TEENAGE PREGNANCY Arizona,1993-2003 Public Health Services Bureau of Public Health Statistics Health Status and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janet Napolitano, Governor State of Arizona Catherine R. Eden, Director Arizona Department of Health Services Health Status and Vital Statistics Section BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 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 602/542-7333 (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, 1993-2003 by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Clare Torres, Senior Health Data Analyst October 2003 TEENAGE PREGNANCY, ARIZONA, 1993-2003 Table of Contents PURPOSE ....................................................................................................................................1 METHODS AND SOURCES ...........................................................................................................1 DATA ORGANIZATION................................................................................................................1 KEY FINDINGS ...........................................................................................................................1 DATA TABLES..............................................................................................................................7 List of Figures Figure 1...................................................................................................................................................................................2 PREGNANCY RATES BY AGE GROUP AND YEAR AMONG FEMALES 19 AND YOUNGER, ARIZONA, 1993-2003 Figure 2...................................................................................................................................................................................2 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 YEARS AND YOUNGER, ARIZONA, 1993-2003 Figure 3...................................................................................................................................................................................3 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 YEARS AND YOUNGER, ARIZONA,1993-2003 Figure 4...................................................................................................................................................................................3 TRENDS IN THE NUMBER OF LIVE BIRTHS BY RACE/ETHNICITY AMONG FEMALES 19 YEARS AND YOUNGER, ARIZONA, 1993-2003 Figure 5...................................................................................................................................................................................4 TRENDS IN THE NUMBER OF INDUCED ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 YEARS AND YOUNGER, ARIZONA, 1993-2003 Figure 6...................................................................................................................................................................................4 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 YEARS AND YOUNGER, ARIZONA, 2003 Figure 7...................................................................................................................................................................................5 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES AGED 15-19 YEARS, ARIZONA, 2000-2003 Figure 8...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY ETHNIC GROUP AMONG FEMALES AGED 19 YEARS AND YOUNGER IN ARIZONA, 1993-2003 Figure 9...................................................................................................................................................................................6 BIRTHS TO MOTHERS 15-19 YEARS OLD BY MARITAL STATUS, ARIZONA, 1983, 1993 AND 2003 Figure 10.................................................................................................................................................................................6 NUMBER OF BIRTHS TO MOTHERS 19 YEARS OR YOUNGER BY PAYEE, ARIZONA, 1990, 1993, 2000, 2003 Teenage Pregnancy, Arizona, 1993-2003 List of Tables Table 1 ....................................................................................................................................................................................8 PREGNANCIES AND PREGNANCY OUTCOMES BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1993-2003 Table 2 ....................................................................................................................................................................................9 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1993-2003 Table 3 .................................................................................................................................................................................. 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, ETHNIC GROUP AND YEAR, ARIZONA, 1993-2003 Table 4 .................................................................................................................................................................................. 11 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, ETHNIC GROUP AND YEAR, ARIZONA, 1993-2003 Table 5 .................................................................................................................................................................................. 12 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES AGED 17 OR YOUNGER WITH RATES, ARIZONA, 1993-2003 Table 6 .................................................................................................................................................................................. 13 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 1993-2003 Table 7 .................................................................................................................................................................................. 14 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 1993-2003 Table 8 .................................................................................................................................................................................. 15 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 1993-2003 Table 9 .................................................................................................................................................................................. 16 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1993-2003 Table 10-A ............................................................................................................................................................................ 17 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 Table 10-B ............................................................................................................................................................................ 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 Table 11 ................................................................................................................................................................................ 19 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2003 Table 12 ................................................................................................................................................................................ 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2003 Table 13 ................................................................................................................................................................................ 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2003 Table 14 ................................................................................................................................................................................ 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 Table 15 ................................................................................................................................................................................ 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2003 ii Teenage Pregnancy, Arizona, 1993-2003 List of Tables (continued) Table 16 ................................................................................................................................................................................ 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2003 Table 17 ................................................................................................................................................................................ 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2003 Table 18 ................................................................................................................................................................................ 26 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2003 Table 19 ................................................................................................................................................................................ 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2003 Table 20 ................................................................................................................................................................................ 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2003 Table 21 ................................................................................................................................................................................ 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2003 Table 22 ................................................................................................................................................................................ 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2003 Table 23 ................................................................................................................................................................................ 31 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, ETHNIC GROUP AND YEAR, ARIZONA. 1993-2003 Table 24 ................................................................................................................................................................................ 32 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1993-2003 Table 25 ................................................................................................................................................................................ 33 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1993-2003 Table 26 ................................................................................................................................................................................ 34 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2003 Table 27 ................................................................................................................................................................................ 35 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2003 Table 28 ................................................................................................................................................................................ 36 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2003 Teenage Pregnancy, Arizona, 1993-2003 iii PURPOSE DATA ORGANIZATION This report is the 2003 update of information about pregnancies among females under age 20. The data for 2003 are placed in a temporal context by comparison with the data for the preceding years. Tables 1-9 present annual numbers and rates of pregnancy, fertility and abortion by year from 1993 to 2003, age group and ethnicity for Arizona adolescents. Temporal trends and changes may be assessed from these data. Table 11 provides pregnancy rates by single year of age among females aged 19 and younger. Tables 9-10 and 12-14 provide data by county of residence. Live births to teenage mothers are also reported in Tables 15-22 by marital status, education, previous pregnancies, trimester of entry into prenatal care, source of payment for labor and delivery and tobacco and alcohol use during pregnancy. Proportional contribution of teen births to all births is shown in Table 23 by area of residence and ethnic group in Arizona from 1993 to 2003. Table 24 compares birth rates in Arizona and United States. 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. Pregnancy statistics for Arizona are not available on a sub-county level. Teens or teenagers are defined as 10-14 year old preadolescents and adolescents 15-19 years of age. Where possible, the data presented distinguish 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. Population denominators for Arizona's resident females, used to calculate rates, are projections from the Population Statistics Unit in the Arizona Department of Economic Security (data for 1993-1999) or census enumerations from the U.S. Census Bureau (data for 1980, 1990 and 2000). The annual numbers of repeat pregnancies among teenage mothers are shown by age and year from 1993 to 2003 in Table 25. The estimated number of mothers who were under the age of 20 in Arizona in 2003 is given in Table 26. The 2003 population denominators for Arizona resident females by age group and county of residence, as well as by age group and ethnicity are presented in Table 27 and Table 28. 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 order to obtain the population denominators for 2001-2003, the 2000 percentages of population breakdowns (or census shares) by age group and gender were applied to total state and total county annual population estimates released by the Department of Economic Security. Teenage Pregnancy, Arizona, 1993-2003 1 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year Among Females 19 and Younger, Arizona, 1993-2003 The pregnancy rate for Arizona teenagers 15-19 years old in 2003 was 68.9 pregnancies per 1,000 females (Figure 1), 2.4 percent lower than in 2002 and 32.5 percent lower than in 1994 when it reached the decade’s peak of 102.0/1,000. The pregnancy rate for younger teenagers 15-17 years also reached a record low in 2003, dropping to 41.6/1,000, a 36.4 percent lower rate than in 1994. Similarly, the pregnancy rate for older teenagers declined in 2003 to 108.2/1,000, down 2.7 percent from 2002, and 25.8 percent from a rate of 145.9/1,000 in 1994 (Figure 1). 160.0 140.0 18-19 years 120.0 100.0 15-19 years 80.0 60.0 15-17 years 40.0 All 19 or younger 20.0 0.0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 All 19 or younger 48.6 49.3 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 2003 34.5 18-19 142.8 145.9 141.8 141.6 139.3 142.1 137.6 123.6 113.2 111.2 108.2 15-19 101.2 102.0 96.1 91.3 88.1 91.7 85.7 79.1 72.0 70.6 68.9 15-17 63.6 65.4 61.1 59.4 55.7 58.6 51.5 48.1 43.2 42.2 41.6 Note: All rates are per 1,000 females in specified age group. Figure 2 Trends in the Number of Pregnancies and Pregnancy Rates Among Females 19 Years and Younger, Arizona, 1993-2003 Rate per 1,000 females 19 years or younger Number of pregnancies amo females 19 or younger 16000 60.0 Pregnancy rates (left-hand scale) 45.0 12000 30.0 8000 15.0 4000 Number of pregnancies (right-hand scale) The pregnancy rate measures the proportion of teenagers becoming pregnant in a given year; 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”: by the number of teenage females in the population. While the teen pregnancy rate has fallen in Arizona, the drop in the rate has not been enough to offset the growth in the female teenage population. Compared to 1993, there were no fewer teen pregnancies in 2003 (12,890 and 13,654 respectively) (Figure 2), but fewer pregnancies per 1,000 teenage females. 0 0.0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Pregnancies 12890 13407 13356 13521 13438 14531 14095 14287 13429 13572 13654 Pregnancy rates 48.6 49.3 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 Pregnancy rate=The number of pregnancies per 1,000 females in specified age group. 2 Teenage Pregnancy, Arizona, 1993-2003 KEY FINDINGS In 1993, 5,335 out of 10,438 (or 51.1 percent) of pregnancies to females 19 years or younger were to White non-Hispanic females. 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, Table 1, Table 8). In 2003, Hispanic or Latino mothers accounted for 63.9 percent of all pregnancies in this age group. The number of pregnancies among American Indians, Blacks and Asian remained virtually unchanged from 1993 to 2003. Figure 3 Trends in the Number of Pregnancies*by Race/Ethnicity Among Females 19 Years and Younger, Arizona, 1993-2003 8000 Hispanic 6400 White non-Hispanic 4800 3200 American Indian 1600 Black Asian 0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Asian 121 123 114 118 110 129 136 137 134 130 134 Black 728 713 590 617 582 644 669 620 622 605 664 American Indian 1121 1150 1057 1056 1117 1301 1155 1216 1053 1082 1215 White non-Hispanic 5335 5452 5286 5249 4978 5375 4915 4814 4175 4102 3903 Hispanic 5237 5633 5902 6190 6378 6698 6701 7213 7239 7287 7476 *The sum of live births+induced abortions+spontaneous fetal deaths. Figure 4 Trends in the Number of Live Births by Race/Ethnicity Among Females 19 Years and Younger, Arizona, 1993-2003 7500 The number of live births to Hispanic or Latino mothers aged 19 years and younger exceeded the number of births among White non-Hispanic peers in every year from 1993 to 2003 (Figure 4, Table 3, Table 8). The combined number of live births to American Indian, Black or African American, and Asian or Pacific Islander mothers changed very little from 1,720 in 1993 to 1,797 in 2003. Hispanic 6000 4500 White non-Hispanic 3000 1500 American Indian Black Asian 0 1998 1999 2000 2001 2002 2003 Asian 79 72 85 76 66 73 108 100 104 96 107 Black 1993 581 576 491 498 519 586 603 572 545 468 549 American Indian 1060 1095 991 996 971 1122 1050 1089 1013 1039 1141 White non-Hispanic 4024 4023 4042 4033 3733 3843 3869 3759 3396 3064 2970 Hispanic 4688 5075 5351 5628 5736 5951 6161 6548 6648 6585 6792 Teenage Pregnancy, Arizona, 1993-2003 1994 1995 1996 1997 3 KEY FINDINGS Figure 5 Trends in the Number of Induced Abortions by Race/Ethnicity Among Females 19 Years and Younger, Arizona, 1993-2003 1500 1200 White non-Hispanic 900 Hispanic 600 300 Black American Indian Asian 2003 0 1993 1994 1995 1996 1997 1998 Asian 42 51 29 37 42 51 28 37 30 34 27 American Indian 61 55 66 54 58 53 56 43 29 40 68 Black 147 137 99 105 107 1999 2000 2001 2002 147 96 115 71 118 107 Hispanic 549 558 551 562 642 747 540 610 534 650 630 White non-Hispanic 1311 1429 1244 1148 1179 1480 981 1020 746 1010 914 The number of abortions to females 19 years or younger declined from 2,357 in 1993 to 1,867 in 2003 (Table 1). White non-Hispanic, Asian and Black or African American females accounted for the entire decrease in the number of abortions. In contrast, the number of abortions among both Hispanic and American Indian teens was greater in 2003 than in 1993 (Figure 5, Table 4). Figure 6 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity Among Females 19 Years and Younger, Arizona, 2003 Asian 33.3% White non-Hispanic 66.7% 25.9% 74.1% ALL GROUPS 23.0% 77.0% Hispanic 21.9% 78.1% Black 15.9% 84.1% American 11.8% Indian 0.0% In 2003, non-surgical (also called “medical”) abortions made up approximately 23 percent of all procedures reported for teenage females in Arizona. Only among Asian or Pacific Islander and White non-Hispanic teens the proportion of non-surgical abortions exceeded the average for all groups (Figure 6). The ratios of non-surgical abortions among Black and American Indian females were the lowest among ethnic groups. 88.2% 20.0% 40.0% Non-surgical 60.0% 80.0% 100.0% Surgical Non-surgical: Mifepristone, Methotrexate, RU486, etc. 4 Teenage Pregnancy, Arizona, 1993-2003 KEY FINDINGS Figure 7 Rates of First and Repeat Births to Females Aged 15-19 Years, Arizona, 2000-2003 188.1 240.0 2003 178.8 2002 184.2 2001 181.3 2000 200.0 160.0 49.4 49.8 120.0 52.6 57.1 The declines from 2000 to 2003 in teenage birth rates have reflected reductions in the first but not the repeat birth rates (Figure 7). The first birth rate for childless teenagers has dropped 13.5 percent since 2000. In contrast, the repeat birth rate for teenagers who had already had a child increased to 188.1 pregnancies per 1,000 females aged 15-19 years in 2003 (Figure 3). To put it another way, 19 percent of teenagers who already had one child gave birth again in 2003 (computations based on data in Table 26 in this report and Table 1B-24 of the Arizona Health Status and Vital Statistics 2003 report). 80.0 40.0 0.0 Rates of first-time childbearing* Rates of repeat childbearing** * 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 birth previously. Figure 8 Comparison of Pregnancy Rates* by Ethnic Group Among Females Aged 19 and Younger in Arizona in 1993 and 2003 1993 34.8 18.2 25.0 19.2 50.0 45.4 39.9 54.0 57.5 75.0 28.9 Between 1993 and 2003, pregnancy rates declined for all age, race, and Hispanic origin populations (Figure 8) with the steepest declines recorded for White non-Hispanic (47.7 percent decline) and Black or African American teens (43.1 percent decline). Both in 1993 and 2003 the pregnancy rate among Hispanic or Latino females was the highest among the race/ethnic groups in Arizona. 2003 79.8 100.0 79.9 Pregnancy rate* 0.0 Asian American Indian Black Hispanic White non Hispanic * Number of pregnancies per 1,000 females 10-19 years old in specified group. Teenage Pregnancy, Arizona, 1993-2003 5 KEY FINDINGS Figure 9 Births to Mothers 15-19 Years Old by Marital Status, Arizona, 1983, 1993 and 2003 Unmarried Married 100.0% Unwed mothers have accounted for an increasing annual proportion of births throughout the 1980s and 1990s Two decades ago, the proportion of nonmarital births among teenagers aged 15-19 years was still around 50 percent (Figure 10). In 2003, nonmarital births accounted for eighty-three percent of births to mothers 1519 years old. 17.3% 22.1% 44.9% 75.0% 50.0% 82.7% 77.9% 55.1% 25.0% 0.0% 1983 1993 2003 Figure 10 Number of Births to Mothers 19 Years or Younger by Payee, Arizona, 1990, 1993, 2000, 2003 AHCCCS Private insurance Other 14,000 983 10,500 1,748 2,634 732 1,676 2,216 1,476 7,000 1,948 8,572 9,292 7,214 3,500 5,603 In 2003, the Arizona Health Care Cost Containment System (AHCCCS) paid for 79.4 percent of the deliveries to mothers 19 or younger (Table 15), compared to 57.4 percent in 1990 (Figure 10). The total number of births to mothers 19 years or younger increased by 19.8 percent from 9,767 in 1990 to 11,700 in 2003. In contrast, the number of teen births paid for by the AHCCCS increased by 65.8 percent from 5,603 in 1990 to 9,292 in 2003. 0 Percent of teen births paid for by AHCCCS 6 1990 1993 2000 2003 57.4 69.1 70.2 79.4 Teenage Pregnancy, Arizona, 1993-2003 TEENAGE PREGNANCY, ARIZONA, 1993-2003 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOMES BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1993–2003 Pregnancy Outcome by Year Total, Females 19 Years or Younger Under 15 Years 15-19 Years Old Total 15-17 Years 18-19 Years ALL PREGNANCIES 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 12,890 13,407 13,356 13,521 13,438 14,531 14,095 14,287 13,429 13,572 13,654 256 333 314 293 278 316 303 278 253 255 272 12,634 13,074 13,042 13,228 13,160 14,216 13,792 14,009 13,170 13,317 13,382 4,803 5,092 5,092 5,262 5,096 5,482 4,993 5,016 4,661 4,696 4,755 7,831 7,982 7,950 7,966 8,064 8,734 8,799 8,993 8,515 8,621 8,627 10,438 10,858 10,973 11,247 11,085 11,695 11,963 12,189 11,790 11,474 11,700 187 246 229 216 214 234 238 216 198 206 211 10,251 10,612 10,744 11,031 10,871 11,461 11,725 11,973 11,592 11,268 11,489 3,870 4,132 4,178 4,340 4,219 4,397 4,236 4,284 4,080 3,952 4,110 6,381 6,480 6,566 6,691 6,652 7,064 7,489 7,689 7,512 7,316 7,379 2,357 2,458 2,294 2,186 2,233 2,735 2,046 1,988 1,528 1,995 1,867 68 82 82 72 56 78 60 57 46 44 60 2,289 2,376 2,212 2,114 2,177 2,657 1,986 1,931 1,482 1,951 1,807 892 916 880 892 826 1,046 727 684 540 705 614 1,397 1,460 1,332 1,222 1,351 1,611 1,259 1,247 942 1,246 1,193 95 91 89 88 120 102 85 110 111 103 87 1 5 3 5 8 4 5 5 9 5 1 94 86 86 83 112 98 80 105 102 98 86 41 44 34 30 51 39 29 48 41 39 31 53 42 52 53 61 59 51 57 61 59 55 LIVE BIRTHS 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 ABORTIONS 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 FETAL LOSSES 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 8 Teenage Pregnancy, Arizona, 1993-2003 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1993-2003 Pregnancy Outcome by Year Total, Females 19 Years or Younger Under 15 Years 15-19 Years Old Total 15-17 Years 18-19 Years ALL PREGNANCIES 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 48.6 49.3 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 1.8 2.3 2.2 1.9 1.8 2.0 1.8 1.5 1.3 1.3 1.4 101.2 102.0 96.1 91.3 88.1 91.7 85.7 79.1 72.0 70.6 67.0 63.6 65.4 61.1 59.4 55.7 58.6 51.5 48.1 43.2 42.2 41.6 142.8 145.9 141.8 141.6 139.3 142.1 137.6 123.6 112.2 111.2 108.2 39.4 39.9 38.9 37.8 36.1 36.9 36.2 33.7 31.6 29.8 29.5 1.3 1.7 1.6 1.4 1.4 1.4 1.4 1.2 1.0 1.0 1.0 82.1 82.8 79.1 76.1 72.8 73.9 72.9 67.6 63.3 59.7 59.2 51.2 53.0 50.1 49.0 46.1 47.0 43.7 41.1 37.8 35.5 35.9 116.4 118.5 117.1 119.0 114.9 114.9 117.1 105.7 99.9 94.3 92.5 8.9 9.0 8.1 7.4 7.3 8.6 6.1 5.5 4.1 5.2 4.7 0.5 0.6 0.6 0.5 0.4 0.5 0.3 0.3 0.2 0.2 0.3 18.3 18.5 16.3 14.6 14.6 17.1 12.3 10.9 8.1 10.3 9.3 11.8 11.8 10.6 10.1 9.0 11.2 7.5 6.6 5.0 6.3 5.4 25.5 26.7 23.8 21.7 23.3 26.2 19.7 17.1 12.5 16.1 15.0 0.4 0.3 0.3 0.3 0.4 0.3 0.3 0.3 0.3 0.3 0.2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.8 0.7 0.6 0.6 0.7 0.6 0.5 0.6 0.6 0.5 0.4 0.5 0.6 0.4 0.3 0.6 0.4 0.3 0.5 0.4 0.4 0.3 1.0 0.8 0.9 0.9 1.0 1.0 0.8 0.8 0.8 0.8 0.7 LIVE BIRTHS 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 ABORTIONS 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 FETAL LOSSES 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 1 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. Teenage Pregnancy, Arizona, 1993-2003 9 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, ETHNIC GROUP AND YEAR, ARIZONA, 1993-2003 Ethnic Group and Year Total, Females 19 Years or Younger Under 15 Years 4,024 4,023 4,042 4,033 3,733 3,843 3,869 3,759 3,396 3,064 2,970 51 61 51 40 27 38 31 38 34 23 23 3,973 3,962 3,991 3,993 3,706 3,805 3,838 3,721 3,362 3,041 2,947 1,343 1,392 1,338 1,368 1,239 1,261 1,115 1,040 926 824 782 2,630 2,570 2,653 2,625 2,467 2,544 2,723 2,681 2,436 2,217 2,165 4,688 5,075 5,351 5,628 5,736 5,951 6,161 6,548 6,648 6,585 6,792 102 138 133 132 146 142 149 144 132 147 146 4,586 4,937 5,218 5,496 5,590 5,809 6,012 6,404 6,516 6,438 6,646 1,837 2,066 2,241 2,308 2,329 2,419 2,415 2,567 2,552 2,507 2,600 2,749 2,871 2,977 3,188 3,261 3,390 3,597 3,837 3,964 3,931 4,046 581 576 491 498 519 586 603 572 545 468 549 12 14 17 10 13 16 14 12 13 12 3 569 562 474 488 506 570 589 560 532 456 546 241 223 185 220 207 223 222 198 193 152 204 328 339 289 268 299 347 367 362 339 304 342 1,060 1,095 991 996 971 1,122 1,050 1,089 1,013 1,039 1,141 20 32 25 28 25 31 38 20 17 18 37 1,040 1,063 966 968 946 1,091 1,012 1,069 996 1,021 1,104 419 421 387 401 407 429 389 405 348 374 434 621 642 579 567 539 662 623 664 648 647 670 79 72 85 76 66 73 108 100 104 96 107 2 1 2 3 1 1 1 1 0 1 1 77 71 83 73 65 72 107 99 104 95 106 29 25 23 36 17 17 28 29 29 19 38 48 46 60 37 48 55 79 70 75 76 68 15-19 Years Old Total 15-17 Years 18-19 Years WHITE NON HISPANIC 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 HISPANIC OR LATINO 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 BLACK OR AFRICAN AMERICAN 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 AMERICAN INDIAN OR ALASKA NATIVE 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 ASIAN OR PACIFIC ISLANDER 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Note: See Table 1 for the number of births for all ethnic groups. 10 Teenage Pregnancy, Arizona, 1993-2003 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, ETHNIC GROUP AND YEAR, ARIZONA, 1993-2003 Ethnic Group and Year Total, Females 19 Years or Younger Under 15 Years 1,311 1,429 1,244 1,148 1,179 1,480 981 1,020 746 1,010 914 29 41 33 27 29 38 26 25 16 20 18 1,282 1,388 1,211 1,121 1,150 1,442 955 995 730 990 896 504 552 481 478 433 563 369 342 262 367 304 778 836 730 643 717 879 586 653 458 623 592 549 558 551 562 642 747 540 610 534 650 630 21 21 30 23 21 29 16 22 22 15 27 528 537 521 539 621 718 524 588 512 635 603 198 200 204 218 240 292 183 228 199 235 197 330 337 317 321 381 426 341 360 313 400 406 147 137 99 105 107 147 96 115 71 118 107 4 7 4 6 0 4 7 5 3 4 6 143 130 95 99 107 143 89 110 68 114 101 49 42 34 44 40 51 27 42 28 30 40 94 88 61 55 67 92 62 68 40 84 61 61 55 66 54 58 53 56 43 29 40 68 3 2 3 4 2 0 3 2 3 3 3 58 53 63 40 56 53 53 41 26 37 65 18 15 24 18 17 22 17 13 7 12 25 40 38 39 32 39 31 36 28 19 25 40 42 51 29 37 42 51 28 37 30 34 27 0 1 0 1 0 0 1 0 0 0 1 42 50 29 36 42 51 27 37 30 34 26 10 15 11 9 19 20 10 11 15 10 7 32 35 18 27 23 31 17 26 15 24 19 15-19 Years Old Total 15-17 Years 18-19 Years WHITE NON HISPANIC 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 HISPANIC OR LATINO 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 BLACK OR AFRICAN AMERICAN 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 AMERICAN INDIAN OR ALASKA NATIVE 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 ASIAN OR PACIFIC ISLANDER 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 Note: See Table 1 for the number of abortions for all ethnic groups. Teenage Pregnancy, Arizona, 1993-2003 11 12 Teenage Pregnancy, Arizona, 1993-2003 4.5 Abortion rate 4.5 19.7 24.2 998 4,378 5,425 16 26 42 3 2 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 10-17 years old. Not of Hispanic origin. 4 Includes other and unspecified ethnicity. 5 Number of births per 1,000 females 10-17 years old. 1 18.8 23.5 PREGNANCY RATE, total: Fertility rate5 960 4,057 Abortions Births 5,059 10 Abortions ALL ETHNIC GROUPS4, total: 31 41 Births 4.2 19.2 23.6 962 4,407 5,406 11 25 36 27 4.0 18.9 23.1 964 4,556 5,555 10 39 54 22 3.5 18.2 22.0 882 4,433 5,374 19 18 38 19 4.4 18.1 22.7 1,124 4,631 5,798 20 18 43 22 3.0 16.8 19.9 787 4,474 5,296 11 29 40 20 427 2.6 15.6 18.4 741 4,500 5,294 11 30 41 15 425 2.0 14.3 16.5 586 4,278 4,914 15 29 44 10 365 384 2.4 13.5 16.1 749 4,158 4,951 10 20 30 15 392 409 34 164 207 46 207 256 224 2,746 2,993 322 805 1,131 2003 2.1 13.7 15.9 674 4,321 5,027 8 39 47 28 17 460 476 31 206 240 250 2,654 2,926 387 847 1,245 2002 21 Abortions ASIAN OR PACIFIC ISLANDER, total: 432 450 47 210 227 221 2,684 2,930 278 960 1,250 2001 501 429 530 34 236 275 250 2,711 2,991 367 1,078 1,462 2000 471 412 489 55 239 263 199 2,564 2,763 395 1,146 1,566 1999 453 453 40 220 242 321 2,561 2,882 601 1,299 1,918 1998 439 439 50 230 289 261 2,475 2,736 462 1,266 1,760 1997 Births 470 38 202 240 241 2,440 2,681 505 1,408 1,937 1996 460 49 237 286 234 2,374 2,608 514 1,389 1,903 1995 AMERICAN INDIAN OR ALASKA NATIVE, total: 53 253 Abortions 306 221 219 Births 2,204 2,425 593 1,453 2,046 1994 1,939 2,185 533 1,394 1,927 1993 BLACK OR AFRICAN AMERICAN, total: Abortions Births HISPANIC OR LATINO, total: Abortions Births WHITE NON-HISPANIC3, total: Ethnicity/Pregnancy Outcome TABLE 5 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES AGED 17 OR YOUNGER WITH RATES2, ARIZONA, 1993-2003 2.1 13.7 15.9 1.5 8.8 7.3 1.1 18.8 20.0 3.9 17.5 21.6 2.2 26.4 28.8 1.9 4.7 6.7 2003 Rates Teenage Pregnancy, Arizona, 1993-2003 13 5 4 3 2 1 11.8 Abortion rate 11.8 53.0 65.4 916 4,132 5,092 15 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 15-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 15-17 years old. 51.2 63.6 892 3,870 4,803 10 Fertility rate5 PREGNANCY RATE, total: Abortions Births ALL ETHNIC GROUPS4, total: Abortions 25 40 39 29 15 18 Abortions ASIAN OR PACIFIC ISLANDER, total: Births 421 436 42 49 437 223 241 265 200 198 290 2,066 2,266 552 1,392 1,944 1994 1,837 2,035 504 1,343 1,847 1993 419 Births AMERICAN INDIAN OR ALASKA NATIVE, total: Abortions Births BLACK OR AFRICAN AMERICAN, total: Abortions Births HISPANIC OR LATINO, total: Abortions Births WHITE NON-HISPANIC3, total: Ethnicity/Pregnancy Outcome 10.6 50.1 61.1 880 4,178 5,092 11 23 34 24 387 411 34 185 219 204 2,241 2,445 481 1,338 1,819 1995 10.1 49.0 59.4 892 4,340 5,262 9 36 50 18 401 421 44 220 271 218 2,308 2,526 478 1,368 1,867 1996 9.0 46.1 55.7 826 4,219 5,096 19 17 37 17 407 439 40 207 250 240 2,329 2,569 433 1,239 1,699 1997 11.2 47.0 58.6 1,046 4,397 5,482 20 17 42 22 429 464 51 223 276 292 2,419 2,711 563 1,261 1,841 1998 7.5 43.7 51.5 727 4,236 4,993 10 28 38 17 389 408 27 222 254 183 2,415 2,598 369 1,115 1,505 1999 6.6 41.1 48.1 684 4,284 5,016 11 29 40 13 405 421 42 198 242 228 2,567 2,823 342 1,040 1,397 2000 5.0 37.8 43.2 540 4,080 4,661 15 29 44 7 348 363 28 193 224 199 2,552 2,771 262 926 1,197 2001 TABLE 6 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 1993-2003 6.3 35.5 42.2 705 3,952 4,696 10 19 29 12 374 388 30 152 189 235 2,507 2,761 367 824 1,202 2002 76.5 5.4 35.9 41.6 614 4,110 4,755 7 38 45 25 434 461 40 204 247 197 5.4 35.9 41.6 3.4 18.5 22.0 2.8 49.0 52.0 9.7 49.4 59.8 5.3 70.5 2,819 2,600 4.9 12.5 17.5 2003 Rates 304 782 1,090 2003 14 Teenage Pregnancy, Arizona, 1993-2003 Abortions 5 4 3 2 1 25.5 Abortion rate 26.7 118.5 145.9 1,460 6,480 7,982 35 46 81 Fetal deaths are included in the total count of pregnancies. All rates per 1,000 females 18-19 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 18-19 years old. 116.4 Fertility rate5 142.8 1,397 Abortions PREGNANCY RATE, total: 6,381 Births 7,831 32 Abortions ALL ETHNIC GROUPS,4 total: 48 80 Births 38 40 Abortions ASIAN OR PACIFIC ISLANDER, total: 680 642 661 88 94 621 Births AMERICAN INDIAN OR ALASKA NATIVE, total: 339 328 427 422 Births 337 330 Abortions BLACK OR AFTICAN AMERICAN, total: 3,208 836 2,570 3,406 1994 2,871 3,079 778 2,630 3,408 1993 2,749 Births HISPANIC OR LATINO, total: Abortions Births WHITE NON-HISPANIC3, total: Ethnicity/Pregnancy Outcome 23.8 117.1 141.8 1,332 6,566 7,950 18 60 78 39 579 618 61 289 350 317 2,977 3,234 730 2,653 3,383 1995 21.7 119.0 141.6 1,222 6,691 7,966 27 37 64 32 567 603 55 268 328 321 3,188 3,509 643 2,625 3,312 1996 23.3 114.9 139.3 1,351 6,652 8,064 23 48 72 39 539 600 67 299 368 381 3,261 3,642 717 2,467 3,218 1997 26.2 114.9 142.1 1,611 7,064 8,734 31 55 86 31 662 710 92 347 442 426 3,390 3,816 879 2,544 3,457 1998 19.7 117.1 137.6 1,259 7,489 8,799 17 79 96 36 623 665 62 367 434 341 3,597 3,938 586 2,723 3,349 1999 17.1 105.7 123.6 1,247 7,689 8,993 26 70 96 28 664 700 68 362 433 360 3,837 4,222 653 2,681 3,352 2000 12.5 99.9 113.2 942 7,512 8,515 15 75 90 19 648 669 40 339 382 313 3,964 4,309 468 2,436 2,925 2001 TABLE 7 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 1993-2003 16.1 94.3 111.2 1,246 7,316 8,621 24 76 100 25 647 673 84 304 398 400 3,931 4,361 623 2,217 2,857 2002 15.0 92.5 108.2 1,193 7,379 8,627 19 68 87 40 670 714 61 342 408 406 4,046 4,483 592 2,165 2,772 2003 15.0 92.5 108.2 11.4 40.7 52.1 7.5 126.0 134.2 22.1 123.6 147.5 15.6 155.9 172.7 13.4 49.2 62.9 2003 Rates Teenage Pregnancy, Arizona, 1993-2003 15 5 4 3 2 1 713 576 137 1,150 1,095 55 123 72 51 728 581 147 1,121 1,060 61 121 79 42 48.6 39.4 8.9 49.3 39.9 9.4 13,407 10,858 2,458 5,075 558 4,688 549 12,890 10,438 2,357 5,633 5,452 4,023 1,429 1994 5,237 5,335 4,024 1,311 1993 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 19 or less years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 19 or less years old. PREGNANCY RATE, total: Fertility rate5 Abortion rate ALL ETHNIC GROUPS4, total: Births Abortions Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: HISPANIC OR LATINO, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Ethnicity/Pregnancy Outcome WHITE NON-HISPANIC3, total: 47.4 38.9 8.1 13,356 10,973 2,294 114 85 29 1,057 991 66 590 491 99 5,351 551 5,902 5,286 4,042 1,244 1995 45.4 37.8 7.4 13,521 11,247 2,186 118 76 37 1,056 996 54 617 498 105 5,628 562 6,190 5,249 4,033 1,148 1996 43.8 36.1 7.3 13,438 11,085 2,233 110 66 42 1,117 971 58 582 519 107 5,736 642 6,378 4,978 3,733 1,179 1997 45.8 36.9 8.6 14,532 11,695 2,735 129 73 51 1,301 1,122 53 644 586 147 5,951 747 6,698 5,375 3,843 1,480 1998 42.7 36.2 6.2 14,095 11,963 2,046 136 108 28 1,155 1,050 56 669 603 96 6,161 540 6,701 4,915 3,869 981 1999 39.5 33.7 5.5 14,287 12,189 1,988 137 100 37 1,216 1,089 43 620 572 115 6,548 610 7,213 4,814 3,759 1,020 2000 36.0 31.6 4.1 13,429 11,790 1,528 134 104 30 1,053 1,013 29 622 545 71 6,648 534 7,239 4,175 3,396 746 2001 TABLE 8 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES2, ARIZONA, 1993-2003 35.2 29.8 5.2 13,572 11,474 1,995 130 96 34 1,082 1,039 40 605 468 118 6,585 650 7,287 4,102 3,064 1,010 2002 34.5 29.5 4.7 13,654 11,700 1,867 134 107 27 1,215 1,141 68 664 549 107 7,476 6,792 630 3,903 2,970 914 2003 34.5 29.5 4.7 19.2 15.3 3.9 39.9 37.5 2.2 45.4 37.5 7.3 57.5 52.2 4.8 18.2 13.9 4.3 2003 Rates 19 YEARS OR YOUNGER 18-19 YEARS OLD 10-17 YEARS OLD ARIZONA 48.4 48.6 49.3 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 142.6 142.8 145.9 141.8 141.6 139.3 142.1 137.6 135.8 113.2 111.1 108.2 24.1 23.5 24.2 23.6 23.0 22.0 22.7 19.9 18.4 16.5 16.1 15.9 APACHE 37.4 39.0 37.2 31.7 29.6 30.4 30.2 23.9 29.2 21.6 23.2 30.8 150.3 136.6 132.1 113.4 107.2 98.8 105.7 88.3 109.9 91.9 100.7 130.1 15.7 18.2 17.7 13.9 12.7 15.7 13.7 9.6 15.0 9.2 9.6 13.4 COCHISE 40.6 44.8 39.7 42.9 37.5 39.8 36.2 35.6 38.7 34.3 30.6 31.5 154.4 130.2 113.4 106.5 114.8 155.6 115.5 115.5 124.5 116.8 104.4 107.3 16.5 23.4 21.0 20.3 19.7 19.2 16.9 15.8 19.1 15.5 13.7 14.3 COCONINO 29.3 43.3 38.9 39.6 39.7 31.7 28.0 30.2 28.6 30.3 26.0 26.9 76.9 130.9 125.5 106.3 112.7 91.8 77.6 78.9 74.7 84.3 68.9 70.6 19.2 21.0 16.8 20.6 18.9 14.1 12.8 15.1 14.6 13.9 13.0 13.6 55.1 50.3 48.6 40.5 42.4 45.0 45.4 41.4 41.1 43.2 42.4 42.8 223.9 154.6 149.4 133.3 143.8 154.5 130.5 121.0 167.3 154.3 151.5 145.5 23.6 26.4 24.6 19.5 20.1 30.4 24.8 22.1 17.6 22.5 22.1 23.7 GILA * Number of pregnancies per 1,000 females in specified group. 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 GRAHAM 31.1 37.3 34.3 28.9 40.1 41.3 36.3 29.3 28.8 33.8 29.9 27.5 97.1 166.7 108.7 96.3 131.8 120.4 111.1 94.8 74.1 84.9 78.4 78.8 13.8 17.6 16.9 13.8 16.9 22.5 19.4 13.7 13.9 17.0 14.0 10.7 GREENLEE 27.5 41.1 35.4 51.8 53.6 46.1 43.3 34.9 26.7 18.3 40.0 26.0 146.1 117.2 90.9 229.6 189.4 192.6 94.0 116.1 123.8 78.4 161.9 64.8 13.3 23.7 22.6 15.2 26.8 16.5 31.9 16.3 8.8 7.2 17.5 18.8 MARICOPA 52.4 50.4 51.7 48.9 47.1 44.6 46.9 44.6 40.7 37.2 36.0 36.0 146.7 163.7 167.1 157.4 146.8 143.0 148.0 146.5 127.8 117.3 114.2 112.4 26.8 24.4 25.7 24.5 24.0 22.4 23.0 21.0 18.9 17.2 16.5 16.9 MOHAVE 43.2 48.3 46.2 45.2 44.2 42.6 40.1 40.1 33.5 31.4 32.5 30.9 164.5 166.4 161.5 193.9 146.8 156.3 139.1 139.4 139.7 132.5 131.5 129.0 18.6 21.7 20.4 15.5 22.1 18.5 18.1 17.4 12.0 10.9 12.5 11.1 NAVAJO 43.9 43.4 41.0 42.1 37.0 37.4 41.9 40.4 34.8 26.7 28.5 29.6 179.9 161.3 152.6 150.2 130.3 124.5 138.0 141.7 154.1 111.7 121.5 123.4 18.3 19.2 18.4 19.2 16.9 18.3 20.9 17.9 13.7 11.7 12.0 13.0 PIMA 42.3 46.4 49.2 45.5 44.3 43.1 43.1 38.8 39.6 36.0 36.3 32.0 104.3 152.6 155.8 134.1 134.6 133.3 123.8 118.3 104.7 96.6 96.7 86.0 20.9 22.1 24.9 23.7 21.8 20.4 22.0 17.6 19.1 16.9 17.2 14.6 PINAL 59.8 58.2 58.4 50.8 47.9 46.8 49.4 44.9 47.7 43.7 38.5 38.1 190.1 188.7 165.3 167.1 147.6 152.1 159.9 145.9 161.0 156.9 130.2 139.3 30.6 28.9 33.6 26.6 27.2 24.7 25.6 22.3 23.8 19.8 19.1 16.8 48.8 48.5 46.7 44.6 42.3 43.1 48.3 41.7 39.3 33.0 36.4 30.0 164.2 153.3 147.7 150.2 135.7 122.6 136.9 145.2 132.1 113.7 137.7 130.7 16.0 22.2 23.1 21.1 21.7 23.8 26.4 17.1 21.8 17.8 17.2 11.1 SANTA CRUZ 37.4 35.3 35.1 37.0 34.9 32.4 37.0 33.7 33.0 26.3 29.6 25.3 118.7 95.2 129.5 135.2 120.1 103.5 111.7 114.8 124.9 91.8 115.9 98.7 19.1 13.4 15.6 15.8 15.8 16.2 19.2 13.8 13.3 12.3 11.1 9.5 YUMA 50.4 55.0 54.5 54.0 50.1 48.6 46.6 46.3 42.0 36.7 38.8 40.6 153.3 172.0 184.8 179.6 157.1 168.4 156.6 151.7 149.8 130.8 133.4 134.2 25.0 27.8 25.4 26.6 26.8 23.5 22.9 20.9 17.5 15.3 17.3 19.3 TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1993-2003 YAVAPAI 16 Teenage Pregnancy, Arizona, 1993-2003 40.7 37.4 44.2 45.2 29.8 44.1 39.2 29.2 32.6 36.8 35.6 32.2 119.1 133.3 118.5 146.7 91.4 144.9 135.7 72.7 127.1 153.0 127.0 113.4 24.6 14.6 25.3 22.8 15.5 21.6 13.0 18.6 15.2 15.2 18.7 17.2 LA PAZ TABLE 10A PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 NUMBER OF PREGNANCIES:* County of residence All 19 years or younger 10-14 years 15-19 years Total 15-17 years 18-19 years Apache 238 5 233 83 150 Cochise 296 4 292 105 187 Coconino 286 6 280 105 175 Gila 163 4 159 72 87 Graham 89 1 88 25 63 Greenlee 18 1 17 10 7 Maricopa 8,360 175 8,185 2,960 5,225 Mohave 321 2 319 94 225 Navajo 307 7 300 108 192 Pima 2,067 39 2,028 678 1,350 Pinal 503 10 493 173 320 Santa Cruz 113 2 111 33 78 Yavapai 284 4 280 84 196 Yuma 543 10 533 200 333 La Paz 40 2 38 16 22 TOTAL STATE** 26 0 26 9 17 13,654 272 13,382 4,755 8,627 PREGNANCY RATES:*** County of residence All 19 years or younger 10-14 years 15-19 years Total 15-17 years 18-19 years Apache 30.8 1.2 69.1 37.4 130.1 Cochise 31.5 0.8 63.8 37.1 107.3 Coconino 26.9 1.2 49.3 32.7 70.6 Gila 42.8 1.9 92.8 64.6 145.5 Graham 27.5 0.6 53.6 29.7 78.8 Greenlee 26.0 2.8 51.4 44.8 64.8 Maricopa 36.0 1.5 72.1 44.2 112.4 Mohave 30.9 0.4 65.5 30.1 129.0 Navajo 29.6 1.2 64.3 34.7 123.4 Pima 32.0 1.2 60.7 37.9 86.0 Pinal 38.1 1.4 78.9 43.8 139.3 Santa Cruz 30.0 1.0 65.8 30.3 130.7 Yavapai 25.3 0.7 50.9 23.9 98.7 Yuma 40.6 1.4 84.1 51.9 134.2 La Paz 32.2 3.1 63.9 39.9 113.4 TOTAL STATE 34.5 1.3 68.9 41.6 108.2 * The sum of live births, fetal deaths and abortions. ** Includes records with unknown county of residence. *** The number of pregnancies per 1,000 females in specified group. Teenage Pregnancy, Arizona, 1993-2003 17 TABLE 10B BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 NUMBER OF BIRTHS: County of residence All 19 years or younger 15-19 years 10-14 years Total 15-17 years 18-19 years Apache 231 4 227 82 145 Cochise 266 4 262 94 168 Coconino 242 5 237 93 144 Gila 156 4 152 69 83 Graham 81 0 81 22 59 Greenlee 17 1 16 9 7 Maricopa 6,968 124 6,844 2,485 4,359 Mohave 320 2 318 94 224 Navajo 295 7 288 102 186 Pima 1,732 34 1,698 581 1,117 Pinal 488 10 478 167 311 Santa Cruz 103 2 101 32 69 Yavapai 263 4 259 77 182 Yuma 498 9 489 187 302 38 1 37 16 21 2 0 2 0 2 11,700 211 11,489 4,110 7,379 La Paz Unknown TOTAL STATE* BIRTH RATES:** County of residence 10-14 years 15-19 years Total 15-17 years 18-19 years Apache 29.9 0.9 67.4 37.0 125.8 Cochise 28.3 0.8 57.2 33.2 96.4 Coconino 22.8 1.0 41.7 29.0 58.1 Gila 41.0 1.9 88.7 61.9 138.8 Graham 25.1 0.0 49.3 26.1 73.8 Greenlee 24.5 2.8 48.3 40.4 64.8 Maricopa 30.0 1.0 60.3 37.1 93.7 Mohave 30.8 0.4 65.3 30.1 128.4 Navajo 28.4 1.2 61.7 32.8 119.5 Pima 26.8 1.1 50.8 32.5 71.9 Pinal 37.0 1.4 76.5 42.2 135.3 Santa Cruz 27.4 1.0 59.9 29.4 115.6 Yavapai 23.4 0.7 47.1 21.9 91.6 Yuma 37.2 1.3 77.2 48.5 121.7 La Paz 30.6 1.5 62.2 39.9 108.2 TOTAL STATE 29.5 1.0 59.2 35.9 92.5 * ** 18 All 19 years or younger Includes records with unknown county of residence. The number of births per 1,000 females in specified group. Teenage Pregnancy, Arizona, 1993-2003 TABLE 11 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2003 TOTAL PREGNANCIES PREGNANCIES BY OUTCOME Age 10 11 12 13 14 10-14 15 16 17 15-17 18 19 18-19 Total 10-19 Population Induced termination of pregnancy (or abortions) Live Births Spontaneous fetal losses Number Rate 42,540 0 1 0 1 0.0 40,399 1 0 0 1 0.0 39,979 3 4 0 7 0.2 39,686 26 13 0 39 1.0 39,389 181 42 1 224 5.7 201,993 211 60 1 272 1.4 38,611 587 128 5 720 18.7 37,444 1,314 190 16 1,520 40.6 38,313 2,209 296 10 2,515 65.6 114,368 4,110 614 31 4,755 41.6 39,401 3,211 554 26 3,791 96.2 40,358 4,168 639 29 4,836 119.8 79,759 7,379 1,193 55 8,627 108.2 396,120 11,700 1,867 87 13,654 34.5 1 Rates per 1,000 female population in specific group. 2 Quantity less than 0.05. Teenage Pregnancy, Arizona, 1993-2003 19 TABLE 12 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2003 Age County of residence TOTAL STATE 10 11 12 13 14 15 16 17 18 19 11,700 0 1 3 26 181 587 1,314 2,209 3,211 4,168 Apache 231 0 0 0 1 3 9 29 44 63 82 Cochise 266 0 0 0 0 4 14 30 50 79 89 Coconino 242 0 0 0 1 4 12 23 58 75 69 Gila 156 0 0 0 1 3 7 17 45 37 46 81 0 0 0 0 0 5 6 11 23 36 Greenlee 17 0 0 0 0 1 1 2 6 1 6 Maricopa 6,968 0 1 2 14 107 359 807 1,319 1,881 2,478 Mohave 320 0 0 0 0 2 13 32 49 91 133 Navajo 295 0 0 0 1 6 17 27 58 82 104 Pima 1,732 0 0 1 5 28 70 186 325 485 632 Pinal 488 0 0 0 0 10 33 56 78 136 175 Santa Cruz 103 0 0 0 0 2 2 14 16 34 35 Yavapai 263 0 0 0 1 3 16 21 40 74 108 Yuma 498 0 0 0 1 8 26 61 100 142 160 38 0 0 0 1 0 3 3 10 7 14 2 0 0 0 0 0 0 0 0 1 1 Graham La Paz Unknown 20 Total Teenage Pregnancy, Arizona, 1993-2003 TABLE 13 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2003 Age County of residence TOTAL STATE Total 10 11 12 13 14 15 16 17 18 19 1,867 1 0 4 13 42 128 190 296 554 Apache 5 0 0 0 0 1 0 0 1 0 3 Cochise 29 0 0 0 0 0 4 3 3 7 12 Coconino 44 0 0 0 0 1 4 2 6 10 21 Gila 7 0 0 0 0 0 1 1 1 3 1 Graham 5 0 0 0 0 1 0 0 0 1 3 Greenlee 1 0 0 0 0 0 0 0 1 0 0 Maricopa 1,344 1 0 4 12 33 90 148 223 397 436 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 1 1 3 5 1 Pima 320 0 0 0 1 4 23 25 42 103 122 Pinal 11 0 0 0 0 0 0 1 3 3 4 4 Mohave Navajo Santa Cruz 639 9 0 0 0 0 0 0 1 0 4 Yavapai 19 0 0 0 0 0 2 1 3 5 8 Yuma 37 0 0 0 0 1 1 6 4 10 15 1 0 0 0 0 1 0 0 0 0 0 24 0 0 0 0 0 2 1 6 6 9 La Paz Unknown Teenage Pregnancy, Arizona, 1993-2003 21 TABLE 14 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 Payee for Birth County of residence TOTAL STATE AHCCCS Private IHS Self Insurance Unknown 11,700 9,292 324 1,676 217 191 Apache 231 135 54 7 0 35 Cochise 266 202 1 59 3 1 Coconino 242 156 59 21 3 3 Gila 156 95 45 15 1 0 81 56 18 7 0 0 Graham Greenlee 17 12 0 4 0 1 Maricopa 6,968 5,640 45 1,111 111 61 320 255 4 26 3 32 Mohave Navajo 295 197 61 27 2 8 Pima 1,732 1,434 28 228 13 29 Pinal 488 362 6 91 24 5 Santa Cruz 103 86 0 5 12 0 Yavapai 263 230 2 22 7 2 Yuma 498 406 1 50 38 3 38 26 0 3 0 9 2 0 0 0 0 2 La Paz Unknown 22 Total Teenage Pregnancy, Arizona, 1993-2003 TABLE 15 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2003 Mother's Age Group Total Total Payee for birth <15 15-17 18-19 11,700 211 4,110 7,379 9,292 180 3,238 5,874 79.4% 85.3% 78.8% 79.6% 324 11 133 180 Percent 2.8% 5.2% 3.2% 2.4% Private Insurance Count 1,676 14 587 1,075 14.3% 6.6% 14.3% 14.6% Self Count 217 3 88 126 1.9% 1.4% 2.1% 1.7% 191 3 64 124 1.6% 1.4% 1.6% 1.7% AHCCCS Count IHS Count Percent Percent Percent Unknown Count Percent Teenage Pregnancy, Arizona, 1993-2003 23 TABLE 16 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2003 Mother's Age Group Total Total Total prior pregnancies None Count Percent 1 Count Percent 2 Count Percent 3 Count Percent 4 or more Count Percent Unknown Count Percent 24 <15 15-17 18-19 11,700 211 4,110 7,379 8,430 205 3,424 4,801 72.1% 97.2% 83.3% 65.1% 2,485 6 589 1,890 21.2% 2.8% 14.3% 25.6% 607 0 78 529 5.2% 0.0% 1.9% 7.2% 127 0 9 118 1.1% 0.0% 0.2% 1.6% 29 0 3 26 0.2% 0.0% 0.1% 0.4% 22 0 7 15 0.2% 0.0% 0.2% 0.2% Teenage Pregnancy, Arizona, 1993-2003 TABLE 17 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2003 Mother's Age Group Total Total Marital status Married Unmarried Other <15 15-17 18-19 11,700 211 4,110 7,379 Count 1,963 1 364 1,598 Percent 16.8% 8.9% 21.7% Count 9,714 210 3,744 5,760 Percent 83.0% 99.5% 91.1% 78.1% Count Percent 23 0.2% 0.5% 0 0.0% 2 0.0% 21 0.3% * "Refused", "Yes, divorced", "Other or Unknown" Teenage Pregnancy, Arizona, 1993-2003 25 TABLE 18 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP, ARIZONA, 2003 Mother's Age Group Total Total Mother's education <8 Count Percent 8 Count Percent 9-11 12 13-16 4,110 7,379 58 195 370 4.7% 5.0% 5.3% 834 7.1% 51.6% Count 3,367 Percent 28.8% Percent Unknown Count Percent 26 211 6,041 Count 18-19 623 Percent Count 15-17 11,700 Count Percent 17+ <15 635 5.4% 1 0.0% 199 1.7% 27.5% 98 46.4% 50 23.7% 0 0.0% 0 0.0% 0 0.0% 5 2.4% 391 345 9.5% 4.7% 2,962 3,029 72.1% 41.0% 461 2,906 11.2% 39.4% 28 607 0.7% 8.2% 0 1 0.0% 0.0% 73 121 1.8% 1.6% Teenage Pregnancy, Arizona, 1993-2003 TABLE 19 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2003 Mother's Age Group Total Total No care Count Percent 1st trimester <15 11,700 Count 18 209 280 8.5% 5.1% 3.8% 7,212 101 47.9% 61.6% Count 2,964 Percent 25.3% 3rd trimester Count Count Percent Teenage Pregnancy, Arizona, 1993-2003 7,379 507 Percent Percent 18-19 4,110 4.3% 2nd trimester Unknown 15-17 211 809 6.9% 208 1.8% 67 31.8% 22 10.4% 3 1.4% 2,374 4,737 57.8% 64.2% 1,146 1,751 27.9% 23.7% 309 478 7.5% 6.5% 72 133 1.8% 1.8% 27 TABLE 20 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2003 Mother's Age Group Total Total Number of prenatal visits No visits Count Percent 1-4 visits Count Percent 5-8 visits 9-12 visits 13+ visits Unknown Count 4,110 18-19 7,379 507 18 209 280 4.3% 8.5% 5.1% 3.8% 793 20 275 498 6.8% 9.5% 6.7% 6.7% 50 976 2,564 21.9% Count 4,683 23.7% 73 Percent 40.0% Count 2,865 Percent 24.5% Count 15-17 211 Percent Percent 28 <15 11,700 34.6% 44 288 20.9% 6 2.5% 2.8% 1,538 23.7% 20.8% 1,611 2,999 39.2% 40.6% 932 1,889 22.7% 25.6% 107 175 2.6% 2.4% Teenage Pregnancy, Arizona, 1993-2003 TABLE 21 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2003 Total Total Substance use 11,700 Drinker, nonsmoker Count Percent Smoker, nondrinker Count Percent Smoker and drinker Count Percent Nonsmoker nondrinker Count Percent Teenage Pregnancy, Arizona, 1993-2003 25 0.2% 702 6.0% 39 0.3% 10,934 93.5% Mother's Age Group <15 15-17 211 1 0.5% 1 0.5% 0 0.0% 4,110 18-19 7,379 10 14 0.2% 0.2% 183 518 4.5% 7.0% 15 24 0.4% 0.3% 209 3,902 6,823 99.1% 94.9% 92.5% 29 30 Teenage Pregnancy, Arizona, 1993-2003 0 Smoker and drinker Unknown 5 or more visits <5 visits Unknown Term (37 weeks or more) 6 167 38 3 147 61 3 Preterm (36 weeks or less) 3 Unknown 14 Private Insurance Self 11 180 IHS AHCCCS 209 1 Smoker, nondrinker Nonsmoker and nondrinker 1 1 Drinker, nonsmoker 1 Unknown 37 Asian or Pacific Islander American Indian or Alaska Native 3 146 Hispanic or Latino Black or African American 23 White non Hispanic 0 20 10 1 3 26 1 0 0 0 29 30 0 0 0 0 0 6 1 21 2 Count 0.0% 12.0% 26.3% 33.3% 2.0% 42.6% 33.3% 0.0% 0.0% 0.0% 16.1% 14.4% 0.0% 0.0% 0.0% 0.0% 0.0% 16.2% 33.3% 14.4% 8.7% Percent LBW births Low birthweight: Any neonate weighing less than 2,500 grams (less than 5 pounds 8 ounces). Prenatal visits Length of gestation Payee for birth Substance use Race/ethnicity Total births Count <15 107 3,519 484 16 3,301 793 64 88 587 133 3,238 3,902 15 183 10 52 38 434 204 2,600 782 Total births Count 10 248 73 3 79 249 7 10 45 3 266 306 1 23 1 4 1 21 26 208 71 Count 9.3% 7.0% 15.1% 18.8% 2.4% 31.4% 10.9% 11.4% 7.7% 2.3% 8.2% 7.8% 6.7% 12.6% 10.0% 7.7% 2.6% 4.8% 12.7% 8.0% 9.1% Percent LBW births 15-17 Mother's Age Group 175 6,426 778 27 5,903 1,449 124 126 1,075 180 5,874 6,823 24 518 14 88 68 670 342 4,046 2,165 Total births Count TABLE 22 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2003 22 468 108 4 122 472 13 17 77 8 483 537 4 57 0 12 2 34 33 337 180 Count 12.6% 7.3% 13.9% 14.8% 2.1% 32.6% 10.5% 13.5% 7.2% 4.4% 8.2% 7.9% 16.7% 11.0% 0.0% 13.6% 2.9% 5.1% 9.6% 8.3% 8.3% Percent LBW births 18-19 Teenage Pregnancy, Arizona, 1993-2003 31 2 1 5,781 1,060 18.3 1,162 79 6.8 AMERICAN INDIAN OR ALASKA NATIVE # Births (all ages) # Births to Teenagers % Births to Teenagers ASIAN OR PACIFIC ISLANDER # Births (all ages) # Births to Teenagers % Births to Teenagers 1,271 72 5.7 5,513 1,095 19.9 2,477 576 23.3 23,72 4 5,075 21.4 37,78 0 4,023 10.6 12,16 3 1,996 16.4 58,73 3 8,862 15.1 70,89 6 10,85 8 15.2 1994 1,342 85 6.3 5,086 991 19.5 2,233 491 22.0 25,14 1 5,351 21.3 38,48 8 4,042 10.5 12,09 3 2,017 16.7 60,29 3 8,956 14.9 72,38 6 10,97 3 15.2 1995 1,427 76 5.3 5,328 996 18.6 2,336 498 21.3 27,39 6 5,628 20.5 38,49 4 4,033 10.5 12,21 5 2,009 16.4 62,87 9 9,234 14.7 75,09 4 11,24 7 15.0 1996 Includes records for ethnic groups other than White, Hispanic, Black, American Indian or Asian. Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 2,402 581 24.2 22,24 7 4,688 21.1 37,38 1 4,024 10.8 14,41 0 2,551 17.7 54,62 7 7,887 14.4 69,03 7 10,43 8 15.1 1993 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 COUNTIES2 # Births (all ages) # Births to Teenagers % Births to Teenagers ARIZONA TOTAL1 # Births (all ages) # Births to Teenagers % Births to Teenagers Group 1,602 66 4.1 5,271 971 18.4 2,485 519 20.9 27,94 1 5,736 20.5 37,86 9 3,733 9.9 12,05 3 2,009 16.7 63,51 0 9.076 14.3 75,56 3 11,08 5 14.7 1997 1,747 73 4.2 5,460 1,122 20.6 2,629 586 22.3 28,82 4 5,951 20.6 38,61 1 3,843 10.0 12,11 5 2,090 17.3 65,82 5 9,605 14.6 77,94 0 11,69 5 15.0 1998 1,875 92 4.9 5,295 1,050 19.8 2,699 603 22.3 30,78 4 6,161 20.0 38,71 1 3,869 10.0 11,87 7 2,067 17.4 68,61 1 9,896 14.4 80,50 5 11,96 3 14.9 1999 2,041 100 4.9 5,602 1,089 19.4 2,760 572 20.7 33,89 3 6,548 19.3 39,85 0 3,759 9.4 12,33 3 2,083 16.9 72,59 6 10,10 2 13.9 84,98 5 12,18 9 14.3 2000 TABLE 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, ETHNIC GROUP AND YEAR, ARIZONA, 1993-2003 2,104 104 4.9 5,340 1,013 19.0 2,736 545 19.9 35,10 3 6,648 18.9 38,93 4 3,3,96 8.7 11,85 1 1,882 15.9 73,31 9 9,906 13.5 85,21 3 11,79 0 13.8 2001 2,281 96 4.2 5,545 1,039 19.0 2,753 468 17.0 36,08 9 6,585 18.2 38,81 9 3,064 7.9 12,49 8 1959 19.6 74,85 1 9,512 10.4 87,37 9 11,47 4 13.1 2002 2,524 107 4.2 5,881 1,141 19.4 3,022 549 18.2 39,10 1 6,792 17.4 38,84 2 2,970 7.6 12,84 8 2,014 15.7 77,90 5 9,686 12.4 90,87 3 11,70 0 12.9 2003 TABLE 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1993-2003 15 - 19 Years Old Under 15 Years Total Year 15-17 Years 18-19 Years AZ U.S. AZ U.S. AZ U.S. AZ U.S. 1993 1.3 1.4 82.1 59.6 51.2 37.8 116.4 92.1 1994 1.7 1.4 82.8 58.9 53.0 37.6 118.5 91.5 1995 1.6 1.3 79.1 56.8 50.1 36.0 117.1 89.1 1996 1.4 1.2 76.1 54.4 49.0 33.8 119.0 86.0 1997 1.4 1.1 72.8 52.3 46.1 32.1 114.9 83.6 1998 1.4 1.0 73.9 51.1 47.0 30.4 114.9 82.0 1999 1.4 0.9 72.9 49.6 43.7 28.7 117.1 80.3 2000 1.2 0.9 67.6 48.5 41.1 27.4 105.7 78.1 2001 1.0 0.8 63.3 45.3 37.8 24.7 99.9 76.1 2002 1.0 0.7 59.7 42.9 35.5 23.2 94.3 72.7 2003 1.0 NA 59.2 NA 35.9 NA 92.5 NA Note: the U.S. data are from the National vital statistics reports published by the National Center for Health Statistics. 32 Teenage Pregnancy, Arizona, 1993-2003 Teenage Pregnancy, Arizona, 1993-2003 33 Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies Total Previous pregnancies 11 12 13 14 15 16 17 18 19 MOTHER’S AGE None One or more Unknown None One or more Unknown None One or more Unknown None One or more Unknown None One or more Unknown None One or more None One or more Unknown None One or more None One or more 0 0 0 2 2 0 27 26 1 0 158 152 6 555 512 43 0 1,303 1,121 182 0 2,012 1,507 505 0 2,862 1,864 998 0 3,519 1,983 1,536 0 1993 1 1 0 3 3 0 45 43 2 0 197 188 9 664 601 63 0 1,315 1,126 189 0 2,153 1,669 484 0 2,865 1,911 954 0 3,615 2,117 1,498 0 1994 0 0 0 6 6 0 32 31 1 0 191 181 10 649 588 61 0 1,337 1,175 162 0 2,192 1,710 482 0 3,005 2,050 955 0 3,561 2,149 1,412 0 1995 1 1 0 3 3 0 34 32 2 0 178 174 4 658 613 45 0 1,434 1,239 195 0 2,248 1,778 470 0 2,926 2,032 894 0 3,765 2,194 1,571 0 1996 1 1 0 4 4 0 33 33 0 0 176 165 11 598 553 41 4 1,363 1,175 182 6 2,258 1,729 516 13 2,902 1,951 939 12 3,750 2,180 1,554 16 1997 0 0 0 5 4 1 34 33 1 0 195 186 9 651 597 51 3 1,443 1,261 175 7 2,303 1,831 463 9 3,153 2,138 1,002 13 3,911 2,284 1,606 21 1998 0 0 0 2 2 0 36 36 0 0 200 189 11 595 559 35 1 1,388 1207 177 4 2,253 1,772 475 6 3,300 2,247 1,041 12 4,189 2,485 1,680 24 1999 YEAR OF BIRTH 0 0 0 4 4 0 37 35 2 0 175 172 3 647 604 36 3 1,376 1,205 163 8 2,261 1,806 447 8 3,338 2,313 1,014 11 4,351 2,627 1,706 18 2000 0 0 0 3 3 0 28 28 0 0 167 157 10 620 569 49 2 1,353 1,171 176 6 2,107 1,634 464 9 3,168 2,161 988 19 4,344 2,597 1,735 12 2001 TABLE 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1993-2003 22 21 0 1 178 167 11 512 470 41 1 1,336 1,169 166 1 2,104 1,658 437 9 3,208 2,231 967 10 4,108 2,496 1,595 17 26 25 1 0 181 176 5 587 551 36 0 1,314 1,144 168 2 2,209 1,729 475 5 3,211 2,209 996 6 4,168 2,592 1,567 9 2002 2003 1 1 1 1 0 0 5 3 5 3 0 0 TABLE 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2003 Year Baby Was Born Mother was 19 or younger in 2003 MOTHER'S AGE WHEN BABY WAS BORN 10 11 12 13 14 15 16 17 18 19 1994 0 1995 0 0 1996 0 1 3 1997 0 1 4 33 1998 0 0 5 34 195 1999 0 0 2 36 200 595 2000 0 0 4 37 175 647 1,376 2001 0 0 3 28 167 620 1,352 2,107 2002 0 1 5 22 178 512 1,336 2,104 3,208 2003 0 1 3 26 181 587 1,314 2,209 3,211 4,168 11,700 0 4 29 216 1,096 2,961 5,378 6,420 6,419 4,168 26,691 Cumulative number of mothers 19 or younger 0 0 4 38 234 833 2,239 4,277 7,366 NOTE: The above table focuses on the 2003 cohort of Arizona mothers who were 19 or younger that year. Among them are those who: - gave birth to the 11,700 babies in 2003; - gave birth to a baby prior to 2003 and were still 19 or less years old in 2003. 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 2003 by the year baby was born. For example, from among those girls and adolescents who had their baby in 1997, 38 remained in their teens in 2003. The bottom row gives the cumulative total by mother's age when baby was born. For example, among the 26,691 mothers under 20 in Arizona in 2003, 1,096 had given birth when 14 years old. Excluded from the cumulative totals and not shown above the main diagonal (and above stair-like line) are the numbers of mothers who were 19 years old when the baby was born, but who were no longer under the age 20 by 2003. For example, mothers who were 11 years old in 1994 were 20 years old in 2003. The figures in Table 26 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 1993-2003. 34 Teenage Pregnancy, Arizona, 1993-2003 TABLE 27 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2003 POPULATION* 15-19 All 19 years 10-14 years years, total or younger 15-19 years 15-17 18-19 White Non-Hispanic 214,054 107,547 106,507 62,461 44,046 Hispanic or Latino 130,022 67,197 62,825 36,867 25,958 Black or African American 14,627 7,728 6,899 4,133 2,766 American Indian or Alaska Native 30,422 16,245 14,177 8,858 5,319 6,995 3,276 3,719 2,049 1,670 396,120 201,993 194,127 114,368 79,759 Asian or Pacific Islander ALL GROUPS NUMBER OF PREGNANCIES All 19 years 15-19 10-14 years years, total or younger 15-19 years 15-17 18-19 White Non-Hispanic 3,903 41 3,862 1,090 2,772 Hispanic or Latino 7,476 174 7,302 2,819 4,483 664 9 655 247 408 Black or African American American Indian or Alaska Native 1,215 40 1,175 461 714 Asian or Pacific Islander 134 2 132 45 87 ALL GROUPS 262 6 256 93 163 13,654 272 13,382 4,755 8,627 PREGNANCY RATES** All 19 years 15-19 10-14 years years, total or younger 15-19 years 15-17 18-19 White non-Hispanic 18.2 0.4 36.3 17.5 62.9 Hispanic or Latino 57.5 2.6 116.2 76.5 172.7 Black or African American 45.4 1.2 94.9 59.8 147.5 American Indian or Alaska Native 39.9 2.5 82.9 52.0 134.2 Asian or Pacific Islander 19.2 0.2 35.5 22.0 52.1 ALL GROUPS 34.5 0.0 1.3 41.6 108.2 *In order to obtain the 2003 population denominators, the 2000 percentages of population breakdowns (or census shares) by age group and gender were applied to total state and county population estimates for 2003 released by the Department of Economic Security on 12/11/03. The total for all groups includes racial/ethnic groups other than White non-Hispanic, Hispanic, Black, American Indian and Asian. **Number of pregnancies per 1,000 females in specified group. Teenage Pregnancy, Arizona, 1993-2003 35 TABLE 28 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2003 15-19 years County of residence Apache Cochise Coconino Gila Graham Greenlee Maricopa Mohave Navajo Pima Pinal Santa Cruz Yavapai Yuma La Paz TOTAL STATE All 19 years or younger 10-14 years 15-19 years, total 15-17 years 18-19 years 7,717 4,347 3,370 2,217 1,153 9,389 4,812 4,577 2,834 1,743 10,637 4,953 5,684 3,207 2,477 3,804 2,091 1,713 1,115 598 3,231 1,589 1,642 843 799 693 362 331 223 108 232,378 118,876 113,502 67,003 46,499 10,386 5,519 4,867 3,123 1,744 10,370 5,702 4,668 3,112 1,556 64,681 31,276 33,405 17,879 15,526 13,205 6,953 6,252 3,954 2,298 3,761 2,074 1,687 1,090 597 11,245 5,745 5,500 3,514 1,986 13,382 7,048 6,334 3,853 2,481 1,241 646 595 401 194 396,120 201,993 194,127 114,368 79,759 NOTE: In order to obtain the 2003 population denominators, the 2000 percentages of population breakdowns (or census shares) by age group and gender were applied to total state and county population estimates for 2003 released by the Department of Economic Security on 12/11/03. 36 Teenage Pregnancy, Arizona, 1993-2003 Our Web site at http://www.azdhs.gov/plan provides instantaneous access to a wide range of statistical information about health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality and morbidity towards established health objectives. Additional reports and studies include Differences in Health Status by Ethnic Group, Advance Vital Statistics by County of Residence, Mortality from Alzheimer's Disease, Injury Mortality among Arizona Residents (accidents, suicides, homicides, legal intervention, firearm-related fatalities, drug-related deaths, drowning deaths), Community Vital Statistics, Teenage Pregnancy, Selected Characteristics of Newborns and Mothers Giving Birth by Census Tract in Maricopa County, Pima County and South Phoenix Area, Health Status Profile of American Indians in Arizona and Deaths from Exposure to Excessive Natural Heat Occurring in Arizona. Health Status and Vital Statistics Section Bureau of Public Health Statistics Public Health Services ARIZONA DEPARTMENT OF HEALTH SERVICES