TEENAGE PREGNANCY ARIZONA, 2005-2015 ~ Health and Wellness for all Arizonans ~ Douglas A. Ducey, Governor State of Arizona Cara M. Christ, M.D., M.S., Director Arizona Department of Health Services ARIZONA DEPARTMENT OF HEALTH SERVICES BUREAU OF PUBLIC HEALTH STATISTICS POPULATION HEALTH AND VITAL STATISTICS SECTION 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602-542-7333; FAX: 602-542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Bureau of Public Health Statistics at 602542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. TEENAGE PREGNANCY, ARIZONA, 2005-2015 by Marguerite L. Sagna, Ph.D., Arizona Vital Statistician Sanhita Gupta, Vital Statistics Health Management Analyst Clare Torres, Senior Health Data Analyst January 2017 TEENAGE PREGNANCY, ARIZONA, 2005-2015 Table of Contents PURPOSE ...................................................................................................................................................................................... 1 METHODS AND SOURCES ............................................................................................................................................................. 1 DATA ORGANIZATION .................................................................................................................................................................. 1 COMPARATIVE NATIONAL AND STATE DATA ............................................................................................................................... 2 KEY FINDINGS ............................................................................................................................................................................. 2 DATA TABLES ............................................................................................................................................................................. 11 List of Figures Figure 1 ................................................................................................................................................................................................. 3 PREGNANCY RATES BY AGE GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 2 ................................................................................................................................................................................................. 3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 3 ................................................................................................................................................................................................. 4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 4 ................................................................................................................................................................................................. 4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 5 ................................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 6 ................................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 7 ................................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 8 ................................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 9 ................................................................................................................................................................................................. 7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Figure 10 ............................................................................................................................................................................................... 7 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2005-2015 2014 Figure 11 ............................................................................................................................................................................................... 8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2005 AND 2015 Figure 12 ............................................................................................................................................................................................... 8 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1995, 2005, AND 2015 Figure 13 ............................................................................................................................................................................................... 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 2005 AND 2015 Figure 14 ............................................................................................................................................................................................... 9 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 2005-2015 Figure 15 ............................................................................................................................................................................................. 10 BIRTH RATES FOR TEENAGERS 15-19 YEARS, NATIONALLY AND IN ARIZONA, 2005-2015 Figure 16 ............................................................................................................................................................................................. 10 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS, NATIONALLY AND IN ARIZONA, 2005-2015 Teen Pregnancy, Arizona 2005-2015 List of Tables Table 1 ................................................................................................................................................................................................. 12 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Table 2 ................................................................................................................................................................................................. 13 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Table 3 ................................................................................................................................................................................................. 14 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2005-2015 Table 4 ................................................................................................................................................................................................. 15 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2005-2015 Table 5 ................................................................................................................................................................................................. 16 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 2005-2015 Table 6 ................................................................................................................................................................................................. 17 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 2005-2015 Table 7 ................................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 2005-2015 Table 8 ................................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 2005-2015 Table 9 ................................................................................................................................................................................................. 20 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 YEARS, 18-19 YEARS, AND 19 YEARS OR YOUNGER, ARIZONA, 2005-2015 Table 10 ............................................................................................................................................................................................... 21 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2005-2015 Table 11 ............................................................................................................................................................................................... 22 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 2005-2015 Table 12 ............................................................................................................................................................................................... 23 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2005-2015 Table 13 ............................................................................................................................................................................................... 24 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2015 Table 14 ............................................................................................................................................................................................... 25 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2005-2015 Table 15 ............................................................................................................................................................................................... 26 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2005-2015 Table 16 ............................................................................................................................................................................................... 27 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2005-2015 Table 17 ............................................................................................................................................................................................... 28 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2015 Table 18 ............................................................................................................................................................................................... 29 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2015 Table 19 ............................................................................................................................................................................................... 30 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2015 Table 20 ............................................................................................................................................................................................... 31 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2015 Table 21 ............................................................................................................................................................................................... 32 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2015 Teen Pregnancy, Arizona 2005-2015 ii List of Tables (continued) Table 22 ............................................................................................................................................................................................... 33 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE, AND COUNTY OF RESIDENCE, ARIZONA, 2015 Table 23 ............................................................................................................................................................................................... 34 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2015 Table 24 ............................................................................................................................................................................................... 35 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2015 Table 25 ............................................................................................................................................................................................... 35 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2015 Table 26 ............................................................................................................................................................................................... 35 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2015 Table 27 ............................................................................................................................................................................................... 36 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2015 Table 28 ............................................................................................................................................................................................... 36 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2015 Table 29 ............................................................................................................................................................................................... 37 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2015 Table 30 ............................................................................................................................................................................................... 38 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2015 Table 31 ............................................................................................................................................................................................... 39 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2015 Table 32 ............................................................................................................................................................................................... 40 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2015 Appendix ............................................................................................................................................................................................. 41 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 2005-2015 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2015 is placed in a temporal context by comparing it with the data from the preceding years. Earlier reports are available online at http://www.azdhs.gov/plan/report/tp/index.php. METHODS AND SOURCES In this report, pregnancies are measured as the sum of three components: live births, fetal deaths (or stillbirths), and reported abortions to Arizona resident women, unless otherwise specified. Not included are spontaneous fetal losses that occur at less than 20 weeks of gestation. Induced terminations of pregnancy do not include those performed out-of-state to Arizona residents, since they are not reported in Arizona. Pregnancy statistics for Arizona are not available on a sub-county level. Teens are defined as 10-14 year old preadolescents and adolescents 15-19 years of age. Where possible, the data presented distinguishes 18-19 year old teenagers from those aged 15-17 and girls less than 15 years of age. The primary source documents for the data are the certificates of live births, certificates of fetal deaths, and reports of induced terminations of pregnancy filed with the Arizona Department of Health Services. The population denominators for Arizona's resident females used to calculate rates for 2003-2009 and 2011-2015 are population estimates of Arizona resident females aged 10-19 years. The 2010 denominators are the actual census enumerations from the U.S. Census Bureau. Detailed information about the assumptions and specific data sources is available online at http://www.azdhs.gov/plan/menu/info/pop/index.php. The 2015 Teenage Pregnancy report suppresses information in tables with small cell sizes. To protect the anonymity of the individuals included in this report, cells in tables with five or fewer observations are denoted by an asterisk (*), cells containing rates based on counts of five or fewer are denoted by a double-asterisk (**), and cells containing sums based on addends of five or fewer are rounded to the nearest tens-unit and denoted by a dagger (†). DATA ORGANIZATION Tables 1-14 present annual numbers and rates of pregnancy, fertility, and abortion by year from 2005 to 2015 for Arizona teens. Information is presented for specific age groups and by race/ethnicity. Temporal trends and changes may be assessed from this data. Proportional contribution of teen births to all births is shown in Table 10 by area of residence and race/ethnic group in Arizona from 2005 to 2015. Table 11 compares birth rates in Arizona to those in the United States. The annual numbers of repeat pregnancies among teenage mothers are shown by age and year from 2005 to 2015 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 2005 to 2015. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 2005-2015. Table 16 shows the incidence rates by year from 2005 to 2015. Frequency counts, proportions, and rates in Tables 17-32 all apply to the 2015 data. Tables 17-18 and 20-22 provide data by county of residence. Table 19 presents pregnancy rates by single year of age among females 19 and younger. Live births to teenage mothers are also reported in Tables 23-30 by source of payment for labor and delivery, previous pregnancies, marital status, education, trimester of entry into prenatal care, number of prenatal visits, tobacco use during pregnancy, and risk for low-birthweight by selected characteristics. The 2015 population denominators for Arizona resident females by age group and race/ethnicity, as well as by age group and county of residence, are presented in Table 31 and Table 32. The Appendix demonstrates “How to compute the rates of first and repeat childbearing” using the annual data for 2005-2015. Teen Pregnancy, Arizona 2005-2015 1 COMPARATIVE NATIONAL AND STATE DATA Timely, comparable, and reliable teen pregnancy statistics for other States and the Nation provide meaningful comparisons to place Arizona’s teenage birth experiences in context. The Center for Disease Control (CDC) provides a useful source of information on national pregnancy outcomes. The most recent national abortion data provided by the CDC available is for 20131and the most recent fetal death data distributed by the CDC is available for 20142. Another source of national data on reproductive health is the Guttmacher Institute. The latest report3, published by the Institute in April 2016, covers statistics available on the incidence of teen pregnancy, birth and abortion in the United States for 2011, with trend analysis since 1973. The authors present the complete count of births provided by every state to the NCHS in combination with the estimated numbers of abortions, early miscarriages, and fetal deaths. The number of abortions is estimated from surveys the Alan Guttmacher Institute conducts of known abortion providers (i.e. these data are by the place of occurrence and not by the woman’s place of residence). The fetal loss estimates – including early miscarriages before 20 weeks of gestation (and estimated as 20% of live births plus 10% of abortions) - are from pregnancy history information collected by the National Survey of Family Growth (NSFG). Unlike vital statistics reports of fetal losses occurring at gestations of 20 weeks or more, NSFG include all gestations. Since the majority of fetal losses occur early in pregnancy before the reporting requirements for fetal deaths are in effect, their inclusion dramatically raises both the fetal loss rate and the pregnancy rate. The National Survey of Family Growth data are not state-specific. The pregnancy rates for Arizona teens cannot be compared with the rates for their peers nationally. No comparable state-by-state teen pregnancy data for 2005 – 2015 are available at this time. KEY FINDINGS The following section presents some illustrative findings contained in the figures and tables of the report. It is not intended to be an exhaustive analysis of the tabulated data.            In 2015, the pregnancy rate of 15.9 pregnancies per 1,000 females 19 years or younger was 51.3 percent lower than the rate of 32.7 per 1,000 in 2005. The teen pregnancy rate of 15.9 per 1,000 females 19 years or younger was the lowest teen pregnancy rate since at least 1983. It is only since 2008 that the reduction in the number of teen pregnancies was accompanied by an equally impressive decline in pregnancy rates. Historically, the declines in teenage pregnancy have been steeper for younger than for older teenagers, but recently are becoming more closely aligned. The rate for teenagers 15-17 years dropped steeply by 63.9 percent from 39.1 per 1,000 in 2005 to 14.1 in 2015. The rate for older teenagers (aged 18-19 years) fell by 43.6 percent from 103.6 per 1,000 in 2005 to 58.4 per 1,000 in 2015. The 2015 teen pregnancy rate of 15.9 per 1,000 was based on 7,121 pregnancies occurring among 447,465 females aged 10-19 years. The number of 7,121 teen pregnancies in 2015 was 10.1 percent lower than 2014 and was the lowest number of teen pregnancies since 1984. From 2007 to 2015, the number of teen pregnancies declined most among Hispanic or Latino teens (54.3 percent), followed by declines among American Indians (53.7 percent), and White non-Hispanic teens (50.6 percent). In 2015, Hispanic or Latino females accounted for 54.9 percent of all pregnancies in this age group, followed by White non-Hispanics (28.4 percent). In each year from 2005 to 2015, the pregnancy rates of Hispanic or Latino females were consistently greater than the average rates for all females 19 years or younger in Arizona. In 2015, the Hispanic rate exceeded the average rate for all groups by 28.2 percent. If the 2015 “risk of pregnancy” for Asian teens (i.e., their pregnancy rate of 6.3 per 1,000), were to be applied to all Arizona females 19 years or younger, it would reduce the number of Arizona teen pregnancies from 7,121 to just 2,819 ((6.3 per 1,000) * 447,465). The first birth rate for childless teenagers has dropped 52.8 percent from 47.7 first-time births per 1,000 females 15-19 years old in 2005 to 22.5 per 1,000 in 2015. The repeat birth rates for teenagers who had already had a child decreased by 19.8 percent from 177.5 in 2005 to 142.3 per 1,000 females 15-19 years old in 2015 who had a previous birth. Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. In 2015, non-marital births accounted for 89.6 percent of births to mothers 19 years or younger.  The total number of births to mothers 19 years or younger decreased by 50.7 percent from 11,933 in 2005 to 5,884 in 2015. In contrast, the proportional share of births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased from 81.6 percent in 2005 to 82.9 percent in 2015. ------------------------------ 1 2 3 https://www.cdc.gov/mmwr/volumes/65/ss/ss6512a1.htm https://www.cdc.gov/nchs/nvss/fetal_death.htm https://www.guttmacher.org/report/us-teen-pregnancy-trends-2011 Teen Pregnancy, Arizona 2005-2015 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 2005-2015 Teenage pregnancy rates dropped 51.3 percent overall from 2005 to 2015. (Figure 1, Table 2). The declines in teenage pregnancy have been much steeper for younger than for older teenagers. The rate for teenagers 15-17 years dropped steeply by 63.9 percent from 39.1 per 1,000 in 2005 to 14.1 in 2015. The rate for older teenagers (aged 18-19 years) fell by 43.6 percent from 103.6 per 1,000 in 2005 to 58.4 per 1,000 in 2015. From 2007 to 2015, birth rate of teenagers 19 years old or younger declined, fetal losses rate fell and remained pretty stable at 0.1 per 1,000 females, while the abortion rate increased from 2010 to 2011 and returned to 3.4 per 1,000 females in 2012 then declined at 2.7 per 1,000 females in 2015 (Table 1). The increase in the teenage abortion rate from 2010 to 2011 is likely attributable to changes in abortion reporting requirements that took effect in 2011. Note: All rates are per 1,000 females in specified group. Figure 2 Trends in the Number of Pregnancies and Pregnancy Rates among Females 19 or Younger, Arizona, 2005-2015 Trends in the number of pregnancies to teenage women do not always parallel the pregnancy rate. The teen pregnancy rate measures the proportion of teenagers becoming pregnant in a given year; in other words, the relative “risk for pregnancy” in a population “at risk.” The number of pregnancies is, however, also determined by the size of the population “at risk,”, or in this case by the number of teenage females in the population. The 2015 teen pregnancy rate of 15.9 per 1,000 was based on 7,121 pregnancies occurring among 447,465 females aged 10-19 years. The number of 7,121 teen pregnancies in 2015 was 10.1 percent lower than 2014 and was the lowest number of teen pregnancies since 1984. Note: Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2005-2015 3 KEY FINDINGS The number of pregnancies to Hispanic females aged 19 years or younger exceeded the number of pregnancies among White nonHispanic peers in every year since 1994 (Figure 3 and Table 8 in this report show only the data for 20052015). In 2015, Hispanic or Latino females accounted for 54.9 percent of all pregnancies in this age group, followed by White non-Hispanics (28.4 percent). Black or African American, Asian or Pacific Islander, and American Indian females aged 19 years or younger accounted for a larger share of pregnancies in 2015 (15.7 percent) than they did in 2005 (15.2 percent). Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 2005-2015 From 2007 to 2015, the number of teen pregnancies declined particularly steeply for American Indians (53.7 percent), Hispanic or Latino (54.3 percent), and White non-Hispanic (50.6 percent). Note: The sum of live births + induced abortions + spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2015 than in 2005 (Figure 1). However, the temporal trends in annual teen pregnancy rates differed considerably by race/ ethnicity. Figure 4 Comparison of Pregnancy Rates by Year among Hispanic or Latinos and all Females 19 or Younger, Arizona, 2005-2015 Figures 4, 5, 6, 7, and 8 reveal race/ ethnicity-specific trends in teen pregnancy rates in Arizona in 20052015. From 2005 to 2015, the teenage pregnancy rate for Hispanic or Latino women declined more than 50 percent (63.2 percent), with the majority of the decline occurring between 2007 and 2015 (Figure 4). In each year from 2005 to 2015, the pregnancy rates of Hispanic or Latino females were consistently greater than the average rates for all females 19 years or younger in Arizona. In 2015, the Hispanic rate exceeded the average rate for all groups by 28.2 percent. Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2005-2015 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 2005-2015 The pregnancy rate for White non-Hispanics has substantially declined from 2005 to 2015 (33.5 percent), save for an increase from 2006 to 2008 (Figure 5). In each year from 2005 to 2015, the pregnancy rates for White non-Hispanic females were lower than the average rates for all females 19 years or younger in Arizona. Note: All rates are per 1,000 females in specified group. Figure 6 Comparison of Pregnancy Rates by Year among American Indian or Alaska Natives and all Females 19 or Younger, Arizona, 2005-2015 The pregnancy rate among American Indian females 19 years or younger varied somewhat erratically from 2005 to 2015, showing a 21.1 percent decrease from 2010 to 2011, a 15.1 percent increase from 2011 to 2012, a 35.4 decline from 2013 to 2014, then an increase in 2015 (Figure 6). The American Indian teenage pregnancy rate was higher than the average for all groups from 2005 to 2015. Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2005-2015 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 2005-2015 Pregnancy rates for Black or African American females 19 years or younger decreased from 43.5 per 1,000 in 2005 to 16.6 per 1,000 in 2015 (Figure 7). Excluding 2006 and 2014, the pregnancy rates for Black or African American teenagers exceeded the pregnancy rate for all groups. Note: All rates are per 1,000 females in specified group. Figure 8 Comparison of Pregnancy Rates by Year among Asian or Pacific Islanders and all Females 19 or Younger, Arizona, 2005-2015 In each year from 2005 to 2015, the pregnancy rates for Asian or Pacific Islander females 19 years or younger were substantially lower than the average rates among all females 19 years or younger in Arizona (Figure 8). In 2015, the Asian rate (6.3 per 1,000) was 60.4 percent lower than the rate for all groups (15.9 per 1,000). If the 2014 “risk for pregnancy” of Asian teens (i.e., their pregnancy rate) applied to all Arizona females 19 years or younger, the number of teen pregnancies in the State would have been reduced from 7,121 to approximately 2,819((6.3 per 1,000) * 447,465) . Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2005-2015 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2005-2015 The proportion of non-surgical abortions to females 19 years or younger decreased from 40.6 percent in 2010 to 29.8 percent in 2015, indicating the proportion of surgical abortions decreased 4.9 percent over that period (Figure 9). Note: Non-surgical: Mifepristone, Methotrexate, RU486, etc. Figure 10 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2005-2015 There were approximately 13,251 mothers under the age of 20 in Arizona in 2015. Among them there were the 5,884 who gave birth in 2015 and the 7,367 who gave birth prior to 2015 and were still 19 years old or younger in 2015 (Figure 10, Table 13). The cumulative number of mothers who were 19 years or younger in Arizona in 2015 decreased by 50.7 percent from 26,864 in 2010. Teen Pregnancy, Arizona 2005-2015 7 KEY FINDINGS Figure 11 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2005 and 2015 The first birth rate for childless teenagers has dropped 52.8 percent from 47.7 first-time births per 1,000 females 15-19 years old in 2005 to 22.5 per 1,000 in 2015 (Figure 12). The repeat birth rates for teenagers who had already had a child decreased by 19.8 percent from 177.5 in 2005 to 142.3 per 1,000 females 15-19 years old in 2015 who had a previous birth (Figure 12). Notes: * Number of first births per 1,000 females 15-19 years old who have not had a birth; ** Number of repeat births per 1,000 females 15-19 years old who have had a previous birth; See Appendix “How to compute rates of first and repeat childbearing.” Figure 12 Births to Mothers 19 or Younger by Marital Status, Arizona, 1995, 2005, and 2015 Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. Two decades ago, more than 7 out of 10 teenage mothers were unmarried (Figure 13). In 2015, non-marital births accounted for 89.6 percent of births to mothers 19 years or younger. Teen Pregnancy, Arizona 2005-2015 8 KEY FINDINGS Figure 13 Number of Births to Mothers 19 or Younger by Payee, Arizona, 2005 and 2015 The total number of births to mothers 19 years or younger decreased by 50.7 percent from 11,933 in 2005 to 5,884 in 2015 (Table 1). In contrast, the proportional share of births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased from 81.6 percent in 2005 to 82.9 percent in 2015 (Figure 13). Figure 14 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 2005-2015 In each year from 2007 to 2012, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,300, but fell to 6,723 in 2014, then increased to 6,872 in 2015 (Table 15). Even with the recent decline, the rate of STI among females 15-19 years old increased 0.5 percent from 2,972.1 cases per 100,000 in 2005 to a rate of 2,985.5 per 100,000 in 2015. These STIs include chlamydia and syphilis. Chlamydia can cause sterility in the affected mother and eye infections and pneumonia in the newborn. Syphilis can cause blindness and maternal and/or infant death. Notes: * The sum of annually reported cases of gonorrhea, chlamydia, and early syphilis. Source: Bureau of Epidemiology and Disease Control Services, Office of Infectious Disease Services. Teen Pregnancy, Arizona 2005-2015 9 KEY FINDINGS Figure 15 Birth Rates for Teenagers 15-19 Years, Nationally and in Arizona, 2005-2015 In each year from 2005 to 2015, birth rates for Arizona teenagers 1519 years old exceeded the rates of their national peers (Figure 15, Table 11). In Arizona, Hispanic or Latino females 15-19 years old, a highfertility group, accounted for 38.0 percent of females aged 15-19 years in 2015. A high proportional representation of Hispanic or Latino females in Arizona puts upward pressure on the overall teen birth rate. Note: The number of births per 1,000 females 15-19 years old. Figure 16 Birth Rates for Hispanic or Latino Teenagers 15-19 Years, Nationally, and in Arizona, 2005-2015 In 2015, Hispanics or Latino teens aged 15-19 years disproportionately accounted for 57.5 percent of births to mothers in this age group in Arizona (3,381 out of 5,884; see Table 6 and Table 7). Historically the birth rates among Hispanic or Latino teenagers have been higher in Arizona than nationally. In 2015, the national birth rate for Hispanic teenagers decreased 8.2 percent from 2014, making Arizona’s rate 3.7 percent higher than the national rate in 2015. Note: The number of births per 1,000 females 15-19 years old. Teen Pregnancy, Arizona 2005-2015 10 TEENAGE PREGNANCY, ARIZONA, 2005-2015 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Pregnancy outcome by year ALL PREGNANCIES 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 LIVE BIRTHS 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 ABORTIONS 2005 2006 2007 2008 2009 2010 2011 2012 2013 Total, females 19 years or younger 15-19 years old 10-14 years Total, 15-19 years 15-17 years 18-19 years 13,898 14,918 15,038 14,047 12,537 10,980 10,269 9,710 8,715 7,924 7,121 239 242 325 230 156 150 150 116 91 68 66 13,659 14,676 14,713 13,817 12,381 10,830 10,119 9,594 8,624 7,856 7,055 4,790 5,105 4,975 4,740 3,945 3,363 2,939 2,860 2,385 2,125 1,887 8,869 9,571 9,738 9,077 8,436 7,467 7,180 6,734 6,239 5,731 5,168 11,933 12,916 12,972 12,161 10,952 9,416 8,435 8,117 7,222 6,623 5,884 185 170 180 161 132 105 101 67 71 46 41 11,748 12,746 12,792 12,000 10,820 9,311 8,334 8,050 7,151 6,577 5,843 4,179 4,450 4,361 4,151 3,501 2,910 2,447 2,430 1,985 1,770 1,582 7,569 8,296 8,431 7,849 7,319 6,401 5,887 5,620 5,166 4,807 4,261 1,892 1,919 1,979 1,813 1,519 1,512 1,785 1,539 1,441 54 69 142 67 24 44 49 48 20 1,838 1,850 1,837 1,746 1,495 1,468 1,736 1,491 1,421 582 624 576 567 418 435 478 414 382 1,256 1,226 1,261 1,179 1,077 1,033 1,258 1,077 1,039 2014 1,249 22 1,227 330 897 2015 FETAL LOSSES 2005 2006 2007 2008 2009 2010 2011 2012 2013 1,189 25 1,164 287 877 73 80† 90† 70† 66 50† 49 50† 52 0 * * * 0 * 0 * 0 73 80 84 71 66 51 49 53 52 29 31 38 22 26 18 14 16 18 44 49 46 49 40 33 35 37 34 2014 52 0 52 25 27 2015 48 0 48 18 30 Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2005-2015 † Sum rounded to nearest tens unit due to non-zero addend less 12 TABLE 2 PREGNANCY RATESa BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2005-2015 Pregnancy outcome by year ALL PREGNANCIES 2005 Total, females 19 years or younger 15-19 years old 10-14 years Total, 15-19 years 15-17 years 18-19 years 32.7 1.1 65.6 39.1 103.6 2006 34.1 1.1 68.7 39.0 115.6 2007 34.4 1.5 68.4 36.9 121.4 2008 31.6 1.0 63.2 34.6 111.3 2009 28.0 0.7 56.1 28.5 102.5 2010 24.7 0.7 48.3 25.5 80.8 2011 23.0 0.7 44.8 22.1 77.2 2012 21.6 0.5 42.2 21.8 70.2 2013 19.2 0.4 37.7 18.0 64.8 2014 17.8 0.3 35.7 16.1 65.2 2015 LIVE BIRTHS 2005 15.9 0.3 31.8 14.1 58.4 28.1 0.9 56.5 34.1 88.4 2006 29.6 0.8 59.6 34.0 100.2 2007 29.7 0.8 59.5 32.3 105.1 2008 27.4 0.7 54.9 30.3 96.3 2009 24.4 0.6 49.1 25.3 89.0 2010 21.2 0.5 41.5 22.1 69.2 2011 19.0 0.5 37.2 18.6 63.7 2012 18.0 0.3 35.4 18.5 58.6 2013 15.9 0.3 31.3 15.0 53.6 2014 14.9 0.2 29.9 13.4 54.7 2015 ABORTIONS 2005 13.1 0.2 26.3 11.8 48.2 4.5 0.2 8.8 4.8 14.7 2006 4.4 0.3 8.7 4.8 14.8 2007 4.5 0.6 8.5 4.3 15.7 2008 4.1 0.3 8.0 4.1 14.5 2009 3.4 0.1 6.8 3.0 13.1 2010 3.4 0.2 6.5 3.3 11.2 2011 4.0 0.2 7.7 3.6 13.5 2012 3.4 0.2 6.6 3.1 11.2 2013 3.2 0.1 6.2 2.9 10.8 2014 2.8 0.1 5.6 2.5 10.2 2015 FETAL LOSSES 2005 2.7 0.1 5.2 2.1 9.9 0.2 0.0 0.4 0.2 0.5 2006 0.2 ** 0.4 0.2 0.6 2007 0.2 ** 0.4 0.3 0.6 2008 0.2 ** 0.3 0.2 0.6 2009 0.2 0.0 0.3 0.2 0.5 2010 0.1 ** 0.2 0.1 0.4 2011 0.1 0.0 0.2 0.1 0.4 2012 0.1 ** 0.2 0.1 0.4 2013 0.1 0.0 0.2 0.1 0.4 2014 0.1 0.0 0.2 0.2 0.3 2015 0.1 0.0 0.2 0.1 0.3 a Notes: ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; The number of pregnancies (live births + abortions + fetal deaths) per 1,000 females in specified age group; 0.0: Quantity more than zero but less than 0.05. Teen Pregnancy, Arizona 2005-2015 13 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2005-2015 Racial/ethnic group and year Total, females 19 years or younger 15-19 years old 10-14 years WHITE NON-HISPANIC 2005 2,744 2006 3,209 2007 3,100 2008 2,993 2009 2,715 2010 2,386 2011 2,089 2012 1,977 2013 1,781 2014 1,757 2015 1,530† HISPANIC OR LATINO 2005 7,188 2006 7,738 2007 7,782 2008 7,168 2009 6,341 2010 5,348 2011 4,631 2012 4,627 2013 4,080 2014 3,813 2015 3,409 BLACK OR AFRICAN AMERICAN 2005 569 2006 601 2007 621 2008 656 2009 603 2010 562 2011 561 2012 540† 2013 507 2014 390† 2015 310† AMERICAN INDIAN OR ALASKA NATIVE 2005 1,204 2006 1,216 2007 1,285 2008 1,185 2009 1,170 2010 988 2011 987 2012 890 2013 775 2014 602 2015 569 ASIAN OR PACIFIC ISLANDER 2005 100† 2006 90† 2007 103 2008 110† 2009 90† 2010 100† 2011 110† 2012 80† 2013 80† 2014 60† 2015 63 Notes: * Cell suppressed due to non-zero count less than 6; less than 6. Teen Pregnancy, Arizona 2005-2015 Total, 15-19 years 15-17 years 18-19 years 17 19 26 15 20 12 13 8 8 8 * 2,727 3,190 3,074 2,978 2,695 2,374 2,076 1,969 1,773 1,749 1,526 711 852 779 769 649 541 494 475 365 344 339 2,016 2,338 2,295 2,209 2,046 1,833 1,582 1,494 1,408 1,405 1,187 137 123 115 111 87 68 61 46 47 23 28 7,051 7,615 7,667 7,057 6,254 5,280 4,570 4,581 4,033 3,790 3,381 2,721 2,923 2,892 2,724 2,253 1,859 1,467 1,528 1,244 1,115 972 4,330 4,692 4,775 4,333 4,001 3,421 3,103 3,053 2,789 2,675 2,409 8 7 12 12 6 10 10 * 6 * * 561 594 609 644 597 552 551 539 501 389 311 199 187 195 203 181 151 152 159 122 102 77 362 407 414 441 416 401 399 380 379 287 234 21 19 26 22 17 14 14 7 8 9 7 1,183 1,197 1,259 1,163 1,153 974 973 883 767 593 562 478 430 445 408 394 331 293 251 243 196 177 705 767 814 755 759 643 680 632 524 397 385 * * 0 * * * * * * * 0 95 91 103 112 86 102 109 78 77 56 63 28 28 31 26 18 23 26 17 11 13 17 67 63 72 86 68 79 83 61 66 43 46 † Sum rounded to nearest tens unit due to non-zero addend 14 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2005-2015 Racial/ethnic group and year Total, females 19 years or younger 15-19 years old 10-14 years WHITE NON-HISPANIC 2005 867 2006 917 2007 982 2008 841 2009 720 2010 694 2011 289 2012 238 2013 257 2014 488 2015 488 HISPANIC OR LATINO 2005 522 2006 609 2007 710 2008 561 2009 525 2010 532 2011 638 2012 441 2013 509 2014 531 2015 467 BLACK OR AFRICAN AMERICAN 2005 110† 2006 124 2007 136 2008 140† 2009 110† 2010 70† 2011 17 2012 10† 2013 20† 2014 90† 2015 90† AMERICAN INDIAN OR ALASKA NATIVE 2005 80† 2006 60† 2007 63 2008 50† 2009 52 2010 40† 2011 10† 2012 0† 2013 8 2014 30† 2015 50† ASIAN OR PACIFIC ISLANDER 2005 35 2006 40† 2007 60† 2008 40† 2009 40† 2010 14 2011 10† 2012 9 2013 0† 2014 40† 2015 28 Notes: * Cell suppressed due to non-zero count less than 6; less than 6. Teen Pregnancy, Arizona 2005-2015 † Total, 15-19 years 15-17 years 18-19 years 15 28 71 21 11 16 10 6 6 7 6 852 889 911 820 709 678 279 232 251 481 482 278 296 282 266 207 198 80 65 66 133 111 574 593 629 554 502 480 199 167 185 348 371 21 24 44 34 8 16 17 12 6 7 13 501 585 666 527 517 516 621 429 503 524 454 151 193 210 173 136 151 179 138 136 134 118 350 392 456 354 381 365 442 291 367 390 336 * 9 13 * * * 0 * * * * 109 115 123 138 107 66 20† 10† 22 88 83 32 48 42 43 28 24 * 6 8 34 25 77 67 81 95 79 42 13 * 14 54 58 * * 8 * 0 * 0 0 0 * * 72 54 55 52 52 34 10† 0† 10† 20† 47 21 24 22 17 22 13 * * * * 13 51 30 33 35 30 21 * * * 18 34 0 * * * * 0 * 0 0 * 0 35 37 59 34 39 10† 0† 10† 0† 34 30† 10 11 8 12 8 * 0 * * 10 * 25 26 51 22 31 9 * 7 * 24 25 Sum rounded to nearest tens unit due to non-zero addend 15 Teen Pregnancy, Arizona 2005-2015 16 4,620 693 4,364 636 14.8 12.9 1.9 Pregnancy rate, total: Fertility ratee Abortion rate 14.8 12.7 2.0 4,541 718 5,300 31 12 43 471 30 504 207 55 268 3,007 254 3,286 805 353 1,165 2007 13.7 11.9 1.7 4,312 634 4,970 27 14 41 430 19 452 215 48 266 2,835 207 3,057 784 287 1,074 2008 11.2 9.9 1.2 3,633 442 4,101 20 9 30 411 22 436 187 31 221 2,340 144 2,496 669 218 894 2009 10.0 8.6 1.4 3,015 479 3,513 24 * 30† 345 15 361 161 25 189 1,927 167 2,106 553 214 770 2010 8.7 7.2 1.5 2,548 527 3,089 28 * 30† 307 * 310† 162 * 170† 1,528 196 1,731 507 90 600 2011 8.4 7.1 1.3 2,497 463 2,976 18 * 20† 258 * 260† 164 9 174 1,574 150 1,728 483 71 564 2012 unspecified ethnicity; e Number of births per 1,000 females 10-17 years old. b c † 5.4 4.5 0.9 1,623 312 1,953 17 * 20† 184 17 204 78 27 106 1,000 131 1,144 344 117 462 2015 4.5 0.9 5.4 1.5 ** 1.7 9.8 0.9 10.9 4.1 1.4 5.5 6.5 0.8 7.4 2.2 0.8 3.0 2015 Rates Sum rounded to nearest tens unit due to 6.1 5.1 1.0 1,816 352 2,193 14 11 25 205 7 217 107 36 145 1,138 141 1,292 352 140 496 2014 non-zero addend less than 6; Fetal deaths are included in the total counts of pregnancies; All rates per 1,000 females 10-17 years old; Not of Hispanic origin; d Includes other and a 6.9 5.8 1.1 2,056 402 2,476 13 * 20† 251 * 260† 128 9 140 1,291 142 1,443 373 72 448 2013 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; 15.1 13.0 2.0 5,347 29 14 29 10 5,029 43 449 25 499 25 39 477 194 57 207 37 530 255 3,046 217 247 2,858 172 3,281 871 324 728 293 3,043 1,204 2006 1,028 2005 ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births Abortions HISPANIC OR LATINO, total: Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births Abortions TABLE 5 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGED 17 AND YOUNGER WITH RATESb, ARIZONA, 2005-2015 Teen Pregnancy, Arizona 2005-2015 17 34.1 4.8 Abortion rate 4.8 34.0 39.0 4.3 32.3 36.9 576 4,361 4,975 8 31 39 22 445 470 42 195 242 210 2,892 3,126 282 779 1,067 2007 4.1 30.3 34.6 567 4,151 4,740 12 26 38 17 408 428 43 203 248 173 2,724 2,911 266 769 1,038 2008 3.0 25.3 28.5 418 3,501 3,945 * 18 30† 22 394 419 28 181 212 136 2,253 2,401 207 649 863 2009 3.3 22.1 25.5 435 2,910 3,363 * 23 30† 13 331 345 24 151 178 151 1,859 2,021 198 541 742 2010 3.6 18.4 22.1 478 2,447 2,939 0 26 26 * 293 300† * 152 160† 179 1,467 1,653 80 494 577 2011 3.1 18.5 21.8 414 2,430 2,860 * 17 20† * 251 250† 6 159 166 138 1,528 1,670 65 475 549 2012 2.1 11.8 14.1 287 1,582 1,887 * 17 20† 13 177 193 25 77 103 118 972 1,103 111 339 451 2015 unspecified ethnicity; e Number of births per 1,000 females 15-17 years old. 2.1 11.8 14.1 ** 4.1 4.8 1.8 25.0 27.3 3.4 10.6 14.2 2.1 17.2 19.5 1.9 5.8 7.7 2015 Rates Sum rounded to nearest tens unit due to 2.5 13.4 16.1 330 1,770 2,125 10 13 23 * 196 210† 34 102 138 134 1,115 1,262 133 344 481 2014 non-zero addend less than 6; a Fetal deaths are included in the total counts of pregnancies; b All rates per 1,000 females 15-17 years old; c Not of Hispanic origin; d Includes other and † 2.9 15.0 18.0 382 1,985 2,385 * 11 10† * 243 250† 8 122 133 136 1,244 1,390 66 365 434 2013 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; 39.1 Fertility ratee 624 4,450 4,179 582 5,105 4,790 11 28 28 10 39 38 24 430 478 21 457 505 48 187 199 32 239 234 193 2,923 2,721 151 3,131 2,885 296 852 711 278 1,157 2006 996 2005 Pregnancy rate, total: Abortions ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births TABLE 6 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATESb, ARIZONA, 2005-2015 Teen Pregnancy, Arizona 2005-2015 18 103.6 88.4 14.7 Pregnancy rate, total: Fertility ratee Abortion rate c † 111.3 96.3 14.5 7,849 1,179 9,077 86 22 108 755 35 794 441 95 546 4,333 354 4,707 2,209 554 2,778 2008 102.5 89.0 13.1 7,319 1,077 8,436 68 31 99 759 30 793 416 79 501 4,001 381 4,400 2,046 502 2,560 2009 80.8 69.2 11.2 6,401 1,033 7,467 79 9 88 643 21 664 401 42 446 3,421 365 3,812 1,833 480 2,316 2010 77.2 63.3 13.5 5,887 1,258 7,180 83 * 90† 680 * 690† 399 13 413 3,103 442 3,566 1,582 199 1,792 2011 70.2 58.6 11.2 5,620 1,077 6,734 61 7 68 632 * 640† 380 * 390† 3,053 291 3,357 1,494 167 1,675 2012 64.8 53.6 10.8 5,166 1,039 6,239 66 * 70† 524 * 530† 379 14 397 2,789 367 3,175 1,408 185 1,602 2013 65.2 54.7 10.2 4,807 897 5,731 43 24 67 397 18 417 287 54 345 2,675 390 3,078 1,405 348 1,759 2014 58.4 48.2 9.9 4,261 877 5,168 46 25 72 385 34 423 234 58 294 2,409 336 2,764 1,187 371 1,562 2015 48.2 9.9 58.4 15.2 8.3 23.8 82.7 7.3 90.8 47.6 11.8 59.8 65.1 9.1 74.7 30.5 9.5 40.2 2015 Rates Sum rounded to nearest tens unit due to non-zero addend less than 6; a Fetal deaths are included in the total counts of 121.4 105.1 15.7 8,431 1,261 9,738 72 51 124 814 33 849 414 81 498 4,775 456 5,259 2,295 629 2,936 2007 pregnancies; All rates per 1,000 females 18-19 years old; Not of Hispanic origin; d Includes other and unspecified ethnicity; e Number of births per 1,000 females 18-19 years old. b Notes: * Cell suppressed due to non-zero count less than 6; 115.6 100.2 14.8 9,571 8,296 1,226 8,869 63 26 67 25 7,569 1,256 89 767 30 705 51 93 800 407 67 362 77 759 476 441 4,692 392 ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions 4,330 350 4,705 HISPANIC OR LATINO, total: 5,115 2,338 593 2,016 574 Births Abortions 2,944 2006 2,603 2005 Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births Abortions TABLE 7 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATESb, ARIZONA, 2005-2015 Teen Pregnancy, Arizona 2005-2015 19 c 31.6 27.4 4.1 12,161 1,813 14,047 113 36 149 1,185 54 1,246 656 143 812 7,168 561 7,764 2,993 841 3,852 2008 28.0 24.4 3.4 10,952 1,519 12,537 88 40 129 1,170 52 1,229 603 110 722 6,341 525 6,896 2,715 720 3,454 2009 24.7 21.2 3.4 9,416 1,512 10,980 103 14 117 988 36 1,025 562 67 635 5,348 532 5,918 2,386 694 3,086 2010 23.0 18.9 4.0 8,435 1,785 10,269 111 * 120† 987 * 1,000† 561 17 580 4,631 638 5,297 2,089 289 2,392 2011 21.6 18.0 3.4 8,117 1,539 9,710 79 9 88 890 * 900† 544 14 562 4,627 441 5,085 1,977 238 2,239 2012 19.2 15.9 3.2 7,222 1,441 8,715 79 * 80† 775 8 787 507 23 537 4,080 509 4,618 1,781 257 2,050 2013 17.8 14.9 2.8 6,623 1,249 7,924 57 35 92 602 25 634 394 90 490 3,813 531 4,370 1,757 488 2,255 2014 15.9 13.1 2.7 5,884 1,189 7,121 63 28 92 569 51 627 312 85 400 3,409 467 3,908 1,531 488 2,024 2015 13.1 2.7 15.9 4.3 1.9 6.3 24.3 2.2 26.8 12.9 3.5 16.6 17.8 2.4 20.4 7.9 2.5 10.5 2015 Rates Sum rounded to nearest tens unit due to non-zero addend less than 6; a Fetal deaths are included in the total counts of 34.4 29.7 4.5 12,972 1,979 15,038 103 63 167 1,285 63 1,353 621 136 766 7,782 710 8,545 3,100 982 4,101 2007 pregnancies; All rates per 1,000 females 19 or younger; Not of Hispanic origin; d Includes other and unspecified ethnicity; e Number of births per 1,000 females 19 or younger. b † 34.1 29.6 4.4 12,916 1,919 11,933 1,892 32.7 28.1 4.5 14,918 92 40 96 35 13,898 132 1,216 55 1,204 76 132 1,277 601 124 569 114 1,289 731 688 7,738 609 Notes: * Cell suppressed due to non-zero count less than 6; Pregnancy rate, total: Fertility ratee Abortion rate ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions 7,188 522 7,748 HISPANIC OR LATINO, total: Births Abortions 3,209 917 2,744 867 8,396 4,148 2006 3,631 2005 Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births Abortions TABLE 8 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 AND YOUNGER, WITH RATESb, ARIZONA, 2005-2015 19 Years or Younger 18-19 Years 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 ARIZONA 32.7 34.1 34.4 31.6 28.0 24.7 23.0 21.6 19.2 17.8 15.9 103.6 115.6 121.4 111.3 102.5 80.8 77.2 70.2 64.8 65.2 58.4 14.8 15.1 14.8 13.7 11.2 10.0 8.7 8.4 6.9 6.1 5.4 APACHE 25.9 25.6 27.5 25.3 27.7 26.7 23.6 21.6 19.1 17.7 13.7 105.4 87.9 89.4 89.5 100.2 96.6 94.2 79.6 68.5 66.4 43.9 11.9 10.8 12.5 9.7 10.1 11.0 7.8 7.7 8.1 6.0 6.8 COCHISE 30.0 24.2 29.1 27.2 28.7 27.5 24.7 24.0 18.9 18.4 20.0 110.0 71.1 99.8 92.4 102.7 90.6 78.9 80.2 65.2 66.7 77.0 11.7 12.0 12.0 11.3 10.8 10.8 10.4 9.2 6.9 6.4 6.3 COCONINO 27.7 31.0 33.2 28.6 27.6 22.5 20.3 18.0 16.2 14.7 14.4 79.5 84.0 81.2 72.2 68.9 40.2 36.2 33.4 30.8 25.8 25.9 12.1 14.1 16.3 13.2 13.0 11.5 10.6 8.3 7.3 7.1 6.2 GILA 38.8 37.7 41.7 45.9 40.8 39.7 35.9 29.9 32.0 29.0 25.6 150.5 139.8 164.0 165.9 160.2 137.9 132.6 105.8 133.0 114.8 105.7 18.2 16.6 16.2 21.0 15.9 18.1 14.6 11.7 10.7 9.9 9.5 GRAHAM 20.9 35.5 40.1 33.2 33.7 33.3 28.5 29.2 26.7 27.1 23.7 56.7 95.6 103.4 94.7 93.2 96.0 81.7 95.2 103.2 108.7 95.0 9.0 17.6 19.3 12.9 14.2 11.9 10.3 12.2 10.0 9.5 8.1 GREENLEE 31.0 24.7 25.4 33.2 41.2 35.7 34.1 18.9 28.8 26.8 20.5 174.8 69.0 122.4 133.3 203.9 122.4 163.3 64.7 108.8 142.9 86.2 ** ** ** 16.2 13.3 19.3 ** ** 10.8 ** ** LA PAZ 49.8 30.0 50.9 38.6 27.8 38.1 31.9 25.3 37.6 33.4 22.9 148.7 63.0 242.8 156.1 127.2 177.8 127.8 87.7 146.1 126.4 77.3 30.7 13.1 15.8 17.0 9.5 ** 10.1 8.9 12.8 11.6 10.3 MARICOPA 33.9 35.4 35.4 32.5 27.4 23.7 22.4 20.7 18.4 17.4 15.3 106.5 125.0 131.9 120.0 106.0 80.3 78.4 69.3 64.2 68.3 59.5 15.7 15.7 15.3 14.3 11.0 9.5 8.4 8.1 6.6 5.9 5.2 MOHAVE 32.1 33.0 31.9 28.1 25.9 24.6 18.9 19.2 15.8 17.5 14.7 134.0 142.1 157.6 135.7 129.2 96.5 75.9 69.6 59.4 79.5 67.9 11.5 12.4 10.7 9.5 8.1 8.1 5.8 6.3 4.4 4.8 3.9 NAVAJO 33.1 30.0 33.7 36.3 33.2 32.8 33.4 29.8 23.3 21.8 21.4 138.2 99.4 125.8 135.7 132.3 122.7 121.1 115.7 92.9 81.0 78.9 14.4 14.9 14.4 15.5 12.5 12.5 13.6 10.4 7.1 8.8 9.7 30.6 32.9 30.5 29.0 27.0 24.7 22.6 21.4 19.2 16.9 15.0 83.7 95.8 89.6 86.5 82.3 68.7 64.3 61.9 54.6 48.7 45.9 14.0 14.7 13.6 12.5 11.2 10.3 9.0 8.0 7.4 6.6 5.2 PINAL 33.5 34.1 37.4 31.3 27.6 22.8 21.7 20.6 16.4 15.5 15.1 119.8 129.3 144.9 121.8 108.4 96.8 94.7 82.2 67.7 70.8 71.4 14.9 13.4 16.4 13.6 11.8 8.6 7.7 7.2 5.3 5.1 4.7 SANTA CRUZ 30.7 32.9 32.2 31.5 29.1 30.5 27.9 29.0 20.6 20.0 13.6 111.8 108.5 102.8 111.6 115.7 94.2 104.2 97.9 92.4 66.9 50.9 15.2 16.5 17.7 15.0 11.4 17.1 11.9 15.0 7.7 9.1 5.2 25.7 29.6 33.0 26.9 25.0 21.4 19.9 18.7 16.7 17.2 16.4 104.1 109.2 129.9 100.1 101.3 84.5 71.3 64.6 62.2 75.5 64.5 8.6 11.8 12.8 10.9 8.4 6.6 7.8 7.4 5.4 4.3 5.3 YAVAPAI TABLE 9 TRENDS IN PREGNANCY RATESa BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2005-2015 PIMA Notes: ** Cell suppressed due to rate/ratio/percent based on count less than 6; a Number of pregnancies per 1,000 females in specified group. 10-17 Years Teen Pregnancy, Arizona 2005-2015 20 37.0 38.0 37.8 35.1 36.1 34.1 30.1 29.0 25.1 19.7 18.2 122.2 122.8 129.8 121.7 119.9 114.7 109.3 90.1 83.0 72.0 69.9 17.1 16.6 16.0 14.6 16.1 14.9 11.2 12.6 10.1 6.7 5.7 YUMA Teen Pregnancy, Arizona 2005-2015 21 Group b a 2006 2007 3,136 92 2.9 6,364 1,216 19.1 3,864 601 15.6 44,862 7,738 17.2 43,013 3,209 7.5 14,083 2,100 14.9 87,910 10,809 12.3 3,412 103 3.0 6,408 1,285 20.0 4,165 621 14.9 45,731 7,782 17.0 42,216 3,100 7.3 14,413 2,279 15.8 88,266 10,693 12.1 3,425 113 3.2 6,362 1,185 18.6 4,301 656 15.2 42,639 7,168 16.8 41,925 2,993 7.1 13,952 2,148 15.3 85,263 10,013 11.7 99,215 12,161 12.2 2008 3,396 88 2.6 6,170 1,170 19.0 4,378 603 13.8 38,362 6,341 16.5 39,781 2,715 6.8 13,570 2,085 15.4 79,046 8,867 11.2 92,616 10,952 11.8 2009 3,293 103 3.1 5,815 988 17.0 4,328 562 13.0 34,333 5,348 15.6 38,777 2,386 6.2 12,429 1,726 13.9 74,624 7,690 10.3 87,053 9,416 10.8 2010 3,505 111 3.2 5,830 987 16.9 4,366 561 12.8 32,398 4,631 14.3 38,294 2,089 5.5 12,150 1,549 12.7 74,040 6,886 9.3 85,190 8,535 10.0 2011 3,625 79 2.2 5,569 890 16.0 4,715 544 11.5 33,146 4,627 14.0 38,670 1,977 5.1 11,597 1,420 12.2 74,128 6,697 9.0 85,725 8,117 9.5 2012 3,466 79 2.3 5,476 775 14.2 4,726 507 8.7 33,075 4,080 12.3 38,220 1,781 4.7 11,470 1,211 10.6 73,493 6,011 8.2 84,963 7,222 8.5 2013 3,169 57 1.8 5,145 602 11.7 4,522 394 8.7 33,715 3,813 11.3 40,097 1,757 4.4 11,955 1,175 9.8 74,677 5,447 7.3 86,648 6,623 7.6 2014 3,235 63 1.9 4,984 569 11.4 4,361 312 7.2 34,264 3,409 9.9 38,180 1,531 4.0 11,467 1,028 9.0 73,547 4,856 6.6 85,024 5,884 6.9 2015 Includes records for ethnic groups other than White Non-Hispanic, Hispanic or Latino, Black or African American, American Indian or Alaska Native, or Asian or Pacific Islander; 2,805 96 3.4 6,293 1,204 19.1 3,450 569 16.5 42,156 7,188 17.0 39,657 2,744 6.9 13,603 2,103 15.5 82,141 9,827 12.0 95,798 102,042 102,687 11,933 12,916 12,972 12.5 12.7 12.6 2005 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. Notes: # Births (all ages) # Births to teenagers % Births to teenagers ASIAN OR PACIFIC ISLANDER # Births (all ages) # Births to teenagers % Births to teenagers AMERICAN INDIAN OR ALASKA NATIVE # Births (all ages) # Births to teenagers % Births to teenagers BLACK OR AFRICAN AMERICAN # Births (all ages) # Births to teenagers % Births to teenagers HISPANIC OR LATINO # Births (all ages) # Births to teenagers % Births to teenagers WHITE NON-HISPANIC # Births (all ages) # Births to teenagers % Births to teenagers RURAL COUNTIES # Births (all ages) # Births to teenagers % Births to teenagers URBAN COUNTIESb # Births (all ages) # Births to teenagers % Births to teenagers ARIZONA, TOTALa TABLE 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2005-2015 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA, AND UNITED STATES, 2005-2015 15 - 19 years old Year 10-14 years AZ Total U.S. AZ 15-17 years U.S. AZ 18-19 years U.S. AZ U.S. 2005 0.9 0.6 56.5 39.7 34.1 21.1 88.4 68.4 2006 0.8 0.6 59.6 41.1 34.0 21.6 100.2 71.2 2007 0.8 0.6 59.5 41.5 32.3 21.7 105.1 71.7 2008 0.7 0.6 54.9 40.2 30.3 21.1 96.3 68.2 2009 0.6 0.5 49.1 37.9 25.3 19.6 89.0 64.0 2010 0.5 0.4 41.5 34.2 22.1 17.3 69.2 58.2 2011 0.5 0.4 37.2 31.3 18.6 15.4 63.7 54.1 2012 0.3 0.4 35.4 29.4 18.5 14.1 58.6 51.4 2013 0.3 0.3 31.3 26.5 15.0 12.3 53.6 47.1 2014 0.2 0.3 29.9 24.2 13.4 10.9 54.7 43.8 2015 0.2 0.2 26.3 22.3 11.8 9.9 48.2 40.7 Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 2005-2015 22 Teen Pregnancy, Arizona 2005-2015 23 0 1,812 2,961 4,773 0 1,004 2,519 3,523 * 502 1,905 2,409 0 158 1,290 1,448 0 35 558 593 2006 0 1,790 2,980 4,770 0 1,016 2,645 3,661 0 502 1,895 2,397 0 161 1,199 1,360 0 51 553 604 2007 * 1,407 3,065 4,473 * 799 2,576 3,376 0 348 1,983 2,331 0 104 1,146 1,250 0 17 553 570 2008 * 1,570 2,667 4,241 * 851 2,226 3,078 0 350 1,598 1,948 0 119 988 1,107 0 18 428 446 2009 0 1,295 2,459 3,754 0 680 1,967 2,647 0 291 1,343 1,634 0 89 848 937 0 22 317 339 2010 Year 0 1,074 2,414 3,488 0 498 1,901 2,399 0 209 1,197 1,406 0 49 743 792 0 10 239 249 2011 Sum rounded to nearest tens unit due to non-zero addend less than 6. * 1,586 One or more † 2,631 None Previous pregnancies Unknown 4,218 0 Total Unknown 940 2,411 Previous pregnancies One or more 3,351 0 Total None Unknown 468 1,791 Previous pregnancies One or more 2,259 0 Total None Unknown 150 1,167 Previous pregnancies One or more 1,317 0 Total None Unknown 44 559 Previous pregnancies One or more 603 2005 Total None Pregnancies Notes: * Cell suppressed due to non-zero count less than 6; 19 18 17 16 15 Mother's age * 892 2,444 3,339 * 434 1,845 2,281 0 145 1,218 1,363 0 42 732 774 * 8 283 293 2012 * 777 2,376 3,154 * 351 1,658 2,012 * 129 1,022 1,153 0 38 571 609 * * 217 220† 2013 * 687 2,233 2,921 0 341 1,545 1,886 * 116 938 1,055 0 20 511 531 * 10 173 184 2014 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2005-2015 * 622 2,017 2,641 0 255 1,365 1,620 0 82 835 917 0 31 441 472 0 0 193 193 2015 Teen Pregnancy, Arizona 2005-2015 24 0 0 0 0 0 0 0 0 2008 2009 2010 2011 2012 2013 2014 2015 11 0† 0 0 0 0 0 * 0 * 0 0 0 * * * * * * 10† 12 * 6 15 * 7 11 15 60† 13 38 40 55 61 93 92 379 14 1,142 193 184 223 293 249 15 2,386 472 531 609 774 16 3,125 917 1,055 1,153 17 3,506 1,620 1,886 18 2,641 2,641 19 0 13,250† 5,880† 3,702 2,060† 1,130† 350† 110† 20† 0† 0† Mother was 19 or younger in 2015 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; The above table focuses on the 2015 cohort of Arizona mothers who were 19 or younger that year. Among them are those who gave birth in 2015 and those who gave birth prior to 2015 and were still 19 or less years old in 2015. The numbers below the main diagonal (and below the stair-like line) represent the number of mothers meeting either one of the above criteria. The last column to the right gives the cumulative total for 2015 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2009, about 20 remained in their teens in 2015. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 13,251 mothers under 20 in Arizona in 2015, around 10 had given birth when 13 years old. Excluded from the cumulative totals and not shown above the main diagonal (and above stair-like line) are the number of mothers who were 19 years old or younger when the baby was born, but who were no longer under the age 20 by 2015. For example, mothers who were 11 years old in 2006 were 20 years old in 2015. The figures in Table 13 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 2006-2015. For simplicity, the number of mothers equals the number of babies (i.e., no adjustment was made for multiple birth events). 0 0 2007 Cumulative number of mothers 19 or younger 0 10 2006 Year Baby Was Born MOTHER'S AGE WHEN BABY WAS BORN TABLE 13 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2015 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2005-2015 Total, females 19 years or younger WHITE NON-HISPANIC 2005 15.8 2006 18.9 2007 19.0 2008 17.5 2009 15.6 2010 15.9 2011 11.8 2012 10.7 2013 9.8 2014 11.6 2015 10.5 HISPANIC OR LATINO 2005 55.5 2006 56.0 2007 55.3 2008 49.4 2009 43.5 2010 33.8 2011 30.2 2012 28.0 2013 25.0 2014 25.4 2015 20.4 BLACK OR AFRICAN AMERICAN 2005 43.5 2006 32.6 2007 36.1 2008 37.7 2009 33.3 2010 29.5 2011 24.9 2012 26.2 2013 25.1 2014 16.9 2015 16.6 AMERICAN INDIAN OR ALASKA NATIVE 2005 40.8 2006 36.2 2007 39.1 2008 35.5 2009 34.7 2010 37.0 2011 29.2 2012 33.6 2013 29.7 2014 19.2 2015 26.8 ASIAN OR PACIFIC ISLANDER 2005 16.2 2006 12.9 2007 15.3 2008 13.5 2009 11.6 2010 9.9 2011 9.1 2012 7.5 2013 6.8 2014 5.5 2015 6.3 10-14 years 15-19 years 15-17 years 18-19 years 0.3 0.4 0.9 0.3 0.3 0.3 0.2 0.1 0.1 0.2 ** 31.6 37.2 36.3 34.1 30.3 30.5 22.8 20.6 18.9 23.0 20.6 14.9 17.2 15.6 14.9 12.3 12.9 9.6 9.0 7.1 8.2 7.7 55.1 68.6 70.3 65.3 59.6 53.9 40.8 35.6 34.0 45.5 40.2 2.2 1.9 1.9 1.7 1.1 0.9 0.9 0.6 0.6 0.3 0.4 112.5 117.3 116.8 104.4 92.4 67.9 60.5 56.7 50.7 51.9 41.4 72.9 72.7 68.5 62.7 51.3 38.9 31.8 31.6 25.9 25.2 19.5 168.9 188.1 201.2 177.2 164.2 112.6 104.0 93.8 87.4 91.7 74.7 1.6 1.4 2.3 1.6 0.8 1.1 0.9 ** 0.7 ** ** 89.0 67.2 73.9 78.1 69.5 56.1 47.7 49.8 47.5 33.3 32.6 51.6 36.1 36.9 37.2 31.6 27.3 22.3 26.2 20.9 15.9 14.2 144.8 118.1 144.1 155.7 141.7 97.0 84.0 81.2 82.9 59.4 59.8 1.5 1.1 2.0 1.4 1.0 1.2 0.8 0.5 0.6 0.7 0.9 85.8 71.1 73.8 67.4 66.2 69.5 55.7 65.5 58.6 37.8 52.5 55.0 41.5 42.4 38.1 36.9 40.5 28.8 32.2 31.5 21.0 27.3 137.0 119.8 124.9 115.2 114.0 111.0 94.2 110.7 98.0 62.7 90.8 ** ** 0.0 ** ** ** ** ** ** ** 0.0 30.4 25.7 31.1 27.6 23.6 19.9 18.0 14.6 13.2 10.9 12.8 16.2 13.0 12.0 11.6 8.2 8.3 7.2 5.6 3.7 4.6 4.8 47.6 45.0 62.2 53.5 48.7 35.5 32.7 26.6 25.5 20.3 23.8 Note: ** Cell supressed due to rate/ratio/percent based on non-zero count less than 6. Teen Pregnancy, Arizona 2005-2015 25 Teen Pregnancy, Arizona 2005-2015 26 6,185 40 7,008 16 6,188 804 264 0 224 2006 32 7,334 25 6,600 709 310† * 278 2007 19 7,071 8 6,595 468 270† * 249 2008 2010 26 245 0 7,230 6 6,771 453 7,205 10 6,666 529 15-19 years 250 0 223 22 10-14 years 224 2009 27 7,772 8 7,073 691 235 0 208 2011 21 7,701 6 6,882 813 218 0 197 2012 21 6,921 6 6,213 702 156 0 135 2013 16 6,564 9 5,876 679 159 0 143 2014 30 6,711 8 5,952 751 161 0 131 2015 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Information about the number of reported cases of gonorrhea, chlamydia, and early syphilis was provided by STD Program in the Office of Infectious Diseases (see Table 3B-3 in the Arizona Health Status and Vital Statistics annual reports). Total reported infections 13 5,451 Chlamydia Early syphilis 721 250 Gonorrhea Diagnosed with: Total reported infections 0 210 Chlamydia Early syphilis 40 Gonorrhea Diagnosed with: 2005 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2005-2015 Teen Pregnancy, Arizona 2005-2015 27 2,972.1 3,279.4 7.5 2,895.7 376.2 118.2 0.0 100.3 17.9 2006 3,409.9 11.6 3,068.6 329.6 140.0 ** 125.1 14.4 2007 3,235.5 3.7 3,017.7 214.1 119.1 ** 110.3 8.4 2008 2010 111.5 0.0 101.5 3,278.1 2.7 3,070.0 205.4 3,230.2 4.5 2,971.9 253.8 15-19 years 109.7 0.0 98.3 10.0 10-14 years 11.4 2009 3,465.0 3.6 3,153.3 308.1 107.0 0.0 94.7 12.3 2011 3,549.3 2.8 3,171.8 374.7 97.9 0.0 88.5 9.4 2012 3,164.3 2.7 2,840.6 321.0 69.8 0.0 60.4 9.4 2013 Notes: ** Cell supressed due to rate/ratio/percent based on non-zero count less than 6; a Number of cases per 100,000 females in specified age group. Total reported infections 6.2 2,619.4 Chlamydia Early syphilis 346.5 124.6 Gonorrhea Diagnosed with: Total reported infections 0.0 97.1 Chlamydia Early syphilis 18.5 Gonorrhea Diagnosed with: 2005 2,967.2 4.1 2,656.2 306.9 70.8 0.0 63.7 7.1 2014 TABLE 16 TRENDS IN THE INCIDENCE RATESa OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2005-2015 2,985.5 3.6 2,647.8 334.1 71.6 0.0 58.3 13.3 2015 TABLE 17 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2015 NUMBER OF PREGNANCIESa County of residence Total, females 19 years or younger 15-19 years old 10-14 years Total, 15-19 years 15-17 years 18-19 years Apache 80† * 80 32 48 Cochise 150† * 151 37 114 Coconino 160† * 161 39 122 Gila 80† * 74 22 52 Graham 70† * 66 17 49 15 0 20† * 10 Greenlee La Paz 22 0 22 8 14 4,235 34 4,201 1,131 3,070 156 0 156 34 122 170† * 167 60 107 Pima 960 12 948 240 708 Pinal 390† * 389 100 289 55 0 55 17 38 Maricopa Mohave Navajo Santa Cruz Yavapai 180† * 174 44 130 Yuma 280† * 274 68 206 7,121 70† 7,055 1,890† 5,168 TOTAL STATE PREGNANCY RATESb County of residence Total, females 19 years or younger 15-19 years old 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 13.7 ** 27.9 18.1 43.9 Cochise 20.0 ** 40.2 16.2 77.0 Coconino 14.4 ** 22.3 15.5 25.9 Gila 25.6 ** 53.2 24.4 105.7 Graham 23.7 ** 47.7 19.6 95.0 Greenlee 20.5 0.0 42.0 ** 86.2 La Paz 22.9 0.0 45.7 26.7 77.3 Maricopa 15.3 0.2 31.1 13.5 59.5 Mohave 14.7 0.0 30.4 10.2 67.9 Navajo 21.4 ** 43.0 23.7 78.9 Pima 15.0 0.4 28.2 13.2 45.9 Pinal 15.1 ** 32.5 12.6 71.4 Santa Cruz 13.6 0.0 27.9 13.9 50.9 Yavapai 16.4 ** 32.2 13.0 64.5 Yuma 18.2 ** 36.6 15.0 69.9 TOTAL STATE 15.9 0.3 31.8 14.1 58.4 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; abortions; b † Sum rounded to nearest tens unit due to non-zero addend less than 6; a The sum of live births, fetal deaths and The number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2005-2015 28 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2015 NUMBER OF BIRTHS County of residence Total, females 19 years or younger 15-19 years old 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 80† * 79 31 48 Cochise 140† * 139 34 105 Coconino 130† * 130 32 98 64 0 64 20 44 60† * 61 15 46 Greenlee 14 0 10† * 9 La Paz 21 0 21 7 14 3,476 21 3,455 952 2,503 154 0 154 33 121 170† * 163 58 105 Pima 784 9 775 196 579 Pinal 330† * 329 83 246 52 0 52 17 35 Yavapai 140† * 143 33 110 Yuma 270† * 264 66 198 5,884 40† 5,843 1,580† 4,261 Gila Graham Maricopa Mohave Navajo Santa Cruz TOTAL STATE BIRTH RATESa County of residence Total, females 19 years or younger 15-19 years old 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 13.5 ** 27.6 17.5 43.9 Cochise 18.3 ** 37.0 14.9 70.9 Coconino 11.6 ** 18.0 12.7 20.8 Gila 21.9 0.0 46.0 22.2 89.4 Graham 21.9 ** 44.1 17.3 89.1 Greenlee 19.1 0.0 39.2 ** 77.6 La Paz 21.9 0.0 43.7 23.3 77.3 Maricopa 12.6 0.1 25.5 11.4 48.6 Mohave 14.5 0.0 30.0 9.9 67.3 Navajo 20.7 ** 41.9 22.9 77.4 Pima 12.2 0.3 23.1 10.8 37.5 Pinal 12.7 ** 27.5 10.5 60.8 Santa Cruz 12.9 0.0 26.4 13.9 46.9 Yavapai 13.4 ** 26.5 9.7 54.6 Yuma 17.5 ** 35.2 14.5 67.2 TOTAL STATE 13.1 0.2 26.3 11.8 48.2 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; females in specified group. Teen Pregnancy, Arizona 2005-2015 a The number of births per 1,000 29 TABLE 19 PREGNANCY RATESa AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2015 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births TOTAL PREGNANCIES Spontaneous fetal losses Number Rate 10 44,397 0 0 0 0 0.0 11 44,897 0 0 0 0 0.0 12 44,460 0 * 0 * ** 13 45,537 * 8 0 11 0.2 14 46,012 38 15 0 53 1.2 225,303 40† 30† 0 70† 0.3 15 44,807 193 50 * 247 5.5 16 44,389 472 85 * 560 12.6 17 44,489 917 152 11 1,080 24.3 133,685 1,582 287 20† 1,887 14.1 18 44,477 1,620 352 7 1,979 44.5 19 44,000 2,641 525 23 3,189 72.5 18-19 88,477 4,261 877 30 5,168 58.4 447,465 5,884 1,189 48 7,121 15.9 10-14 15-17 Total 10-19 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; group. † Sum rounded to nearest tens unit due to non-zero addend less than 6; Teen Pregnancy, Arizona 2005-2015 a Rates per 1,000 female population in specific 30 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2015 Mother's age Total 12 TOTAL 13 14 15 16 17 18 19 5,880† 0 0† 40† 190† 470† 920† 1,620† 2,640† Apache 80† 0 0 * 6 12 13 23 25 Cochise 140† 0 0 * * 14 18 45 60 Coconino 130† 0 0 * * 8 21 43 55 Gila 60† 0 0 0 * 8 9 12 32 Graham 60† 0 0 * * * 8 18 28 Geenlee 10† 0 0 0 * * * 6 * La Paz 20† 0 0 0 0 * * * 10 3,480† 0 * 19 116 279 557 949 1,554 Mohave 150† 0 0 0 * 7 24 41 80 Navajo 170† 0 0 * 7 18 33 52 53 Pima 780† 0 * 8 25 63 108 206 373 Pinal 330† 0 0 * 11 28 44 96 150 50† 0 0 0 * * 8 12 23 Yavapai 140† 0 0 * 0 7 26 43 67 Yuma 270† 0 0 * 11 14 41 70 128 0 0 0 0 0 0 0 0 0 Maricopa Santa Cruz Unknown Note: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2005-2015 31 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2015 Total TOTAL 11 12 13 14 15 16 17 18 19 1,190† 0 0† 10† 20† 50† 90† 150† 350† 530† Apache 0† 0 0 0 0 0 * 0 0 0 Cochise 10† 0 0 0 * * 0 * * * Coconino 30† 0 0 * 0 * * * 10 14 Gila 10† 0 0 0 * 0 * * * * Graham 10† 0 0 0 0 0 * * * * Greenlee 0† 0 0 0 0 0 0 0 0 * La Paz 0† 0 0 0 0 0 0 * 0 0 730† 0 * * 7 31 50 89 219 327 0† 0 0 0 0 0 0 0 0 * 10† 0 0 * * 0 0 * * * Pima 170† 0 0 * * 7 12 23 49 77 Pinal 60† 0 0 0 * * * 7 17 24 0† 0 0 0 0 0 0 0 * * Yavapai 30† 0 0 0 * * * 6 7 13 Yuma 10† 0 0 0 0 0 0 0 * * 120† 0 0 * * * 9 19 40 49 Maricopa Mohave Navajo Santa Cruz Unknown Notes: * Cell suppressed due to non-zero count less than 6; Teen Pregnancy, Arizona 2005-2015 † Sum rounded to nearest tens unit due to non-zero addend less than 6. 32 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2015 Total TOTAL AHCCCS Private insurance IHS Self-pay Unknown 5,884 4,880 140† 650† 200† 20† Apache 80† 55 21 * * 0 Cochise 140 109 0 22 9 0 130† 116 * 8 * * Gila 60† 46 12 * * 0 Graham 60† 35 15 11 * 0 Greenlee 10† 8 0 * * 0 La Paz 20† 14 * * 0 0 3,476 2,960 38 365 102 11 Mohave 150† 134 0 16 * 0 Navajo 170† 145 * 16 0 * Pima 784 603 27 123 30 * Pinal 331 269 12 40 9 * Santa Cruz 50† 48 0 * * 0 Yavapai 140† 124 * 16 * 0 Yuma 270† 214 * 18 31 0 0 0 0 0 0 0 Coconino Maricopa Unknown Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2005-2015 † Sum rounded to nearest tens unit due to non-zero addend less 33 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2015 Mother's age group Total <15 Total Count Payee for births AHCCCS IHS Self-pay Unknown 18-19 5,880† 40† 1,580† 4,261 4,880 35 1,293 3,552 Percent 82.9 85.4 81.7 83.4 Count 140† * 46 90 2.3 ** 2.9 2.1 Count 650† * 168 478 Percent 11.0 ** 10.6 11.2 Count 200† * 71 130 Percent 3.5 ** 4.5 3.1 Count 20† 0 * 11 Percent 0.3 0.0 0.0 0.3 Count Percent Private insurance 15-17 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2005-2015 34 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2015 Mother's age group Total Total Total prior pregnancies Count None 1 2 3 4 or more Unknown Count Percent Count Percent Count Percent Count Percent Count Percent Count Percent <15 5,880† 4,892 83.1 856 14.5 123 2.1 9 0.2 0† 0.0 0† 0.0 15-17 41 41 100.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 18-19 1,582 1,469 92.9 107 6.8 6 0.4 0 0.0 0 0.0 0 0.0 4,260† 3,382 79.4 749 17.6 117 2.7 9 0.2 * 0.0 * 0.0 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2015 Mother's age group Total Count Married Total Marital status Unmarried Other Count Percent Count Percent Count Percent <15 5,884 601 10.2 5,271 89.6 10† 0.2 15-17 41 0 0.0 41 100.0 0 0.0 18-19 1,580† 78 4.9 1,502 94.9 * ** 4,261 523 12.3 3,728 87.5 10 0.2 TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2015 Mother's age group Total Count Total Mother's education 8th Grade or Less Some High School High School / GED Some College Associate Degree Bachelor's Degree <15 15-17 18-19 5,880† 41 1,580† 4,260† Count 273 29 118 126 Percent 4.6 70.7 7.5 3.0 3,128 12 1,314 1,802 Count Percent 53.2 29.3 83.1 42.3 1,875 0 126 1,749 31.9 0.0 8.0 41.0 547 0 13 534 Percent 9.3 0.0 0.8 12.5 Count 40† 0 * 34 Percent 0.6 0.0 0.0 0.8 Count Percent Count Count 0† 0 * * Percent ** 0.0 0.0 ** Postgraduate Education Count 0.0 0.0 0.0 0.0 Percent 0.0 0.0 0.0 0.0 Unknown Count 24 0 9 15 0.4 0.0 0.6 0.4 Percent Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2005-2015 35 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2015 Mother's age group Total Total Count Prenatal care No care 1,582 4,261 230† * 70 157 3.9 ** 4.4 3.7 3,131 14 780 2,337 53.2 34.1 49.3 54.8 1,622 12 467 1,143 27.6 29.3 29.5 26.8 596 10 176 410 Percent 10.1 24.4 11.1 9.6 Count 300† * 89 214 5.2 ** 5.6 5.0 Count Count Count Percent 3rd trimester Unknown 18-19 40† Percent 2nd trimester 15-17 5,884 Percent 1st trimester <15 Count Percent TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2015 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 1,582 4,261 230† * 70 157 Percent 3.9 ** 4.4 3.7 Count 473 7 143 323 Percent 8.0 17.1 9.0 7.6 1,255 11 349 895 21.3 26.8 22.1 21.0 2,695 18 709 1,968 45.8 43.9 44.8 46.2 1,170† * 294 872 19.8 ** 18.6 20.5 63 0 17 46 1.1 0.0 1.1 1.1 Count Count Count Count Percent Unknown 18-19 40† Percent 13+ visits 15-17 5,884 Percent 9-12 visits <15 Count Percent Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2005-2015 36 TABLE 29 TOBACCO USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2015 Mother's age group Total <15 Total Count Substance use Nonsmoker Heavy smoker Unknown 18-19 5,884 41 1,580† 4,261 5,599 41 1,535 4,023 95.2 100.0 97.0 94.4 Count 179 0 33 146 Percent 3.0 0.0 2.1 3.4 92 0 12 80 Percent 1.6 0.0 0.8 1.9 Count 10† 0 * 12 Percent 0.2 0.0 ** 0.3 Count Percent Light smoker 15-17 Count Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2005-2015 37 Teen Pregnancy, Arizona 2005-2015 38 0 Unknown 7 30 0 5 or more Unknown 0 Less than 5 Unknown 36 0 Unknown 37 weeks or more 2 Self-pay 5 2 Private insurance 36 weeks or less 2 IHS 35 0 Heavy smoker AHCCCS 0 Light smoker 0 Asian 41 7 American Indian or Alaska Native Nonsmoker 1 28 Hispanic or Latino Black or African American 5 White non-Hispanic Count 0 * * 0 * * 0 * 0 0 * 0 0 0 * 0 0 0 * * 0.0 ** ** 0.0 ** ** 0.0 ** 0.0 0.0 ** 0.0 0.0 0.0 ** 0.0 0.0 0.0 ** ** Percent 17 1,352 143 1 1,428 153 4 71 168 46 1,293 2 12 33 1,535 17 177 77 972 339 Total births 0 114 24 0 44 103 0 8 19 0 120 0 * * 141 * 10 11 86 39 Count 0.0 25.8 16.8 0.0 28.0 67.3 0.0 11.3 11.3 0.0 9.3 0.0 ** ** 9.2 ** 5.6 14.3 8.8 11.5 Percent LBW births 15-17 Mother's age group Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6. Prenatal visits Length of gestation Payee for births Smoking during pregnancy Race/ethnicity Total births LBW births <15 46 3,735 323 4 3,871 386 11 130 478 90 3,552 12 80 146 4,023 46 385 234 2,409 1,187 Total births 8 243 52 0 114 210 * 7 40 6 268 * * 11 307 * 27 26 168 99 Count 17.4 20.1 16.1 0.0 3.0 54.4 ** 5.4 8.4 6.7 7.5 ** ** 7.5 7.6 ** 7.0 11.1 7.0 8.3 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2015 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2015 POPULATION All 19 years or younger 10-14 years 15-19 years 15-17 years 18-19 years All groups 447,465 225,303 222,162 133,685 88,477 White non-Hispanic 193,599 96,035 97,564 58,663 38,901 Hispanic or Latino 191,729 98,232 93,497 56,515 36,982 Black or African American 24,129 11,960 12,169 7,254 4,915 American Indian or Alaska Native 23,381 11,646 11,735 7,077 4,658 Asian or Pacific Islander 14,627 7,430 7,197 4,176 3,021 Note: The 2015 population denominators are population estimates. NUMBER OF PREGNANCIES All 19 years or younger 10-14 years 15-19 years 15-17 years 18-19 years All groups 7,121 70† 7,055 1,887 5,168 White non-Hispanic 2,024 11 2,013 451 1,562 Hispanic or Latino 3,908 41 3,867 1,103 2,764 397 103 294 Black or African American 400† American Indian or Alaska Native 627 11 616 193 423 92 0 92 20 72 Asian or Pacific Islander * PREGNANCY RATES PER 1,000 FEMALES All 19 years or younger 10-14 years 15-19 years 15-17 years 18-19 years All groups 15.9 0.3 31.8 14.1 58.4 White non-Hispanic 10.5 0.1 20.6 7.7 40.2 Hispanic or Latino 20.4 0.4 41.4 19.5 74.7 Black or African American 16.6 ** 32.6 14.2 59.8 American Indian or Alaska Native 26.8 0.9 52.5 27.3 90.8 6.3 0.0 12.8 4.8 23.8 Asian or Pacific Islander Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2005-2015 39 Teen Pregnancy, Arizona 2005-2015 40 15,147 Yuma http://www.azdhs.gov/plan/ Note: Population denominator tables can be found: 10,741 Yavapai 4,042 25,969 Pinal Santa Cruz 64,047 7,989 Navajo Pima 10,622 Mohave 961 La Paz 276,546 733 Greenlee Maricopa 2,872 Graham 11,311 Coconino 2,925 7,642 Cochise Gila 5,918 447,465 Apache ARIZONA All 19 years or younger 7,653 5,336 2,074 14,001 30,488 4,102 5,484 141,268 480 376 1,488 1,533 4,084 3,884 3,052 225,303 10-14 years 7,494 5,405 1,968 11,968 33,559 3,887 5,138 135,278 481 357 1,384 1,392 7,227 3,758 2,866 222,162 15-19 years 4,548 3,391 1,222 7,920 18,128 2,530 3,341 83,723 300 241 868 900 2,523 2,278 1,772 133,685 15-17 years 15-19 years TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2015 2,946 2,014 746 4,048 15,431 1,357 1,797 51,555 181 116 516 492 4,704 1,480 1,094 88,477 18-19 years Teen Pregnancy, Arizona 2005-2015 41 25,761 14,013 2,488 177.5 194,092 9,259 47.7 D. Cumulative number of mothers who gave birth when 15-19 years old E. The number of females 15-19 years old who had a birth previously (D-B) F. The number of repeat births to females 15-19 years old who had a birth previously G. The rate of repeat childbearing (F/E)*1,000 H. The number of females 15-19 years old who did not have a birth previously (A-E) I. The number of first-time births to females 15-19 years old who did not have a birth previously J. The rate of first-time births (I/H)*1,000 56.5 11,748 B. The number of births to females 15-19 years old C. The rate of births (B/A)*1,000 208,105 A. The number of females 15-19 years old 2005 49.5 9,880 199,528 202.1 2,864 14,170 26,916 59.6 12,746 213,698 2006 49.9 9,992 200,385 190.6 2,800 14,694 27,486 59.4 12,792 215,079 2007 45.9 9,342 203,587 177.7 2,658 14,958 26,958 54.9 12,000 218,545 2008 41.6 8,568 206,023 155.0 2,252 14,532 25,352 49.1 10,820 220,555 2009 35.7 7,409 207,721 114.5 1,898 16,581 25,892 41.5 9,311 224,302 2010 31.2 6,683 214,375 142.7 1,639 11,482 19,816 36.9 8,334 225,857 2011 30.0 6,522 217,516 154.0 1,521 9,879 17,929 35.4 8,050 227,395 2012 26.6 5,844 219,772 146.4 1,300 8,880 16,031 31.3 7,151 228,652 2013 2015 25.5 5,414 212,327 148.7 1,161 7,807 14,384 29.9 6,577 22.5 4,851 215,205 142.3 990 6,957 12,800 26.3 5,843 220,134 222,162 2014 APPENDIX HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING The number of first-time births per 1,000 females 15-19 years old who did not have a birth previously. Table 1B-23 in "Arizona Health Status and Vital Statistics" annual report. All 15-19 years old - those who gave birth previously. The number of repeat births per 1,000 females 15-19 years old who had a birth previously. Table 1B-23 in "Arizona Health Status and Vital Statistics" annual report. The cumulative number of mothers 1519 years old (Table 13) minus those who gave birth that year. Mothers who gave birth when 15-19 years old. As an example, the 2015 cohort of mothers who were 15-19 years old includes 5,843 who gave birth that year and 7,367 who gave birth prior to 2015 and were still 15-19 years old in 2015 (Table 13). The number of births per 1,000 females 15-19 years old. Based on the birth database. Cenus enumerations for 2010; population estimates for 2005-2015. Comments Our Web site at http://www.azdhs.gov/plan provides access to a wide range of statistical information about the health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality, and morbidity towards established health objectives. In addition to the print and original online versions, the 2015 report is made available as a mobile-friendly e-book. Additional reports and studies include Advance Vital Statistics by County of Residence, Injury Mortality among Arizona Residents (accidents, suicides, homicides, legal intervention, firearm-related fatalities, drug-related deaths, drowning deaths, falls among Arizonans 65 years or older), Hospital Inpatient and Emergency Room Statistics (first-listed diagnosis, procedures, mental disorders, asthma, diabetes, influenza and pneumonia, and substance abuse), Community Vital Statistics, Teenage Pregnancy, Differences in Health Status Among Racial/Ethnic Groups, and Health Status Profile of American Indians in Arizona. ARIZONA DEPARTMENT OF HEALTH SERVICES Bureau of Public Health Statistics Population Health and Vital Statistics Section