Abortions in Arizona
2014 Abortion Report

9/21/2015

Heealth and Weellness for alll Arizonans
Douglas A.
A Ducey, Govvernor
Statte of Arizona
Cara M. Ch
hrist, MD, D
Director
Arrizona Departtment of Heallth Services
MISSION
M
mote, protect,, and improvee the health an
nd wellness oof individuals and communnities in Arizoona.
To prom

Prrepared by:
Th
he Bureau off Public Healthh Statistics
Arrizona Departtment of Heallth Services
150 N 18
8th Ave, Suitee 550
Phoen
nix, AZ 850007
This publicattion can be made available in alternativee format and may be accesssed from
htttp://www.azd
dhs.gov/plan/aabortions.htm
m or http://ww
ww.azdhs.govv/diro/reportss/index.htm
Pleasee contact the Bureau
B
of Pu
ublic Health Statistics at (6002) 542-73333 (voice) or 1--800-367-89339
(TDD).

Permissio
on to quote fro
om or reprodu
uce materials from this pubblication is grranted if the ssource is
acknowledged.

Table of Contents
Page
Executive Summary ..........................................................................................................

1

1. Introduction .................................................................................................................

2

1.1 Overview of the Arizona Abortion Reporting Requirements ...............................

2

1.2 Trends in Abortions in Arizona and the United States .........................................

4

2. Methodology ..............................................................................................................

5

2.1 Data Sources .........................................................................................................

5

2.2 Measures ..............................................................................................................

5

2.3 Analytic Procedures ..............................................................................................

7

3. Results ........................................................................................................................

8

3.1 Characteristics of Women Receiving Abortions in Arizona.................................

9

3.2 Abortions by Gestational Age ...............................................................................

23

3.3 Abortions by County of Residence .......................................................................

25

3.4 Complications Resulting from an Abortion ..........................................................

30

3.5 Petitions Filed with the Arizona Administrative Office of the Courts .................

32

4. Conclusion ..................................................................................................................

33

Appendix
A. Glossary ...............................................................................................................

34

B. Abortion Reporting Forms ...................................................................................

35

List of Tables
Page
1. Number, rate, and ratio of reported abortions – selected reporting areas, United States,
2002 – 2011 ................................................................................................................ 2
2. Abortions, live births, and abortion ratios by month and resident status in 2014....... 8
3. Age-distribution of resident women receiving abortions in Arizona, 2014................

10

4. Proportions, rates, and ratios of abortions by age group, Arizona residents,
2004 – 2014.................................................................................................................

11

5. Proportions, rates, and ratios of abortions by race and ethnicity, Arizona residents,
2004 – 2014.................................................................................................................

13

6. Pregnancy history of resident women receiving abortions in Arizona, 2014 .............

16

7. Method of abortion used by resident women in Arizona, 2014 ..................................

18

8. Maternal characteristics and maternal medical conditions cited for obtaining an abortion,
Arizona residents, 2014 ..............................................................................................

21

9. Maternal characteristics and fetal medical conditions cited for obtaining an abortion,
Arizona residents, 2014 ..............................................................................................

22

10. Gestational age at time of abortion, Arizona residents, 2014 .....................................

23

11. Age distribution of resident women receiving abortions by gestational age, 2014 ....

24

12. Method of abortion and gestational age, Arizona residents, 2014 ..............................

25

13. Abortions, live births, rates, and ratios for resident females age 15 – 44 by
county of residence, 2014 ...........................................................................................

26

14. Number of abortions, rates, and ratios for resident females by
county of residence, 2004 – 2014 ...............................................................................

27

15. Abortions by county of residence and age group, Arizona, 2014 ...............................

28

16. Abortions by county of residence and race and ethnicity, Arizona, 2014 ..................

29

17. Complications resulting from an abortion for resident women, Arizona, 2014 .........

31

18. Petitions filed with the Arizona Administrative Office of the Courts, 2014 ..............

32

Page | ii

List of Figures
Page
1. Abortion rates for Arizona female residents 15 – 44 years of age, 2004 – 2014........

4

2. Abortion counts and rates for Arizona residents, 2004 – 2014...................................

9

3. Adolescent abortion rates for Arizona residents, 2004 – 2014 ...................................

12

4. Marital status of resident women receiving abortions, 2004 – 2014 .........................

14

5. Educational status of resident women receiving abortions, 2014 ..............................

15

6. Pregnancy history of resident women obtaining abortions by age group, 2014 ........

17

7. Method of abortion among Arizona resident women, 2004 – 2014 ..........................

19

Page | iLL

Executive Summary
As required by Arizona Revised Statute §36-2163, this comprehensive annual statistical report
presents abortion statistics and demographic characteristics of women obtaining abortions in
Arizona. Included are data compiled from reports of abortions, complications resulting from an
abortion, and petitions compiled and processed by the Arizona Administrative Office of the
Courts authorizing an abortion to unemancipated minors (A.R.S. §36-2163 Subsection C). Data
is compiled annually based on calendar year using a secure, web-based reporting system.
Facilities and providers submit abortion procedure (A.R.S. §36-2161) and complication
reports (A.R.S. §36-2162) to the Arizona Department of Health Services on a monthly basis.
During the 2014 reporting year the total number of reported abortions performed in Arizona was
12,900, compared to 13,401 in 2013. Ninety-nine percent (n = 12,747) of abortions performed
within Arizona were to resident women (“resident” refers to valid resident status within
Arizona), of these, 12,685 were women between the ages of 15-44 years. Resident women
between the ages of 20 to 29 comprised 59 percent of all abortions to resident women (see Table
3). Unmarried resident women represented about 50% (~ 49.6%; n = 6,320) of women obtaining
abortions (see Figure 4).
Compared to 2013, the 2014 abortion rate decreased for all adolescent groups 15 -19 years. The
abortion rate among Arizona females age 18-19 years decreased 5.5 percent from 2013 to 2014
(see Figure 3). Surgical abortion procedures were used to perform approximately 72 percent (n =
9,197) of reported resident abortions (see Table 7). The percent of resident women who received
non-surgical abortions remained about 28 percent (n = 3,550; see Table 7) between 2013 and
2014.
The number of abortions due to maternal and fetal medical conditions decreased in 2014 (see
Tables 8 and 9). About forty-five percent of abortions performed due to maternal medical
conditions were performed at gestational ages 14 to 20 weeks, 65.3 percent were peformed using
surgical procedures, and 79.6 percent were performed in hospitals. Over fifty-six percent of
abortions performed due to fetal medical conditions were also performed at gestational ages
14 and 20 weeks, 92.7 percent were performed using surgical procedures, and about 85 percent
were performed in clinics. The highest number of abortions in either category were performed
among resident women 35 and over.
During the 2014 reporting year hospitals and clinics reported 137 resident women who
experienced complications resulting from an abortion. Of these, the majority resulted from
abortions performed at gestational ages of 13 or fewer weeks (68.6%, n = 94). The most
frequently reported complication was Delay or Excessive Hemorrhage (n = 86; see Table 17).
The Arizona Administrative Office of the Courts reported a total of 61 petitions filed during the
2014 reporting year. Of those, 45 orders authorizing an abortion without parental consent were
issued to unemancipated minors (see Table 18).

This report is available for public inspection and copying at http://www.azdhs.gov/plan/abortions.htm.

1|Page

Introduction
National abortion surveillance is conducted by the Centers for Disease Control and Prevention
(CDC). Arizona provides abortion data to the CDC as one of 52 reporting areas (the 50 states,
the District of Columbia and New York City)1. According to the CDC, since 1973 the total
number, rate (number of abortions per 1,000 women aged 15 – 44 years), and ratio (number of
abortions per 1,000 live births) of reported abortions increased rapidly in the United States and
reached its highest levels in the 1980s before decreasing.1 Table 1 displays the most recent,
reported abortion numbers (counts), rates, and ratios for the United States during the 2002-2011
time period.
Table 1. Number, rate, and ratio of reported abortions – by selected reporting areas,
United States, 2002 – 20111
All reporting
Year
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011

Continuously reporting areas

§

areas
No.
854,122
848,163
839,226
820,151
††

852,385
827,609
825,564
§§
789,217
765,651
730,322

No.

%**
828,027
824,230
815,969
805,725
832,692
817,222
815,006
777,340
753,065
717,903

¶

Rate*
96.9
97.2
97.2
98.2
97.7
98.7
98.7
98.5
98.4
98.3

Ratio†
16.2
16.1
15.9
15.7
16.2
15.8
15.8
15.0
14.6
13.9

250
245
241
236
237
230
232
227
228
219

*

Number of abortions per 1,000 women aged 15--44 years.
† Number of abortions per 1,000 live births.
§
Excludes states that did not report abortion numbers to CDC: Alaska (2002), California (2002-2011), Delaware (2009),
Louisiana (2005), Maryland (2007-2011), New Hampshire (2002-2011),and West Virginia (2003-2004).
¶
Only includes areas that reported abortion counts every year during the period of analysis (2002-2011).
**
Abortions from areas that reported every year during 2002-2011 as a percentage of all reported abortions.
††
This number is greater than reported in the 2006 report because of numbers subsequently provided by Louisiana.
§§
This number is greater than reported in the 2009 report because of numbers subsequently provided by Delaware.
1.

Extracted from Centers for Disease Control and Prevention. Abortion Surveillance — United States, 2011. MMWR 2014;63(11):1-41. Digital
version available at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6311a1.htm?s_cid=ss6311a1_w

1.1 Overview of the Arizona Abortion Reporting Requirements
Arizona abortion surveillance facilitates ADHS’ ability to monitor long-term changes in the
overall incidence of abortion in Arizona, complications associated with abortion procedures, and
pregnancy-related program development and evaluation.
Beginning July 1976, state licensed providers of abortion services voluntarily reported basic
information about abortions and complications associated with abortions in accordance with
Arizona Administrative Code, R9-19-302D, authorized by Arizona Revised Statute 36-344.
ADHS sent routine reminders and provided a standard reporting format.

2|Page

The data was used to create tables for the annual Arizona Health Status and Vital Statistics
report* and improved the estimation of total pregnancies and pregnancy outcomes.
The enactment of SB1304 in 2010 established a statutory requirement to report abortions
and treatment of complications associated with abortions.1 The Arizona Abortion Report, 2010
was the transitional report containing a combination of data collected prior to and after the
establishment of the law. Beginning July 29, 2010, abortion data is reported using a secure,
web-based reporting system. The reporting system was designed to meet the statutory
requirements. Reports submitted using the web-based system do not include personally
identifiable information (i.e., name, address, birthdate, social security number, etc.) and are
submitted by password-authenticated personnel only. The ADHS provides training to all known
providers within the state and maintains an Abortion Reporting website for provider assistance
and related resources. In addition to licensed practitioners, hospitals, and clinics, the statute
requires the Arizona Administrative Office of the Courts to report the number of petitions filed
with Arizona courts for authorization to perform an abortion on an unemancipated minor without
parental consent (see also A.R.S. §36-2152, subsections B and D).
The Abortions in Arizona, 2014 report is the result of four consecutive years of web-based
abortion reporting. Statistics and information presented reflect abortion services provided within
the state. Several data tables reflect year ranges relevant to trends in Arizona (i.e., 1 year, 5
years, and 10 years).

*

ADHS. Arizona Health Status and Vital Statistics (HSVS) Report. See Section 1D.

1.

SB1304 State of Arizona Senate Forty-Ninth Legislature Second Regular Session 2010.
http://www.azleg.gov/legtext/49leg/2r/bills/sb1304p.pdf

3|Page

1.2 Tren
nds in Aborttions in Arizzona and th
he United Sttates
In calend
dar year 2014
4, there weree a total of 12,900 abortiions reportedd in Arizonaa, of these,
12,747 were
w provided
d to Arizonaa residents, of
o whom 12, 685 were between the aages of 15 – 44
years. Th
he percent deecrease in total abortionss from 2013 was 3.7%.
Arizona’s abortion raates ranged from
f
9.6 perr 1,000 wom
men in 2004 tto 9.8 in 2014 with the
highest raate in 2011 (10.6)
(
and th
he lowest in 2009 (7.3).
Figure 1. Abortion rates
r
for Arrizona fema
ale residentss 15 – 44 yeaars of age, 22004 – 2014

Reporrting Changess Initiated
(July
(
29, 201
10)

Independ
dent estimatees present ab
bortion rates for Arizonaa consistentlyy higher thann rates generrated
by ADHS
S. Differences in the AD
DHS and org
ganizations suuch as the G
Guttmacher IInstitute
estimatess are likely due
d to differeences in metthodology.

4|Page

Methodology
Collection of accurate abortion data reveals the level of pregnancy terminations related to other
pregnancy outcomes and preconception health/planning in a population. Abortion also relates to
maternal morbidity and mortality. The statistics and information presented in this report result
from statutory requirements established by Arizona Revised Statutes §36-2163. The term
abortion replaces induced termination of pregnancy (ITOP) and termination where appropriate
throughout this report. The term resident refers to legitimate resident status within Arizona as
determined by patient’s reported state and county of residence.
2.1. Data Sources
The primary data source for this report is the web-based reporting system for Arizona providers.
The consolidated dataset includes procedure and complication reports. Reports submitted do not
include personally identifiable information. Only authorized entities access and submit data
through a secure password protected portal.
A second data source, the Arizona Administrative Office of the Courts, provides an aggregate
data summary report which includes the number of petitions filed with Arizona courts for
authorization to perform an abortion on an unemancipated minor as prescribed in A.R.S. §362163, Subsection C.
The third data source is the abortion reports received from other states for Arizona residents who
obtained an abortion in a state other than Arizona. Although these reports are for Arizona
residents, they are not included in the annual dataset because the procedure was not performed
within Arizona. The reports are provided through the ADHS’ Office of Vital Records and sent
as a courtesy from other states.
2.2. Measures
Measures reported here are generally consistent with CDC categorizations and definitions.
Aggregate abortion counts are reported for the following variables:
• Age in years of the woman (<15, 15–19, 20–24, 25–29, 30–34, 35–39, 40–44, ≥ 45);
• Gestational age in weeks at the time of abortion (≤ 8 through ≥ 21 by individual
week; ≤ 13, 14–20 , and ≥ 21 weeks);
• Race (White, Black/African American, American Indian/Alaska Native, Asian/
Native Hawaiian/Pacific Islander, Multiple Race);
• Ethnicity (Hispanic or non-Hispanic);
• Method type (surgical, non-surgical/medication-induced);
• Marital status (married or unmarried);
• Number of previous live births (0, 1, 2, or ≥3);
• Number of previous abortions (0, 1, 2, or ≥3);
• Maternal residence (state, AZ county of residence, border and non-border region).

5|Page

Important measures for abortions are: a) the total number (count) of abortions in a given
population, b) the percentage (proportion) of abortions within a given population, c) the abortion
rate (number of abortions per 1,000 women aged 15–44 years), and d) the abortion ratio
(number of abortions per 1,000 live births within a given population).1
Total counts and percentages provide an overview of abortions while abortion rates are a more
useful measures as they adjust for differences in sub-populations and sub-population size.
Abortion ratios reflect the relative number of pregnancies in a population that end in abortion
compared to live births. Abortion ratios are affected by the proportion of unplanned pregnancies
in a population and specifically those ending in abortion.1
The U.S. Census Bureau and the Arizona Department of Public Health Statistics population
estimates (obtained from the Arizona Department of Administration Office of Employment and
Population Statistics) were used as the denominator for calculating abortion rates. Overall
abortion rates were calculated from the population of women aged 15 – 44 years. To calculate
abortion ratios, live birth data were obtained from the ADHS Office of Vital Records natality
files.
The variables for race and ethnicity are based on specifications established by the Federal Office
of Management and Budget (OMB) and the Arizona State Demographer with specifications
developed by ADHS Vital Statistics. Consistent with OMB methodology,2 the web-based
reporting system allows for multiple race categorizations consistent with U.S. Census
enumerations. For instance, women obtaining abortions were asked to provide their ethnicity
(i.e., Hispanic or Latino and/or Non-Hispanic or non-Latino) and race according to five standard
race categories (i.e. White, Black/African American, American Indian/Alaska Native,
Asian/Native Hawaiian/Pacific Islander). Additionally, if one of the OMB categories does not
apply, selecting “Other” allows providers to input specific race designations.
A multiple race category was added to enumerate women who identify with more than one race.
The selection of more than one race resulted in numerous combinations. Collecting multiple race
posed a challenge resulting in an accumulation of approximately 32 percent of abortion records
containing multiple race designations. As denominators for multiple races are not readily
available, utilizing multiple race and ethnicity categories complicates estimation of abortion rates
for groups who report multiple races.3 To meet the requirements of OMB reporting standards for
compiling statistics on these sub-groups, records designating ethnicity as Hispanic or Latino,
irrespective of race, were reported as Hispanic. When single race and ethnicity were reported,
those categories were included and when multiple races were reported, multiple races were
coded to a single “multiple race” category.
1.

Extracted from Centers for Disease Control and Prevention. Abortion Surveillance — United States, 2011. MMWR 2014;63(11):1-41. Digital
version available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6311a1.htm?s_cid=ss6311a1_w

2.

Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity: Federal Register Notice. Retrieved from
http://www.whitehouse.gov/omb/fedreg_1997standards/ accessed on July 16, 2012.

3.

Abortion rate is essentially denoted as number of abortions per 1,000 women. Race specific abortion rates are obtained by estimating the
number of abortions (numerator) by women in a given racial group per 1,000 women in that same racial group.

6|Page

An examination of characteristics of women obtaining abortions by border region is included in
this report. Arizona encompasses several federally recognized sovereign American Indian
nations and shares its southern border with Mexico. For the purpose of this report, women
reporting their county of residence as Cochise, Pima, Santa Cruz, and Yuma (which comprises
the United States and Mexico border region) were categorized as “ border region”. This is
consistent with the U.S. Mexico Border Health Commission1 definition. The remaining counties
are considered “non-border region”.
2.3. Analytic Procedures
Where applicable, both univariate and bivariate statistics are presented. Counts, percentages, and
rates were calculated using SAS statistical software. Cell suppression was applied to categories
with non-zero counts fewer than six (6). While abortion rates in general are reported for women
of child-bearing age (15 – 44 years), age-specific rates were estimated using U.S. Census and
Arizona Vital Statistics population denominators for age-groups ≤ 14 years, 15 – 17 years,
18 – 19 years, 20 – 24 years, 25 – 29 years, 30 – 34 years, 35 – 39 years, and 40 – 44 years.

1.

United States-México Border Health Commission. Border Region. Available at: http://www.borderhealth.org/border_region.php. Website.
Accessed on July 16, 2012.

7|Page

Results
A total of 22 facilities reported data for calendar year 2014. During this period, there were a total
of 12,900 abortions reported in Arizona of which 12,747 were to Arizona residents. The total
number of reported abortions to Arizona resident women between the ages of 15 and 44 years
was 12,685. The percent decrease in total abortions from 2013 (n = 13,401) was 3.74 percent.
The majority of abortions reported (98.7%) were elective, that is, provided to women for other
than medical reasons, and most of these were performed in clinics (99.4%). Of the resident
abortions reported in Arizona, approximately 72 percent (n = 9,197) were performed using a
surgical procedure and approximately 28 percent (n = 3,550) were performed using a nonsurgical/medication-induced procedure. Table 2 provides an overview of abortions by month of
termination, residence and non-residence status, and the number of resident live births in those
months. Consistently since 2011, the highest number of abortions performed and the highest
abortion ratio were reported in March.
Table 2. Abortions, live births, and abortion ratios by month and resident status in 2014
Month
January
February
March
April
May
June
July
August
September
October
November
December
Total
§

Non-resident
abortions
(N =153 )
15
23
11
6
18
12
11
10
11
17
8
11

Resident
Resident
live births
abortions
(N =12,747 ) (N = 86,648)
1,278
7313
1,178
6593
1,283
7068
1,032
6672
1,139
6893
1,040
6856
1,034
7731
1,025
7718
863
7651
949
7554
1,004
6994
922
7605

153

12,747

86,648

Abortion
Ratio§
175
179
182
155
165
152
134
133
113
126
144
121
147

Abortion ratio is the number of abortions per 1,000 live births.

The overall abortion ratio for calendar year 2014 was 147 abortions per 1,000 live births among
women 15 – 44 years of age, compared to 156 in 2013 and 153 in 2012. The overall abortion rate
for calendar year 2014 was 9.8 per 1,000 women of child-bearing age (15 – 44 years; see Figure
2).

8|Page

Figure 2.
2 Abortion counts
c
and rates for Arrizona resid
dents, 2004 – 2014

New Reporting
R
Stan
ndards
(JJuly 29, 2010
0)

3.1. Characteristics of Women Receiving Abortions
A
in
n Arizona
Characteristics descrribed in this section
s
exam
mine age, racce and ethniccity, marital status, and
education
n of women obtaining ab
bortions in Arizona.
A
Alsoo, included are descripttions of
pregnanccy history (i.e. previous pregnancies,
p
, live births, abortions, aand spontaneeous abortionns),
type of faacility in wh
hich the proccedure was performed orr treatment w
was providedd (i.e., clinic,,
hospital, etc.), and th
he method ussed for aborttion (i.e. surggical or non--surgical). W
Where feasible,
comparattive statistics for the Uniited States an
nd Arizona aare shown.

9|Page

Age
Maternal age is a critical element in determining maternal and child health. The age range for
resident women receiving abortions was 11 to 51 years. The average age of resident women who
received an abortion was 30.5 years (SD=11.1 years). Abortions occurring among females
younger than 15 years of age increased 13.3% from 2013 to 2014. About 69% of abortions were
to resident women younger than 30 years of age. Abortions were less frequent among women in
the youngest (<15 years; 0.17%) and oldest (≥45 years; 0.31%) age groups.
Table 3. Age-distribution of resident women receiving abortions in Arizona, 2014

Age
Distribution
< 15 years
15 - 17 years
18 - 19 years
20 - 24 years
25 - 29 years
30 - 34 years
35 - 39 years
40 - 44 years
≥ 45 years
Total

AZ Resident
(N = 12,747)
Count Percent
22
0.2
330
2.6
897
7.0
4,176
32.8
3,344
26.2
2,138
16.8
1,295
10.2
505
4.0
40
0.3
12,747
100.0

The following page presents abortions reported among residents by year and age group from
2004 – 2014. The percentage of abortions among women less than 15 years of age showed a 14
percent increase from 2013 to 2014. A decline in the percentage of abortions to women less than
15 years of age is most evident during the five year (-42%) and ten year (-52%) periods. The
percentage of abortions among women 15 to 19 years of age decreased from 17.69 percent in
2004 to 9.63 percent in 2014, a 46 percent decline. The proportion of abortions among women
20-24 years of age decreased by 4 percent from 2004 – 2014. The proportion of abortions for all
remaining age-groups increased from 2004 to 2014, the greatest among women 40 years of age
and over. In 2004, the proportion of all reported abortions to women ages 35 to 39 years was 7.9
percent, compared with 10.2 percent in 2014, representing an increase of 29 percent for the 10year period.

10 | P a g e

Table 4. Proportions, rates, and ratios of abortions by age group, Arizona residents, 2004 – 2014
Year
2004

Age in years
Percent of Abortions
<15 yrs
15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-39 yrs
≥ 40 yrs
Abortion Rates
<15 yrs
15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-39 yrs
≥ 40 yrs

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

% Change
2013 to 2008 to 2004 to
2014
2012
2014

†

0.36
17.69
34.16
21.12
13.12
7.88
2.89

0.52
17.60
33.40
21.01
12.72
7.63
2.97

0.66
17.61
33.57
21.35
13.14
8.34
4.25

1.35
17.52
32.93
22.75
12.72
7.91
4.66

0.64
16.79
33.98
22.33
12.22
8.01
2.89

0.24
14.88
33.55
23.72
13.75
8.66
2.80

0.40
13.27
33.10
23.67
15.33
9.44
3.38

0.36
12.76
32.24
25.19
15.82
9.61
4.01

0.37
11.36
32.91
24.99
16.61
9.52
3.94

0.15
10.72
32.47
25.44
17.56
9.91
3.74

0.17
9.63
32.76
26.23
16.77
10.16
4.28

14
-10
1
3
-5
3
14

-42
-32
-3
12
36
19
36

-52
-46
-4
24
28
29
48

0.20
10.06
19.40
11.66
7.37
4.24
1.64

0.25
8.83
17.13
10.34
6.33
3.49
1.40

0.31
8.66
16.45
10.40
6.50
4.31
2.06

0.64
8.54
16.44
10.35
6.26
3.89
2.23

0.30
7.99
16.54
9.86
5.79
3.84
1.35

0.11
6.78
15.59
9.98
6.20
3.92
1.25

0.20
6.54
17.18
12.21
8.29
5.08
1.86

0.22
7.69
20.45
15.87
10.45
6.32
2.43

0.22
6.56
20.02
15.57
10.32
6.23
2.47

0.09
6.21
19.40
16.19
10.84
6.48
2.36

0.10
5.57
17.76
15.70
9.88
6.37
2.59

10
-10
-8
-3
-9
-2
10

-26
-18
21
58
78
62
84

-51
-45
-8
35
34
50
58

234
186
163
101
84
110
182

292
156
132
83
67
89
163

406
145
125
78
68
89
223

789
144
124
83
63
83
235

416
146
135
82
62
83
150

182
138
141
90
70
92
140

415
157
165
105
88
115
193

485
208
202
141
111
143
261

716
185
200
134
109
136
240

282
199
201
137
117
140
221

478
187
196
133
101
128
236

70
-6
-2
-2
-14
-8
7

72
27
48
62
77
63
60

104
0
20
32
20
16
30

‡

§

Abortion Ratio
<15 yrs
15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-39 yrs
≥ 40 yrs
†

Proportion of total abortions by age group represented as a percentage. Percentages are calculated using the total number of abortions as the denominator and the
number of reported abortions for a specific age-group as the numerator. Percents do not add up to a 100 due to rounding errors as well as unknown age-categories
in some reporting years.
‡

Number of abortions obtained by women in a given age group per 1,000 women in that same age group. Females aged 10–14 years were used as the denominator
for the group of females aged <15 years and women aged 40 -44 years were used as the denominator for the group of women aged ≥ 40 yrs.

§

Number of abortions obtained by women in a given age group per 1,000 live births to women in that same age group.

Abortion rates (the number of abortions per 1,000 women in a given age group) for women less
than 15 years of age declined 51 percent from 2004 – 2014, the greatest decline of any age group
during the time period, followed by the abortion rate for women 15 to 19 years (45percent).
Similarly, the abortion rate for women 20 to 24 years of age declined from 19.4 in 2004 to 17.76
in 2014, a 8% decrease. From 2004 to 2014, the abortion rate increased for women in all
remaining age-groups. For example, the abortion rate for women ages 35 to 39 years was 4.24
per 1,000 women of the same age in 2004 and 6.37 in 2014, showing an overall increase of 50%
from 2004 – 2014.
As noted earlier, the abortion ratio is a comparison of elective abortions and live births and is
expressed as the number of abortions per 1,000 live births. As indicated in Table 4, the abortion
ratio for women less than 15 years of age dramatically increased from 234 abortions per 1,000
live births in 2004 to 478 abortions per 1,000 live births in 2014, (the high ratio is due to the
small number of live births to females in this age group and may vary widely due to the number
of births). There was no actual change from 2004-2014 in the abortion ratio for women 15 to 19
years of age.

11 | P a g e

Ad
dolescents
Below is displayed th
he adolescen
nt abortion raates for Arizzona residentts during 2004 – 2014.
Compareed to 2013, tw
wo groups reeported a deecreased ratee in 2014. Thhe abortion rrate for femaales
under 15 years of agee showed thee largest deccrease (51%)) during the pperiod. For aadolescent
a
15 to 17
7 years, the abortion
a
ratee decreased ffrom 6.0 aboortions per 1,000 femalees in
females ages
that age group
g
in 200
04 to 2.5 in 2014,
2
a 58.3%
% decrease ffrom 2004 too 2014. Ratees among
females 18
1 – 19 yearrs of age also
o decreased from
f
17.8 abbortions per 1,000 femalles in that agge
group in 2004 to 10.2
2 in 2014, a 42.7% decreease. As prevviously menntioned, aborrtion data is
submitted
d without peersonally ideentifiable infformation, thherefore it is difficult to ddetermine thhe
number or
o percentage within thiss group who filed petitioons with an A
Arizona courrt to obtain aan
abortion as an unemaancipated miinor.
4 abortion raate among women aged 18
1 to 19 yeaars is the low
west it has beeen in the lasst
The 2014
decade. The
T highest rate
r for this group occurrred in 2004,, consistentlyy decreasingg through 2011.
The rate increased sig
gnificantly from
f
2011 to
o 2012 but h as since decclined to the lowest rate iin a
decade.
Figure 3. Adolescen
nt abortion rates
r
for Arrizona resid
dents, 2004 – 2014

<15 years
y

25.0

15-17 yearss

18--19 years

New
w Reporting Standard
S
(July 29, 2010)

Rate per 1,000 women

20.0

17.8
4.7
14

15.0

14.8

16.0

15.7
14
4.5

13.5

13.1
11.2

10.8

1
10.2

10.0
6.0
4..8

5.0

4.8

4.3

4.1
4
3.0

3.3

33.6

3.5

2.9

2.5

0.2

0..2

0.3

0.6

0.3
0

0.1

0.2

00.2

0.2

0.1

0.1

2004

2005

2006

2007

20
008

2009

2010

20011

2012

2013

22014

0.0

12 | P a g e

Race and Ethnicity
Among resident women obtaining abortions, about 2.83 percent were identified as being multiple
race (n = 361). In approximately 4 percent of cases (n = 519), race was categorized as
“Unknown”. Approximately 47 percent of the 12,747 abortions were among non-Hispanic
White women (n = 5,562), followed by approximately 35 percent for Hispanic women (n =
4,499). Abortions among all remaining groups increased from 2013 to 2014. Black/African
American women accounted for 7.7 percent (n =981) of reported abortions, followed by Asian or
Pacific Island women (n = 534), and American Indian women (n = 291).
The table below provides an overview of abortion trends from 2004 to 2014 by mother’s race
and ethnicity. In general, abortions to Hispanic and/or Latino women remained similar
throughout this time period. However, some of the figures specific to race and ethnicity changed
dramatically, reaching their lowest point during the years 2011 to 2013. This can be explained by
the shift in the proportion of abortions accounted for by the different single race/ethnicity group,
the decline in pregnancy rates and changes in the number of women of reproductive ages within
those groups. It is important to note that while race/ethnicity specific rates and ratios among
women of single race/ethnicity selection have increased in 2014, the global annual abortion rate
has declined. This is due to the decrease in proportions of women reporting multiple races or
unspecified race/ethnicity.
Table 5. Proportions, rates, and ratios of abortions by race and ethnicity, Arizona residents,
2004 – 2014
Year

Race and Ethnicity

¶

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Percent of Abor ons†
White non‐Hispanic

42.89

42.42

48.60

49.61

45.57

47.38

47.39

17.53

14.50

18.97

43.63

Hispanic or Latino

36.46

29.79

30.08

35.47

30.05

32.88

30.94

31.41

25.86

31.59

35.29

Black or African American

5.88

5.60

5.53

6.44

7.16

7.33

4.30

1.07

0.87

1.42

7.70

American Indian

2.77

3.38

3.26

2.96

2.86

2.99

1.97

0.35

0.29

0.46

2.28

Asian or Pacific Islander

3.61

3.63

3.72

4.33

3.96

3.88

2.30

0.35

0.58

0.83

4.19

N/A

N/A

N/A

N/A

N/A

N/A

N/A

32.65

22.74

32.12

2.83

8.39

15.18

8.81

1.20

10.41

5.55

13.09

16.65

35.17

14.59

4.07

Multiple races
Unknown
Abor on Rates‡
White non‐Hispanic

7.7

5.7

7.21

7.3

6.45

6.38

8.21

3.67

2.87

3.81

8.60

Hispanic or Latino

12.9

8.6

8.1

9.2

7.59

7.96

8.05

9.95

7.62

9.21

10.57

Black or African American

17.7

13

10.27

12.7

13.81

13.34

8.45

2.48

1.97

3.22

12.81

5.1

5.1

4.38

3.8

3.6

3.59

3.2

0.58

0.55

0.88

3.37

14.7

11.3

9.27

10.4

9.31

8.73

5.24

0.92

1.57

2.27

8.47

Multiple races

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

Unknown

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

Abortion Ratio§
White non‐Hispanic

134

112

119

123

113

115

135

62

49

66

139

Hispanic or Latino

110

74

70

81

73

86

100

129

102

126

134

Black or African American

225

170

150

162

173

168

110

33

24

40

218

56

56

54

48

47

49

38

44

7

11

57

170

135

125

133

120

115

77

8

21

32

169

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

American Indian
Asian or Pacific Islander

American Indian
Asian or Pacific Islander
Multiple races

Unknown
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
† Propor on of total resident abor ons by ethnicity and/or race represented as a percentage. Percentages are calculated using the total number of reported
resident abortions as the denominator and the number of reported resdident abortions for a specific ethnicity and/or race as the numerator. Percents may not
‡ Calculated using the number of abor ons obtained by resident women, ages 15‐44 in a given race and/or ethnic group per 1,000 women in the same group.
§ Calculated using the number of abortions obtained by resident women, ages 15‐44 in a given race and/or ethnic group per 1,000 live births to women in the
same group.
¶ Beginning 2011, rates and ratios should be interpreted with caution due to the addition of the Multiple Race and Unknown categories. Single race selections
are the best estimates for rates and ratios.

13 | P a g e

Marital Status
In 2014, 9.8 percent (n = 1,254) of
o resident women
w
obtaiining abortioons were repported as marrried.
Figure 4 displays thee distribution
n of abortion
ns among Ariizona resideent women frrom 2004 to
2014 by marital
m
statu
us. Between 2004 and 20
014 the perceent of abortiions perform
med on married
and unmaarried womeen showed un
ncharacterisstic variationn in women w
with “Unknoown” maritall
status; a deviation atttributable to incomplete reporting. N
New reportinng requirements for marrital
status in the electroniic reporting system weree recently im
mplemented tto correct thhis. The percent
of abortio
ons among unmarried
u
women
w
remained the highhest during thhis reportingg period.
Figure 4.
4 Marital sttatus of resid
dent women
n receiving abortions, 22004 – 20144
Maarried

Unmarried
U

Unknown
1.5%

100.0%

3.0%
%

3.4%

4.9%

90.0%
80.0%

40.6%
%

70.0%
60.0%

81.8%

82
2.4%

83.2%

85.9%

86.8%

85.6%

82.4%

81.11%

79.6%

79.8%

50.0%
40.0%
49.6%
%

30.0%

17
7.6%

16.8%

14.1%

13.2%

14.4%

16.1%

15.99%

17.0%

15.3%

2007 (n=10486)

2008 (n=10396)

2009 (n=10045)

2010 (n=11059)

2011 (n=13606)

2012 (n= 13,129)

2013 (n=13,254)

18.2%

2006 (n=10506)

10.0%

2005 (n=10446)

20.0%
%
9.8%

2014 (n=12,747)
(
, )

2004 (n=12301)

0.0%

NOTE:
N
The dashed verticle line indiccates new reporting
g standard (July 229, 2010).

14 | P a g e

Education
E
Figure 5 displays thee distribution
n of educatio
onal attainmeent reported for Arizonaa resident woomen
obtaining
g abortions in
n 2014. The largest prop
portion reporrted an “Unkknown” educcation statuss
(~63%), this is an 0.6
64 percent in
ncrease from
m 2013. Apprroximately 118 percent (n = 2,261) oof
o
an abortion in 2014
2
compleeted 13 to 166 years of edducation, folllowed by
women obtaining
approxim
mately 11 perrcent (n = 1,372) of wo
omen who hhad attained 12 years of eeducation.
Women with
w less thaan a high sch
hool educatio
on accountedd for 4.7 perrcent of wom
men obtaininng
abortionss in 2014.
Figure 5.
5 Education
nal status off resident wo
omen receivving abortioons, 2014

3.5%
17
7.7%

3.5%

10.8%
1

0.3%
0
0.9%

63.3%

< 8 Years Edu
ucation (n = 120) 0.9%
9 - 11 Years Education
E
(n=
= 449) 3.5%
%
13
3 - 16 Years Education (nn = 2,261) 17.7%
Un
nknown (n=8,064) 63.3%
%

8Y
Years Educattion (n= 36) 0.3%
12 Y
Years Educaation (n = 1,3372) 10.8%
≥ 177 Years Eduucation (n= 4445) 3.5%

15 | P a g e

Pregnancy History
Pregnancy history compiles the previous number of pregnancies, live births, abortions, and
spontaneous abortions. Collecting previous pregnancy history data provides an overview of the
potential risk of future pregnancy outcomes and informs preconception program development.
The previous number of pregnancies, live births, abortions, and spontaneous abortions are
presented below. Among resident women who received abortions in 2014, over one-third (~35%)
had three or more previous pregnancies and approximately 15 percent had three or more previous
live births.
Table 6. Pregnancy history of resident women receiving abortions in Arizona, 2014
Pregnancy History

2014
Count (N = 12,747)

Percent

Number of previous pregnancies
0
1
2
3 or more
Unknown

3,284
2,701
2,272
4,467
23

25.8
21.2
17.8
35.1
0.2

Number of previous live births
0
1
2
3 or more

5,201
2,976
2,446
1,915

40.8
23.4
19.2
15.0

209

1.6

7,872
3,221
962
433
259

61.8
25.3
7.6
3.4
2.0

10,241
1,756
343
114
293

80.3
13.8
2.7
0.9
2.3

Unknown
Previous abortions
0
1
2
3 or more
Unknown
Previous spontaneous abortions
0
1
2
3 or more
Unknown

Additionally, of resident women obtaining abortions during 2014, approximately 11 percent
had two or more previous abortions and approximately 4 percent had two or more previous
spontaneous abortions.

16 | P a g e

Among resident women who had abortions in 2014, 6,738 (~53%) had neither a previous
abortion or a spontaneous abortion (data not shown). Approximately 8 percent (n = 1,061)
had at least one or more previous abortions and had one or more previous spontaneous abortions.
Further, 9 percent (n = 1,123) had a previous spontaneous abortion but did not have a previous
elective abortion, and about 27 percent (n = 3,496) had a previous abortion but did not have a
previous spontaneous abortion.
Below is an overview of the pregnancy history of resident women who had abortions in 2014 by
age-group. Women 20 – 29 years of age had the greatest proportion of previous pregnancies, live
births, abortions, and spontaneous abortions of all age groups.
Figure 6. Pregnancy history of resident women obtaining abortions by age-group, 2014

Previous Pregnancy(ies)

Previous Birth(s)

Previous Abortion(s)

Previous Spontaneous Abortion(s)

100.0%
90.0%
80.0%

42.3%

35.9%

40.0%

36.8%

33.2%

48.9%

50.0%

54.3%

60.0%

55.2%

56.9%

70.0%

30.0%

6.7%

6.0%

6.3%

5.4%

2.9%

2.2%

2.6%

10.0%

4.4%

20.0%

0.0%
≤19 Years

20 - 29 Years

30 - 39 Years

≥40

17 | P a g e

Abortion Method
Of resident women who had abortions in 2014 (n = 12,747), approximately 72 percent
(n = 9,197) had surgical procedures and approximately 28 percent (n = 3,550) had non-surgical
procedures.
An overview of methods of abortion procedures reported in 2014 are shown below. Of the total
surgical procedures reported for resident women, the most common procedure was suction
curettage (68.5%), followed by dilation and evacuation (D&E; 29.2%). Of the total number
non-surgical (medication-induced) procedures reported, the most common were
Mifeprex/Misoprostol (84.9%) and Mifeprisone/Misoprostol (13.9%).
Table 7. Method of abortion used by resident women in Arizona, 2014
Method
Surgical Procedures

Count

Percent

(n = 9,197)
6,299

68.5

2,688

29.2

Sharp Curettage (D&C)

183

2.0

Insertion/Prostaglandin

12

0.1

Insertion/Laminaria

*

*

Hysterotomy/Hysterectomy

*

*

Other and Unknown Procedures

10

0.1

(n = 3,550)
3,015

84.9

Mifepristone (Mifeprex) and Misoprostol (Cytotec)

495

13.9

Cytotec & Misoprostol

13

0.4

Cytotec & Mifeprex

7

0.2

Methotrexate and Misoprostol

0

0.0

Other and Unknown Procedures

20

0.6

Suction Curettage
Dilation and Evacuation (D&E)

Non-surgical Procedures
Mifeprex and Misoprostol

18 | P a g e

Below th
he trends in surgical
s
and non-surgicaal proceduress are displayyed during 20004 – 2014. The
proportio
on of non-surrgical abortiions increaseed until 20099 and have ddecreased sinnce. Converssely,
the propo
ortion of surg
gical proced
dures decreassed through 2009 but haave graduallyy increased ssince.
In 2014, slightly morre than 72 peercent (n=9,1
197) of aborrtion proceduures perform
med on resideent
women were
w surgical.

Figure 7.
7 Method off abortion among
a
Arizo
ona residen
nt women, 20004 – 2014
Non-surgiical

Surgical

28.0%

27 8%
27.8%

72.0%

72 2%
72.2%

32.0%

37.5%

45.1%

38.4%
61.6%

70%
7

50.0%

35.9%
64.1%

29.4%
29 4%

29.5%
70.5%

80%
8

29.0%

90%
9

71.0%

10
00%

60%
6

20%
2

68.0%

62.4%

53.2%

30%
3

50.0%

40%
4

70.6%
70 6%

50%
5

10%
1
0%

2004
006
2008
2011
2005
20
2007
20099
2010
2012
2013
20014
(n=12,301) (n=10,446) (n=10
0,506) (n=10,486) (n=10,396)
(
(n=10,0045) (n=11,059) (n=
=13,606) (n=13,1299) (n=13,254) (n=12,747)

NOT
TE: The dashed lin
ne indicates new re
reporting standard (July 29, 2010).

19 | P a g e

Facility and Reason for Termination
Of the 12,747 abortions reported for Arizona residents, 12,671 (99.4%) were performed in
clinics and 70 in hospitals (0.6%). The majority of resident abortions, 98.7% (n = 12,575) were
elective, that is, they were provided to women for reasons other than therapeutic purpose, with
172 (1.4%) cases reported as taking place for medical reasons. Of the 172 cases that indicated
abortion for medical reasons, 84.9 percent (n = 146) were surgical procedures and 15.1 percent
(n = 26) were non-surgical. Nearly 65 percent of abortions for medical reasons (n = 112) were
performed in clinics and 35 percent (n = 60) were performed in hospitals. About 95 percent (n =
163) of the medically necessary abortions were performed on women age 20 or older.
Table 8 on the following page presents maternal characteristics and maternal medical conditions
cited for obtaining an abortion. During 2014, 49 resident women obtained an abortion citing a
medical condition as the reason for termination. The age range of women in this group was 18 to
45 years. Slightly more than 59 percent of the procedures were performed on women between 18
and 30 years of age. The majority of these abortions (~47%, n = 23) occurred at gestational ages
14 to 20 weeks and over 65% (n = 32) were performed using surgical procedures. Unlike
abortions due to fetal medical conditions, the majority of these procedures were performed in
hospitals (83.67%, n = 41). About 84 percent (n = 41) of women in this group were residents of
Maricopa County (not shown).
Table 9 presents maternal characteristics and fetal medical conditions cited as reasons for
obtaining an abortion. Abortions due to fetal medical conditions were cited for 123 women, a 13
percent decrease from 2013 (n = 141). Most of these were related to birth defects. The age range
of women in this group was 15 to 43 years, with the highest number of procedures to women 3545 years of age. Approximately 59 percent (n = 72) of these procedures were performed between
14 and 20 weeks gestation and over 92 percent (92.68%, n = 114) were performed using surgical
procedures. Unlike maternal medical conditions, the majority of procedures (84.55%, n = 104)
were performed in clinics with nearly 64 percent (63.41, n = 78) among residents of Maricopa
County (not shown).

20 | P a g e

Table 8. Maternal characteristics and maternal medical conditions cited for obtaining an
abortion, Arizona residents, 2014

Maternal
Characteristics
Age
≤15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-45+ yrs
Gestational age
≤13 weeks
14 to 20 weeks
21 weeks
Unknown
Procedure Type
Surgical
Non-Surgical
Facility Type
Hospital
Clinic
Maternal Medical Conditions
Premature Rupture of Membranes
Anatomical Abnormality
Chorioamnionitis
HELLP or Preeclampsia
Other/Unspecified

Count
(n = 49 )

Percent

*
9
13
9
13

N/A
18.4
26.5
18.4
26.5

14
23
12
0

28.6
46.9
24.5
0.0

32
17

65.3
34.7

41
8

83.7
16.3

9
*
*
*
12

18.4
*
*
*
24.5

* An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.

21 | P a g e

Table 9. Maternal characteristics and fetal medical conditions cited for obtaining an
abortion, Arizona residents, 2014
Maternal
Characteristics
Age
≤15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-45+ yrs
Gestational age
≤ 13 weeks
14 to 20 weeks
≥ 21 weeks
Procedure Type
Surgical
Non-Surgical/Medication
Facility Type
Hospital
Clinic
Fetal Medical Conditions
Trisomy/Triploidy
Central Nervous System Anomalies
Multiple Anomalies
Fetal Demise
Cardiac Defect
Oligohydramnios/Anhydramnios & Urological
Karyotype or genetic abnormality
Skeletal Abnormality
Twin abnormality
Lethal Anomalies
Other/Unspecified

Count
(n = 123 )

Percent

*
15
27
29
48

*
12.2
22.0
23.6
39.0

23
72
28

18.7
58.5
22.8

114
9

92.7
7.3

19
104

15.4
84.6

36
18
15
14
8
7
6
*
*
*
12

29.3
14.6
12.2
11.4
6.5
5.7
4.9
*
*
*
9.8

* An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.

22 | P a g e

3.2. Abortions by Gestational Age
Some evidence suggests an association between gestational age and abortion-related mortality.
An overview of the gestational age of the fetus at the time of abortion is reported below. The
majority of abortions (64.9%) to resident women were performed at gestational ages 8 or fewer
weeks. Ninety-five percent (95%; n = 12,116) of abortions to resident women were performed at
gestational ages of 15 or fewer weeks. More than one-quarter (28.4%) of the abortions were
performed at 6 weeks gestation, followed by just over one-fifth (21.8%) at seven weeks
gestation, and approximately fifteen percent (14.7%) at eight weeks gestation. One percent
(n = 132) were performed at gestational ages of 21 weeks or greater, comparable to the number
performed in 2013. Less than one percent (n=8) of cases reported gestational age as “Unknown”.
Table 10. Gestational age at time of abortion, Arizona residents, 2014
Gestational
Age
≤ 8 weeks
6 weeks
7 weeks
8 weeks
9 to 13 weeks
9 weeks
10 weeks
11 weeks
12 weeks
13 weeks
14 to 15 weeks
14 weeks
15 weeks
16 to 17 weeks
16 weeks
17 weeks
18 to 20 weeks
18 weeks
19 weeks
20 weeks
≥ 21 weeks
Unknown

Count
( N = 12,747)
8,278
3,625
2,782
1,871
3,363
1,090
849
670
345
409
475
262
213
273
136
137
218
74
83
61
132
8

Percent
64.9
28.4
21.8
14.7
26.4
8.6
6.7
5.3
2.7
3.2
3.7
2.1
1.7
2.1
1.1
1.1
1.7
0.6
0.7
0.5
1.0
0.1

Presented is the age distribution of resident women receiving an abortion and the gestational age
in weeks at the time of the abortion. It is evident that regardless of mothers’ age, the majority of
abortions were performed at gestational ages of 13 or fewer weeks.

23 | P a g e

Among women 15 to 19 years of age, approximately 11 percent (n = 142) of the abortions were
performed at 14 to 20 weeks gestation. Abortions performed at gestational ages 21 or more
weeks accounted for one percent (n = 130), the largest number primarily among women 20 – 34
years of age.
Table 11. Age distribution of resident women receiving abortions by gestational age, 2014

Gestational Age
Age
<15 yrs
15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-39 yrs
≥40 yrs
Totals

≤13 weeks
Count
19
1,066
3,795
3,086
1,983
1,186
506
11,641

Percent
86.4
86.9
90.9
92.4
92.8
91.7
92.8
91.4

¶

14 to 20 weeks
Count
*
142
327
220
136
101
37
963

Percent
N/A
11.6
7.8
6.6
6.4
7.8
6.8
7.6

≥21 weeks
Count
0
18
52
34
19
7
*
130

Percent
0.0
1.5
1.2
1.0
0.9
0.5
N/A
1.0

¶

Totals do not add to 12,747 due to 8 abortions of "Unknown" gestational age.
*An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.

Table 12 on the following page provides an overview of the association between gestational age
and method of abortion. Despite gestational age, surgical procedures were the most utilized
methods of abortion. Suction curettage was the most commonly used surgical procedure
performed at gestational ages of 13 or fewer weeks (n = 6,098, 75.1%). For surgical abortions
performed at 14 to 20 weeks of gestation, dilation and evacuation (D&E) was the most
commonly used procedure, accounting for approximately 79 percent (n = 743), followed by
suction curettage which accounted for approximately 20 percent (n = 193).
Use of non-surgical abortion procedures were similarly distributed with over 85 percent of all
nonsurgical abortions performed at 13 or fewer weeks of gestation. Mifeprex/misoprostol
(n = 3,013; 85.5%) was the most commonly used non-surgical procedure for abortions within
this gestational period.

24 | P a g e

Table 12. Method of abortion and gestational age, Arizona residents, 2014
¶

Method

Surgical
Suction Curettage
Dilation and Evacuation (D&E)
Sharp Curettage (D&C)
Insertion/Prostaglandin
Insertion/Laminaria
Hysterotomy/Hysterectomy
Insertion/Intra-amniotic (saline)
Other/Unknown Procedure
Non-surgical
Mifeprex and misoprostol

≤ 13 weeks
(n = 11,641 )
Count
Percent

Gestational Age
14 to 20 weeks
(n = 966 )
Count Percent

≥ 21 weeks
(n = 140 )
Count Percent

6,098
1,832
178
7
*
0
0
*

75.1
22.6
2.2
0.1
N/A
0.0
0.0
N/A

193
743
*
*
*
*
0
*

20.4
78.5
N/A
N/A
N/A
N/A
0.0
N/A

8
113
*
*
0
0
0
6

6.1
85.6
N/A
N/A
0.0
0.0
0.0
4.5

3,013
495
7

85.5
14.1
0.2

*

N/A

*

N/A

0
0

0.0
0.0

0
0

0.0
0.0

Cytotec and misoprostol
6
0.2
*
N/A
Methotrexate and misoprostol (Cytotec)
0
0.0
0
0.0
*
Other/Unknown Procedure
N/A
14
70.0
* An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.
¶
Gestational Age was reported "Unknown" for eight (8) patients.

*
0
*

N/A
0.0
N/A

Mifepristone (Mifeprex) and misoprostol
Cytotec & Mifeprex

3.3. Abortions by County of Residence
On the following page is an overview of the number of abortions, live births, abortion rates, and
ratios by patient county of residence and summarized into border and non-border regions. The
border region consists of Cochise, Pima, Santa Cruz, and Yuma counties. The remaining
counties are considered the non-border region.
The overall Arizona abortion rate in 2014 was 9.8 per 1,000 resident women between 15 and 44
years of age. Thirteen of the 15 counties had abortion rates below the state rate. Maricopa (10.6),
and Pima (10.0) counties exceeded the state rate. Similarly, 13 of the 15 counties had abortion
ratios below the state ratio 146.8 per 1,000 live births. Maricopa (157.6) and Pima (166.3)
counties exceeded the state ratio.
When comparing border and non-border regions, the abortion rate for the border region was 7.9
abortions per 1,000 women between the ages of 15 and 44 compared to 9.2 abortions in the nonborder region. The abortion ratio for the border region was 123.1 abortions per 1,000 live births
compared to the non-border region ratio of 136.4 abortions per 1,000 live births.

25 | P a g e

Table 13. Abortions, live births, rates, and ratios for resident females age 15 – 44 by patient
county of residence, 2014

Resident County
Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma
Unknown¥
Border region†

¶

Non-border region
Arizona
¶

Abortions
Count
Percent
8
47
157
33
15
9
7
8,687
19
41
1,964
314
26
164
67
1127

0.1
0.4
1.2
0.3
0.1
0.1
0.1
68.5
0.1
0.3
15.5
2.5
0.2
1.3
0.5
8.9

Live Births
Count
Percent
1,015
1.2
1,636
1.9
1,698
2.0
647
0.7
602
0.7
144
0.2
211
0.2
55,141
63.8
1,830
2.1
1,604
1.9
11,811
13.7
4,480
5.2
596
0.7
1,936
2.2
3,054
3.5
16
0.0

2,104
9,454
12,685

16.6
74.5
100.0

17,097
69,308
86,421

19.8
80.2
100.0

Abortion
Rate‡

Abortion
Ratio§

0.6
2.2
4.7
4.4
2.1
4.6
2.8
10.6
0.7
2.2
10.0
4.6
2.8
5.6
1.7
N/A

7.9
28.7
92.5
51.0
24.9
62.5
33.2
157.5
10.4
25.6
166.3
70.1
43.6
84.7
21.9
N/A

7.9
9.2
9.8

123.1
136.4
146.8

Residence indicates women's county of residence.

†

Border region in Arizona include Cochise, Pima, Santa Cruz, and Yuma.

‡

Number of abortions obtained per 1,000 women of child‐bearing age (15‐44 years of age).

§

Number of abortions obtained per 1,000 live births to women of child‐bearing age (15‐44 years of age).

¥

Records submitted as Arizona residents without a county of residence selected. While the records are
counted as Arizona residents, counts were neither included in Border nor Non‐Border region counts.

The following page displays the trends in abortions, rates, ratios, and percent change by county
of residence for 2004 – 2014. During this period, the total number of abortions increased in
Arizona equating to just above 3 percent. The number of reported abortions increased in 4
counties (Gila, Greenlee, Maricopa, and Pinal), and decreased in the remaining eleven counties.
During 2004 – 2014, Greenlee (125%) and Pinal (~140%) counties had the highest percent
increase in the number of abortions. The high percentage changes in these counties may be
attributed to the small number of cases or under reporting in previous years.
Among counties with decreasing numbers of abortions Apache (-81.4%), Cochise (-74%), and
Santa Cruz (-48%), showed the greatest decline in the number of abortions for the period.

26 | P a g e

A similar trend is evident for abortion rates and ratios in counties showing an increased percent
change. There were several differences in the pattern of abortion ratios for counties showing a
percentage decrease; this may be attributable to the differences in the numbers of births per 1,000
women per county.
Table 14. Number of abortions, rates, and ratios for resident females by patient county of
residence, 2004 – 2014
Year

Percent Change
2013 to 2008 to 2004 to
2014
2012
2014

County of
Residence

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

Number of Abortions
ARIZONA
Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma
Unknown

12,301
43
181
291
29
21
*
9
8,178
20
70
2,965
131
50
190
119
0

10,446
46
136
266
10
9
6
0
6,541
6
51
3,018
85
36
208
28
0

10,506
47
176
299
27
15
*
6
6,496
16
47
2,636
277
81
263
81
35

10,486
43
81
275
36
12
7
12
7,188
45
51
1,908
420
76
251
76
*

10,396
15
127
281
27
15
7
6
7,166
32
59
2,054
257
36
234
74
6

10,045
19
147
266
27
23
8
*
6,732
21
40
2,124
163
35
183
156
99

11,059
19
107
274
28
15
22
6
7,774
22
69
1,844
217
31
204
151
276

13,606
15
162
184
41
12
41
11
10,280
43
77
2,039
313
35
181
172
0

13,129
16
140
166
34
33
47
7
8,809
41
72
2,196
417
32
176
79
864

13,254
12
101
147
54
17
67
16
8,385
26
66
2,109
346
23
214
90
1,581

12,747
8
47
159
33
15
9
7
8,727
19
41
1,979
315
26
165
67
1,130

-3.8
-33.3
-53.5
8.2
-38.9
-11.8
-86.6
-56.3
4.1
-26.9
-37.9
-6.2
-9.0
13.0
-22.9
-25.6
NA

26.3
6.7
10.2
-40.9
25.9
120.0
571.4
16.7
22.9
28.1
22.0
6.9
62.3
-11.1
-24.8
6.8
NA

3.6
-81.4
-74.0
-45.4
13.8
-28.6
**
-22.2
6.7
-5.0
-41.4
-33.3
140.5
-48.0
-13.2
-43.7
NA

9.6
2.9
7.2
9.0
3.0
3.0
2.4
2.9
10.2
0.6
3.2
14.2
3.3
5.4
5.5
3.3

7.7
3.0
5.2
8.3
1.1
1.1
3.3
0.0
7.8
0.2
2.1
13.5
1.9
3.5
5.7
0.8

8.0
3.0
6.9
9.7
3.0
2.0
2.7
1.9
8.1
0.5
2.0
12.3
5.4
8.4
7.0
2.2

7.8
2.7
3.2
8.9
3.9
1.7
4.6
3.9
8.7
1.2
2.1
8.8
7.1
7.8
6.5
1.9

7.5
0.8
4.8
9.1
2.8
2.0
3.7
2.0
8.5
0.9
2.5
9.3
4.0
3.5
5.9
1.8

7.3
1.2
5.6
8.4
2.8
2.9
5.1
0.6
7.9
0.5
1.5
10.0
2.4
3.3
4.4
3.5

8.6
1.3
4.7
8.6
3.7
2.2
14.2
2.5
9.6
0.7
3.5
9.4
3.2
3.4
6.8
3.7

10.6
1.1
7.2
5.9
5.4
1.8
26.5
4.4
12.8
1.4
3.9
10.5
4.5
3.8
5.9
4.4

10.2
1.2
6.2
5.3
4.6
4.5
29.8
2.9
10.9
1.4
3.7
11.3
5.9
3.5
5.8
2.0

10.3
0.9
4.5
4.7
7.3
2.4
33.2
6.2
10.3
0.9
3.5
10.8
4.9
2.4
7.1
2.2

9.8
0.6
2.2
4.7
4.4
2.1
4.6
2.8
10.6
0.7
2.2
10.0
4.6
2.8
5.6
1.7

-4.8
-34.7
-52.1
1.0
-40.3
-11.7
-86.2
-55.0
2.5
-22.6
-38.7
-7.5
-5.9
17.9
-21.7
-24.4

35.9
43.1
28.7
-41.9
60.2
129.5
715.7
45.6
29.2
59.3
50.6
21.0
49.1
-0.4
-2.6
9.9

1.4
-79.0
-70.0
-47.8
43.0
-28.5
92.3
-3.0
3.9
10.7
-32.4
-29.6
38.4
-48.5
1.2
-48.2

132
32
100
144
43
47
39
39
135
9
39
228
43
62
95
36

109
36
77
129
15
20
61
0
105
3
27
233
23
46
98
9

103
40
97
145
40
28
36
26
98
6
25
189
62
108
111
24

102
37
44
129
52
21
51
52
109
18
25
138
79
99
104
23

105
12
71
142
39
23
53
24
114
14
30
152
45
45
106
22

108
15
80
140
38
36
62
11
117
9
21
165
31
46
89
48

127
17
60
154
42
28
210
30
143
11
40
152
43
45
112
47

160
14
97
104
66
20
345
64
193
22
47
172
68
50
99
54

153
17
82
98
56
63
412
34
162
24
44
185
90
48
99
25

156
13
63
90
92
28
536
78
156
15
42
176
76
35
118
29

147
8
29
93
51
25
63
33
158
10
25
167
70
43
85
22

-5.7
-37.7
-54.5
3.3
-44.4
-12.2
-88.3
-58.1
1.4
-30.6
-40.0
-5.2
-7.5
23.0
-27.8
-24.1

46.2
38.9
15.2
-30.6
44.1
169.9
671.6
40.7
41.4
69.8
45.3
21.6
99.7
5.4
-6.5
15.0

11.7
-75.6
-71.4
-34.9
17.1
-46.6
59.4
-16.0
16.8
13.6
-34.9
-26.6
64.3
-29.9
-10.7
-38.9

Abortion Rates
ARIZONA
Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma

†

§

Abortion Ratio
ARIZONA
Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma
†

Number of abortions obtained per 1,000 women from 15 - 44 years of age.

§

Number of abortions to resident women 15-44 years per 1,000 live births to resident women from 15 - 44 years of age.

* An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.

27 | P a g e

Regardless of age, the majority of women obtaining abortions resided in Maricopa County. The
proportion of women residing in Maricopa county age 30 years or older who obtained an
abortion was higher (2,801/8,727 or ~32.1%) than the same proportion of women in Pima county
(564/1979 or ~28.5%).
Table 15. Abortions by patient county of residence and age group, Arizona, 2014
County

¶

Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma
Unknown
†

Border region
Non-border region
Arizona

<=19 years
Count
Percent
0
0.0
8
0.6
19
1.5
*
N/A
6
0.5
*
N/A
*
N/A
821
65.7
*
N/A
*
N/A
189
15.1
34
2.7
*
N/A
25
2.0
8
0.6
118
9.4
16.8
210
921
73.7
1,249
100.0

20-29 years
Count Percent
*
N/A
23
0.3
100
1.3
21
0.3
7
0.1
6
0.1
*
N/A
5,105
67.9
10
0.1
25
0.3
1,226
16.3
179
2.4
17
0.2
100
1.3
42
0.6
651
8.7
17.4
1,308

30+ years
Count Percent
*
N/A
16
0.4
40
1.0
8
0.2
*
N/A
*
N/A
*
N/A
2,801
70.4
*
N/A
12
0.3
564
14.2
102
2.6
*
N/A
40
1.0
17
0.4
361
9.1
15.1
601

5,561
7,520

3016
3,978

73.9
100.0

75.8
100.0

¶

Residence indicates patient county of residence.
Border region includes Cochise, Pima, Santa Cruz, and Yuma counties.
* An asterisks indicates a count of six (6) or fewer reported cases.

†

28 | P a g e

The table below displays the county of residence and the race/ethnicity of Arizona resident
women who obtained abortions in 2014. As noted earlier, the majority of women reported either
as multiple race or unknown race, therefore, race and ethnicity data for 2014 should be
interpreted cautiously.
Table 16. Abortions by patient county of residence and race and ethnicity, Arizona, 2014

County

American
Black or Indian or Asian or
African Alaskan Pacific Multiple
Hispanic White American Native Islander Race Unknown
*
*
0
*
0
0
0

¶

Apache
Cochise

24

22

*

0

0

0

0

Coconino

25

87

*

31

*

*

*

Gila

6

21

*

*

*

0

0

Graham

8

7

0

0

0

0

0

Greenlee

*

*

*

0

0

0

*

La Paz

*

*

0

*

0

0

0

2930

3,774

780

174

366

283

420

Mohave

*

13

0

0

0

0

*

Navajo

7

14

0

17

*

*

0

Pima

845

901

78

19

72

26

38

Pinal

90

171

15

12

*

14

8

Santa Cruz

22

*

0

0

0

0

0

Yavapai

25

127

*

0

6

*

*

Yuma

45

19

0

0

*

*

*

461

393

102

29

76

28

41

936

946

79

19

73

27

39

Non-border region

3,102

4,223

800

243

385

306

439

Arizona

4,499

5,562

981

291

534

361

519

Maricopa

Unknown County¥
†

Border region

Residence indicates patient county of residence.
.
Border region in Arizona include Cochise, Pima, Santa Cruz, and Yuma.
¥
Reports submitted as Arizona residents without a county of residence selected. T he reports are counted as Arizona
residents, however counts were neither included in Border nor Non-Border region counts.
* An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.

¶

†

29 | P a g e

3.4. Complications Resulting from an Abortion
The way ADHS assesses and reports complications resulting from an abortion has changed over
time. Beginning in June 1976, as part of the required Report of an Induced Termination of
Pregnancy, providers reported patients hospitalized for complications occurring during the
abortion procedure. Between 1982 and 2003 the ADHS annual Health Status and Vital Statistics
Report (HSVSR, Table D1-1) used provider-submitted reports to tabulate both the number of
patients who received abortions and patients hospitalized for complications. Beginning in 1986,
the table of complications included only Arizona residents. From 2004 to 2009 the ADHS
HSVSR continued reporting general characteristics of women receiving abortions but did not list
the count of complications.
Beginning July 2010, Arizona Revised Statute §36-2162 established an abortion complication
reporting requirement. Healthcare professionals who provide medical treatment to women
experiencing complications resulting from an abortion are required to submit reports to the
ADHS. The reports contain no personally identifiable information (PII) and hospital patient
records are not accessible for public review.
Data submitted on the Complication report differs from data submitted on the Procedure report.
Reports submitted in compliance with A.R.S. §36-2162 are for complications occurring after an
abortion is performed (i.e., excessive hemorrhaging hours or days after leaving the facility where
the abortion was performed). These reports are primarily submitted by hospitals.
In 2014 a total of 137 reports of complications resulting from an abortion procedure among
Arizona resident women were submitted, an increase of 34 percent from 2013. The majority of
the reported complications occurred and were treated in Maricopa county (92.7%, n = 127).
Approximately 69 percent (n = 94) of abortion complications occurred at gestational ages 13
weeks or fewer and primarily among women between 20 and 24 years of age.
Table 17 on the following page lists characteristics of resident women who experienced
complications resulting from an abortion followed by a list of most reported complications by
ICD-9 CM code.

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Table 17. Complications resulting from an abortion for resident women, Arizona, 2014

Count
(n = 137) Percent
Age
<15 yrs
15-19 yrs
20-24 yrs
25-29 yrs
30-34 yrs
35-39 yrs
≥40 yrs
Gestational age
≤13 weeks
14 to 20 weeks
≥ 21 weeks
Patient county of residence
Apache
Cochise
Coconino
Gila
Graham
Greenlee
La Paz
Maricopa
Mohave
Navajo
Pima
Pinal
Santa Cruz
Yavapai
Yuma
Unknown

0
19
42
29
24
18
*

0.0
13.9
30.7
21.2
17.5
13.1
*

94
8
35

68.6
5.8
25.5

0
0
0
0
0
0
*
127
*
0
*
*
0
0
0
*

0.0
0.0
0.0
0.0
0.0
0.0
*
92.7
*
0.0
*
*
0.0
0.0
0.0
*

Description of complications
639.0 Genital tract and pelvic infection
639.1 Delayed or excessive hemorrhage

11
86

8.0
62.8

Other complications¶
Unknown Complication

26
11

19.0

§

8.0
*An asterisks indicates a suppressed cell containing fewer than six
(6) reported cases.

¶

Complications associated/occurring with the abortion procedure
but not the direct result.

§

Refers to complications following elective abortions.

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3.5 Petitions Filed with the Arizona Administrative Office of the Courts
The Arizona Administrative Office of the Courts collects data in accordance with A.R.S. § 362163 subsection C, regarding granting authorization to unemancipated minors to undergo an
abortion procedure without parental consent.
Following is the summary data provided by the Arizona Administrative Office of the Courts.
The dates of petitions filed range from January 1, 2014 to December 31, 2014. Although not
specified in statute, the total number of petitions issued an order are included for context. A
total of 61 petitions were filed, 52 (85%) were issued an order authorizing an abortion, of
those, 45 were without parental consent. Please note, while a petition may be filed during a
specific period, resolution may be in the following period.

Table 18. Petitions filed in the Arizona Administrative Office of the Courts, 2014
Reporting Category

Number of
petitions

1. Number of petitions filed pursuant to A.R.S.§ 36-2152 Subsection B

61

2. Of the petitions filed pursuant to A.R.S.§ 36-2152 Subsection B, the number in which the
judge appointed a guardian ad litem or court-appointed counsel for the minor pursuant to
A.R.S.§ 36-2152 Subsection D.
Note: An additional nine (9) petitions were filed without an appointed guardian ad litem or
court appointed counsel, resulting in a total of 61 petitions filed.

52

3. Of the petitions filed pursuant to A.R.S.§ 36-2152 Subsection B, the number in which the
judge issued an order authorizing an abortion without parental consent.

45

4. Of the petitions filed pursuant to A.R.S.§ 36-2152 Subsection B, the number in which the
judge issued an order denying the petition. Note: In addition to the seven petitions denied,
eight were also disposed as "withdrawn or otherwise disposed."

7

5. Of the petitions denied, the number appealed to the court of appeals.

*

6. The number of those appeals that resulted in the denials being affirmed.

*

7. The number of those appeals that resulted in the denial being reversed.

0

*An asterisks indicates a suppressed cell containing fewer than six (6) reported cases.

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Conclusion
This 2014 Abortion Report provides a comprehensive overview of abortion in the State of
Arizona following the passage of SB1304 in 2010. In addition to presenting comprehensive
statistics regarding incidence and prevalence of abortion in Arizona, the report also highlights the
importance of continued public health prevention messaging, regarding unplanned pregnancies
and the risks associated with abortion among women of child-bearing age, especially in the
adolescent teen population.
The implementation of A.R.S. §36-2161 thru §36-2163 provides a standardized data collection
system that improves data quality. Enhancements to the web-based reporting system and
provider training are ongoing, providing an accurate secure reporting system that allows
individual providers to report abortions online through a secured web-based system.
Analysis of abortion data has numerous public health implications. Ongoing abortion
surveillance facilitates efforts to decrease and/or prevent unplanned pregnancies. This report
provides a comprehensive overview of statistics about the incidence of abortion in Arizona,
however it is limited to descriptive data analysis. No attempt was made to formulate inferences
regarding the general population or sub-populations of women obtaining abortions in Arizona.
Because of differences in abortion data collection across time, trend comparisons should be
interpreted with care because of variation in provider reporting prior to 2010 and expanded
reporting requirements that went into effect July 2010. There is no data available to assess the
extent of underreporting of incidences.
This comprehensive annual abortion report is respectfully compiled and submitted for public
review in accordance with Arizona Revised Statute §36-2163 Subsection B.

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Appendix A- Glossary
Abortion or induced termination of pregnancy (ITOP) – Abortion means the use of any
means to terminate the clinically diagnosable pregnancy of a woman with knowledge that the
termination by those means will cause, with reasonable likelihood, the death of the unborn child.
Abortion does not include birth control devices, oral contraceptives used to inhibit or prevent
ovulation, conception, or the implantation of a fertilized ovum in the uterus, or the use of any
means to save the life or preserve the health of the unborn child, to preserve the life or health
of the child after a live birth, to terminate an ectopic pregnancy, or to remove a dead fetus
(A.R.S. 36-2151).
Abortion rate – The number of abortions per 1,000 women aged 15 – 44 years or other specific
group within a given population.
Abortion ratio – The number of abortions per 1,000 live births within a given population. The
ratio reflects the relative number of pregnancies in a population that end in abortion compared to
live birth.
Birth or live birth – The complete expulsion or extraction from its mother of a product of
human conception, irrespective of the duration of pregnancy which, after such expulsion or
extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of
the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord
has been cut or the placenta is attached. Heartbeats are to be distinguished from transient cardiac
contractions; respirations are to be distinguished from fleeting respiratory efforts or gasps.
Gestational age – Gestational age means the age of the unborn child as calculated from the first
day of the last menstrual period of the pregnant woman.
Pregnancies – Pregnancies are the sum of live births, spontaneous terminations of pregnancy
(fetal deaths or stillbirths), and induced terminations of pregnancy (abortions).
Proportion – A proportion is a ratio in which those in the numerator are also in the
denominator.
Rate – A rate is a ratio in which those in the numerator are also in the denominator, and those in
the denominator are "at risk" of being in the numerator. The denominator is the sum of "at risk"
person-time or, by convention, the count of individuals "at risk" in a given time period.
Ratio – A ratio is any division of one number by another; the numerator and denominator do not
have to be mutually exclusive.
Unemancipated minor – Unemancipated minor means a minor who is subject to the control,
authority, and supervision of his or her parents or guardians, as determined under State law (See
Title 42. The Public Health and Welfare; Chapter 6a USCS §300z-1).

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Appendix B- Abortion Reporting Forms

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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 2013 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.

Population Health and Vital Statistics Section
Bureau of Public Health Statistics
ARIZONA DEPARTMENT OF HEALTH SERVICES