TEENAGE PREGNANCY Arizona,1995-2005 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 Susan Gerard, 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. Office of the Director 150 North 18th Avenue, Suite 500 Phoenix, Arizona 85007 (6020 542-1025 (602) 542-1062 FAX JANET NAPOLITANO, GOVERNOR SUSAN GERARD, DIRECTOR January 2007 Dear Arizona Residents, I am encouraged by the 20th annual report on teen pregnancy in Arizona. Our state is mirroring the national trend of a decrease in the teen pregnancy rate. This report illustrates that teen pregnancy in Arizona has been decreasing since 1998 and that in 2005 it was 5.5 percent lower than in 2004. This is encouraging news. However, it is important to note that although in 2005 the average teen pregnancy rate dropped, nearly 14,000 women age 19 or younger in Arizona became pregnant. Approximately 61% of live births to teens were born to Hispanic mothers. Based on national-level research, we can assume that the vast majority of these pregnancies were unintended. It is important not to interpret this decrease as reason to no longer address teenage pregnancy because we know that teenage pregnancy tends to have a negative impact on the mother and child alike. For example, teen mothers are less likely to finish school and more likely to be single parents. Less than one-third of teens who become mothers before age 18 ever earn a high school diploma and only 1.5% earn a college degree by age 30. In addition, there are several medical risk factors during pregnancy that are more prevalent among teens. For example, poor weight gain, pregnancy-induced hypertension and anemia. Similarly, children born to teen mothers have a higher prevalence of health-related problems and low birth weight, the latter which raises the probability of infant death, blindness, deafness, and chronic respiratory problems. Irregardless of their greater need for healthcare, they tend to receive less medical treatment as compared to the children of older mothers. Therefore, while the results from this report are promising much work remains to be done to ensure that teenage girls are able to develop physically, emotionally and cognitively before entering motherhood. I encourage both the Arizona Department of Health Services staff and our partners to continue their meaningful work in developing and implementing programs to work with teenage girls, their partners and families to educate and promote teenagers to delay childbirth. Sincerely, Susan Gerard Director Leadership for a Healthy Arizona TEENAGE PREGNANCY, ARIZONA, 1995-2005 by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Clare Torres, Senior Health Data Analyst November 2006 TEENAGE PREGNANCY, ARIZONA, 1995-2005 Table of Contents PURPOSE........................................................................................................................................................................1 METHODS AND SOURCES ...............................................................................................................................................1 DATA ORGANIZATION....................................................................................................................................................1 COMPARATIVE NATIONAL AND STATE DATA..................................................................................................................1 KEY FINDINGS ...............................................................................................................................................................2 DATA TABLES ...............................................................................................................................................................13 List of Figures Figure 1...................................................................................................................................................................................3 PREGNANCY RATES BY AGE GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Figure 2...................................................................................................................................................................................3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Figure 3...................................................................................................................................................................................4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Figure 4...................................................................................................................................................................................4 TRENDS IN THE NUMBER OF LIVE BIRTHS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Figure 5...................................................................................................................................................................................5 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2005 Figure 6...................................................................................................................................................................................5 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2005 Figure 7...................................................................................................................................................................................6 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES AGED 15-19 YEARS, ARIZONA, 2000-2005 Figure 8...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY RACE/ETHNIC GROUP AMONG FEMALES AGE 19 OR YOUNGER IN ARIZONA, 2000-2005 Figure 9...................................................................................................................................................................................7 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1985, 1995 AND 2005 Figure 10.................................................................................................................................................................................7 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 1995 AND 2005 Figure 11.................................................................................................................................................................................8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2000-2005 Figure 12.................................................................................................................................................................................8 BIRTH RATES AMONG ALL FEMALES 15-19 YEARS OLD AND HISPANIC OR LATINO FEMALES 15-19 YEARS OLD IN ARIZONA (2000-2005) AND NATIONALLY (2000-2004) Figure 13.................................................................................................................................................................................9 BIRTH RATES FOR 15-19 YEARS OLD BY STATE OR TERRITORY, UNITED STATES, 2004 Figure 14............................................................................................................................................................................... 10 BIRTH RATES FOR 15-17 YEARS OLD BY STATE OR TERRITORY, UNITED STATES, 2004 Figure 15............................................................................................................................................................................... 11 BIRTH RATES FOR 18-19 YEARS OLD BY STATE OR TERRITORY, UNITED STATES, 2004 Teen Pregnancy, Arizona 1995-2005 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNIC GROUP AND YEAR, ARIZONA, 1995-2005 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNIC GROUP AND YEAR, ARIZONA, 1995-2005 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 1995-2005 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 1995-2005 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 1995-2005 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 1995-2005 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1995-2005 Table 10A .............................................................................................................................................................................. 23 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2005 Table 10B .............................................................................................................................................................................. 24 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2005 Table 11 ................................................................................................................................................................................ 25 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2005 Table 12 ................................................................................................................................................................................ 26 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2005 Table 13 ................................................................................................................................................................................ 27 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2005 Table 14 ................................................................................................................................................................................ 28 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2005 Table 15 ................................................................................................................................................................................ 29 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2005 ii Teen Pregnancy, Arizona 1995-2005 List of Tables (continued) Table 16 ................................................................................................................................................................................ 30 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2005 Table 17 ................................................................................................................................................................................ 30 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2005 Table 18 ................................................................................................................................................................................ 30 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2005 Table 19 ................................................................................................................................................................................ 31 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2005 Table 20 ................................................................................................................................................................................ 31 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2005 Table 21 ................................................................................................................................................................................ 32 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2005 Table 22 ................................................................................................................................................................................ 33 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2005 Table 23 ................................................................................................................................................................................ 34 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNIC GROUP AND YEAR, ARIZONA. 1995-2005 Table 24 ................................................................................................................................................................................ 35 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1995-2005 Table 25 ................................................................................................................................................................................ 36 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1995-2005 Table 26 ................................................................................................................................................................................ 37 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2005 Table 27 ................................................................................................................................................................................ 38 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2005 Table 28 ................................................................................................................................................................................ 39 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2005 Appendix............................................................................................................................................................................... 40 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 1995-2005 iii PURPOSE This report is the 2005 update of information about pregnancies among females under age 20. The data for 2005 is placed in a temporal context by comparing it with the data from the preceding years. METHODS AND SOURCES In this report, pregnancies are measured as the sum of three components: live births, fetal deaths (or stillbirths) and reported abortions to Arizona resident women, unless otherwise specified. Not included are spontaneous fetal losses that occur at less than 20 weeks of gestation. Induced terminations of pregnancy do not include those performed out-of-state to Arizona residents, since they are not reported in Arizona. Pregnancy statistics for Arizona are not available on a sub-county level. Teens are defined as 10-14 year old preadolescents and adolescents 15-19 years of age. Where possible, the data presented distinguishes 18-19 year old teenagers from those aged 15-17 and girls less than 15 years of age. The primary source documents for the data are the certificates of live births, certificates of fetal deaths and reports of induced terminations of pregnancy filed with the Arizona Department of Health Services. 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 1995-1999) or census enumerations from the U.S. Census Bureau (data for 2000). In order to obtain the population denominators for 2001-2005, 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. DATA ORGANIZATION Tables 1-9 present annual numbers and rates of pregnancy, fertility and abortion by year from 1995 to 2005, age group and race/ethnicity for Arizona teens. Temporal trends and changes may be assessed from this 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 race/ethnic group in Arizona from 1995 to 2005. Table 24 compares birth rates in Arizona to those in the United States. The annual numbers of repeat pregnancies among teenage mothers are shown by age and year from 1995 to 2005 in Table 25. The estimated number of mothers who were under the age of 20 in Arizona in 2005 is given in Table 26. The 2005 population denominators for Arizona resident females by age group and race/ethnicity, as well as by age group and county of residence are presented in Table 27 and Table 28. COMPARATIVE NATIONAL AND STATE DATA Timely and reliable teen pregnancy statistics for other States and the Nation are not easily available. “Health, United States, 2005”, the premier annual publication of Department of Health and Human Services, contains no information about pregnancies. The latest available national teenage birth rates for 2004 were published at the end of September, 2006. No national abortion data have been available since the 2002 calendar data year, and no fetal death data since 2001. The National Center for Health Statistics (NCHS), the principal health statistics agency, published the teen pregnancy rates for the last time for the 2000 calendar data year. Teen Pregnancy, Arizona, 1995-2005 1 Data on abortions and pregnancies are also published by the Alan Guttmacher Institute (AGI). Its latest report, “U.S. Teenage Pregnancy Statistics. National and State Trends and Trends by Race/Ethnicity” was updated in September 2006. It includes pregnancy estimates by outcome for 19722003. The Alan Guttmacher Institute uses the NCHS data for the number of births and its own estimates of abortions and miscarriages. The number of abortions is calculated from surveys the Institute conducts of known abortion providers. However, the number of abortions by state of residence, woman’s age or Hispanic origin is not available from these surveys. The Alan Guttmacher Institute calculates these numbers by applying the distributions of characteristics compiled by the CDC Division of Reproductive Health (which receives the data from State health departments) to the results of its Abortion Provider Survey. For instance, abortion estimates by age group and state are “based on proportion of abortions obtained by women of the same age in neighboring and similar states”.* Unfortunately, the above approach does little to reveal the actual state-specific patterns of abortion practices, particularly when the states differ with respect to the accessibility of abortion providers or the prevalence of minorities among resident women in the childbearing ages (15-44 years). In addition and unlike other data sources, the Alan Guttmacher Institute includes in its estimation of the number of pregnancies the estimated numbers of miscarriages: “The number of miscarriages was estimated as 20 percent of births plus 10 percent of abortions”.** Again, this approach does little to reveal the actual differences in the miscarriage risks by age group, race/ethnicity or area. No comparable state-by-state data for 2005 are available at this time. Figures 13, 14 and 15 compare the birth rates among females 15-19, 15-17 and 18-19 years old in 2004 in the 50 states, the District of Columbia, and the territories. Given the lack of comparative data, this report is particularly important both to inform the Arizona Department of Health Service’s programs as well as those of our external partners. It is our hope that by publishing this data, programs and policies across the state will be better equipped to address the differential needs of teenagers in working towards reducing teen pregnancy among all race/ethnic groups, regardless of their level of income and/or place of residence. 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. Below are some highlights from the report: • From 1995 to 2005, teen pregnancy rate overall has fallen by 31 percent. • However, the number of pregnancies increased among Hispanic teens by 31.3 percent between 1995 and 2004 and slightly declined in 2005. • Although both first and repeat birth rates have fallen on average between 2000 and 2005, they have increased slightly for American Indians and the decline has been slower for Blacks, Hispanics and Asians, as compared to Whites. • Number of teen births paid for by AHCCCS increased by 26% from 1995 to 2005. __________________________________ *Abortion Factbook 1992 Edition. Readings, Trends and State and Local Data to 1988. Stanley K. Henshaw and Jennifer Van Vort, eds. New York: The Alan Guttmacher Institute 1992. ** U.S. Teenage Pregnancy Statistics. National and State Trends and Trends by Race/Ethnicity. New York: Guttmacher Institute. Updated September 2006. 2 Teen Pregnancy, Arizona, 1995-2005 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year Among Females 19 or Younger, Arizona, 1995-2005 160.0 The pregnancy rate for Arizona teenagers 15-19 years old in 2005 was 65.6 pregnancies per 1,000 females (Figure 1, Table 2), 5.5 percent lower than in 2004. The pregnancy rate for younger teenagers 15-17 years also slightly decreased in 2005 to 39.1/1,000. Similarly, the pregnancy rate for older teenagers 18-19 years old decreased from 108.7 in 2004 to 103.6 in 2005 (Figure 1). 140.0 120.0 18-19 years 100.0 80.0 15-19 years 60.0 15-17 years 40.0 All 19 or younger 20.0 0.0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 18-19 141.8 141.6 139.3 142.1 137.6 123.6 113.2 111.2 108.2 108.7 103.6 15-19 96.1 91.3 88.1 91.7 85.7 79.1 72.0 70.6 68.9 69.4 65.6 15-17 61.1 59.4 55.7 58.6 51.5 48.1 43.2 42.2 41.6 42.0 39.1 All 19 or younger 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 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 or Younger, Arizona, 1995-2005 Rate per 1,000 females 19 years or younger Number of pregnancies among females 19 or younger 60.0 16000 Pregnancy rates (left-hand scale) 45.0 12000 30.0 8000 15.0 4000 Number of pregnancies (right-hand scale) 0.0 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. The number of pregnancies among all females aged 19 years and younger decreased from 14,163 in 2004 to 13,898 in 2005 (Table 1). However, compared to 1995-1997 or 2001-2003, there were no fewer teen pregnancies in 2005 (Figure 2), but fewer pregnancies per 1,000 teenage females. 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Pregnancies 13356 13521 13438 14531 14095 14287 13429 13572 13654 14163 13898 Pregnancy rates 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 Pregnancy rate=The number of pregnancies per 1,000 females in specified age group. Teen Pregnancy, Arizona, 1995-2005 3 KEY FINDINGS Figure 3 Trends in the Number of Pregnancies*by Race/Ethnicity Among Females 19 or Younger, Arizona, 1995-2005 9000 The number of pregnancies to Hispanic females aged 19 years or younger exceeded the number of pregnancies among white nonHispanic peers in every year since 1994 (Figure 3 and Table 8 in this report show only the data for 19952005). In 2005, Hispanic or Latino mothers accounted for 55.7 percent of all pregnancies in this age group, followed by White non-Hispanics (26.1 percent). Black or African American, Asian or Pacific Islander and American Indian females aged 19 years or younger accounted for a slightly larger share of pregnancies in 2005 (18.2 percent) than they did in 1995 (16.3 percent). Hispanic 7500 6000 White non-Hispanic 4500 3000 American Indian 1500 Black Asian 0 1995 114 590 1057 1996 118 617 1056 1997 110 582 1117 1998 129 644 1301 1999 136 669 1155 2000 137 620 1216 2001 134 622 1053 2002 130 605 1082 2003 134 664 1215 2004 148 671 1215 2005 132 688 1289 White non-Hispanic 5286 Hispanic 5902 5249 6190 4978 6378 5375 6698 4915 6701 4814 7213 4175 7239 4102 7287 3903 7476 3924 7965 3631 7748 Asian Black American Indian *The sum of live births+induced abortions+spontaneous fetal deaths. 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 1995 to 2005 (Figure 4, Table 3, Table 8). While the number of live births to White non-Hispanic mothers declined by 32.1 percent from 1995 to 2005, the number of live births to Hispanic or Latino mothers increased by 34.3 percent during the same time. The number of live births to Asian or Pacific Islander mothers changed very little from 85 in 1995 to 96 in 2005. In contrast, the number of live births to American Indian mothers increased by 21.5 percent from 991 in 1995 to 1,204 in 2005. The number of births to Black or African American mothers also increased by 15.9 percent from 491 in 1995 to 569 in 2005. Figure 4 Trends in the Number of Live Births by Race/Ethnicity Among Females 19 or Younger, Arizona, 1995-2005 7500 Hispanic 6000 4500 White non-Hispanic 3000 1500 Black Asian 0 Asian Black 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 491 498 519 586 603 572 545 468 549 540 569 85 76 66 73 108 100 104 96 107 92 96 American Indian 991 996 971 1122 1050 1089 1013 1039 1141 1142 1204 White non-Hispanic 4042 4033 3733 3843 3869 3759 3396 3064 2970 2806 2744 5351 5628 5736 5951 6161 6548 6648 6585 6792 7138 7188 Hispanic 4 American Indian Teen Pregnancy, Arizona, 1995-2005 KEY FINDINGS Figure 5 Proportional Contribution of Surgical and Non-Surgical Abortions by Year Among Females 19 or Younger, Arizona, 2001-2005 100.0% Surgical 80.0% 60.0% 40.0% 20.0% Non-surgical The number of reported abortions to females 19 years or younger decreased from 2,220 in 2004 to 1,892 in 2005 (Table 1). It is unclear, whether this decrease represents a true decline in the number of abortions performed or, perhaps a lower response rate from providers. In 2005, as in 2004, nonsurgical abortions accounted for approximately 25 percent of all procedures reported in Arizona for females 19 years old or younger. 0.0% 2001 98.9 1.1 1512.0 17.0 Surgical % Non-surgical % Surgical # Non-surgical # 2002 83.3 16.7 1661.0 334.0 2003 77.0 23.0 1438.0 429.0 2004 74.5 25.5 1654.0 566.0 2005 74.9 25.1 1417.0 475.0 Figure 6 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity Among Females 19 or Younger, Arizona, 2005 White non-Hispanic 31.1% 68.9% ALL GROUPS 25.1% 74.9% American Indian 25.0% 75.0% Hispanic 18.7% 81.3% Asian 17.1% 82.9% Black 11.4% 0.0% Only among White non-Hispanic teens the proportion of non-surgical abortions exceeded the average for all groups. The ratios of reported non-surgical abortions among Black and Asian females were the lowest among ethnic groups. 88.6% 20.0% 40.0% 60.0% 80.0% 100.0% Non-surgical Surgical Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona, 1995-2005 5 KEY FINDINGS Figure 7 Rates of First and Repe at Births to Females Aged 1 5 -1 9 Y ears, Arizona, 2 0 0 0 -2 0 0 5 200 0 200 1 200 2 200 3 20 04 200 5 17 7.5 186.4 185.2 178.8 2 0 0 .0 18 3.1 18 1.3 2 4 0 .0 1 6 0 .0 47.7 48.6 49.8 52.7 8 0 .0 49.5 1 2 0 .0 57.1 The declines from 2000 to 2005 in teenage birth rates have reflected reductions both in the first and the repeat birth rates (Figure 7). The first birth rate for childless teenagers has dropped 16.5 percent from 57.1 first-time births per 1,000 females 15-19 years old in 2000, to 47.7/1,000 in 2005. The repeat birth rates for teenagers who had already had a child declined by 4.8 percent from 186.4 in 2004 to 177.5 in 2005 (Figure 7). Eighteen percent of teenagers (177.5/1,000) who already had one child gave birth again in 2005, compared to nineteen percent (186.4/1,000) in 2004. 4 0 .0 0 .0 Ra te s o f first- tim e childbe a ring * Rate s of re pe at ch ildbe ar ing** * N um be r of firs t b irths pe r 1 ,0 0 0 fema les 1 5 - 1 9 y ea rs o ld who ha ve not ha d a birth. * * N um b er o f rep ea t births p er 1 ,0 0 0 fem ale s 1 5 - 1 9 y ea rs old who ha ve ha d a b irth p rev iou s ly . S e e App end ix “H ow to c o mpute the rate s of firs t and re pe at c hildbea ring? “ P reg nanc y rate* 2 000 2001 2002 2 003 2004 2005 59.2 55.5 57.6 57.5 60.9 15.8 17.7 20.1 18.2 25.2 21.1 43.5 45.4 44.2 42.5 40.8 39.7 39.9 36.7 45.1 51.9 19.3 16.2 19.2 19.1 2 5 .0 36.6 41.3 5 0 .0 59.1 7 5 .0 21.3 The pregnancy rates for American Indian females aged 19 and younger increased again both in 2003 and 2005. The 2005 pregnancy rate of 40.8 pregnancies per 1,000 American Indian females 19 years old or younger differed from the 2000 rate by a mere 1.2 percent. Figure 8 C omparison of Pregnancy Rates* by Ethnic G roup Among Females Aged 1 9 and Y ounger in Arizona, 2 0 0 0 -20 0 5 20.3 Between 2000 and 2005, pregnancy rates among females aged 19 years or younger declined for all ethnic populations (Figure 8). The pregnancy rate for White nonHispanic females 19 years or younger decreased by 37.3 percent from 25.2 in 2000 to 15.8 in 2005. Asian or Pacific Islander, Black or African American and Hispanic or Latino females experienced not quite as steep reductions in their pregnancy rates. 0 .0 Asian American Indian Black Hispanic White non Hispanic * Number of pregnancies per 1,000 females 10-19 years old in spec ified group. 6 Teen Pregnancy, Arizona, 1995-2005 KEY FINDINGS Figure 9 Births to Mothers 19 or Younger by Marital Status, Arizona, 1985, 1995 and 2005 Unmarried Married 100.0% 13.8% 21.5% 41.4% 75.0% 50.0% 86.2% 78.5% 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 19 years old or younger was still below 60 percent). In 2005, nonmarital births accounted for 86.2 percent of births to mothers 19 years or younger. 58.6% 25.0% 0.0% 1985 1995 2005 Figure 1 0 Number of Births to Mothers 1 9 Y ears or Y ounger by Payee, Arizona, 1 9 9 5 and 2 0 0 5 Total births to mothers 19 y ears or y ounger A HCCCS P rivat e insurance 12,000 7 77 1,125 9,000 O t her 1,424 2,100 6,000 9,732 7,748 3,000 0 Percent of teen births paid for by AHCCCS 19 95 20 05 70.6 81.6 Teen Pregnancy, Arizona, 1995-2005 The total number of births to mothers 19 years or younger increased by 8.7 percent from 10,973 in 1995 to 11,933 in 2005 (Table 1). In contrast, the number of teen births paid for by the AHCCCS increased by 25.6 percent from 7,748 in 1995 to 9,732 in 2005. In 2005, the Arizona Health Care Cost Containment System (AHCCCS) paid for 81.6 percent of the deliveries to mothers 19 or younger (Table 15), compared to 70.6 percent in 1995 (Figure 10). Only one in eight (11.9) teenage mothers in 2005 had private health insurance to pay the costs of labor and delivery, compared to one in five (19.1 percent) in 1995. 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers Who Were 19 or Younger in Arizona by year, 2000-2005 Gave birth that year Gave birth before and was still 19 years old or younger 30,000 There were approximately 27,005 mothers under age 20 in Arizona in 2005. Among them there were the 11,933 who gave birth that year and the 15,072 who gave birth prior to 2005 and were still 19 years old or younger (Figure 11). In spite of the declining birth rates in 20002005, the cumulative number of mothers who were 19 years or younger in Arizona declined by only 3.3 percent. 27,923 27,500 27,005 26,870 26,691 26,784 25,000 20,000 15,000 12,198 11,790 10,000 11,474 11,933 11,863 11,700 5,000 0 2000 2001 2002 2003 2004 2005 *See Table 26 for more details. Figure 1 2 Both nationally and in Arizona, Hispanic teenagers 15-19 years old had the highest birth rates among the race/ethnic groups (Figure 12). In 2004, the birth rate 107.7 per 1,000 Arizona Hispanic females 1519 years old exceeded by 30.4 percent the rate of 82.6/1,000 for Hispanics nationally. Birth rates for teenagers vary considerably by State. Arizona’s adolescents 15-19 years old ranked eight in 2005 among the fifty states, the territories and the District of Columbia in the birth rates (Figure 13; see also Figure 14 for the birth rates among girls 15-17 years old and Figure 15 for the birth rates among older teenagers 18-19 years old). Birth Rates Among All Females 15 -1 9 Y ears O ld and Hispanic or L atino Females 15 -1 9 Y ears O ld in Arizona (20 00 -20 0 5) and Nationally (20 0 0-2 00 4 ) 1 2 0 .0 Hispanics, AZ 1 0 0 .0 Hispanics, U.S. 8 0 .0 6 0 .0 All groups AZ 4 0 .0 All groups, U. S. 2 0 .0 0 .0 All 15-19: U. S. 2000 48.5 2001 45.3 2002 43.0 2003 41.6 2004 41.1 All 15-19: AZ 67.6 63.3 59.7 59.2 58.2 2005 NA 56.5 Hispanic: U. S. 87.3 86.4 83.4 82.3 82.6 NA Hispanic: AZ 111.8 110.0 105.4 105.8 107.7 104.6 A ll 15-19: U.S. A ll 15-19: A Z Hispanic: U.S. Hispanic: A Z The latest available U.S. r ates are for 2004. 8 Teen Pregnancy, Arizona, 1995-2005 Teen Pregnancy, Arizona, 1995-2005 9 0 10 20 18.2 24.4 24.3 24.1 22.3 20.9 30 27.2 26.9 26.7 40 36.1 35.9 35.8 35.2 34.1 34 33.3 32.9 32.4 31.6 31.3 30.5 30.2 45.8 43.9 43.8 43.5 43.5 43.4 42.7 42.4 40.7 40.2 39.5 39.3 38.9 38.6 38.5 38.5 50 53.4 52.7 52.4 52.1 52.1 51.1 49.2 48.8 60 56.2 55.6 *The number of births per 1,000 females 15-19 years old in specified state or territory in 2004. Source: Table 11 in National Vital Statistics Reports, vol. 55 no 1. Births: Final data for 2004. Published 9/29/2006. District of Columbia.. Texas..................... Guam..................... Mississippi.............. Puerto Rico............. New Mexico............ Arkansas................ ARIZONA.............. Louisiana............... Oklahoma.............. Georgia................. Virgin Islands........ Alabama............... South Carolina...... Tennessee............ Nevada................ Kentucky............. North Carolina...... American Samoa.. Colorado............. West Virginia....... Delaware............ Indiana.............. Missouri............. Wyoming........... Florida.............. Kansas............. Illinois.............. California.......... Northern Marianas. Alaska................. Idaho................... Ohio..................... South Dakota........ Hawaii................ Nebraska............ Montana............. Virginia.............. Michigan............ Utah................. Oregon............. Rhode Island..... Maryland........... Iowa................ Washington...... Pennsylvania.... Wisconsin......... North Dakota.... New York.......... Minnesota......... Connecticut....... Maine............... New Jersey....... Massachusetts... Vermont............ New Hampshire.. Figure 13 Birth Rates* for 15-19 Years Old by State or Territory, United States, 2004 62.6 62.6 61.9 61.7 60.8 60.3 60.1 70 66.7 80 10 Teen Pregnancy, Arizona, 1995-2005 10 8.2 7.8 20 30 30.7 30.2 29.8 29.3 29.1 28.8 27.7 26.7 26.1 26 25.5 25.1 24.4 23.9 22.8 22.1 22 21.4 21.2 20.9 20.7 20.2 19.4 19.2 18.5 18.2 18 17.7 17.7 17.5 17.4 17.2 17.1 16.6 16.6 16.3 15.7 15.5 15.1 15.1 14.2 13.6 12.8 12.5 11.7 11.1 10.6 33.9 35.6 40 38.3 37.1 37.1 *The number of births per 1,000 females 15-17 years old in specified state or territory in 2004. Source: Table 11 in National Vital Statistics Reports, vol. 55 no 1. Births: Final data for 2004. Published 9/29/2006. 0 District of Columbia.. Puerto Rico.............. New Mexico............. Texas..................... Guam..................... ARIZONA................... Mississippi.............. Arkansas................ Louisiana............... Oklahoma.............. Georgia.................. Alabama................ South Carolina...... Nevada................. Tennessee........... North Carolina..... Northern Marianas.. Delaware............... Colorado............... Virgin Islands........ Kentucky.............. Illinois.................. Florida................. Missouri.............. West Virginia...... California........... Indiana.............. Kansas.............. American Samoa.. Wyoming............. Ohio................... Hawaii............... Nebraska.......... Maryland.......... Montana.......... Michigan......... Virginia........... South Dakota..... Alaska.............. Rhode Island.... Idaho............... Pennsylvania.. Oregon.......... Washington.... Utah............... Iowa.............. Wisconsin.... New York..... Minnesota... Connecticut.. New Jersey Massachusetts............... North Dakota................ Maine..................... Vermont................... New Hampshire............... Figure 14 Birth Rates* for 15-17 Years Old by State or Territory, United States, 2004 42.4 41.5 50 Teen Pregnancy, Arizona, 1995-2005 11 20 40 34.4 60 61.8 61.8 60.9 60.5 60.2 59.2 59.1 56.7 55.7 54.9 54.5 54.1 51.9 51.6 48.2 46.1 45.5 44.4 42.7 42.4 40.1 38.3 80 78.1 76.4 74.6 74.4 73.8 73 71.9 70.5 70 69.2 68.8 67.9 67.2 66.6 100 93.5 93.1 92 91.9 91.5 90.8 89.5 88.4 87.8 86.6 86.5 84.5 104.1 103.1 102.7 102.6 101.1 98.4 *The number of births per 1,000 females 18-19 years old in specified state or territory in 2004. Source: Table 11 in National Vital Statistics Reports, vol. 55 no 1. Births: Final data for 2004. Published 9/29/2006. 0 Alabama................... Mississippi................. NewMexico................. District of Columbia..... Texas..................... Puerto Rico................. Arkansas................ ARIZONA.................... Louisiana................ Guam..................... Oklahoma............... Colorado................... Georgia................... Tennessee................ North Carolina.......... Nevada.................... Northern Marianas...... South Carolina....... Delaware............... Florida.................... Kentucky................ Missouri................. West Virginia............ California................ Virgin Islands........... Ohio..................... Hawaii.................... Illinois.................... Indiana................... Maryland.................. American Samoa...... Nebraska.................. Kansas.................... Montana................... South Dakota............ Virginia.................... Michigan................. Rhode Island........... Alaska.................. Idaho.................... Pennsylvania....... Wyoming............. Oregon................ Washington.......... Utah..................... Wisconsin............. Iowa..................... New York................ Minnesota.............. Connecticut............. Massachusetts........ North Dakota.......... NewJersey............. Vermont................ Maine..................... New Hampshire..... Figure 15 Birth Rates* for 18-19 Years Old by State or Territory, United States, 2004 120 115.2 140 TEENAGE PREGNANCY, ARIZONA, 1995-2005 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Pregnancy outcome by year ALL PREGNANCIES 1995 14 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 13,356 314 13,042 5,092 7,950 1996 13,521 293 13,228 5,262 7,966 1997 13,438 278 13,160 5,096 8,064 1998 14,531 316 14,216 5,482 8,734 1999 14,095 303 13,792 4,993 8,799 2000 14,287 278 14,009 5,016 8,993 2001 13,429 253 13,170 4,661 8,515 2002 13,572 255 13,317 4,696 8,621 2003 13,654 272 13,382 4,755 8,627 2004 14,163 233 13,930 4,955 8,975 2005 LIVE BIRTHS 1995 13,898 239 13,659 4,790 8,869 10,973 229 10,744 4,178 6,566 1996 11,247 216 11,031 4,340 6,691 1997 11,085 214 10,871 4,219 6,652 1998 11,695 234 11,461 4,397 7,064 1999 11,963 238 11,725 4,236 7,489 2000 12,189 216 11,973 4,284 7,689 2001 11,790 198 11,592 4,080 7,512 2002 11,474 206 11,268 3,952 7,316 2003 11,700 211 11,489 4,110 7,379 2004 11,863 188 11,675 4,227 7,448 2005 ABORTIONS 1995 11,933 185 11,748 4,179 7,569 2,294 82 2,212 880 1,332 1996 2,186 72 2,114 892 1,222 1997 2,233 56 2,177 826 1,351 1998 2,735 78 2,657 1,046 1,611 1999 2,046 60 1,986 727 1,259 2000 1,988 57 1,931 684 1,247 2001 1,528 46 1,482 540 942 2002 1,995 44 1,951 705 1,246 2003 1,867 60 1,807 614 1,193 2004 2,220 44 2,176 703 1,473 2005 FETAL LOSSES 1995 1,892 54 1,838 582 1,256 89 3 86 34 52 1996 88 5 83 30 53 1997 120 8 112 51 61 1998 102 4 98 39 59 1999 85 5 80 29 51 2000 110 5 105 48 57 2001 111 9 102 41 61 2002 103 5 98 39 59 2003 87 1 86 31 55 2004 80 1 79 25 54 2005 73 0 73 29 44 Teen Pregnancy, Arizona 1995-2005 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1995-2005 Pregnancy outcome by year ALL PREGNANCIES 1995 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 47.4 2.2 96.1 61.1 141.8 1996 45.4 1.9 91.3 59.4 141.6 1997 43.8 1.8 88.1 55.7 139.3 1998 45.8 2.0 91.7 58.6 142.1 1999 42.7 1.8 85.7 51.5 137.6 2000 39.5 1.5 79.1 48.1 123.6 2001 36.0 1.3 72.0 43.2 112.2 2002 35.2 1.3 70.6 42.2 111.2 2003 34.5 1.4 68.9 41.6 108.2 2004 34.6 1.1 69.4 42.0 108.7 2005 LIVE BIRTHS 1995 32.7 1.1 65.6 39.1 103.6 38.9 1.6 79.1 50.1 117.1 1996 37.8 1.4 76.1 49.0 119.0 1997 36.1 1.4 72.8 46.1 114.9 1998 36.9 1.4 73.9 47.0 114.9 1999 36.2 1.4 72.9 43.7 117.1 2000 33.7 1.2 67.6 41.1 105.7 2001 31.6 1.0 63.3 37.8 99.9 2002 29.8 1.0 59.7 35.5 94.3 2003 29.5 1.0 59.2 35.9 92.5 2004 29.0 0.9 58.2 35.8 90.2 2005 ABORTIONS 1995 28.1 0.9 56.5 34.1 88.4 8.1 0.6 16.3 10.6 23.8 1996 7.4 0.5 14.6 10.1 21.7 1997 7.3 0.4 14.6 9.0 23.3 1998 8.6 0.5 17.1 11.2 26.2 1999 6.1 0.3 12.3 7.5 19.7 2000 5.5 0.3 10.9 6.6 17.1 2001 4.1 0.2 8.1 5.0 12.5 2002 5.2 0.2 10.3 6.3 16.1 2003 4.7 0.3 9.3 5.4 15.0 2004 5.4 0.2 10.8 6.0 17.8 2005 FETAL LOSSES 1995 4.5 0.2 8.8 4.8 14.7 0.3 0.0 0.6 0.4 0.9 1996 0.3 0.0 0.6 0.3 0.9 1997 0.4 0.0 0.7 0.6 1.0 1998 0.3 0.0 0.6 0.4 1.0 1999 0.3 0.0 0.5 0.3 0.8 2000 0.3 0.0 0.6 0.5 0.8 2001 0.3 0.0 0.6 0.4 0.8 2002 0.3 0.0 0.5 0.4 0.8 2003 0.2 0.0 0.4 0.3 0.7 2004 0.2 0.0 0.4 0.2 0.7 2005 0.2 0.0 0.4 0.2 0.5 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. Teen Pregnancy, Arizona 1995-2005 15 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNIC GROUP AND YEAR, ARIZONA, 1995-2005 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 1995 4,042 1996 4,033 1997 3,733 1998 3,843 1999 3,869 2000 3,759 2001 3,396 2002 3,064 2003 2,970 2004 2,806 2005 2,744 HISPANIC OR LATINO 1995 5,351 1996 5,628 1997 5,736 1998 5,951 1999 6,161 2000 6,548 2001 6,648 2002 6,585 2003 6,792 2004 7,138 2005 7,188 BLACK OR AFRICAN AMERICAN 1995 491 1996 498 1997 519 1998 586 1999 603 2000 572 2001 545 2002 468 2003 549 2004 540 2005 569 AMERICAN INDIAN OR ALASKA NATIVE 1995 991 1996 996 1997 971 1998 1,122 1999 1,050 2000 1,089 2001 1,013 2002 1,039 2003 1,141 2004 1,142 2005 1,204 ASIAN OR PACIFIC ISLANDER 1995 85 1996 76 1997 66 1998 73 1999 108 2000 100 2001 104 2002 96 2003 107 2004 92 2005 96 16 15-19 years Under 15 years Total 15-17 years 18-19 years 51 40 27 38 31 38 34 23 23 17 17 3,991 3,993 3,706 3,805 3,838 3,721 3,362 3,041 2,947 2,789 2,727 1,338 1,368 1,239 1,261 1,115 1,040 926 824 782 747 711 2,653 2,625 2,467 2,544 2,723 2,681 2,436 2,217 2,165 2,042 2,016 133 132 146 142 149 144 132 147 146 137 137 5,218 5,496 5,590 5,809 6,012 6,404 6,516 6,438 6,646 7,001 7,051 2,241 2,308 2,329 2,419 2,415 2,567 2,552 2,507 2,600 2,779 2,721 2,977 3,188 3,261 3,390 3,597 3,837 3,964 3,931 4,046 4,222 4,330 17 10 13 16 14 12 13 12 3 12 8 474 488 506 570 589 560 532 456 546 528 561 185 220 207 223 222 198 193 152 204 180 199 289 268 299 347 367 362 339 304 342 348 362 25 28 25 31 38 20 17 18 37 21 21 966 968 946 1,091 1,012 1,069 996 1,021 1,104 1,121 1,183 387 401 407 429 389 405 348 374 434 452 478 579 567 539 662 623 664 648 647 670 669 705 2 3 1 1 1 1 0 1 1 1 1 83 73 65 72 107 99 104 95 106 91 95 23 36 17 17 28 29 29 19 38 25 28 60 37 48 55 79 70 75 76 68 66 67 Teen Pregnancy, Arizona 1995-2005 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNIC GROUP AND YEAR, ARIZONA, 1995-2005 Total, females 19 years or younger WHITE NON-HISPANIC 1,244 1995 1,148 1996 1,179 1997 1,480 1998 981 1999 1,020 2000 746 2001 1,010 2002 914 2003 1,095 2004 867 2005 HISPANIC OR LATINO 551 1995 562 1996 642 1997 747 1998 540 1999 610 2000 534 2001 650 2002 630 2003 784 2004 522 2005 BLACK OR AFRICAN AMERICAN 99 1995 105 1996 107 1997 147 1998 96 1999 115 2000 71 2001 118 2002 107 2003 125 2004 114 2005 AMERICAN INDIAN OR ALASKA NATIVE 66 1995 54 1996 58 1997 53 1998 56 1999 43 2000 29 2001 40 2002 68 2003 65 2004 76 2005 ASIAN OR PACIFIC ISLANDER 29 1995 37 1996 42 1997 51 1998 28 1999 37 2000 30 2001 34 2002 27 2003 56 2004 35 2005 Race/ethnic group and year Teen Pregnancy, Arizona 1995-2005 15-19 years Under 15 years Total 15-17 years 18-19 years 33 27 29 38 26 25 16 20 18 19 15 1,211 1,121 1,150 1,442 955 995 730 990 896 1,076 852 481 478 433 563 369 342 262 367 304 341 278 730 643 717 879 586 653 458 623 592 735 574 30 23 21 29 16 22 22 15 27 20 21 521 539 621 718 524 588 512 635 603 764 501 204 218 240 292 183 228 199 235 197 247 151 317 321 381 426 341 360 313 400 406 517 350 4 6 0 4 7 5 3 4 6 1 5 95 99 107 143 89 110 68 114 101 124 109 34 44 40 51 27 42 28 30 40 46 32 61 55 67 92 62 68 40 84 61 78 77 3 4 2 0 3 2 3 3 3 1 4 63 40 56 53 53 41 26 37 65 64 72 24 18 17 22 17 13 7 12 25 17 21 39 32 39 31 36 28 19 25 40 47 51 0 1 0 0 1 0 0 0 1 1 0 29 36 42 51 27 37 30 34 26 55 35 11 9 19 20 10 11 15 10 7 19 10 18 27 23 31 17 26 15 24 19 36 25 17 18 Teen Pregnancy, Arizona 1995-2005 964 962 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 10-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 10-17 years old. 3 4 5 4.0 2 4.2 Abortion rate 18.9 3.5 18.2 22.0 882 4,433 5,374 19 18 38 19 432 489 40 220 242 261 2,475 2,736 462 1,266 1,760 1997 1 19.2 23.1 4,556 23.6 5,555 10 11 4,407 39 5,406 54 22 27 25 429 36 453 50 38 412 230 439 289 241 234 202 2,440 240 2,681 505 514 2,374 1,408 1,389 2,608 1,937 1996 1,903 1995 Fertility rate5 Pregnancy rate, total: Abortions ALL ETHNIC GROUPS4, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions HISPANIC OR LATINO, total: Births Abortions WHITE3 NON-HISPANIC, total: Births Race/ethnicity Pregnancy outcome 4.4 18.1 22.7 1,124 4,631 5,798 20 18 43 22 460 530 55 239 263 321 2,561 2,882 601 1,299 1,918 1998 3.0 16.8 19.9 787 4,474 5,296 11 29 40 20 427 450 34 236 275 199 2,564 2,763 395 1,146 1,566 1999 2.6 15.6 18.4 741 4,500 5,294 11 30 41 15 425 476 47 210 227 250 2,711 2,991 367 1,078 1,462 2000 2.0 14.3 16.5 586 4,278 4,914 15 29 44 10 365 384 31 206 240 221 2,684 2,930 278 960 1,250 2001 2.4 13.5 16.1 749 4,158 4,951 10 20 30 15 392 409 34 164 207 250 2,654 2,926 387 847 1,245 2002 2.1 13.7 15.9 674 4,321 5,027 8 39 47 28 471 501 46 207 256 224 2,746 2,993 322 805 1,131 2003 2.3 13.5 15.9 747 4,415 5,188 20 26 46 18 473 495 47 192 241 267 2,916 3,198 360 764 1,129 2004 TABLE 5 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES AGED 17 OR YOUNGER WITH RATES 2, ARIZONA, 1995-2005 1.9 12.9 14.8 636 4,364 5,029 10 29 39 25 499 530 37 207 247 172 2,858 3,043 293 728 1,028 2005 1.9 12.9 14.8 1.6 4.7 6.3 1.0 19.2 20.4 2.9 16.2 19.4 1.5 25.6 27.2 1.6 4.0 5.6 2005 Rates Teen Pregnancy, Arizona 1995-2005 19 9 11 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. 3 4 5 10.1 2 10.6 Abortion rate 49.0 59.4 892 9.0 46.1 55.7 826 5,096 4,219 19 17 37 17 407 439 40 207 250 240 2,329 2,569 433 1,239 1,699 1997 1 50.1 61.1 880 5,262 4,340 36 23 5,092 4,178 50 34 18 401 387 24 421 411 44 220 185 34 271 219 218 2,308 2,241 204 2,526 2,445 478 1,368 1,338 481 1,867 1996 1,819 1995 Fertility rate5 Pregnancy rate, total: Abortions ALL ETHNIC GROUPS4, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions HISPANIC OR LATINO, total: Births Abortions WHITE3 NON-HISPANIC, total: Births Race/ethnicity Pregnancy outcome 11.2 47.0 58.6 1,046 5,482 4,397 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 4,993 4,236 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 5,016 4,284 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 4,661 4,080 15 29 44 7 348 363 28 193 224 199 2,552 2,771 262 926 1,197 2001 6.3 35.5 42.2 705 4,696 3,952 10 19 29 12 374 388 30 152 189 235 2,507 2,761 367 824 1,202 2002 5.4 35.9 41.6 614 4,755 4,110 7 38 45 25 434 461 40 204 247 197 2,600 2,819 304 782 1,090 2003 6.0 35.8 42.0 703 4,955 4,227 19 25 44 17 452 473 46 180 228 247 2,779 3,040 341 747 1,093 2004 TABLE 6 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 1995-2005 4.8 34.1 39.1 582 4,790 4,179 10 28 38 21 478 505 32 199 234 151 2,721 2,885 278 711 996 2005 4.8 39.1 34.1 4.3 11.9 16.2 2.3 52.0 55.0 7.1 43.9 51.6 3.8 68.7 72.9 4.2 10.6 14.9 2005 Rates 20 Teen Pregnancy, Arizona 1995-2005 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. 4 5 3 Fetal deaths are included in the total count of pregnancies. 21.7 23.3 114.9 139.3 1,351 6,652 8,064 2 23.8 Abortion rate 119 141.6 1,222 6,691 7,966 23 48 72 39 539 600 67 299 368 381 3,261 3,642 717 2,467 3,218 1997 1 117.1 141.8 1,332 6,566 7,950 27 37 60 18 64 78 32 567 579 39 603 618 55 268 289 61 328 350 321 3,188 2,977 317 3,509 3,234 643 2,625 730 3,312 2,653 1996 3,383 1995 Fertility rate5 Pregnancy rate, total: Abortions ALL ETHNIC GROUPS4, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions HISPANIC OR LATINO, total: Births Abortions WHITE3 NON-HISPANIC, total: Births Race/ethnicity Pregnancy outcome 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 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 17.8 90.2 108.7 1,473 7,448 8,975 36 66 102 47 669 720 78 348 430 517 4,222 4,767 735 2,042 2,795 2004 TABLE 7 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 1995-2005 14.7 88.4 103.6 1,256 7,569 8,869 25 67 93 51 705 759 77 362 441 350 4,330 4,705 574 2,016 2,603 2005 14.7 88.4 103.6 12.8 34.3 47.6 9.2 127.3 137.0 25.3 118.8 144.8 12.6 155.4 168.9 12.2 42.7 55.1 2005 Rates Teen Pregnancy, Arizona 1995-2005 21 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. 3 4 5 7.4 2 8.1 45.4 37.8 7.3 36.1 43.8 2,233 11,085 13,438 42 66 110 58 971 1,117 107 519 582 642 5,736 6,378 1,179 3,733 4,978 1997 1 Abortion rate 47.4 38.9 2,186 11,247 10,973 2,294 13,521 13,356 37 76 85 29 118 114 54 996 991 66 1,056 1,057 105 498 491 99 617 590 562 5,628 5,351 551 6,190 5,902 1,148 4,033 4,042 1,244 5,249 1996 5,286 1995 Fertility rate5 Pregnancy rate, total: Abortions ALL ETHNIC GROUPS4, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions HISPANIC OR LATINO, total: Births Abortions WHITE3 NON-HISPANIC, total: Births Race/ethnicity Pregnancy outcome 8.6 36.9 45.8 2,735 11,695 14,532 51 73 129 53 1,122 1,301 147 586 644 747 5,951 6,698 1,480 3,843 5,375 1998 6.2 36.2 42.7 2,046 11,963 14,095 28 108 136 56 1,050 1,155 96 603 669 540 6,161 6,701 981 3,869 4,915 1999 5.5 33.7 39.5 1,988 12,189 14,287 37 100 137 43 1,089 1,216 115 572 620 610 6,548 7,213 1,020 3,759 4,814 2000 4.1 31.6 36.0 1,528 11,790 13,429 30 104 134 29 1,013 1,053 71 545 622 534 6,648 7,239 746 3,396 4,175 2001 5.2 29.8 35.2 1,995 11,474 13,572 34 96 130 40 1,039 1,082 118 468 605 650 6,585 7,287 1,010 3,064 4,102 2002 4.7 29.5 34.5 1,867 11,700 13,654 27 107 134 68 1,141 1,215 107 549 664 630 6,792 7,476 914 2,970 3,903 2003 5.4 29.0 34.6 2,220 11,863 14,163 56 92 148 65 1,142 1,215 125 540 671 784 7,138 7,965 1,095 2,806 3,924 2004 TABLE 8 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER, WITH RATES 2, ARIZONA, 1995-2005 4.5 28.1 32.7 1,892 11,933 13,898 35 96 132 76 1,204 1,289 114 569 688 522 7,188 7,748 867 2,744 3,631 2005 4.5 28.1 32.7 4.3 11.8 16.2 2.4 38.2 40.8 7.2 36.0 43.5 3.7 51.5 55.5 3.8 12.0 15.8 2005 Rates 19 YEARS OR YOUNGER 18-19 YEARS OLD 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 APACHE 31.7 29.6 30.4 30.2 23.9 29.2 21.6 23.2 30.8 32.8 25.9 113.4 107.2 98.8 105.7 88.3 109.9 91.9 100.7 130.1 141.6 105.4 13.9 12.7 15.7 13.7 9.6 15.0 9.2 9.6 13.4 13.5 11.9 ARIZONA 47.4 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 141.8 141.6 139.3 142.1 137.6 135.8 113.2 111.1 108.2 108.7 103.6 23.6 23.0 22.0 22.7 19.9 18.4 16.5 16.1 15.9 15.9 14.8 COCHISE 14.3 12.7 11.7 42.9 37.5 39.8 36.2 35.6 38.7 34.3 30.6 31.5 30.0 30.0 106.5 114.8 155.6 115.5 115.5 124.5 116.8 104.4 107.3 106.7 110.0 20.3 19.7 19.2 16.9 15.8 19.1 15.5 13.7 COCONINO 13.6 12.9 12.1 39.6 39.7 31.7 28.0 30.2 28.6 30.3 26.0 26.9 27.7 27.7 106.3 112.7 91.8 77.6 78.9 74.7 84.3 68.9 70.6 76.9 79.5 20.6 18.9 14.1 12.8 15.1 14.6 13.9 13.0 23.7 15.4 18.2 40.5 42.4 45.0 45.4 41.4 41.1 43.2 42.4 42.8 38.4 38.8 133.3 143.8 154.5 130.5 121.0 167.3 154.3 151.5 145.5 164.3 150.5 19.5 20.1 30.4 24.8 22.1 17.6 22.5 22.1 GRAHAM 10.7 10.9 9.0 28.9 40.1 41.3 36.3 29.3 28.8 33.8 29.9 27.5 22.5 20.9 96.3 131.8 120.4 111.1 94.8 74.1 84.9 78.4 78.8 57.7 56.7 13.8 16.9 22.5 19.4 13.7 13.9 17.0 14.0 GREENLEE 18.8 10.9 6.6 51.8 53.6 46.1 43.3 34.9 26.7 18.3 40.0 26.0 36.6 31.0 229.6 189.4 192.6 94.0 116.1 123.8 78.4 161.9 64.8 173.1 174.8 15.2 26.8 16.5 31.9 16.3 8.8 7.2 17.5 MARICOPA 16.9 16.5 15.7 48.9 47.1 44.6 46.9 44.6 40.7 37.2 36.0 36.0 35.5 33.9 157.4 146.8 143.0 148.0 146.5 127.8 117.3 114.2 112.4 110.9 106.5 24.5 24.0 22.4 23.0 21.0 18.9 17.2 16.5 MOHAVE 11.1 11.8 11.5 45.2 44.2 42.6 40.1 40.1 33.5 31.4 32.5 30.9 28.7 32.1 193.9 146.8 156.3 139.1 139.4 139.7 132.5 131.5 129.0 112.8 134.0 15.5 22.1 18.5 18.1 17.4 12.0 10.9 12.5 NAVAJO 13.0 14.6 14.4 42.1 37.0 37.4 41.9 40.4 34.8 26.7 28.5 29.6 33.7 33.1 150.2 130.3 124.5 138.0 141.7 154.1 111.7 121.5 123.4 141.3 138.2 19.2 16.9 18.3 20.9 17.9 13.7 11.7 12.0 PIMA 14.6 15.1 14.0 45.5 44.3 43.1 43.1 38.8 39.6 36.0 36.3 32.0 33.8 30.6 134.1 134.6 133.3 123.8 118.3 104.7 96.6 96.7 86.0 93.7 83.7 23.7 21.8 20.4 22.0 17.6 19.1 16.9 17.2 PINAL 16.8 18.3 14.9 50.8 47.9 46.8 49.4 44.9 47.7 43.7 38.5 38.1 36.4 33.5 167.1 147.6 152.1 159.9 145.9 161.0 156.9 130.2 139.3 121.0 119.8 26.6 27.2 24.7 25.6 22.3 23.8 19.8 19.1 SANTA CRUZ 11.1 17.9 15.2 44.6 42.3 43.1 48.3 41.7 39.3 33.0 36.4 30.0 38.6 30.7 150.2 135.7 122.6 136.9 145.2 132.1 113.7 137.7 130.7 147.2 111.8 21.1 21.7 23.8 26.4 17.1 21.8 17.8 17.2 9.5 12.3 8.6 37.0 34.9 32.4 37.0 33.7 33.0 26.3 29.6 25.3 27.9 25.7 135.2 120.1 103.5 111.7 114.8 124.9 91.8 115.9 98.7 99.3 104.1 15.8 15.8 16.2 19.2 13.8 13.3 12.3 11.1 YAVAPAI TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1995-2005 GILA * Number of pregnancies per 1,000 females in specified group. 10-17 YEARS OLD 19.3 20.4 17.1 54.0 50.1 48.6 46.6 46.3 42.0 36.7 38.8 40.6 42.1 37.0 179.6 157.1 168.4 156.6 151.7 149.8 130.8 133.4 134.2 135.6 122.2 26.6 26.8 23.5 22.9 20.9 17.5 15.3 17.3 YUMA 22 Teen Pregnancy, Arizona 1995-2005 17.2 17.8 30.7 45.2 29.8 44.1 39.2 29.2 32.6 36.8 35.6 32.2 39.8 49.8 146.7 91.4 144.9 135.7 72.7 127.1 153.0 127.0 113.4 153.8 148.7 22.8 15.5 21.6 13.0 18.6 15.2 15.2 18.7 LA PAZ TABLE 10A PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2005 NUMBER OF PREGNANCIES:* County of residence All 19 years or younger 15-19 years 10-14 years Apache 203 1 Total 15-19 years 202 78 124 Cochise 293 7 286 86 200 Coconino 306 3 303 100 203 Gila 144 5 139 52 87 68 2 66 20 46 Graham 15-17 years 18-19 years Greenlee 22 0 22 4 18 Maricopa 8,488 155 8,333 2,989 5,344 Mohave 365 5 360 104 256 Navajo 356 6 350 125 225 Pima 2,075 33 2,042 687 1,355 Pinal 539 13 526 184 342 Santa Cruz 120 1 119 49 70 Yavapai 320 4 316 84 232 Yuma 536 3 533 198 335 60 1 59 30 29 3 0 3 0 3 13,898 239 13,659 4,790 8,869 La Paz Unknown TOTAL STATE ** PREGNANCY RATES:*** County of residence All 19 years or younger 15-19 years 10-14 years Apache 25.9 0.2 Total 15-19 years 57.1 33.0 105.4 Cochise 30.0 1.4 60.4 29.4 110.0 Coconino 27.7 0.6 53.1 31.7 79.5 Gila 38.8 2.4 83.2 47.6 150.5 Graham 20.9 1.3 38.7 22.3 56.7 Greenlee 31.0 0.0 71.9 19.7 174.8 Maricopa 33.9 1.2 68.3 41.6 106.5 Mohave 32.1 0.8 67.0 30.0 134.0 Navajo 33.1 1.0 70.4 37.4 138.2 Pima 30.6 1.0 58.2 36.3 83.7 Pinal 33.5 1.5 69.5 39.1 119.8 Santa Cruz 30.7 0.5 65.6 41.2 111.8 Yavapai 25.7 0.6 51.8 21.7 104.1 Yuma 37.0 0.4 77.1 47.4 122.2 La Paz 49.8 1.6 102.4 78.7 148.7 TOTAL STATE 32.7 1.1 65.6 39.1 103.6 15-17 years 18-19 years * 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. Teen Pregnancy, Arizona 1995-2005 23 TABLE 10B BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2005 NUMBER OF BIRTHS: County of residence All 19 years or younger 15-19 years 10-14 years Apache 198 0 Total 15-19 years 198 77 121 Cochise 261 5 256 79 177 Coconino 260 3 257 87 170 Gila 138 5 133 48 85 67 2 65 20 45 Graham 15-17 years 18-19 years Greenlee 18 0 18 4 14 Maricopa 7,212 118 7,094 2,582 4,512 Mohave 361 5 356 103 253 Navajo 343 6 337 121 216 Pima 1,563 22 1,541 532 1,009 Pinal 531 12 519 183 336 Santa Cruz 114 1 113 46 67 Yavapai 283 2 281 74 207 Yuma 521 3 518 193 325 60 1 59 30 29 3 0 3 0 3 11,933 185 11,748 4,179 7,569 La Paz Unknown TOTAL STATE * BIRTH RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Apache 25.3 0.0 Total 15-19 years 56.0 32.6 102.8 Cochise 26.7 1.0 54.0 27.0 97.4 Coconino 23.6 0.6 45.0 27.6 66.6 Gila 37.1 2.4 79.6 43.9 147.1 Graham 20.6 1.3 38.1 22.3 55.4 Greenlee 25.4 0.0 58.8 19.7 135.9 Maricopa 28.8 0.9 58.1 35.9 89.9 Mohave 31.7 0.8 66.3 29.8 132.4 Navajo 31.9 1.0 67.8 36.2 132.7 Pima 23.1 0.7 43.9 28.1 62.3 Pinal 33.0 1.4 68.6 38.9 117.7 Santa Cruz 29.1 0.5 62.3 38.7 107.0 Yavapai 22.8 0.3 46.1 19.1 92.9 Yuma 35.9 0.4 74.9 46.2 118.5 La Paz 49.8 1.6 102.4 78.7 148.7 TOTAL STATE 28.1 0.9 56.5 34.1 88.4 15-17 years 18-19 years * Includes records with unknown county of residence. ** The number of births per 1,000 females in specified group. 24 Teen Pregnancy, Arizona 1995-2005 TABLE 11 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2005 PREGNANCIES BY OUTCOME Age Induced termination of pregnancy (or abortions) Population Live Births Spontaneous fetal losses Number Rate 10 45,560 0 0 0 0 0 11 43,321 0 0 0 0 0 12 43,006 3 0 0 3 0.1 13 42,250 22 13 0 35 0.8 14 42,268 160 41 0 201 4.8 216,305 185 54 0 239 1.1 15 41,344 603 100 3 706 17.1 16 40,067 1,317 196 14 1,527 38.1 17 41,085 2,259 286 12 2,557 62.2 122,496 4,179 582 29 4,790 39.1 18 42,189 3,351 558 19 3,928 93.1 19 43,420 4,218 698 25 4,941 113.8 18-19 85,609 7,569 1,256 44 8,869 103.6 424,410 11,933 1,892 73 13,898 32.7 10-14 15-17 Total, 10-19 1 TOTAL PREGNANCIES Rates per 1,000 female population in specific group. Teen Pregnancy, Arizona 1995-2005 25 TABLE 12 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2005 Mother's age Total 12 TOTAL 14 15 16 17 18 19 11,933 3 22 160 603 1,317 2,259 3,351 4,218 Apache 198 0 0 0 12 12 53 60 61 Cochise 261 0 1 4 11 21 47 78 99 Coconino 260 0 0 3 8 29 50 86 84 Gila 138 0 1 4 13 16 19 41 44 Graham 67 0 0 2 3 9 8 24 21 Geenlee 18 0 0 0 0 2 2 8 6 7,212 1 16 101 380 812 1,390 1,975 2,537 Mohave 361 1 0 4 17 32 54 100 153 Navajo 343 0 0 6 21 45 55 107 109 Pima 1,563 0 2 20 78 168 286 420 589 Pima 531 1 1 10 22 60 101 156 180 Santa Cruz 114 0 0 1 7 18 21 42 25 Yavapai 283 0 1 1 9 20 45 88 119 Yuma 521 0 0 3 18 62 113 157 168 60 0 0 1 4 11 15 7 22 3 0 0 0 0 0 0 2 1 Maricopa La Paz Unknown 26 13 Teen Pregnancy, Arizona 1995-2005 TABLE 13 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2005 Total TOTAL 13 14 15 16 17 18 19 1,892 13 41 100 196 286 558 698 Apache 5 1 0 0 0 1 2 1 Cochise 31 1 1 2 1 4 9 13 Coconino 46 0 0 3 2 8 17 16 Gila 4 0 0 1 0 2 1 0 Graham 1 0 0 0 0 0 0 1 Greenlee 4 0 0 0 0 0 3 1 Maricopa 1,234 8 29 67 139 182 355 454 1 0 0 0 1 0 0 0 11 0 0 1 1 1 5 3 Pima 495 2 9 24 47 77 143 193 Pinal 6 1 0 0 0 1 3 1 Santa Cruz 5 0 0 0 1 2 0 2 35 0 2 2 3 5 14 9 Yuma 8 0 0 0 1 0 4 3 La Paz 0 0 0 0 0 0 0 0 Unknown 6 0 0 0 0 3 2 1 Mohave Navajo Yavapai Teen Pregnancy, Arizona 1995-2005 27 TABLE 14 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2005 Total TOTAL Private insurance IHS Self Unknown 11,933 9,732 343 1,424 264 170 Apache 198 96 65 8 0 29 Cochise 261 216 1 36 6 2 Coconino 260 168 69 18 0 5 Gila 138 86 40 9 3 0 Graham 67 48 10 9 0 0 Greenlee 18 12 0 4 0 2 Maricopa 7,212 6,036 34 939 154 49 Mohave 361 279 0 25 8 49 Navajo 343 226 91 18 2 6 Pima 1,563 1,314 22 177 35 15 Pinal 531 409 10 90 16 6 Santa Cruz 114 98 0 6 10 0 Yavapai 283 247 0 30 5 1 Yuma 521 444 1 50 25 1 60 53 0 5 0 2 3 0 0 0 0 3 La Paz Unknown 28 AHCCCS Teen Pregnancy, Arizona 1995-2005 TABLE 15 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2005 Mother's age group Total <15 Total Count Payee for births AHCCCS Private insurance 185 4,179 7,569 9,732 156 3,380 6,196 81.6 84.3 80.9 81.9 Count 343 5 135 203 Percent 2.9 2.7 3.2 2.7 1,424 18 502 904 11.9 9.7 12.0 11.9 Count 264 5 109 150 Percent 2.2 2.7 2.6 2.0 Count 170 1 53 116 Percent 1.4 0.5 1.3 1.5 Count Count Percent Self Unknown Teen Pregnancy, Arizona 1995-2005 18-19 11,933 Percent IHS 15-17 29 TABLE 16 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2005 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count 3 4 or more 18-19 185 4,179 7,569 8,738 179 3,517 5,042 73.2 96.8 84.2 66.6 6 578 1,876 20.6 3.2 13.8 24.8 Count 578 0 73 505 Percent 4.8 0.0 1.7 6.7 Count 124 0 8 116 Percent 1.0 0.0 0.2 1.5 32 0 3 29 0.3 0.0 0.1 0.4 Count Percent Unknown 15-17 11,933 2,460 Percent 2 <15 Count Percent 1 0 0 1 0.0 0.0 0.0 0.0 TABLE 17 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2005 Mother's age group Total Total Count Marital status Married Count Percent Unmarried Count Percent Other <15 15-17 18-19 11,933 185 4,179 7,569 1,649 3 274 1,372 13.8 1.6 6.6 18.1 10,238 182 3,900 6,156 85.8 98.4 93.3 81.3 46 0 5 41 0.4 0.0 0.1 0.5 Count Percent TABLE 18 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2005 Mother's age group Total Total Count Mother's education <8 8 7,569 Count 521 42 164 315 Percent 4.4 22.7 3.9 4.2 Count 779 79 378 322 Count Count Percent 13-16 17+ Unknown 30 18-19 4,179 Percent 12 15-17 185 Percent 9-11 <15 11,933 6.5 42.7 9.0 4.3 6,120 61 3,053 3,006 51.3 33.0 73.1 39.7 3,732 1 523 3,208 31.3 0.5 12.5 42.4 Count 676 0 24 652 Percent 5.7 0.0 0.6 8.6 1 0 0 1 Percent 0.0 0.0 0.0 0.0 Count 104 2 37 65 Percent 0.9 1.1 0.9 0.9 Count Teen Pregnancy, Arizona 1995-2005 TABLE 19 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2005 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 185 4,179 7,569 Count 411 6 166 239 Percent 3.4 3.2 4.0 3.2 7,703 92 2,543 5,068 64.6 49.7 60.9 67.0 3,074 67 1,179 1,828 25.8 36.2 28.2 24.2 Count 732 20 287 425 Percent 6.1 10.8 6.9 5.6 13 0 4 9 0.1 0.0 0.1 0.1 Count Count Percent 3rd trimester 15-17 11,933 Percent 2nd trimester <15 Count Percent TABLE 20 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2005 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 4,179 7,569 Count 411 6 166 239 Percent 3.4 3.2 4.0 3.2 Count 820 24 311 485 Percent 6.9 13.0 7.4 6.4 2,807 53 1,049 1,705 23.5 28.6 25.1 22.5 5,564 67 1,890 3,607 46.6 36.2 45.2 47.7 2,312 35 754 1,523 19.4 18.9 18.0 20.1 19 0 9 10 0.2 0.0 0.2 0.1 Count Count Count Percent Unknown Count Percent Teen Pregnancy, Arizona 1995-2005 18-19 185 Percent 13+ visits 15-17 11,933 Percent 9-12 visits <15 31 TABLE 21 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2005 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker 185 4,179 7,569 24 0 14 10 Percent 0.2 0.0 0.3 0.1 Count 606 3 148 455 Percent 5.1 1.6 3.5 6.0 39 0 21 18 0.3 0.0 0.5 0.2 11,264 182 3,996 7,086 94.4 98.4 95.6 93.6 Count Count Count Percent 32 18-19 11,933 Percent Nonsmoker and nondrinker 15-17 Teen Pregnancy, Arizona 1995-2005 Teen Pregnancy, Arizona 1995-2005 33 Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity 0 Smoker and drinker 30 155 0 Less than 5 5 or more Unknown 0 145 37 weeks or more Unknown 40 1 Unknown 36 weeks or less 5 18 5 156 Self Private insurance IHS AHCCCS 182 3 Smoker, nondrinker Nonsmoker and nondrinker 0 1 Unknown Drinker, nonsmoker 1 21 Asian or Pacific Islander American Indian or Alaska Native 8 137 Hispanic or Latino Black or African American 17 White non-Hispanic Total births 1 0 14 5 0 4 15 0 1 3 0 15 19 0 0 0 0 0 1 0 17 Count 0.0 9.0 16.7 0.0 2.8 37.5 0.0 20.0 16.7 0.0 9.6 10.4 0.0 0.0 0.0 0.0 0.0 4.8 0.0 12.4 5.9 Percent LBW births <15 9 3,693 477 9 3,300 870 53 109 502 135 3,380 3,996 21 148 14 42 28 478 199 2,721 711 Total births 2 254 92 2 45 301 6 14 50 2 276 325 3 19 1 3 2 30 28 218 67 Count 22.2 6.9 19.3 22.2 1.4 34.6 11.3 12.8 10.0 1.5 8.2 8.1 14.3 12.8 7.1 7.1 7.1 6.3 14.1 8.0 9.4 Percent LBW births 15-17 Mother's age group 10 6,835 724 17 6,067 1,485 116 150 904 203 6,196 7,086 18 455 10 89 67 705 362 4,330 2,016 Total births 1 456 122 0 100 479 10 13 65 18 473 527 2 50 0 6 6 59 45 297 166 Count 10.0 6.7 16.9 0.0 1.6 32.3 8.6 8.7 7.2 8.9 7.6 7.4 11.1 11.0 0.0 6.7 9.0 8.4 12.4 6.9 8.2 Percent LBW births 18-19 TABLE 22 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2005 34 Teen Pregnancy, Arizona 1995-2005 15.0 15.2 62,879 9,234 14.7 12,215 2,009 16.6 8,956 14.9 12,093 2,017 16.7 # Births to teenagers % Births to teenagers RURAL COUNTIES # Births to teenagers % Births to teenagers WHITE NON-HISPANIC 2,336 498 21.3 2,233 491 22.0 1,427 76 5.3 85 6.3 # Births to teenagers % Births to teenagers 4.9 100 2,041 19.4 1,089 5,602 20.7 572 2,760 19.3 6,548 33,893 9.4 3,759 39,850 16.9 2,083 12,333 13.9 10,102 72,596 14.3 12,189 84,985 2000 4.9 104 2,104 19.0 1,013 5,340 19.9 545 2,736 18.9 6,648 35,103 8.7 3,3,96 38,934 15.9 1,882 11,851 13.5 9,906 73,319 13.8 11,790 85,213 2001 4.2 96 2,281 18.7 1,039 5,545 17.0 468 2,753 18.2 6,585 36,089 7.9 3,064 38,819 15.7 1,959 12,498 12.7 9,512 74,851 13.1 11,474 87,379 2002 107 4.2 2,524 1,141 19.4 5,881 549 18.2 3,022 6,792 17.4 39,101 2,970 7.6 38,842 2,014 15.7 12,848 9,686 12.4 77,905 12.9 11,700 90,783 2003 92 3.5 2,614 1,142 18.9 6,120 540 16.8 3,216 7,138 17.5 40,822 2,806 7.2 39,271 2,074 15.5 13,409 9,786 12.2 79,951 12.7 11,863 93,396 2004 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 5.8 92 1,875 19.8 1,050 5,295 22.3 603 2,699 20.0 6,161 30,784 10.0 3,869 38,711 17.4 2,067 11,877 14.4 9,896 68,611 14.9 11,963 80,505 1999 Includes records for ethnic groups other than White Non-Hispanic, Hispanic or Latino, Black or African American, American Indian or Alaska Native or Asian or Pacific Islander 4.2 73 1,747 20.3 1,122 5,460 22.4 586 2,629 20.7 5,951 28,824 10.0 3,843 38,611 17.0 2,090 12,115 14.6 9,605 65,825 15.0 11,695 77,940 1998 2 4.1 66 1,602 18.4 971 5,271 21.2 519 2,485 20.6 5,736 27,941 9.9 3,733 37,869 16.6 2,009 12,053 14.3 9 63,510 14.7 11,085 75,563 1997 1 # Births (all ages) 1,342 % Births to teenagers ASIAN OR PACIFIC ISLANDER # Births to teenagers # Births (all ages) % Births to teenagers AMERICAN INDIAN OR ALASKA NATIVE # Births to teenagers # Births (all ages) 18.6 20.5 21.3 % Births to teenagers BLACK OR AFRICAN AMERICAN 19.5 5,628 5,351 996 27,396 25,141 # Births to teenagers # Births (all ages) 5,328 10.6 10.5 % Births to teenagers HISPANIC OR LATINO 991 4,033 4,042 5,086 38,494 38,488 # Births (all ages) # Births to teenagers # Births (all ages) # Births (all ages) 60,293 11,247 10,973 % Births to teenagers URBAN COUNTIES2 75,094 1996 72,386 1995 # Births to teenagers Group # Births (all ages) ARIZONA, TOTAL1 TABLE 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNIC GROUP AND YEAR, ARIZONA, 1995-2005 3.4 96 2,805 19.1 1,204 6,293 16.5 569 3,450 17.0 7,188 42,156 6.9 2,744 39,657 15.5 2,103 13,603 12.0 9,827 82,141 12.5 11,933 95,798 2005 TABLE 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1995-2005 15 - 19 Years Old Under 15 Years Year Total 15-17 Years 18-19 Years AZ U.S. AZ U.S. AZ U.S. AZ U.S. 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 43.0 35.5 23.2 94.3 72.7 2003 1.0 0.6 59.2 41.6 35.9 22.4 92.5 70.7 2004 0.9 0.7 58.2 41.1 35.8 22.1 90.2 70.0 2005 0.9 NA 56.5 NA 34.1 NA 88.4 NA Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 1995-2005 35 36 Teen Pregnancy, Arizona 1995-2005 19 18 17 16 15 14 13 12 11 Mother's age 0 One or more 0 Unknown 1,412 One or more 0 2,149 None Previous pregnancies Unknown 3,561 0 Total Unknown 955 2,050 Previous pregnancies One or more 3,005 0 Total None Unknown 482 1,710 One or more 2,192 Previous pregnancies 0 Total None Unknown 162 1,175 Previous pregnancies One or more 1,337 0 Total None Unknown 61 588 One or more Previous pregnancies None 649 Total 10 181 Previous pregnancies One or more 191 Total None 1 31 Previous pregnancies One or more 32 Total None 6 None Previous pregnancies 0 One or more 6 0 Total 0 None Previous pregnancies 1995 Total Pregnancies 0 3 3 0 1 1 0 1,571 2,194 3,765 0 894 2,032 2,926 0 470 1,778 2,248 0 195 1,239 1,434 0 45 613 658 4 174 178 0 2 32 34 1996 0 4 4 0 1 1 16 1,554 2,180 3,750 12 939 1,951 2,902 13 516 1,729 2,258 6 182 1,175 1,363 4 41 553 598 11 165 176 0 0 33 33 1997 1 4 5 0 0 0 21 1,606 2,284 3,911 13 1,002 2,138 3,153 9 463 1,831 2,303 7 175 1,261 1,443 3 51 597 651 9 186 195 0 1 33 34 1998 0 2 2 0 0 0 24 1,680 2,485 4,189 12 1,041 2,247 3,300 6 475 1,772 2,253 4 177 1,207 1,388 1 35 559 595 11 189 200 0 0 36 36 1999 0 4 4 0 0 0 18 1,706 2,627 4,351 11 1,014 2,313 3,338 8 447 1,806 2,261 8 163 1,205 1,376 3 36 604 647 3 172 175 0 2 35 37 2000 Year 0 3 3 0 0 0 12 1,735 2,597 4,344 19 988 2,161 3,168 9 464 1,634 2,107 6 176 1,171 1,353 2 49 569 620 10 157 167 0 0 28 28 2001 0 5 5 0 1 1 17 1,595 2,496 4,108 10 967 2,231 3,208 9 437 1,658 2,104 1 166 1,169 1,336 1 41 470 512 11 167 178 1 0 21 22 2002 9 1,567 2,592 4,168 6 996 2,209 3,211 5 475 1,729 2,209 2 168 1,144 1,314 0 36 551 587 5 176 181 0 1 25 26 0 3 3 0 1 1 2003 0 3 3 0 0 0 3 1,681 2,556 4,240 4 954 2,250 3,208 7 427 1,838 2,272 2 159 1,228 1,389 3 25 538 566 3 151 154 0 1 30 31 2004 TABLE 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1995-2005 1 2 3 0 0 0 1 1,586 2,631 4,218 0 940 2,411 3,351 0 468 1,791 2,259 0 150 1,167 1,317 0 44 559 603 5 155 160 0 0 22 22 2005 Teen Pregnancy, Arizona 1995-2005 37 10 2 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 12 25 3 3 3 5 3 4 2 2 22 31 26 22 28 37 36 202 13 1,015 160 154 181 178 167 175 14 2,888 603 566 587 512 620 15 5,356 1,317 1,389 1,314 1,336 16 6,740 2,259 2,272 2,209 17 6,559 3,351 3,208 18 4,218 4,218 19 2 0 0 27,005 11,933 7,623 4,321 2,054 818 216 38 Mother was 19 or younger in 2005 The figures in Table 26 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 1996-2005. For simplicity, the number of mothers = the number of babies (i.e., no adjustment was made for multiple birth events). Excluded from the cumulative totals and not shown above the main diagonal (and above stair-like line) are the number of mothers who were 19 years old when the baby was born, but who were no longer under the age 20 by 2005. For example, mothers who were 13 years old in 1998 were 20 years old in 2005. 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 2005 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 1999, 38 remained in their teens in 2005. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 27,005 mothers under 20 in Arizona in 2005, 202 had given birth when 14 years old. gave birth to a baby prior to 2005 and were still 19 or less years old in 2005. gave birth to the 11,933 babies in 2005. Among them are those who: NOTE: The above table focuses on the 2005 cohort of Arizona mothers who were 19 or younger that year. Cumulative number of mothers 19 or younger 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 Year Baby Was Born MOTHER'S AGE WHEN BABY WAS BORN TABLE 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2005 TABLE 27 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2005 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 424,410 216,305 208,105 122,496 85,609 White non-Hispanic 229,278 115,226 114,052 66,840 47,212 Hispanic or Latino 139,623 72,184 67,439 39,581 27,858 Black or African American 15,803 8,220 7,583 4,537 3,046 American Indian or Alaska Native 31,557 16,831 14,726 9,187 5,539 8,149 3,844 4,305 2,351 1,954 Asian or Pacific Islander In order to obtain the 2005 population denominators, the 2000 percentages of population breakdowns (or census shares)¬were applied to total state and county population estimates for 2005 released by the Department of Economic Security on February 1, NUMBER OF PREGNANCIES All 19 years 10-14 years or younger All groups 15-19 years 15-17 years 18-19 years 13,898 239 13,659 4,790 8,869 White non-Hispanic 3,631 32 3,599 996 2,603 Hispanic or Latino 7,748 158 7,590 2,885 4,705 688 13 675 234 441 1,289 25 1,264 505 759 Asian or Pacific Islander 132 1 131 38 93 Unknown 410 10 400 132 268 Black or African American American Indian or Alaska Native PREGNANCY RATES PER 1,000 FEMALES All 19 years 10-14 years or younger 38 15-19 years 15-17 years 18-19 years All groups 32.7 1.1 65.6 39.1 103.6 White non-Hispanic 15.8 0.3 31.6 14.9 55.1 Hispanic or Latino 55.5 2.2 112.5 72.9 168.9 Black or African American 43.5 1.6 89.0 51.6 144.8 American Indian or Alaska Native 40.8 1.5 85.8 55.0 137.0 Asian or Pacific Islander 16.2 0.3 30.4 16.2 47.6 Teen Pregnancy, Arizona 1995-2005 Teen Pregnancy, Arizona 1995-2005 39 10,755 67,701 16,077 Navajo Pima Pinal 14,501 Yuma 7,584 6,344 2,101 8,514 32,597 5,785 6,000 128,120 630 403 1,549 2,045 5,323 5,024 4,286 216,305 10-14 years 6,917 6,095 1,814 7,563 35,104 4,970 5,372 122,025 576 306 1,707 1,671 5,708 4,739 3,538 208,105 15-19 years 4,175 3,866 1,188 4,709 18,906 3,342 3,461 71,839 381 203 895 1,093 3,156 2,921 2,361 122,496 15-17 years 2,742 2,229 626 2,854 16,198 1,628 1,911 50,186 195 103 812 578 2,552 1,818 1,177 85,609 18-19 years Note: In order to obtain the 2005 population denominators, the 2000 percentages of population breakdowns (or census shares) were applied to total state and county population estimates for 2005 released by the Department of Economic Security on 2/23/2006. 12,439 Yavapai 3,915 11,372 Mohave Santa Cruz 250,145 Maricopa 1,206 709 Greenlee La Paz 3,256 Graham 11,031 Coconino 3,716 9,763 Cochise Gila 7,824 424,410 Apache ARIZONA All 19 years or younger TABLE 28 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2005 40 Teen Pregnancy, Arizona 1995-2005 2,639 181.3 F. The number of repeat births to females 15-19 years old who had a birth previously G. The rate of repeat childbearing (F/E)*1,000 9,285 57.1 I. The number of first-time births to females 15-19 years old who did not have a birth previously J. The rate of first-time births (I/H)*1,000 162,562 14,552 E. The number of females 15-19 years old who had a birth previously (D-B) H. The number of females 15-19 years old who did not have a birth previously (A-E) 26,525 D. Cumulative number of mothers who gave birth when 15-19 years old 52.7 8,870 168,417 183.1 2,680 14,640 26,231 63.3 67.6 C. The rate of births (B/A)*1,000 11,591 11,973 B. The number of births to females 1519 years old 183,057 177,114 2001 A. The number of females 15-19 years old 2000 49.8 8,699 174,615 178.8 2,533 14,165 25,433 59.7 11,268 188,780 2002 49.5 8,922 180,270 185.2 2,567 13,857 25,346 59.2 11,489 194,127 2003 48.6 9,071 186,784 186.4 2,590 13,892 25,568 58.2 11,676 200,676 2004 47.7 9,259 194,092 177.5 2,488 14,013 25,761 56.5 11,748 208,105 2005 Comments The number of first-time births per 1,000 females 15-19 years old who did not have a birth previously. Table 1B-24 in "Arizona Health Status and Vital Statistics" annual report. All 15-19 years old - those who gave birth previously. The number of repeat births per 1,000 females 15-19 years old who had a birth previously. Table 1B-24 in "Arizona Health Status and Vital Statistics" annual report. The cumulative number of mothers 15-19 years old (Table 26) - those who gave birth that year. Mothers who gave birth when 15-19 years old. As an example, the 2005 cohort of mothers who were 15-19 years old includes 11,748 who gave birth that year and 14,013 who gave birth prior to 2005 and were still 1519 years old in 2005. The number of births per 1,000 females 15-19 years old. Based on the birth database. Census enumeration for 2000. In order to obtain the 2001-2005 denominators, the 2000 percentages of population breakdowns by age group and gender were applied to total state and county annual population estimates released by the DES. APPENDIX HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING 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