www.cdc.gov/nchs/nvss.htm>, accessed Apr. 15, 2014. 4. Pazol K et al., Abortion surveillance—United States, 2010, Morbidity and Mortality Weekly Report, 2013, Vol. 62, No. SS08. 5. Finer LB et al., Changes in use of long-acting contraceptive methods in the United States, 2007–2009, Fertility and Sterility, 2012, 98(4):893–897. 6. Committee on Adolescent Health Care, Long-Acting Reversible Contraception Working Group, Adolescents and long-acting reversible contraception: implants and intrauterine devices, Committee Opinion, 2012, No. 539. 7. CDC, U.S. selected practice recommendations for contraceptive use, 2013: adapted from the World Health Organization Selected Practice Recommendations for Contraceptive Use, 2nd Edition, Morbidity and Mortality Weekly Report, 2013, Vol. 62, No. RR05. 8. Martin JA et al., Births: final data for 2012, National Vital Statistics Report, 2013, Vol. 62, No. 9. 9. Jones RK and Jerman J, Abortion incidence and service availability in the United States, 2011, Perspectives on Sexual and Reproductive Health, 2014, 46(1):3–14. 10. Finer LB and Zolna MR, Shifts in intended and unintended pregnancies in the United States, 2001–2008, American Journal of Public Health, 2014, 104(Suppl. 1):S43–48. 11. Sedgh G et al., Adolescent pregnancy, birth and abortion rates across countries: levels and recent trends, unpublished report, New York: Guttmacher Institute, 2014. 12. Ananat EO et al., Community-wide job loss and teenage fertility: evidence from North Carolina, Demography, 2013, 50(6):2151–2171. 8 Table 1.1 Rates of pregnancy, birth and abortion,* and abortion ratios,† among women aged 15–19, by race or ethnicity, according to year, 1986–2010 Race/ethnicity and measure 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 TOTAL Pregnancy rate All Sexually experienced‡ Birthrate Abortion rate Abortion ratio 106.7 210.5 50.2 42.3 45.7 106.6 206.5 50.6 41.8 45.2 111.4 211.4 53.0 43.5 45.1 114.9 218.6 57.3 42.0 42.3 116.9 223.1 60.3 40.5 40.2 115.3 220.6 61.8 37.4 37.7 111.0 213.0 60.3 35.2 36.9 108.0 207.8 59.0 33.9 36.5 104.6 201.8 58.2 31.6 35.2 99.6 192.6 56.0 29.4 34.5 95.6 187.5 53.5 28.6 34.8 91.4 181.6 51.3 27.1 34.6 88.7 178.9 50.3 25.8 33.9 85.7 175.2 48.8 24.7 33.6 83.4 173.0 47.6 23.9 33.4 78.7 165.8 45.0 22.5 33.3 74.4 158.9 42.6 21.1 33.1 71.8 156.7 41.1 20.4 33.2 70.1 156.5 40.5 19.5 32.5 68.3 155.9 39.7 18.7 32.0 70.1 163.8 41.1 18.9 31.5 69.8 163.1 41.5 18.2 30.6 67.8 158.5 40.2 17.8 30.6 63.4 139.8 37.9 16.3 30.0 57.4 126.6 34.4 14.7 30.0 90.0 42.3 35.6 45.7 89.6 42.5 35.1 45.2 93.0 44.4 36.1 44.9 95.8 47.9 34.8 42.1 98.8 51.2 33.9 39.8 96.6 52.6 30.4 36.6 92.3 51.4 27.9 35.2 90.0 50.6 26.6 34.4 87.8 50.5 24.7 32.8 84.9 49.5 23.2 31.9 81.4 47.5 22.2 31.9 77.9 45.5 21.1 31.7 75.9 44.9 20.0 30.8 73.4 44.0 18.7 29.8 71.3 43.1 17.8 29.3 67.7 41.0 16.8 29.0 64.4 39.2 15.7 28.6 62.3 38.0 15.2 28.5 60.7 37.4 14.4 27.8 59.1 36.7 13.7 27.1 60.6 37.9 13.7 26.5 60.9 38.4 13.5 25.9 58.8 37.3 12.8 25.5 55.5 35.3 11.9 25.3 49.8 32.0 10.4 24.5 u u u u u u u u u u u u 39.9 u u 86.6 42.1 32.9 43.9 83.6 43.4 28.7 39.8 77.8 41.7 25.3 37.7 75.3 40.7 24.0 37.1 72.5 40.4 21.8 35.1 69.7 39.3 20.5 34.3 66.4 37.6 19.3 33.9 63.6 36.0 18.6 34.0 60.9 35.3 16.9 32.4 58.0 34.1 15.5 31.3 55.4 32.6 14.8 31.2 51.7 30.3 13.9 31.5 48.3 28.6 12.7 30.8 46.5 27.4 12.3 31.1 44.5 26.7 11.4 29.9 43.4 26.0 11.1 29.9 44.2 26.7 11.0 29.2 44.5 27.2 10.8 28.4 43.4 26.7 10.4 27.9 41.7 25.7 9.8 27.7 37.8 23.6 8.5 26.6 NONWHITE All Pregnancy rate Birthrate Abortion rate Abortion ratio 180.7 84.8 71.8 45.8 180.1 85.5 70.4 45.2 189.1 89.2 74.5 45.5 193.4 95.9 71.3 42.6 189.4 96.3 67.0 41.0 188.5 97.8 64.7 39.8 183.5 94.6 63.6 40.2 177.6 91.2 62.0 40.5 169.0 87.5 58.2 39.9 155.1 80.5 53.2 39.8 148.9 75.9 52.5 40.9 141.6 72.6 49.4 40.5 136.2 70.2 47.3 40.3 130.8 66.1 46.8 41.4 127.7 64.2 46.1 41.8 118.7 59.4 43.1 42.1 110.1 54.8 40.3 42.4 105.1 52.0 38.8 42.7 102.3 51.2 37.1 42.0 99.3 49.9 35.8 41.8 101.3 51.4 36.0 41.2 98.6 51.3 33.7 39.6 96.3 49.5 33.6 40.4 88.0 46.1 29.7 39.1 80.9 41.6 28.2 40.4 Black Pregnancy rate Birthrate Abortion rate Abortion ratio u 95.8 u u u 97.6 u u u 102.7 u u u 111.5 u u 223.8 112.9 80.3 41.6 222.3 114.8 76.9 40.1 216.6 111.3 75.5 40.4 209.9 107.3 73.8 40.7 198.7 102.9 68.3 39.9 181.4 94.4 61.9 39.6 175.1 89.6 61.4 40.7 168.1 86.3 58.7 40.5 162.0 83.5 56.2 40.2 156.1 79.1 55.7 41.3 152.9 77.2 54.8 41.5 141.2 71.3 50.6 41.5 131.6 65.7 47.9 42.1 125.3 62.5 45.7 42.3 122.5 61.7 44.1 41.7 118.9 60.1 42.5 41.4 121.6 62.2 42.7 40.7 119.1 62.0 40.6 39.5 117.0 60.1 40.8 40.4 110.2 56.4 38.6 40.6 99.5 51.4 34.5 40.2 HISPANIC Pregnancy rate Birthrate Abortion rate Abortion ratio u u u u u u u u u u u u u 100.8 u u 162.2 99.5 38.9 28.1 169.1 104.6 39.6 27.5 169.7 103.3 41.6 28.7 165.8 101.8 39.7 28.0 164.4 101.3 39.0 27.8 158.5 99.3 35.8 26.5 152.8 94.6 35.7 27.4 143.5 89.6 32.7 26.8 142.5 87.9 33.7 27.7 139.4 86.8 32.1 27.0 137.1 86.6 30.2 25.8 132.1 84.4 28.0 24.9 126.5 80.6 27.0 25.1 122.3 78.4 25.7 24.7 121.9 78.1 25.7 24.7 116.9 76.5 22.9 23.0 118.1 77.4 22.9 22.9 114.6 75.3 22.1 22.7 106.6 70.3 20.1 22.2 96.1 63.6 18.0 22.0 83.5 55.6 15.3 21.6 WHITE All Pregnancy rate Birthrate Abortion rate Abortion ratio Non-Hispanic§ Pregnancy rate Birthrate Abortion rate Abortion ratio *All rates are the number of events per 1,000 women aged 15–19; pregnancy rate includes the estimated number of pregnancies ending in miscarriage or stillbirth. †The number of abortions per 100 pregnancies ending in abortion or live birth; denominator excludes miscarriages and stillbirths. ‡The pregnancy rate among all 15–19-year-olds who have ever had sex (see text). §Pregnancy rates, birthrates and abortion ratios of non-Hispanic whites follow the NCHS methodology of including all white births of unknown Hispanic ethnicity with non-Hispanic births (<1% of all birth certificates). Notes: In this and subsequent tables, data are tabulated according to the woman's age at the pregnancy outcome and, for births, according to the mother´s race or ethnicity (not the child´s). u=unavailable. 9 Table 2.1 Among women aged 15–19, rates of pregnancy, birth and abortion;* numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 Year Pregnancy rate Birthrate Abortion rate Total pregnancies Births Abortions Estimated miscarriages† Population (in 1000s) 1972 1973 1974 1975 95.1 96.1 98.8 101.1 61.7 59.3 57.5 55.6 19.1 22.8 27.0 31.2 949,630 980,000 1,022,210 1,058,150 616,280 604,096 595,449 582,238 191,000 231,900 279,700 326,780 142,350 144,100 147,060 149,130 9,988 10,193 10,350 10,466 1976 1977 1978 1979 1980 101.1 104.6 105.4 109.4 111.0 52.8 52.8 51.5 52.3 53.2 34.3 37.5 39.7 42.4 42.8 1,069,440 1,107,290 1,112,760 1,148,430 1,151,850 558,744 559,154 543,407 549,472 552,161 362,680 396,630 418,790 444,600 444,780 148,020 151,500 150,560 154,350 154,910 10,582 10,581 10,555 10,497 10,381 1981 1982 1983 1984 1985 109.9 109.8 109.3 107.9 109.0 52.2 52.4 51.4 50.6 51.0 42.9 42.7 43.2 42.9 43.5 1,109,540 1,077,120 1,039,600 1,002,370 1,000,110 527,392 513,758 489,286 469,682 467,485 433,330 418,740 411,330 398,870 399,200 148,810 144,620 138,990 133,830 133,420 10,096 9,809 9,515 9,287 9,174 1986 1987 1988 1989 1990 106.7 106.6 111.4 114.9 116.9 50.2 50.6 53.0 57.3 60.3 42.3 41.8 43.5 42.0 40.5 982,450 974,580 1,006,010 1,015,790 1,012,260 461,905 462,312 478,353 506,503 521,826 389,240 381,640 392,720 370,900 350,970 131,310 130,630 134,940 138,390 139,460 9,206 9,139 9,029 8,840 8,656 1991 1992 1993 1994 1995 115.3 111.0 108.0 104.6 99.6 61.8 60.3 59.0 58.2 56.0 37.4 35.2 33.9 31.6 29.4 969,280 931,400 917,800 908,910 889,080 519,577 505,415 501,093 505,488 499,873 314,350 295,360 287,710 274,840 262,930 135,350 130,620 128,990 128,580 126,270 8,407 8,389 8,496 8,689 8,929 1996 1997 1998 1999 2000 95.6 91.4 88.7 85.7 83.4 53.5 51.3 50.3 48.8 47.6 28.6 27.1 25.8 24.7 23.9 878,990 861,070 855,420 836,290 821,810 491,577 483,220 484,895 476,050 468,990 262,810 255,640 248,680 240,940 235,470 124,600 122,210 121,850 119,300 117,350 9,193 9,425 9,641 9,762 9,855 2001 2002 2003 2004 2005 78.7 74.4 71.8 70.1 68.3 45.0 42.6 41.1 40.5 39.7 22.5 21.1 20.4 19.5 18.7 780,200 742,430 723,980 718,040 712,610 445,944 425,493 414,580 415,262 414,593 222,790 210,770 205,900 199,750 195,550 111,470 106,170 103,500 103,030 102,470 9,909 9,982 10,087 10,243 10,435 2006 2007 2008 2009 2010 70.1 69.8 67.8 63.4 57.4 41.1 41.5 40.2 37.9 34.4 18.9 18.2 17.8 16.3 14.7 742,990 749,180 733,010 684,900 614,410 435,436 444,899 434,758 409,802 367,678 200,420 195,730 192,090 175,580 157,450 107,130 108,550 106,160 99,520 89,280 10,597 10,731 10,805 10,805 10,702 *All rates are the number of events per 1,000 women aged 15–19; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Includes stillbirths. 10 Table 2.2 Among women aged 15–17, rates of pregnancy, birth and abortion;* numbers of pregnancies, births, abortions and miscarriages; and population, 1972–2010 Year Pregnancy rate Birthrate Abortion rate Total pregnancies Births Abortions Estimated miscarriages† Population (in 1000s) 1972 1973 1974 1975 62.4 64.9 66.4 68.0 39.0 38.5 37.3 36.1 14.2 16.9 19.7 22.3 378,720 401,130 416,700 427,300 236,641 238,403 234,177 227,270 86,140 104,590 123,350 140,520 55,940 58,140 59,170 59,510 6,071 6,185 6,276 6,288 1976 1977 1978 1979 1980 67.5 69.5 68.3 70.4 72.5 34.1 33.9 32.2 32.3 32.7 24.2 26.2 26.9 28.8 30.2 426,560 438,720 429,390 436,590 439,550 215,493 213,788 202,661 200,137 198,222 152,700 165,610 169,270 178,570 183,350 58,370 59,320 57,460 57,880 57,980 6,319 6,310 6,286 6,200 6,063 1981 1982 1983 1984 1985 71.5 71.7 72.0 70.2 70.9 32.0 32.2 31.8 31.0 31.0 30.1 30.0 30.7 29.9 30.6 418,400 402,640 390,290 377,080 383,540 187,397 181,162 172,673 166,744 167,789 175,930 168,410 166,440 160,900 165,630 55,070 53,070 51,180 49,440 50,120 5,848 5,618 5,424 5,373 5,409 1986 1987 1988 1989 1990 69.6 70.5 73.5 74.4 74.2 30.5 31.7 33.6 36.4 37.5 29.9 29.6 30.2 28.0 26.6 384,050 384,340 386,110 370,290 362,800 168,572 172,591 176,624 181,044 183,327 165,240 161,120 158,330 139,130 129,820 50,240 50,630 51,160 50,120 49,650 5,520 5,450 5,251 4,974 4,889 1991 1992 1993 1994 1995 72.9 70.3 69.4 67.7 64.1 38.6 37.6 37.5 37.2 35.5 24.2 22.9 22.2 21.0 19.5 355,730 350,900 352,900 355,510 347,580 188,226 187,549 190,535 195,169 192,508 118,050 114,400 112,960 110,280 105,970 49,450 48,950 49,400 50,060 49,100 4,882 4,993 5,086 5,249 5,424 1996 1997 1998 1999 2000 60.4 56.6 53.9 50.5 48.1 33.3 31.4 29.9 28.2 26.8 18.6 17.2 16.4 15.2 14.5 337,060 324,490 312,170 293,570 281,900 185,721 180,154 173,231 163,588 157,209 103,810 98,460 94,810 88,420 84,770 47,530 45,880 44,130 41,560 39,920 5,582 5,732 5,790 5,811 5,862 2001 2002 2003 2004 2005 44.2 41.7 40.2 38.9 37.6 24.5 23.1 22.2 21.8 21.1 13.4 12.7 12.4 11.6 11.2 261,880 250,570 243,810 239,320 237,630 145,324 138,731 134,384 133,980 133,191 79,540 76,450 75,050 71,400 70,730 37,020 35,390 34,380 33,940 33,710 5,928 6,008 6,060 6,146 6,319 2006 2007 2008 2009 2010 38.3 37.9 36.8 33.9 30.1 21.6 21.7 21.1 19.6 17.4 11.2 10.8 10.4 9.5 8.4 246,250 245,610 236,220 215,080 189,000 138,943 140,566 135,664 124,247 109,173 72,290 69,930 66,750 59,980 52,720 35,020 35,110 33,810 30,850 27,110 6,434 6,484 6,417 6,344 6,281 *All rates are the number of events per 1,000 women aged 15–17; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Includes stillbirths. 11 Table 2.3 Among women aged 18–19, rates of pregnancy, birth and abortion;* numbers of pregnancies, births, abortions and miscarriages; and population, 1972–2010 Year Pregnancy rate Birthrate Abortion rate Total pregnancies Births Abortions Estimated miscarriages† Population (in 1000s) 1972 1973 1974 1975 145.8 144.4 148.6 151.0 96.9 91.2 88.7 85.0 26.8 31.8 38.4 44.6 570,910 578,870 605,510 630,850 379,639 365,693 361,272 354,968 104,860 127,310 156,350 186,260 86,410 85,870 87,890 89,620 3,917 4,008 4,074 4,178 1976 1977 1978 1979 1980 150.8 156.5 160.1 165.7 164.9 80.5 80.9 79.8 81.3 81.9 49.3 54.1 58.4 61.9 60.5 642,880 668,570 683,370 711,840 712,300 343,251 345,366 340,746 349,335 353,939 209,980 231,020 249,520 266,030 261,430 89,650 92,180 93,100 96,470 96,930 4,263 4,271 4,269 4,297 4,319 1981 1982 1983 1984 1985 162.7 160.9 158.7 159.8 163.8 80.0 79.4 77.4 77.4 79.6 60.6 59.7 59.8 60.8 62.0 691,140 674,480 649,310 625,290 616,570 339,995 332,596 316,613 302,938 299,696 257,400 250,330 244,890 237,970 233,570 93,740 91,550 87,810 84,390 83,300 4,248 4,191 4,092 3,914 3,765 1986 1987 1988 1989 1990 162.3 160.0 164.1 167.0 172.4 79.6 78.5 79.9 84.2 89.9 60.8 59.8 62.0 60.0 58.7 598,400 590,240 619,900 645,500 649,460 293,333 289,721 301,729 325,459 338,499 224,000 220,520 234,390 231,770 221,150 81,070 80,000 83,780 88,270 89,810 3,686 3,689 3,778 3,865 3,766 1991 1992 1993 1994 1995 174.0 171.0 165.6 160.8 154.5 94.0 93.6 91.1 90.2 87.7 55.7 53.3 51.2 47.8 44.8 613,550 580,500 564,900 553,400 541,500 331,351 317,866 310,558 310,319 307,365 196,300 180,960 174,750 164,560 156,960 85,900 81,670 79,590 78,520 77,170 3,526 3,395 3,410 3,440 3,505 1996 1997 1998 1999 2000 150.1 145.3 141.1 137.4 135.2 84.7 82.1 80.9 79.1 78.1 44.0 42.6 40.0 38.6 37.7 541,930 536,580 543,250 542,720 539,910 305,856 303,066 311,664 312,462 311,781 159,000 157,180 153,870 152,520 150,700 77,070 76,330 77,720 77,740 77,430 3,611 3,693 3,851 3,951 3,993 2001 2002 2003 2004 2005 130.2 123.8 119.3 116.9 115.4 75.5 72.2 69.6 68.7 68.4 36.0 33.8 32.5 31.3 30.3 518,320 491,860 480,170 478,720 474,980 300,620 286,762 280,196 281,282 281,402 143,250 134,320 130,850 128,350 124,820 74,450 70,780 69,120 69,090 68,760 3,981 3,974 4,026 4,096 4,116 2006 2007 2008 2009 2010 119.3 118.6 113.2 105.3 96.2 71.2 71.7 68.2 64.0 58.5 30.8 29.6 28.6 25.9 23.7 496,730 503,580 496,780 469,830 425,410 296,493 304,333 299,094 285,555 258,505 128,130 125,800 125,340 115,600 104,730 72,110 73,450 72,350 68,670 62,170 4,163 4,247 4,389 4,461 4,421 *All rates are the number of events per 1,000 women aged 18–19; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Includes stillbirths. 12 Table 2.4 Among women aged 14 or younger, rates of pregnancy, birth and abortion;* numbers of pregnancies, births, abortions and miscarriages; and population, 1972–2010 Year Pregnancy rate Abortion rate Total pregnancies Abortions Estimated miscarriages† 1972 1973 1974 1975 u 13.5 14.3 15.1 5.8 6.1 6.0 6.0 u 5.6 6.4 7.2 u 28,230 29,800 31,950 12,082 12,861 12,529 12,642 u 11,630 13,420 15,260 u 3,740 3,850 4,050 2,093 2,094 2,086 2,118 1976 1977 1978 1979 1980 15.2 15.1 14.6 15.8 15.9 5.7 5.6 5.3 5.5 5.5 7.6 7.6 7.5 8.3 8.4 31,710 30,970 29,550 30,680 29,080 11,928 11,455 10,772 10,699 10,169 15,820 15,650 15,110 16,220 15,340 3,960 3,860 3,670 3,760 3,570 2,080 2,048 2,020 1,944 1,834 1981 1982 1983 1984 1985 15.8 15.9 16.7 16.8 16.7 5.4 5.6 5.5 5.5 5.5 8.5 8.3 9.2 9.3 9.2 28,320 27,770 29,690 30,570 30,930 9,632 9,773 9,752 9,965 10,220 15,240 14,590 16,350 16,920 16,970 3,450 3,410 3,590 3,690 3,740 1,787 1,748 1,781 1,819 1,853 1986 1987 1988 1989 1990 17.3 17.4 17.6 17.3 17.5 6.0 6.4 6.7 7.1 7.3 9.2 8.8 8.7 7.9 7.9 29,470 28,070 27,720 27,810 27,830 10,176 10,311 10,588 11,486 11,657 15,690 14,270 13,650 12,750 12,580 3,600 3,490 3,480 3,570 3,590 1,706 1,613 1,573 1,608 1,588 1991 1992 1993 1994 1995 16.7 17.0 16.4 15.5 14.3 7.2 7.2 7.2 7.0 6.6 7.3 7.6 7.1 6.5 5.8 27,910 28,780 28,710 28,770 26,600 12,014 12,220 12,554 12,901 12,242 12,270 12,830 12,410 12,080 10,830 3,630 3,730 3,750 3,790 3,530 1,670 1,694 1,756 1,855 1,860 1996 1997 1998 1999 2000 13.0 11.9 11.5 10.5 10.0 5.8 5.3 5.0 4.6 4.3 5.4 5.0 5.0 4.5 4.3 24,780 22,750 21,650 20,450 19,640 11,148 10,121 9,462 9,054 8,519 10,360 9,640 9,360 8,720 8,560 3,270 2,990 2,830 2,680 2,560 1,910 1,919 1,890 1,957 1,972 2001 2002 2003 2004 2005 9.2 8.5 7.9 7.4 7.3 3.9 3.6 3.2 3.2 3.2 4.1 3.8 3.7 3.3 3.2 18,190 17,190 16,300 15,890 15,540 7,781 7,315 6,661 6,781 6,722 8,050 7,640 7,550 7,050 6,800 2,360 2,230 2,090 2,060 2,020 1,980 2,015 2,058 2,147 2,123 2006 2007 2008 2009 2010 7.0 6.9 6.6 5.9 5.4 3.0 3.0 2.8 2.5 2.2 3.1 3.0 2.9 2.7 2.5 14,790 14,360 13,520 12,060 10,900 6,396 6,195 5,764 5,029 4,497 6,460 6,290 6,010 5,480 5,000 1,930 1,870 1,750 1,550 1,400 2,103 2,074 2,046 2,040 2,022 Birthrate Births Population (in 1000s)‡ *All rates are calculated as the number of events experienced by women aged 14 and younger divided by the female population aged 14. The denominator is limited to 14-year-olds because the majority of all pregnancies among women aged 14 and younger occur among 14-year-olds (see Methodology). The pregnancy rate includes the estimated number of pregnancies ending in miscarriage or stillbirth. †Includes stillbirths. ‡Women aged 14. Note: u=unavailable. 13 Table 2.5 Among women younger than 20, rates of pregnancy, birth and abortion;* numbers of pregnancies, births, abortion and miscarriages; and population, 1972–2010 Year Pregnancy rate 1972 1973 1974 1975 u 98.9 101.6 104.2 62.9 60.5 58.7 56.8 u 23.9 28.3 32.7 u 1,008,230 1,052,010 1,090,100 628,362 616,957 607,978 594,880 u 243,530 293,120 342,040 u 147,750 150,910 153,180 9,988 10,193 10,350 10,466 1976 1977 1978 1979 1980 104.1 107.6 108.2 112.3 113.8 53.9 53.9 52.5 53.4 54.2 35.8 39.0 41.1 43.9 44.3 1,101,150 1,138,260 1,142,310 1,179,110 1,180,930 570,672 570,609 554,179 560,171 562,330 378,500 412,280 433,900 460,820 460,120 151,980 155,360 154,230 158,110 158,480 10,582 10,581 10,555 10,497 10,381 1981 1982 1983 1984 1985 112.7 112.6 112.4 111.2 112.4 53.2 53.4 52.4 51.6 52.1 44.4 44.2 44.9 44.8 45.4 1,137,860 1,104,890 1,069,290 1,032,940 1,031,040 537,024 523,531 499,038 479,647 477,705 448,570 433,330 427,680 415,790 416,170 152,260 148,030 142,580 137,520 137,160 10,096 9,809 9,515 9,287 9,174 1986 1987 1988 1989 1990 109.9 109.7 114.5 118.1 120.2 51.3 51.7 54.2 58.6 61.6 44.0 43.3 45.0 43.4 42.0 1,011,920 1,002,650 1,033,730 1,043,600 1,040,090 472,081 472,623 488,941 517,989 533,483 404,930 395,910 406,370 383,650 363,550 134,910 134,120 138,420 141,960 143,050 9,206 9,139 9,029 8,840 8,656 1991 1992 1993 1994 1995 118.6 114.5 111.4 107.9 102.5 63.2 61.7 60.5 59.7 57.4 38.8 36.7 35.3 33.0 30.7 997,190 960,180 946,510 937,680 915,680 531,591 517,635 513,647 518,389 512,115 326,620 308,190 300,120 286,920 273,760 138,980 134,350 132,740 132,370 129,800 8,407 8,389 8,496 8,689 8,929 1996 1997 1998 1999 2000 98.3 93.8 91.0 87.8 85.4 54.7 52.3 51.3 49.7 48.5 29.7 28.1 26.8 25.6 24.8 903,770 883,820 877,070 856,750 841,450 502,725 493,341 494,357 485,104 477,509 273,170 265,280 258,040 249,660 244,030 127,870 125,200 124,680 121,990 119,910 9,193 9,425 9,641 9,762 9,855 2001 2002 2003 2004 2005 80.6 76.1 73.4 71.7 69.8 45.8 43.4 41.8 41.2 40.4 23.3 21.9 21.2 20.2 19.4 798,390 759,620 740,280 733,930 728,170 453,725 432,808 421,241 422,043 421,315 230,840 218,410 213,450 206,800 202,350 113,830 108,400 105,590 105,090 104,500 9,909 9,982 10,087 10,243 10,435 2006 2007 2008 2009 2010 71.5 71.1 69.1 64.5 58.4 41.7 42.0 40.8 38.4 34.8 19.5 18.8 18.3 16.8 15.2 757,760 763,530 746,530 696,960 625,310 441,832 451,094 440,522 414,831 372,175 206,880 202,020 198,100 181,060 162,450 109,050 110,420 107,910 101,070 90,680 10,597 10,731 10,805 10,805 10,702 Birthrate Abortion rate Total pregnancies Births Abortions Estimated miscarriages† Population (in 1000s)‡ *All rates are calculated as the number of events experienced by women younger than 20, divided by the female population aged 15–19. The denominator is limited to 15–19-year-olds because 97–98% of all pregnancies among women younger than 20 occurred among 15–19-year-olds. The pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Includes stillbirths. ‡Women aged 15–19. Note: u=unavailable. 14 Table 2.6 Among women aged 20–24, rates of pregnancy, birth and abortion;* numbers of pregnancies, births, abortions and miscarriages; and population, 1972–2010 Year Pregnancy rate Abortion rate Total pregnancies Abortions Estimated miscarriage† 1972 1973 1974 1975 u 172.4 174.7 173.3 130.2 119.7 117.7 113.0 u 26.2 30.4 34.3 u 1,586,000 1,644,920 1,677,220 1,174,183 1,101,113 1,108,051 1,093,676 u 240,610 286,600 331,640 u 244,280 250,270 251,900 9,021 9,198 9,415 9,677 1976 1977 1978 1979 1980 175.9 184.2 183.7 190.2 194.3 110.3 112.9 109.9 112.8 114.8 39.6 44.3 47.2 49.9 51.4 1,741,430 1,870,410 1,905,780 2,004,670 2,075,790 1,091,602 1,146,491 1,139,524 1,188,663 1,226,200 392,280 449,660 489,410 525,710 549,410 257,550 274,260 276,850 290,300 300,180 9,901 10,152 10,373 10,541 10,683 1981 1982 1983 1984 1985 191.1 190.1 185.4 184.9 187.1 112.2 111.6 107.8 106.8 108.3 51.4 51.1 50.9 51.6 52.0 2,064,830 2,054,020 1,995,270 1,976,120 1,972,410 1,212,000 1,205,979 1,160,274 1,141,578 1,141,320 554,940 551,680 548,130 551,110 548,020 297,890 296,360 286,870 283,430 283,070 10,805 10,805 10,762 10,687 10,541 1986 1987 1988 1989 1990 185.9 186.7 191.2 195.7 202.0 107.4 107.9 110.2 113.8 116.4 51.8 52.0 53.6 53.8 56.7 1,907,060 1,861,150 1,852,520 1,853,480 1,898,200 1,102,119 1,075,856 1,067,472 1,077,598 1,093,730 531,380 518,290 519,600 509,420 532,480 273,560 267,000 265,450 266,460 271,990 10,258 9,971 9,689 9,473 9,396 1991 1992 1993 1994 1995 200.4 197.9 194.0 188.1 182.9 115.3 113.7 111.3 109.2 107.5 56.4 55.9 54.9 51.9 49.1 1,894,240 1,863,730 1,809,330 1,724,700 1,643,520 1,089,692 1,070,490 1,038,127 1,001,418 965,547 533,280 526,490 512,340 475,450 440,780 271,270 266,750 258,860 247,830 237,190 9,451 9,417 9,328 9,168 8,986 1996 1997 1998 1999 2000 183.5 181.6 181.8 180.6 181.2 107.8 107.3 108.4 107.9 108.9 49.3 48.1 47.0 46.4 45.9 1,609,600 1,594,850 1,617,980 1,643,120 1,693,940 945,210 942,048 965,122 981,929 1,017,806 432,130 422,170 418,030 422,550 429,610 232,260 230,630 234,830 238,640 246,520 8,770 8,781 8,901 9,099 9,350 2001 2002 2003 2004 2005 175.6 170.6 168.3 165.6 164.7 105.6 103.1 102.3 101.5 101.8 44.4 42.7 41.4 39.8 38.7 1,698,880 1,691,900 1,698,470 1,687,400 1,683,910 1,021,627 1,022,106 1,032,305 1,034,454 1,040,388 429,930 423,060 417,910 405,510 395,860 247,320 246,730 248,250 247,440 247,660 9,677 9,916 10,094 10,191 10,223 2006 2007 2008 2009 2010 170.4 168.7 164.3 155.0 145.0 105.5 105.4 101.8 96.2 89.5 39.8 38.4 38.4 36.0 34.1 1,744,440 1,733,070 1,698,980 1,620,900 1,540,560 1,080,437 1,082,354 1,052,184 1,005,982 951,688 407,190 394,770 396,690 376,110 362,300 256,810 255,950 250,110 238,810 226,570 10,239 10,270 10,340 10,459 10,628 Birthrate Births Population (in 1000s) *All rates are the number of events per 1,000 women aged 20–24; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Includes stillbirths. Note: u=unavailable. 15 Teen Pregnancy Rates, by State, in 2010 16 Table 3.1 State rankings by rates of pregnancy, birth and abortion* among women aged 15–19; state rates by age-group; and state abortion ratios, 2010 State Pregnancy rate Rank Birthrate 15–19 15–17 18–19 Rank Abortion rate 15–19 15–17 18–19 Rank 15–19 15–17 18–19 Abortion ratio† Total Alabama Alaska Arizona Arkansas California‡ na 15 12 18 4 21 57 62 64 60 73 59 30 34 29 32 35 32 96 101 120 101 125 99 na 9 18 12 3 29 34 44 38 42 53 32 17 23 16 22 25 16 58 72 73 70 92 54 na 34 10 33 36 8 15 9 17 9 9 19 8 6 9 4 5 11 24 13 29 15 13 32 30 17 30 18 14 38 Colorado Connecticut Delaware District of Columbia Florida‡ 27 39 8 na 19 54 44 67 90 60 29 23 39 79 31 90 77 102 97 101 24 47 31 na 28 33 19 31 45 32 18 8 16 36 16 57 35 49 52 55 21 6 2 na 9 12 20 28 32 19 7 12 18 33 11 20 32 39 31 31 27 52 47 41 38 Georgia Hawaii Idaho Illinois Indiana 11 10 36 23 29 64 65 47 57 53 34 31 22 32 26 108 117 84 95 90 13 27 26 25 19 42 33 33 33 38 21 13 15 17 19 71 63 59 57 64 19 4 43 13 42 13 23 7 15 7 8 14 4 10 4 21 38 12 24 12 24 42 17 32 16 Iowa Kansas Kentucky Louisiana Maine 41 28 16 5 46 44 53 62 69 37 22 26 31 36 15 74 92 107 115 68 34 14 7 6 45 29 39 46 48 22 13 19 22 24 8 49 68 81 81 41 35 47 46 25 26 9 5 6 10 10 5 3 4 7 4 14 9 9 15 18 23 12 12 18 31 Maryland§ Massachusetts Michigan Minnesota Mississippi 22 47 31 48 2 57 37 52 36 76 29 19 26 16 42 100 59 89 64 123 38 49 32 43 1 27 17 30 23 55 14 9 14 10 31 48 27 53 41 89 5 16 17 40 32 22 14 14 8 9 12 7 8 4 5 38 24 23 13 15 45 46 32 25 14 Missouri Montana Nebraska Nevada New Hampshire§ 25 30 42 7 50 54 53 43 68 28 25 21 21 35 12 95 98 74 121 51 20 21 30 16 50 37 35 31 39 16 17 13 15 19 6 65 67 54 70 29 37 27 48 7 38 9 10 5 20 8 4 5 3 11 4 15 16 8 34 15 19 21 14 34 35 New Jersey New Mexico New York North Carolina North Dakota 32 1 14 20 43 51 80 63 59 42 26 46 36 31 20 92 129 100 98 67 46 2 42 17 33 20 53 23 38 29 10 30 11 20 13 38 86 39 64 47 3 14 1 22 45 24 15 32 12 6 13 9 20 7 4 42 23 49 19 9 55 22 58 24 18 Ohio Oklahoma Oregon Pennsylvania Rhode Island 26 6 37 34 40 54 69 47 49 44 26 36 23 26 25 94 114 80 79 64 23 5 35 39 44 34 50 28 27 22 16 26 13 14 14 61 84 49 44 32 24 41 23 15 11 12 8 12 15 16 6 4 7 8 8 19 12 19 24 24 25 13 29 35 41 South Carolina South Dakota Tennessee Texas Utah 9 38 17 3 45 65 47 62 73 38 36 21 30 40 19 103 82 107 122 63 11 22 10 4 36 43 35 43 52 28 22 16 20 29 14 69 62 76 87 47 20 49 30 28 50 13 4 9 9 4 8 2 5 5 2 19 7 15 17 7 23 11 18 15 13 Vermont Virginia Washington West Virginia Wisconsin Wyoming§ 49 35 33 13 44 24 32 48 49 64 39 56 14 22 26 32 18 25 53 84 83 106 69 97 48 37 40 8 41 15 18 27 27 45 26 39 8 13 13 21 12 17 31 48 47 76 47 69 29 18 12 31 44 39 9 14 16 9 7 8 4 7 9 6 4 5 15 24 25 14 11 12 34 33 37 17 21 17 *All rates are the number of events per 1,000 women aged 15–19; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth.†Abortions per 100 pregnancies ending in abortion or live birth. ‡Abortion estimates are based on the number of abortions among all women in the state and the proportion of abortions obtained by women of the same age nationally. §Abortion estimates are based on the number of abortions among all women in the state and the proportion of abortions obtained by women of the same age in neighboring states. Notes: Even though abortions have been tabulated according to state of residence where possible, in states with parental notification or consent requirements for minors, the pregnancy and abortion rates may be too low because minors have traveled to other states for abortion services, and the rates in neighboring states may be too high. 17 Table 3.2 Number of pregnancies, births, abortions and miscarriages among women younger than 20 in each state, by age-group, 2010 State Pregnancies*,† Births Miscarriages*,‡ Abortions* <15 15–19 15–17 18–19 <15 15–19 15–17 18–19 <15 15–19 15–17 18–19 <15 15–19 15–17 18–19 10,890 230 10 200 130 1,450 614,410 10,460 1,600 13,470 7,220 80,970 189,000 3,260 450 4,170 2,060 25,680 425,410 7,190 1,150 9,300 5,160 55,300 4,497 110 5 108 76 433 367,678 7,343 956 9,389 5,229 43,149 109,173 2,224 251 2,934 1,435 13,314 258,505 5,119 705 6,455 3,794 29,835 5,000 90 § 60 30 840 157,450 1,500 410 2,010 860 26,540 52,720 540 130 590 300 8,820 104,730 960 280 1,420 560 17,720 1,400 30 § 30 20 170 89,280 1,620 230 2,080 1,130 11,280 27,110 500 60 650 320 3,540 62,170 1,120 170 1,430 810 7,740 Colorado Connecticut Delaware District of Columbia Florida** 140 100 50 50 700 8,790 5,400 2,130 1,880 35,610 2,840 1,720 700 670 10,680 5,950 3,680 1,430 1,210 24,940 57 20 16 16 249 5,474 2,274 974 951 19,127 1,717 622 285 303 5,393 3,757 1,652 689 648 13,734 60 70 20 20 370 2,020 2,430 880 670 11,510 710 880 330 280 3,820 1,310 1,550 550 390 7,690 20 10 10 10 90 1,300 700 280 260 4,980 410 210 90 90 1,460 880 480 190 170 3,520 Georgia Hawaii Idaho Illinois Indiana 460 30 30 500 170 22,240 2,680 2,660 25,350 12,240 6,910 780 730 8,530 3,540 15,320 1,900 1,930 16,820 8,710 184 10 13 190 91 14,378 1,347 1,863 14,798 8,665 4,330 324 504 4,645 2,484 10,048 1,023 1,359 10,153 6,181 220 20 10 250 60 4,530 970 390 6,910 1,680 1,560 360 120 2,690 510 2,970 610 270 4,210 1,170 60 § § 60 20 3,330 370 410 3,650 1,900 1,020 100 110 1,200 550 2,310 270 300 2,450 1,350 Iowa Kansas Kentucky Louisiana Maine 70 60 120 250 20 4,640 5,220 8,990 11,060 1,560 1,300 1,520 2,570 3,310 370 3,330 3,700 6,420 7,740 1,190 32 36 69 121 6 3,017 3,865 6,684 7,689 917 800 1,113 1,847 2,189 208 2,217 2,752 4,837 5,500 709 30 20 30 90 10 920 530 880 1,660 420 310 170 320 620 110 610 360 560 1,040 310 10 10 20 30 § 700 830 1,420 1,700 230 190 240 400 500 50 500 590 1,020 1,200 170 Maryland†† Massachusetts Michigan Minnesota Mississippi 240 120 300 110 180 11,320 8,310 18,580 6,340 8,390 3,420 2,350 5,400 1,740 2,700 7,900 5,960 13,190 4,600 5,690 80 40 112 46 111 5,396 3,909 10,835 4,035 6,077 1,602 1,137 2,968 1,071 1,959 3,794 2,772 7,867 2,964 4,118 130 60 150 50 40 4,400 3,290 5,080 1,360 1,000 1,360 890 1,670 410 320 3,040 2,400 3,400 950 680 30 10 40 10 30 1,520 1,110 2,670 940 1,320 460 320 760 260 420 1,060 790 1,910 690 890 Missouri Montana Nebraska Nevada New Hampshire†† 140 30 40 110 10 11,160 1,690 2,710 6,020 1,290 3,020 400 790 1,880 310 8,140 1,290 1,930 4,150 980 75 12 18 49 3 7,669 1,128 1,958 3,421 722 2,048 245 544 1,023 164 5,621 883 1,414 2,398 558 40 10 10 50 10 1,780 310 330 1,740 380 510 100 120 590 100 1,270 210 210 1,150 280 20 § 10 10 § 1,710 260 420 860 180 460 60 120 260 40 1,250 200 300 590 140 New Jersey New Mexico New York North Carolina North Dakota 310 90 970 340 10 14,630 5,830 41,590 19,000 950 4,740 1,990 13,750 5,830 250 9,890 3,840 27,840 13,170 700 76 46 185 163 7 5,793 3,872 15,126 12,309 659 1,732 1,290 4,338 3,704 165 4,061 2,582 10,788 8,605 494 200 40 680 130 10 6,980 1,070 21,310 3,840 150 2,420 400 7,770 1,260 50 4,560 680 13,540 2,580 100 30 10 100 50 § 1,860 880 5,160 2,850 150 590 300 1,640 870 40 1,270 580 3,510 1,980 110 Ohio Oklahoma Oregon Pennsylvania Rhode Island 410 160 70 420 30 21,600 8,860 5,800 21,470 1,750 6,260 2,640 1,680 6,480 520 15,340 6,220 4,120 14,990 1,230 171 101 27 153 6 13,752 6,496 3,496 11,959 891 3,811 1,918 963 3,574 284 9,941 4,578 2,533 8,385 607 190 30 30 220 20 4,630 970 1,450 6,470 620 1,530 310 480 2,000 170 3,110 660 980 4,480 450 50 20 10 50 § 3,210 1,400 840 3,040 240 920 410 240 910 70 2,300 980 600 2,120 170 180 20 230 1,050 50 10,490 1,300 13,280 66,760 4,140 3,260 350 3,770 22,030 1,200 7,230 950 9,510 44,730 2,950 107 10 118 705 27 6,849 975 9,254 47,751 3,049 2,017 260 2,536 16,027 879 4,832 715 6,718 31,724 2,170 50 10 80 180 20 2,060 120 1,980 8,600 440 760 30 660 2,540 130 1,300 80 1,320 6,060 310 30 § 30 160 10 1,580 210 2,050 10,410 650 480 60 570 3,460 190 1,100 150 1,480 6,950 470 10 170 150 50 130 10 710 12,890 11,040 3,710 7,580 1,030 170 3,460 3,430 1,040 2,100 270 540 9,430 7,610 2,670 5,480 760 2 71 54 21 57 2 401 7,374 6,002 2,608 5,100 723 91 1,956 1,725 694 1,345 181 310 5,418 4,277 1,914 3,755 542 10 80 80 30 60 § 210 3,680 3,490 530 1,330 140 50 1,010 1,230 190 440 50 150 2,660 2,260 340 890 100 § 20 20 10 20 § 100 1,840 1,550 570 1,150 160 20 490 470 160 310 40 80 1,350 1,080 420 840 120 Total Alabama Alaska Arizona Arkansas California** South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming†† *Rounded to the nearest 10. †Includes estimated number of pregnancies ending in miscarriage or stillbirth. ‡Estimated as 20% of births plus 10% of abortions; includes stillbirths. §<5 abortions or miscarriages/stillbirths. **Estimates based on the number of abortions to all women in the state and the proportion of abortions obtained by women of the same age nationally. ††Abortion estimates are based on the number of abortions among all women in the state and the proportion of abortions obtained by women of the same age in neighboring states. Note: Even though abortions have been tabulated according to state of residence where possible, in states with parental notification or consent requirements for minors, the number of pregnancies may be too low because minors have traveled to other states for abortion services, and numbers in neighboring states may be too high. 18 Table 3.3 State-specific rates of pregnancy, birth and abortion* among women aged 15–19, by year State Pregnancy rate 1988 1992 1996 2000 2005 2008 2010 Birthrate 1988 1992 1996 2000 2005 2008 2010 Abortion rate 1988 1992 1996 2000 2005 2008 2010 Total Alabama Alaska Arizona Arkansas California 111 110 111 127 115 154 111 116 111 131 115 157 96 103 82 115 106 122 83 90 74 104 93 96 68 71 65 90 79 75 68 73 69 82 82 72 57 62 64 60 73 59 53 63 57 69 70 58 60 72 65 80 75 73 53 67 51 72 74 61 48 61 49 67 66 47 40 48 40 59 59 39 40 51 44 54 60 38 34 44 38 42 53 32 43 32 † 38 † 40 27 76 † 35 27 30 † 32 23 63 † 29 20 19 26 16 45 † 24 15 14 ‡ 21 12 36 ‡ 19 12 16 18 8 26 ‡ 18 11 15 15 10 24 ‡ 15 9 17 9 9 19 ‡ Colorado Connecticut Delaware District of Columbia Florida 102 107 117 209 133 111 95 119 254 125 92 84 89 199 111 82 70 92 122 98 68 57 75 110 77 66 55 81 112 73 54 44 67 90 60 49 36 53 74 63 58 39 59 107 65 51 37 54 79 57 51 31 48 53 51 42 23 40 42 42 40 23 38 51 40 33 19 31 45 32 39 58 49 † 110 52 † 37 44 44 115 42 † 29 37 23 49 39 † 19 30 31 52 34 † 16 26 25 54 24 ‡ 16 26 32 46 22 ‡ 12 20 28 32 19 ‡ Georgia Hawaii Idaho Illinois Indiana 122 134 73 112 89 126 140 77 111 94 107 103 69 103 87 95 93 62 87 72 79 72 53 67 61 78 76 57 68 59 64 65 47 57 53 69 49 45 54 52 74 54 52 63 59 67 49 47 55 55 62 46 43 48 49 52 37 36 39 42 50 39 40 39 41 42 33 33 33 38 37 68 17 43 † 25 34 68 14 32 22 24 40 12 33 19 18 34 10 27 12 15 25 9 19 9 16 27 8 20 8 13 23 7 15 7 Iowa Kansas Kentucky Louisiana Maine 69 88 96 107 82 66 90 99 108 70 57 78 88 97 58 54 69 75 87 51 49 59 64 67 43 51 63 71 80 43 44 53 62 69 37 33 49 60 68 41 41 56 65 76 40 37 49 61 67 32 34 46 55 62 29 31 40 48 47 24 33 44 53 54 25 29 39 46 48 22 27 † 27 22 23 30 16 † 21 19 15 20 12 † 17 13 15 18 12 12 8 11 15 10 9 6 9† 12 10 9 7 14 † 12 9 5 6 10 10 Maryland Massachusetts Michigan Minnesota Mississippi 129 97 111 69 106 118 86 108 64 121 105 76 87 56 106 91 59 75 50 102 66 45 60 42 82 63 42 58 42 90 57 37 52 36 76 51 32 47 31 73 51 38 57 36 84 46 31 46 32 74 41 26 40 30 70 32 20 32 26 58 33 20 32 26 64 27 17 30 23 55 61 53 49 29 16 52 38 37 19 19 44 36 29 16 16 38 26 24 13 16 25 † 19 19 10 11 22 † 17 18 10 12 22 † 14 14 8 9 Missouri Montana Nebraska Nevada New Hampshire 99 74 75 142 87 100 81 71 143 62 85 66 62 140 56 74 60 59 115 47 62 56 48 93 33 65 59 50 84 33 54 53 43 68 28 55 39 37 65 33 63 46 41 71 31 53 39 39 69 28 49 37 38 62 23 42 35 33 52 18 44 39 36 49 19 37 35 31 39 16 30 24 27 59 43 † 22 23 20 53 22 † 19 17 14 51 20 † 14 14 12 37 17 † 11 13 8 28 11 † 11 11 7 23 9† 9 10 5 20 8† New Jersey New Mexico New York North Carolina North Dakota 112 124 116 122 57 96 128 118 120 59 96 109 103 103 49 91 103 90 95 41 71 93 75 73 41 62 93 71 72 42 51 80 63 59 42 39 72 40 61 31 39 80 45 69 37 35 70 40 62 32 32 66 33 59 27 24 61 26 47 27 24 61 26 47 28 20 53 23 38 29 60 35 61 45 18 45 30 59 34 13 49 22 50 25 10 48 22 46 22 8 38 17 40 15 7 30 17 37 14 8 24 15 32 12 6 Ohio Oklahoma Oregon Pennsylvania Rhode Island 96 105 105 87 86 93 100 99 84 93 81 90 89 68 79 74 85 78 60 65 61 74 57 51 55 62 80 60 56 53 54 69 47 49 44 52 62 48 41 38 58 70 53 45 46 50 63 50 38 39 46 60 43 34 34 38 53 33 29 28 39 58 36 30 28 34 50 28 27 22 31 27 † 43 34 36 21 14 † 32 27 35 18 13 † 26 20 30 17 12 25 17 23 14 10 16 14 20 14 9 16 18 18 12 8 12 15 16 South Carolina South Dakota Tennessee Texas Utah 114 69 110 117 69 109 74 111 122 65 94 60 97 113 58 88 53 88 101 52 75 50 77 87 43 76 53 76 85 48 65 47 62 73 38 65 44 64 69 44 70 48 71 78 46 60 40 64 73 41 58 38 59 69 38 49 37 53 61 31 51 39 52 61 35 43 35 43 52 28 33 15 31 31 15 23 14 24 26 9 19 10 18 23 7 17 7 16 17 6 16 6 12 13 6 14 5 12 11 6 13 4 9 9 4 Vermont Virginia Washington West Virginia Wisconsin Wyoming 81 106 109 78 74 82 71 101 107 85 73 81 59 87 87 73 61 75 43 72 75 66 55 77 38 59 59 60 46 64 38 56 60 65 45 68 32 48 49 64 39 56 33 46 47 50 38 48 36 52 51 56 42 50 30 45 46 51 37 45 23 41 39 46 35 42 17 33 31 42 30 43 20 33 33 47 30 47 18 27 27 45 26 39 37 46 47 17 † 26 23 26 35 42 16 21 19 22 29 29 12 15 20 14 21 26 10 12 25 § 15 17 20 8 9 12 † 13 15 19 8 8 10 † 9 14 16 9 7 8† *All rates are the number of events per 1,000 women aged 15–19; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Estimate based on the number of abortions among all women in the state and the proportion of abortions obtained by women of the same age in neighboring or similar states. ‡Estimate based on the number of abortions among all women in the state and the proportion of abortions obtained by women of the same age nationally. §Estimate obtained by applying the average of the proportions of abortions obtained by 15–19-year-old women in Wyoming in 1992, 1996 and 1999 to the number of abortions among all women in the state in 2000. The number of Wyoming residents having abortions in Colorado may have been overestimated in 2000. Notes: Even though abortions have been tabulated according to state of residence where possible, in states with parental notification or consent requirements for minors, the pregnancy and abortion rates may be too low because minors have traveled to other states for abortion services, and the rates in neighboring states may be too high. 19 Table 3.4 State-specific rates of pregnancy, birth and abortion* among women aged 15–19, by race and ethnicity, 2010 State Pregnancy rate NonHispanic white† Birthrate Abortion rate Black Hispanic NonHispanic white† NonHispanic white Black Hispanic Black Hispanic Total Alabama Alaska Arizona Arkansas California 38 49 43 ‡ 47 63 u 100 82 80 60 101 u 84 107 u 82 85 u 24 36 22 24 47 14 51 55 40 40 70 35 56 85 38 60 65 48 9 6 14 ‡ 17 6 u 34 15 29 12 16 u 15 4 u 9 6 u Colorado Connecticut Delaware District of Columbia Florida 33 u 45 u u 68 u 111 u u 94 u 84 u u 19 8 21 2 25 42 32 45 65 52 66 52 55 69 33 8 u 18 u u 16 u 51 u u 13 u 16 u u Georgia Hawaii Idaho Illinois Indiana 41 u 40 u 45 89 u 48 u 90 113 u 86 u 80 30 29 27 19 33 53 28 34 61 59 74 62 65 51 60 4 u 7 u 6 23 u 6 u 17 22 u 7 u 7 Iowa Kansas Kentucky Louisiana Maine u 42 59 51 37 109 89 84 94 38 u 99 97 u u 24 31 45 36 22 67 63 57 64 19 70 79 74 62 18 u 4 5 7 10 26 12 14 16 14 u 4 8 u u Maryland Massachusetts Michigan Minnesota Mississippi u u 38 ‡ 24 56 u u 110 85 97 u u u 87 74 16 11 21 15 44 41 32 61 52 68 53 49 53 64 57 u u 10 ‡ 5 3 u u 33 21 14 u u u 9 6 Missouri Montana Nebraska Nevada New Hampshire 44 46 u u u 99 § u u u 70 67 u u u 32 29 21 25 16 61 § 67 52 20 56 47 79 56 26 6 10 u u u 23 § u u u 3 9 u u u New Jersey New Mexico New York North Carolina North Dakota u u 32 40 u u u 114 87 § u u 101 100 u 8 29 14 28 21 41 42 33 51 § 43 66 42 70 69 u u 14 6 u u u 68 23 § u u 47 14 u Ohio Oklahoma Oregon Pennsylvania Rhode Island 42 59 39 u u 106 88 62 u 87 79 97 82 u u 28 43 22 18 14 63 61 33 63 44 57 75 59 66 51 8 7 12 u u 28 13 21 u 30 10 7 10 u u South Carolina South Dakota Tennessee Texas Utah 51 u 51 45 u 90 u 95 82 63 87 u 95 98 u 33 23 37 31 20 58 17 60 54 46 63 87 75 74 66 10 u 6 8 u 19 u 21 15 7 11 u 5 9 u Vermont Virginia Washington West Virginia Wisconsin Wyoming 32 35 u 64 26 u 40 78 u 79 105 § 29 68 u 48 82 u 19 21 20 46 17 34 19 42 37 42 71 § 10 43 60 30 58 65 9 9 u 8 5 u 16 25 u 27 18 § 16 14 u 11 11 u *All rates are the number of events per 1,000 women aged 15–19; pregnancy rate includes estimated number of pregnancies ending in miscarriage or stillbirth. †Includes white births with ethnicity unknown. ‡Pregnancy and abortion rates include abortions obtained by Hispanic women; in these states, no more than 15% of births to white women aged 15–19 were to Hispanics. Population in denominator is all white teenagers, regardless of Hispanic ethnicity. §Rate not calculated because population base of women aged 15–19 was less than 500. Notes: In states with parental notification or consent requirements for minors, pregnancy and abortion rates may be too low because minors have traveled to other states for abortion services, and rates in neighboring states may be too high. u=unavailable. 20 Table 3.5 Number of pregnancies, births, abortions and miscarriages among women aged 15–19 in each state, by race and ethnicity, 2010 State Total Alabama Alaska Arizona Arkansas California Pregnancies*,† Births Abortions* NonHispanic white§ NonHispanic white 232,110 5,060 680 ** 4,820 4,320 u Black Hispanic NonHispanic white§ Black Hispanic 184,040 4,620 110 860 2,090 u 183,140 700 u 7,360 670 u 145,280 3,658 376 ** 2,440 3,209 6,151 94,950 3,080 53 567 1,445 4,122 121,798 555 66 5,411 516 31,580 52,530 610 210 ** 1,720 430 u Miscarriages*,‡ Black Hispanic 63,730 840 40 170 330 u 33,620 30 u 790 50 u NonHispanic white 34,310 790 100 ** 660 680 u Black Hispanic 25,360 700 10 130 320 u 27,720 110 u 1,160 110 u Colorado Connecticut Delaware District of Columbia Florida 3,380 u 850 u u 690 u 1,020 u u 4,180 u 260 u u 2,015 631 395 11 7,137 429 595 417 854 7,256 2,951 1,104 171 125 5,098 880 u 340 u u 160 u 470 u u 580 u 50 u u 490 u 110 u u 100 u 130 u u 650 u 40 u u Georgia Hawaii Idaho Illinois Indiana 7,020 u 1,800 u 8,280 11,950 u 40 u 2,590 3,610 u 720 u 1,310 5,202 235 1,226 4,796 5,950 7,100 35 28 5,511 1,703 2,369 336 549 4,466 994 700 u 300 u 1,040 3,120 u †† u 500 700 u 60 u 110 1,110 u 280 u 1,290 1,730 u 10 u 390 540 u 120 u 210 Iowa Kansas Kentucky Louisiana Maine u 3,060 7,160 4,330 1,450 570 770 1,320 6,120 40 u 1,290 450 u u 2,131 2,255 5,442 3,055 856 347 541 897 4,160 20 489 1,030 344 394 16 u 320 580 600 390 140 110 220 1,020 10 u 50 40 u u u 480 1,150 670 210 80 120 200 930 10 u 210 70 u u Maryland Massachusetts Michigan Minnesota Mississippi u u 10,370 ** 3,390 3,090 u u 7,800 1,220 4,950 u u u 930 200 1,608 1,713 6,306 ** 2,124 2,408 2,969 805 4,341 734 3,460 892 1,517 1,081 681 153 u u 2,550 ** 760 180 u u 2,360 300 730 u u u 100 20 u u 1,100 180 760 u u u 150 30 Missouri Montana Nebraska Nevada New Hampshire 7,030 1,240 u u u 3,360 20 u u u 640 90 u u u 5,030 789 1,031 966 653 2,089 12 291 563 19 512 65 587 1,770 49 900 270 u u u 780 †† u u u 30 10 u u u 1,100 180 u u u 500 †† u u u 110 10 u u u New Jersey New Mexico New York North Carolina North Dakota u u 11,110 7,560 u u u 17,060 8,010 u u u 14,300 2,970 u 1,195 624 4,845 5,209 417 2,301 106 4,921 4,709 29 2,579 2,657 5,910 2,099 44 u u 4,820 1,190 u u u 10,140 2,140 u u u 6,550 410 u u u 1,450 1,160 u u u 2,000 1,160 u u u 1,840 460 u Ohio Oklahoma Oregon Pennsylvania Rhode Island 13,170 4,870 3,550 u u 7,260 1,280 270 u 370 1,240 1,380 1,690 u u 8,671 3,537 1,995 5,939 393 4,276 897 140 4,424 190 889 1,062 1,213 2,257 352 2,510 570 1,050 u u 1,930 190 90 u 130 160 100 210 u u 1,990 760 500 u u 1,050 200 40 u 50 190 220 260 u u South Carolina South Dakota Tennessee Texas Utah 4,680 u 7,610 15,490 u 5,190 u 4,710 10,860 130 730 u 990 40,300 u 3,056 507 5,542 10,476 1,738 3,317 10 2,981 7,193 95 522 86 782 30,257 1,084 920 u 880 2,650 u 1,100 u 1,030 2,030 10 90 u 50 3,630 u 700 u 1,200 2,360 u 770 u 700 1,640 20 110 u 160 6,410 u 650 5,710 u 3,420 3,890 u 20 5,380 u 230 2,020 u 20 1,610 u 50 1,190 u 382 3,427 3,047 2,453 2,530 519 10 2,918 486 121 1,366 17 6 1,029 2,091 29 843 136 180 1,450 u 430 770 u 10 1,710 u 80 350 u 10 340 u 10 160 u 90 830 u 530 580 u †† 750 u 30 310 u †† 240 u 10 180 u Vermont Virginia Washington West Virginia Wisconsin Wyoming u u 1,520 ** 500 500 *Rounded to the nearest 10. †Includes estimated number of pregnancies ending in miscarriage or stillbirth. ‡Estimated as 20% of births plus 10% of abortions; includes stillbirths. §Includes white births with ethnicity unknown. **Numbers include pregnancy outcomes to white women of Hispanic ethnicity. In these states, no more than 15% of births to white women aged 15–19 were to Hispanics. ††Five or fewer abortions or miscarriages/stillbirths. Notes: Even though abortions have been tabulated according to state of residence where possible, in states with parental notification or consent requirements for minors, the number of abortions and pregnancies may be too low because minors have traveled to other states for abortion services, and the number in neighboring states may be too high. u=unavailable. 21 Table 3.6 State-specific population estimates for women aged 15–19, by age-group and by race and ethnicity, 2010 State Population by age Population by race or ethnicity 15–19 15–17 18–19 10,701,783 167,574 25,001 223,965 99,318 1,366,152 6,281,162 96,592 15,374 131,673 57,998 808,567 4,420,621 70,982 9,627 92,292 41,320 557,585 Colorado Connecticut Delaware District of Columbia Florida 163,498 121,406 31,803 20,948 594,945 97,168 73,772 17,789 8,474 347,102 66,330 47,634 14,014 12,474 247,843 Georgia Hawaii Idaho Illinois Indiana 345,957 41,357 56,253 446,389 231,053 204,109 25,088 33,306 268,979 134,208 Iowa Kansas Kentucky Louisiana Maine 105,240 98,162 144,248 160,308 42,519 Maryland Massachusetts Michigan Minnesota Mississippi Non-Hispanic white Black Hispanic 1,849,051 56,338 1,336 14,305 20,694 118,617 2,192,030 6,504 1,746 89,713 7,882 657,540 103,559 79,491 18,967 5,646 291,284 10,243 18,839 9,188 13,063 140,342 44,378 21,326 3,097 1,817 154,585 141,848 16,269 22,947 177,410 96,845 170,949 8,012 45,401 252,414 182,097 134,733 1,232 818 90,731 28,799 31,834 5,391 8,460 87,695 16,486 60,193 57,832 84,205 92,758 25,051 45,047 40,330 60,043 67,550 17,468 90,506 73,117 122,188 85,680 39,436 5,196 8,608 15,741 65,184 1,042 6,996 13,076 4,640 6,343 872 197,277 227,358 357,876 178,582 109,855 117,925 126,518 209,574 107,133 63,687 79,352 100,840 148,302 71,449 46,168 99,221 161,808 273,419 * 140,994 54,970 72,268 25,050 70,938 14,234 50,961 16,946 30,779 20,478 10,705 2,692 Missouri Montana Nebraska Nevada New Hampshire 206,046 32,080 62,733 88,181 45,629 120,088 18,959 36,669 53,863 26,606 85,958 13,121 26,064 34,318 19,023 158,138 27,133 49,065 39,019 41,800 34,116 330 4,332 10,871 959 9,225 1,370 7,451 31,650 1,874 New Jersey New Mexico New York North Carolina North Dakota 287,616 72,961 663,944 319,994 22,808 180,253 43,102 385,484 185,145 12,309 107,363 29,859 278,460 134,849 10,499 156,337 21,171 351,110 188,569 19,657 55,990 2,520 149,474 92,176 446 60,446 40,562 140,948 29,815 641 Ohio Oklahoma Oregon Pennsylvania Rhode Island 400,602 128,638 123,746 440,754 39,698 236,623 74,041 72,223 250,311 20,621 163,979 54,597 51,523 190,443 19,077 310,471 81,847 90,760 327,637 27,760 68,330 14,586 4,267 70,076 4,287 15,606 14,169 20,625 34,374 6,851 South Carolina South Dakota Tennessee Texas Utah 160,163 27,901 213,363 913,760 109,266 89,946 16,320 124,757 547,600 62,657 70,217 11,581 88,606 366,160 46,609 92,396 22,315 150,236 343,027 85,930 57,527 587 49,388 132,508 2,066 8,338 993 10,459 411,624 16,392 Vermont Virginia Washington West Virginia Wisconsin Wyoming 22,246 268,716 223,893 57,965 193,589 18,447 12,133 155,867 132,661 32,797 114,436 10,616 10,113 112,849 91,232 25,168 79,153 7,831 20,530 162,735 152,605 53,652 151,647 15,291 533 69,375 13,298 2,911 19,265 333 604 23,836 34,622 967 14,529 2,078 Total Alabama Alaska Arizona Arkansas California 6,162,933 102,298 15,970 * 103,209 68,469 432,990 *Population is all white teenagers, regardless of Hispanic ethnicity. 22 About the Tables Pregnancies are the sum of births, abortions and miscarriages. Rates are calculated as the number of events per 1,000 women. Abortion ratios represent the number of abortions divided by the sum of abortions and births. Please note that in these tables, “age” refers to the woman’s age when the pregnancy ended. Consequently, the actual number of pregnancies that occurred among teenagers is higher than what is reported here because most of the women who conceived at age 19 had their births or abortions after they turned 20 and thus were not counted as teenagers. Likewise, please note that “year” refers to the calendar year in which the birth or abortion occurred, not when the conception occurred. The estimates in this report may differ from those found in other sources. First, the data are not adjusted to reflect women’s age at conception or the year in which she conceived. Second, unlike other reports, which exclude miscarriages, this one includes estimated numbers and rates of pregnancies ending in miscarriage. (Pregnancy rates excluding miscarriages can be calculated from the tables by summing the rates of births and abortions.) The number of miscarriages was estimated as 20% of births plus 10% of abortions; these proportions attempt to account for miscarriages that occurred after the pregnancy had lasted long enough to be noticed by the woman (i.e., 6–7 weeks after her last menstrual period).1 Stillbirths are a very small proportion of all pregnancies and are included in our estimates of miscarriages. In contrast, the National Center for Health Statistics (NCHS) estimates miscarriages from survey respondents' reports of their pregnancies in the five years preceding the fielding of each round of the National Survey of Family Growth (NSFG).2 Third, the denominator we used in calculating rates among women younger than 15 is the female population aged 14, because most pregnancies occurring among these very young teenagers are among 14-year-olds (82% in 2010). The NCHS estimates use number of women aged 10–14 for the denominator.3 We use the number of women aged 15–19 in the denominator for rates among all women younger than 20 because from 1973–2010, 98– 99% of all pregnancies to women younger than 20 were among those aged 15–19. Finally, our denominators are based on population estimates that are produced by the Census Bureau, in collaboration with NCHS, for July 1 of each year and revised periodically. Hence, our rates may differ slightly from those published elsewhere, depending on which year the population estimates were made (the “vintage”) or whether the rates have been updated using the intercensal population estimates available after each national census. We update our rates when the intercensal estimates are released. For the years 1980, 1990, 2000 and 2010, NCHS uses the April 1 census counts, and we use the July 1 estimates. National-Level Methodology The estimates in Tables 1.1 and 2.1–2.6 are based on data from the following sources (exact sources are listed in the Data Sources section): Number of births—NCHS Number of abortions—Guttmacher Institute Distribution of abortions by age and race or ethnicity—U.S. Centers for Disease Control and Prevention (adjusted by the Guttmacher Institute to ensure year-to-year comparability) 23 Population estimates—Population Estimates Program of the U.S. Bureau of the Census, in collaboration with NCHS A small number of abortions performed between 1972 and 1975 were illegal. This report counts only legal abortions. The percentage of 15–19-year-old women who were sexually experienced for the years 1982 and 1988 was obtained from Singh and Darroch.4 Linear interpolation was used to calculate the percentages for 1986 and 1987. For these two years only, “sexually experienced” was defined as having ever had sex after menarche. For the percentage of sexually experienced 15–19-year-olds for 1988–2002, we obtained the proportions of all 15–19-year-olds who had ever had sexual intercourse in 1988, 1995, 2002 and 2006–2008 from analyses of the NSFG. From 1988 on, “sexually experienced” is defined as having ever had sex, regardless of whether it occurred before or after menarche. Linear interpolation was used to calculate the percentages for the intervening years (1989–1994, 1996–2001 and 2003–2005). For the proportion sexually experienced in 2009 and 2010, we used data from respondents who were interviewed in the second half of the 2006–2010 NSFG interview period (from late 2008 through 2010; and applying the corresponding weights provided in the NSFG). These resulting percentages were applied to the population totals of 15–19-year-old women in each year to calculate the number who were sexually experienced. State-Level Methodology The estimates in Tables 3.1–3.6 are based on data from the following sources (exact sources are listed in the Data Sources section): Number of births—NCHS Total number of abortions to residents of each state—Guttmacher Institute and the CDC Tabulations of abortion data by age and race or ethnicity—state health departments Population estimates—Population Estimates Program of the U.S. Bureau of the Census, in collaboration with NCHS The Guttmacher Abortion Provider Censuses obtain data from all known U.S. abortion providers and provide the annual numbers of abortions in each state for 1988, 1992, 1996, 2000, 2005, 2008 and 2010. Starting with the number of abortions performed in each state for women of all ages (residents and nonresidents),5 we reassigned abortions to the woman’s state of residence on the basis of information collected by state abortion reporting agencies. In 2010, this information was compiled by the CDC and made available in a table showing, for each state, the state of residence for each woman who had an abortion in that state.6 Some states, however, do not collect this information; for these states, we asked a sample of abortion facilities where the women obtaining abortions said they lived.* The CDC table suppressed any cell with fewer than 50 abortions, so we used the more complete data available from many state health department Web sites and, where necessary, contacted the states directly for this information. To estimate the number of nonresidents who had abortions in each state, we applied the percentage distribution of women having abortions, by state of residence, to our count of the total number of abortions that took place in each state. 24 Of the state residents having abortions, the proportions who were younger than 15, 15–17 and 18–19 were taken from the CDC Abortion Surveillance Report7 or from tabulations provided to us by individual states. For states with incomplete or no information on the age of women having abortions in 2010,† we estimated the proportion of abortions obtained by teenagers by using the national distribution or the distribution from neighboring states (see notes to tables for statespecific calculation methods). Since there is a high correlation between a state’s overall abortion rate and the abortion rate among teenagers, our method gives a fair approximation of the number and rate of abortions among teenagers. Since the CDC does not release data showing the race or ethnic distributions of teenagers having abortions by state, we contacted the state health departments for this information or, in a few states, were able to obtain it from the states’ department of health Web site. The race and ethnic distributions were then applied to our estimate of the number of abortions obtained by state residents aged 15–19. We made no estimates for states that did not provide the race or ethnicity data, or for states with a large proportion of abortions with unknown race or ethnicity; we used a cut-off of 20%. Our calculation methods assume that teenagers travel outside their home state for abortion services in the same proportions as do older women. This assumption may not be valid in states where minors travel out of state to avoid parental involvement requirements or in the states to which they travel. For a handful of states, we were able to obtain tabulations of abortions for residents only (Delaware, Idaho, Indiana, Michigan, Oklahoma and South Carolina). Interpreting the Data Because health department abortion statistics are incomplete or nonexistent in some states, care should be used in interpreting the teenage abortion and pregnancy data. For the states with no information on the age of women having abortions, the rate of abortion among teenagers was estimated. Similarly, error is introduced by the assumption that teenagers have abortions out of state in the same proportions as older women. Therefore, one cannot draw inferences about the effects of parental involvement requirements on the number of abortions obtained by minors. Footnotes *Arizona, Florida, Iowa, Kentucky, Louisiana, Maryland, Massachusetts, New Hampshire, Rhode Island and West Virginia. In addition, we assumed that for California, the percentage (0.5%) and distribution of out-of-state abortions in 2010 were the same as in 1982, the last year for which this information is available, and combined this with information obtained directly from a small number of providers in 2010 on the number of abortions provided to residents of Mexico. †California, Florida, Maryland, New Hampshire and Wyoming. 25 References 1. Leridon H, Human Fertility: The Basic Components, Chicago: University of Chicago Press, 1977, Table 4.20. 2. Ventura SJ et al., Estimated pregnancy rates by outcome for the United States, 1990–2004, National Vital Statistics Reports, 2008, Vol. 56, No. 15. 3. Ventura SJ et al., Estimated pregnancy rates for the United States, 1990–2005: an update, National Vital Statistics Reports, 2009, Vol. 58, No. 4. 4. Singh S and Darroch JE, Trends in sexual activity among adolescent women: 1982–1995, Family Planning Perspectives, 1999, 31(5):212–219, Table 2. 5. Jones RK and Jerman J, Abortion incidence and service availability in the United States, 2011, Perspectives on Sexual and Reproductive Health, 2014, 46(1):3–14. 6. Centers for Disease Control and Prevention (CDC), Abortions distributed by state of maternal residence and state of clinical service, no date, <http://www.cdc.gov/reproductivehealth/Data_Stats/Abortion.htm>, accessed Nov. 30, 2013. 7. Pazol K et al., Abortion surveillance—United States, 2010, Morbidity and Mortality Weekly Report, 2013, Vol. 62, No. SS08. Data Sources Population 1972–1979: U.S. Bureau of the Census, Preliminary estimates of the population of the United States, by age, sex and race: 1970–1981, Current Population Reports, 1982, Series P-25, No. 917, Table 2. 1980–1989: U.S. Bureau of the Census, U.S. population estimates, by age, sex, race and Hispanic origin: 1980 to 1991, Current Population Reports, 1993, Series P-25, No. 1095, Table 1. 1990-1999: National Center for Health Statistics (NCHS), Intercensal estimates of the July 1, 1990–July 1, 1999, United States resident population by county, single-year of age, sex, bridged race, and Hispanic origin, file icen_natA1.txt, 2004, <http://www.cdc.gov/nchs/nvss/bridged_race.htm>, accessed Jan. 7, 2010. 2000–2009: NCHS, Intercensal estimates of the July 1, 2000–July 1, 2009 United States resident population by year, county, age, sex, bridged race, and Hispanic origin, file icen_state2000_2009.sas7bdat, Oct. 26, 2012, <http://www.cdc.gov/nchs/nvss/bridged_race.htm>, accessed Nov. 11, 2012. 26 2010: NCHS, Estimates of the April 1, 2010, July 1, 2010–July 1, 2012 United States resident population from the Vintage 2012 postcensal series by year, county, age, sex, bridged race, and Hispanic origin, file pcen_v2012.txt, June 13, 2013, <http://www.cdc.gov/nchs/nvss/bridged_race.htm>, accessed Mar. 24, 2014. Births 1972: NCHS, Advance report of final natality statistics, Monthly Vital Statistics Report, 1974, Vol. 23, No. 8 (Suppl.), Table 2. 1973: NCHS, Advance report of final natality statistics, 1973, Monthly Vital Statistics Report, 1975, Vol. 23, No. 11 (Suppl.), Table 2. 1974: NCHS, Advance report of final natality statistics, 1974, Monthly Vital Statistics Report, 1976, Vol. 24, No. 11 (Suppl.), Table 2. 1975: NCHS, Advance report of final natality statistics, 1975, Monthly Vital Statistics Report, 1976, Vol. 25, No. 10 (Suppl.), Table 2. 1976: NCHS, Final natality statistics, 1976, Monthly Vital Statistics Report, 1978, Vol. 26, No. 12 (Suppl.), Table 2. 1977: NCHS, Final natality statistics, 1977, Monthly Vital Statistics Report, 1979, Vol. 27, No. 11 (Suppl.), Table 2. 1978: NCHS, Final natality statistics, 1978, Monthly Vital Statistics Report, 1980, Vol. 29, No. 1 (Suppl.), Table 2. 1979: NCHS, Advance report of final natality statistics, 1979, Monthly Vital Statistics Report, 1981, Vol. 30, No. 6 (Suppl.), Table 2. 1980: NCHS, Advance report of final natality statistics, 1980, Monthly Vital Statistics Report, 1982, Vol. 31, No. 8 (Suppl.), Table 2. 1981: NCHS, Advance report of final natality statistics, 1981, Monthly Vital Statistics Report, 1983, Vol. 32, No. 9 (Suppl.), Table 2. 1982: NCHS, Advance report of final natality statistics, 1982, Monthly Vital Statistics Report, 1984, Vol. 33, No. 6 (Suppl.), Table 2. 1983: NCHS, Advance report of final natality statistics, 1983, Monthly Vital Statistics Report, 1985, Vol. 34, No. 6 (Suppl.), Table 2. 1984: NCHS, Advance report of final natality statistics, 1984, Monthly Vital Statistics Report, 1986, Vol. 35, No. 4 (Suppl.), Table 2. 27 1985: NCHS, Advance report of final natality statistics, 1985, Monthly Vital Statistics Report, 1987, Vol. 36, No. 4 (Suppl.), Table 2. 1986: NCHS, Advance report of final natality statistics, 1986, Monthly Vital Statistics Report, 1988, Vol. 37, No. 3 (Suppl.), Table 2. 1987: NCHS, Advance report of final natality statistics, 1987, Monthly Vital Statistics Report, 1989, Vol. 38, No. 3 (Suppl.), Table 2. 1988: NCHS, Advance report of final natality statistics,1988, Monthly Vital Statistics Report, 1990, Vol. 39, No. 4 (Suppl.), Table 2. 1989: NCHS, Advance report of final natality statistics, 1989, Monthly Vital Statistics Report, 1991, Vol. 40, No. 8 (Suppl.), Table 2. 1990–2010: NCHS, Tables of final births by mother’s age, race and Hispanic ethnicity from the National Vital Statistics System, no date, <http://205.207.175.93/VitalStats/ReportFolders/reportFolders.aspx>, accessed Mar. 24, 2014. Abortions 1972: CDC, Abortion Surveillance: 1972, Atlanta: CDC, 1974. 1973–1988: Henshaw SK and Van Vort J, eds., Abortion Factbook, New York: The Alan Guttmacher Institute, 1992, Table 1, p. 172. 1989–2010: Unpublished data based on the national total number of abortions from the Guttmacher Abortion Provider Surveys, Guttmacher estimates for nonsurvey years (1989, 1990, 1993, 1994, 1997, 1998, 2001, 2002, 2003, 2006, 2009) and the adjusted age distribution of abortions from the CDC. Tabulations of the distribution of abortions by state of residence, age, race and ethnicity provided by state health departments and the CDC’s annual abortion surveillance reports. Sexually experienced women 1982 and 1988: Singh S and Darroch JE, Trends in sexual activity among adolescent women: 1982–1995, Family Planning Perspectives, 1999, 31(5):212–219, Table 2. 1988, 1995, 2002, 2006–2010: Special tabulations of data from the National Survey of Family Growth. Data source for 1988 pregnancy, birth and abortion rates (Table 3.3) Henshaw SK, Teenage abortion, birth and pregnancy statistics by state, 1988, Family Planning Perspectives, 1993, 25(3):122–126. 28