TEENAGE PREGNANCY Arizona,1996-2006 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. TEENAGE PREGNANCY, ARIZONA, 1996-2006 by Christopher K. Mrela, Ph.D., Arizona Vital Statistician Clare Torres, Senior Health Data Analyst November 2007 TEENAGE PREGNANCY, ARIZONA, 1996-2006 Table of Contents PURPOSE........................................................................................................................................................................1 METHODS AND SOURCES ...............................................................................................................................................1 DATA ORGANIZATION....................................................................................................................................................1 COMPARATIVE NATIONAL AND STATE DATA .................................................................................................................2 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, 1996-2006 Figure 2...................................................................................................................................................................................3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 3...................................................................................................................................................................................4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 4...................................................................................................................................................................................4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANICS OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 5...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 6...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIANS OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 7...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACKS OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 8...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIANS OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Figure 9...................................................................................................................................................................................7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2006 Figure 10.................................................................................................................................................................................7 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2006 Figure 11.................................................................................................................................................................................8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2000-2006 Figure 12.................................................................................................................................................................................8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2000-2006 Figure 13.................................................................................................................................................................................9 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1986, 1996 AND 2006 Figure 14............................................................................................................................................................................... 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 1996 AND 2006 Figure 15............................................................................................................................................................................... 10 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 1996-2006 Teen Pregnancy, Arizona, 1996-2006 List of Figures (continued) Figure 16............................................................................................................................................................................... 10 CUMULATIVE NUMBER OF CASES OF GENITAL HERPES AMONG FEMALES 15-19 YEARS, ARIZONA, 1997-2006 Figure 17............................................................................................................................................................................... 11 PERCENTAGE OF FEMALE HIGH SCHOOL STUDENTS, WHO EVER HAD SEXUAL INTERCOURSE, ARIZONA, 2005 Figure 18............................................................................................................................................................................... 11 PERCENTAGE OF FEMALE HIGH SCHOOL STUDENTS, WHO USED BIRTH CONTROL PILLS OR CONDOMS TO PREVENT PREGNANCY, ARIZONA, 2005 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1996-2006 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1996-2006 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 17 OR YOUNGER WITH RATES, ARIZONA, 1996-2006 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 1996-2006 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 1996-2006 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 1996-2006 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS, ARIZONA, 1996-2006 Table 10 ................................................................................................................................................................................ 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA. 1996-2006 Table 11 ................................................................................................................................................................................ 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1996-2006 Table 12 ................................................................................................................................................................................ 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1996-2006 Table 13 ................................................................................................................................................................................ 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2006 Table 14 ................................................................................................................................................................................ 27 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP (INCLUDING REVISED RATES FOR 1996-1999), ARIZONA, 1996-2006 ii Teen Pregnancy, Arizona, 1996-2006 List of Tables (continued) Table 15 ................................................................................................................................................................................ 28 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1996-2006 Table 16 ................................................................................................................................................................................ 29 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1996-2006 Table 17 ................................................................................................................................................................................ 30 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2006 Table 18 ................................................................................................................................................................................ 31 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2006 Table 19 ................................................................................................................................................................................ 32 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2006 Table 20 ................................................................................................................................................................................ 33 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2006 Table 21 ................................................................................................................................................................................ 34 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2006 Table 22 ................................................................................................................................................................................ 35 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2006 Table 23 ................................................................................................................................................................................ 36 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2006 Table 24 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2006 Table 25 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2006 Table 26 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2006 Table 27 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2006 Table 28 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2006 Table 29 ................................................................................................................................................................................ 39 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2006 Table 30 ................................................................................................................................................................................ 40 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2006 Table 31 ................................................................................................................................................................................ 41 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2006 Table 32 ................................................................................................................................................................................ 42 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2006 Appendix............................................................................................................................................................................... 43 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona, 1996-2006 iii PURPOSE This report is the twenty-first annual update of information about pregnancies among females under age 20. The data for 2006 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. Several data sources were utilized in producing the population denominators for Arizona's resident females, used to calculate rates. The denominators for 2000 are the actual census enumerations from the U.S. Census Bureau. In order to obtain the population denominators for 2001-2005, the 2000 percentages of population breakdowns (or census shares) by age group, gender and race/ethnicity were applied to total state and total county annual population estimates released by the Department of Economic Security (DES). The longer the time after the census, the less likely it is that the 2000 census shares continue to reflect the “true” proportions of population breakdowns. Beginning with the 2006 population estimates we no longer use the year 2000 census shares. For 2006, the totals for the State and each of its counties agree with the projections released by the DES on March 31, 2006 (http://www.workforce.az.gov/?PAGEID=67&SUBID=138). The percentages of population breakdowns by single-year of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2005 Postcensal Population Estimates for Calculating Vital Rates”, available from the National Center for Health Statistics (NCHS: http://www.cdc.gov/nchs/about/major/dvs/popbridge/datadoc.htm#vintage2005). These percentages were then applied to total state and county population projections for 2006 from DES. The 2006 population estimates by race/ethnicity should not be compared with the previously published estimates for 2001-2005, which used the year 2000 census shares. The pregnancy rates for 1996-1999 were revised in this report using the population denominators that are consistent with the 2000 census. The population projected previously from the 1990 census underestimated the growth of the Hispanic population during the 1990s. According to the 2000 census, there were 118,490 Hispanic females 19 years or younger in Arizona, 37.5 percent more than the estimated by the Census Bureau number of 86,203 in 1999. The revised denominators for 1996-1999 were derived from the “Bridged-race intercensal population estimates for July 1, 1990-July 1, 1999, by year, county, single-year of age, Hispanic origin, and sex” provided by NCHS. DATA ORGANIZATION Tables 1-16 present annual numbers and rates of pregnancy, fertility and abortion by year from 1996 to 2006, age group and race/ethnicity for Arizona teens. Temporal trends and changes may be assessed from this data. Proportional contribution of teen births to all births is shown in Table 10 by area of residence and race/ethnic group in Arizona from 1996 to 2006. Table 11 compares birth rates in Arizona to those in the United States. The annual numbers of repeat pregnancies among teenage mothers are shown by age and year from 1996 to 2006 in Table 12. Three new data tables were added to the current edition of the report. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 1996 to 2006. It includes revised pregnancy rates for 1996-1999. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 1996-2006. Table 16 shows the incidence rates by year from 1996 to 2006. Frequency counts, proportions and rates in tables 17-32 all apply to the 2006 data. Tables 17-18 and 20-22 provide data by county of residence. Table 19 presents pregnancy rates by single year of age among females 19 and younger. Live births to teenage mothers are also reported in Tables 23-30 by 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. The 2006 population denominators for Arizona resident females by age group and race/ethnicity, as well as by age group and county of residence are presented in Table 31 and Table 32. The Appendix demonstrates “How to compute the rates of first and repeat childbearing” using the annual data for 2000-2006. Teen Pregnancy, Arizona 1996-2006 1 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 The Department of Health and Human Services, contains no information about pregnancies. The latest available national teenage birth rates for 2004 were published in September, 2006. No national abortion data have been available since the 2002 calendar data year, and no fetal death data have been available since 2004. The most recent data on teen pregnancy rates were published using year 2000 data by The National Center for Health Statistics (NCHS), the principal health statistics agency. Data on abortions and pregnancies are published by the Guttmacher Institute (formerly Alan Guttmacher Institute). 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 1972-2003. The 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 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”.1 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 Guttmacher Institute includes in its estimated number of pregnancies, the estimated numbers of miscarriages: “The number of miscarriages was estimated as 20 percent of births plus 10 percent of abortions”.2 Again, this approach does little to reveal the actual differences in the miscarriage risks by age group, race/ethnicity or area of residence. No comparable state-by-state data for 2005 or 2006 are available at this time. KEY FINDINGS The following section presents some illustrative findings contained in the figures and tables of the report. It is not intended to be an exhaustive analysis of the tabulated data. • From 1996 to 2006, the teen pregnancy rate overall fell by 31 percent. • However, the absolute number of teen pregnancies increased by 10.3 percent from 13,521 in 1996 to 14,918 in 2006. The latter is the highest number of teen pregnancies ever recorded in the State. • The increase is partially explained by fact that the birth rate for 18-19 year olds increased by an unprecedented 13.3 percent. • In addition, the number of pregnancies among White non-Hispanic females 19 years or younger sharply increased by 14.2 percent and for Hispanic or Latino females 19 years or younger by 8.4 percent. • 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. • Both first and repeat birth rates increased between 2005 and 2006. • In 2006, the Arizona Health Care Cost Containment System (AHCCCS) paid for 79.9 percent of the deliveries to mothers 19 or younger. • The total number of sexually transmitted infections among females 19 or younger exceeded 7,400 compared to 4,200 reported in 1996. 1 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. 2 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 1996-2006 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year Among Females 19 or Younger, Arizona, 1996-2006 The pregnancy rate for Arizona teenagers 15-19 years old in 2006 was 68.7 pregnancies per 1,000 females (Figure 1, Table 2), 4.7 percent greater than in 2005. The pregnancy rate for younger teenagers 15-17 years old remained essentially unchanged at 39.0/1,000 (compared to 39.1 in 2005; Figure 1, Table 2). In contrast, the pregnancy rate for older teenagers 18-19 years old increased by 11.6 percent from 103.6/1,000 in 2005 to 115.6/1,000 in 2006 (Figure 1,Table 2). 160.0 140.0 120.0 18-19 years 100.0 80.0 15-19 years 60.0 15-17 years 40.0 A ll 19 or younger 20.0 0.0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 All 19 or y ounger 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 2006 34.1 18-19 141.6 139.3 142.1 137.6 123.6 113.2 111.2 108.2 108.7 103.6 115.6 15-19 91.3 88.1 91.7 85.7 79.1 72.0 70.6 68.9 69.4 65.6 68.7 15-17 59.4 55.7 58.6 51.5 48.1 43.2 42.2 41.6 42.0 39.1 39.0 The number of pregnancies among all females aged 19 years or younger increased by 1,020 from 13,898 in 2005 to 14,918 in 2006 (Table 1). Among the three pregnancy outcomes, the number of teen birth increased by 983 (from 11,933 to 12,916), the number of reported abortions increased by 27 (from 1,892 to 1,919), and the number of fetal losses increased by 10 (from 73 to 83). 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, 1996-2006 Rate per 1,000 females 19 years or younger 175.0 Number of pregnancies among females 19 or younger 17500 Number of pregnancies (right -hand scale) 150.0 15000 125.0 12500 100.0 10000 75.0 50.0 7500 P regnancy rat es (lef t -hand scale) 5000 25.0 2500 0.0 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Pregnancies 13521 13438 14531 14095 14287 13429 13572 13654 14163 13898 14918 Pregnancy rates 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 Pregnancy rate =The number of pregnancies per 1,000 females in specified age group. Teen Pregnancy, Arizona 1996-2006 There is a difference between pregnancy rates and the absolute number of pregnancies. The teen pregnancy rate measures the proportion of teenagers becoming pregnant in a given year; in other words, the relative “risk for pregnancy” in a population “at risk”. The number of pregnancies is also determined by the size of the population “at risk”: or in this case by the number of teenage females in the population. The number of teen pregnancies increased by 10.3 percent from 13,521 in 1996 to 14,918 in 2006 (Figure 2, Table 1). However, the proportional increase in the number of females 19 years old or younger was 3.8 times greater at 39.1 percent from 314,203 in 1996 to 436,998 in 2006. 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 (Figure 2). In fact, the number of 14,918 pregnancies to females 19 years old or younger in Arizona in 2006 was the highest number ever recorded in the State. 3 KEY FINDINGS The number of pregnancies to Hispanic females aged 19 years or younger exceeded the number of pregnancies among white nonHispanic peers in every year since 1994 (Figure 3 and Table 8 in this report show only the data for 19962006). In 2006, Hispanic or Latino mothers accounted for 56.3 percent of all pregnancies in this age group, followed by White non-Hispanics (27.8 percent). Black or African American, Asian or Pacific Islander and American Indian females aged 19 years or younger accounted for a smaller share of pregnancies in 2006 (14.3 percent) than they did in 2005 (15.2 percent). Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity Among Females 19 or Younger, Arizona, 1996-2006 9000 Hispanic or Latino 7500 6000 W hite non-Hispanic 4500 3000 A m erican I ndian 1500 After a substantial decrease between 1998 and 2005, the number of pregnancies among White nonHispanic females aged 19 years or younger sharply increased by 14.2 percent from 3,631 in 2005 to 4,148 in 2006 (Figure 3). The number of pregnancies among Hispanic or Latino females 19 years or younger also increased by 8.4 percent from 7,748 in 2005 to 8,396 in 2006. The teen pregnancy rates for all race and ethnic groups were lower in 2006 than in 1996 (Figure 1). However, the temporal trends in annual teen pregnancy rates differed considerably by race/ethnicity. Figures 4, 5, 6, 7 and 8 reveal race/ethnicity-specific trends in teen pregnancy rates in Arizona in 19962006. The pregnancy rate fell 17.4 percent for Hispanic or Latino females 19 years or younger in 1996-2003 and then increased in 2004 and 2006. (Figure 4). In each year from 1996 to 2006, the pregnancy rates of Hispanic or Latino females were consistently greater than the average rates for all females 19 years or younger in Arizona. In 2006, the Hispanic rate exceeded the average rate for all groups by 64.2 percent. B lack or A f rican A m erican A sian or P acif ic I slander 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 A sian 118 110 129 136 137 134 130 134 148 132 2006 132 Black 617 582 644 669 620 622 605 664 671 688 731 A merican Indian 1056 1117 1301 1155 1216 1053 1082 1215 1215 1289 1277 W hit e non-Hispanic 5249 4978 5375 4915 4814 4175 4102 3903 3924 3631 4148 Hispanic 6190 6378 6698 6701 7213 7239 7287 7476 7965 7748 8396 * T he s um o f liv e births +induc e d a bo rtio ns +s po nta ne o us fe ta l de a ths . Figure 4 Comparison of Pregnancy Rates by Year Among Hispanics or Latinos and All Females 19 or Younger, Arizona, 1996-2006 75.0 His pa nic o r La tino 60.0 45.0 30.0 15.0 A ll gro ups 0.0 A ll groups 1996 45.4 1997 43.8 1998 45.8 1999 42.7 2000 39.5 2001 36.0 2002 35.2 2003 34.5 2004 34.6 2005 32.7 2006 34.1 Hispanic or Lat ino 69.6 68.2 67.1 63.0 60.9 59.1 57.6 57.5 59.2 55.5 56.0 Note: all rates are per 1,000 females in specified group. 4 Teen Pregnancy, Arizona 1996-2006 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year Among White non-Hispanics and All Females 19 or Younger, Arizona, 1996-2006 75.0 60.0 After a substantial decrease of 46.3 percent between 1996 and 2005, the pregnancy rate for White non-Hispanic sharply increased by 19.6 percent in 2006 (Figure 5). In each year from 1996 to 2006, the pregnancy rates for White non-Hispanic females were lower than the average rates for all females 19 years or younger in Arizona. 45.0 30.0 White no n- His pa nic 15.0 A ll gr o ups 0.0 A ll groups 1996 45.4 1997 43.8 1998 45.8 1999 42.7 2000 39.5 2001 36.0 2002 35.2 2003 34.5 2004 34.6 2005 32.7 2006 34.1 W hit e non-Hispanic 29.4 27.5 28.8 25.6 25.2 21.1 20.1 18.2 17.7 15.8 18.9 Note: all rates are per 1,000 females in specified group. Figure 6 Comparison of Pregnancy Rates by Year Among American Indians or Alaska Natives and All Females 19 or Younger, Arizona, 1996-2006 75.0 60.0 45.0 A m e ric a n India n 30.0 15.0 Despite some of the decreases noted between 1996 and 2006, the annual pregnancy rates among American Indian females 19 years or younger erratically varied from year to year (Figure 6). The American Indian rates were lower than the average in each year from 1996 to 1999, but higher in 2000-2006. A ll gro ups 0.0 A ll groups A merican Indian 1996 45.4 1997 43.8 1998 45.8 1999 42.7 2000 39.5 2001 36.0 2002 35.2 2003 34.5 2004 34.6 2005 32.7 2006 34.1 39.5 38.9 42.5 38.0 41.3 36.7 36.6 39.9 39.7 40.8 36.2 Note: all rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1996-2006 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year Among Blacks or African Americans and All Females 19 or Younger, Arizona, 1996-2006 75.0 The pregnancy rates for Black or African American females 19 years or younger declined for the 3rd consecutive year from 45.4/1,000 in 2003 to 32.6/1,000 in 2006 (Figure 7). Unlike the annual pregnancy rates for 1996-2005, the 2006 pregnancy rate for Black or African American teenagers was lower than the pregnancy rate for all groups. 60.0 Bla c k or A fric a n A m e ric a n 45.0 30.0 15.0 A ll gro ups 0.0 A ll groups Black or A f rican A merican 1996 45.4 1997 43.8 1998 45.8 1999 42.7 2000 39.5 2001 36.0 2002 35.2 2003 34.5 2004 34.6 2005 32.7 2006 34.1 46.0 45.8 50.3 45.8 51.9 45.1 42.5 45.4 44.2 43.5 32.6 Note: all rates are per 1,000 females in specified group. Figure 8 Comparison of Pregnancy Rates by Year Among Asians or Pacific Islanders and All Females 19 or Younger, Arizona, 1996-2006 75.0 60.0 In each year from 1996 to 2006, the pregnancy rates for Asian or Pacific Islander females 19 years or younger were substantially lower than the average rates among all females 19 years or younger in Arizona (Figure 8). In 2006, the Asian rate (12.9/1,000) was 62.2 percent lower than the rate for all groups (34.1/1,000). 45.0 30.0 A s ia n o r Pa c ific Is la nde r 15.0 A ll gro ups 0.0 A ll groups A sian or P acif ic Islander 1996 45.4 1997 43.8 1998 45.8 1999 42.7 2000 39.5 2001 36.0 2002 35.2 2003 34.5 2004 34.6 2005 32.7 2006 34.1 17.8 18.3 18.5 17.8 21.3 20.3 19.1 19.2 19.3 16.2 12.9 Note: all rates are per 1,000 females in specified group. 6 Teen Pregnancy, Arizona 1996-2006 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year Among Females 19 or Younger, Arizona, 2001-2006 100% Surgical 80% The number of reported abortions to females 19 years or younger slightly increased from 1,892 in 2005 to 1,919 in 2006 (Table 1). In 2006, as in 2005, non-surgical abortions accounted for approximately 25 percent of all procedures reported in Arizona for females 19 years old or younger. 60% 40% 20% Non-surgical 0% 2001 2002 2004 2005 2006 Surgical % 98.9 83.3 77 74.5 74.9 74.6 Non-surgical % 1.1 16.7 2003 23 25.5 25.1 25.4 Surgical # 1512 1661 1438 1654 1417 1431 Non-surgical # 17 334 429 566 475 488 Figure 10 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity Among Females 19 or Younger, Arizona, 2006 W hit e non-Hispanic 31.1% A LL GROUP S A merican Indian 25.1% 7 4 .9 % 25.0% 7 5 .0 % 18.7% Hispanic 8 2 .9 % 11.4% 0 .0 % Only among White non-Hispanic teens the proportion of non-surgical abortions exceeded the average for all groups (Figure 10). The ratios of reported non-surgical abortions among Black and Asian females were the lowest among ethnic groups. 8 1 .3 % 17.1% A sian Black 6 8 .9 % 8 8 .6 % 2 0 .0 % 4 0 .0 % No n- surgic a l 6 0 .0 % 8 0 .0 % 1 0 0 .0 % Surgic a l Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona 1996-2006 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers Who Were 19 or Younger in Arizona by Year, 2000-2006 Gave birt h t hat year Gave birt h bef ore and was st ill 19 years old or younger 30,000 There were approximately 28,117 mothers under age 20 in Arizona in 2006, the highest number ever reported in the State. Among them there were the 12,196 who gave birth that year and the 15,921 who gave birth prior to 2006 and were still 19 years old or younger (Figure 11, Table 13). The cumulative number of mothers who were 19 years or younger in Arizona increased by 5.3 percent from 26,691 in 2003 to 28,117 in 2006. 27,923 27,500 26,784 26,691 26,870 27,005 11,863 11,933 2004 2005 28,117 25,000 20,000 15,000 12,198 11,790 10,000 11,700 11,474 12,916 5,000 0 2000 2001 2002 2003 2006 * See Table 26 for more details. Figure 12 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2000-2006 2000 2001 2002 2003 2004 2005 2006 202.1 177.5 186.4 185.2 178.8 200.0 183.1 181.3 240.0 160.0 49.5 47.7 48.6 49.5 49.8 80.0 52.7 120.0 57.1 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 first birth rate increased by 3.8 percent in 2006 to 49.5/1,000 (Figure 12). The repeat birth rates for teenagers who had already had a child sharply increased by 13.9 percent from 177.5 in 2005 to 202.1 in 2006 (Figure 7). Twenty percent of teenagers (202.1/1,000) who already had one child gave birth again in 2006, compared to eighteen percent (177.5 /1,000) in 2005. 40.0 0.0 Rat es of f irst -t ime childbearing* Rat es 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. See Appendix “How to compute the rates of first and repeat childbearing?“ 8 Teen Pregnancy, Arizona 1996-2006 KEY FINDINGS Figure 13 Births to Mothers 19 or Younger by Marital Status, Arizona, 1986, 1996 and 2006 Unmarried Married 100.0% 14.9% 19.8% 38.2% 75.0% 50.0% 85.1% 80.2% 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 around 60 percent (Figure 13). In 2006, nonmarital births accounted for 85.1 percent of births to mothers 19 years or younger. 61.8% 25.0% 0.0% 1986 1996 2006 Figure 14 Number of Births to Mothers 19 or Younger by Payee, Arizona, 1996 and 2006 A HCCCS Total births to mothers 19 years or younger P rivat e insurance O t her 14,000 803 10,500 974 1,791 2,285 7,000 10,322 7,998 3,500 The total number of births to mothers 19 years or younger increased by 14.8 percent from 11,247 in 1996 to 12,916 in 2006 (Table 1). In contrast, the number of teen births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased by 29.1 percent from 7,998 in 1996 to 10,322 in 2006. In 2006, the Arizona Health Care Cost Containment System paid for 79.9 percent of the deliveries to mothers 19 or younger (Table 23), compared to 71.0 percent in 1996 (Figure 14). Only one in seven (13.9 percent) teenage mothers in 2006 had private health insurance to pay the costs of labor and delivery, compared to one in five (20.3 percent) in 1996. 0 Percent of teen births paid for by AHCCCS 1996 2006 71.0 71 79.9 Teen Pregnancy, Arizona 1996-2006 9 KEY FINDINGS Figure 15 Trends In the Incidence of Sexually Transmitted Infections* Among Females 15-19 Years, Arizona, 1996-2006 4 0 0 0 .0 In 2006, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,400 (Table 15) compared to almost 4,200 reported in 1996. The increase in the number of STI was substantially greater (76.2 percent) than the 46.8 percent increase in the number of females 19 years old or younger from 297,594 in 1996 to 436,998 in 2006. Per 100,000 f emales 15-19 years old 3 0 0 0 .0 2 0 0 0 .0 1 0 0 0 .0 0 .0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2 7 4 4 .7 2 8 0 7 .3 2 8 2 0 .5 2 7 7 7 .1 2 5 0 2 .8 2 5 8 3 .1 2 4 6 0 .9 2 1 0 9 .2 2 5 2 6 .6 3 0 3 3 .6 3 3 4 6 .3 ST I ra te * The sum of annually reported cases of gonorrhea, chlamydia, genital herpes and early syphilis. Source: Bureau of Epidemiology and Disease Control Services, Office of Infectious Disease Services. Unlike gonorrhea or chlamydia, genital herpes cannot be cured. Since genital herpes is not a fatal disease, new cases arising each year may add to the pool of people infected with the disease who can then transmit the disease to others. Figure 16 Cumulative Number of Cases of Genital Herpes Among Females 15-19 Years, Arizona, 1997-2006 1,400 1,050 Assuming that females 15-19 years old reported with genital herpes since 1997 have not died or left the State, the 2006 prevalence of this diseases based on 1,259 cases (Figure 16) would be 589.1/100,000. In other words, one in every 165 females aged 15-19 years may be infected. 700 1,259 1,116 988 777 350 867 642 521 Genital herpes also is a threat to newborns. Out of 143 females aged 15-19 years who were diagnosed with genital herpes in 2006, 43 (or 30.1 percent) also gave birth that year (Figure 16). 10 403 291 176 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Infected with genital herpes 176 115 112 118 121 135 90 121 128 143 Gave birth that year 23 27 26 41 30 35 27 28 31 43 Teen Pregnancy, Arizona 1996-2006 KEY FINDINGS Figure 17 Percentage of Female High School Students, Who Ever Had Sexual Intercourse, Arizona, 2005 Yes No 100.0% 29.3% 48.3% 75.0% Patterns in sexual activity such as the age at first intercourse and the frequency of intercourse are among the factors accounting for both pregnancy rates and the incidence of sexually transmitted infections. Nationally, more than one-half (51 percent) of 15-17-year-old females have had sexual contact with another person. At age 18-19, 83 percent of females have had a sexual experience with another person.1 76.5% 50.0% 70.7% 51.7% 25.0% 23.5% The age-specific proportions of female high school students who ever had sexual intercourse in Figure 17 are from the latest Arizona Youth Risk Behavior Survey conducted in 2005 2. 0.0% 15 or younger 16 or 17 18 or older Figure 18 Percentage of Female High School Students, Who Used Birth Control Pills Or Condoms to Prevent Pregnancy, Arizona, 2005 Used birt h cont rol pills Used a condom Did not use birt h cont rol pills or a condom 100.0% 27.0% 28.2% 41.5% 75.0% 50.0% 60.2% 53.6% 38.7% 25.0% 12.8% 18.2% 19.8% 16 or 17 18 or older 0.0% 15 or younger 1 2 3 4 According to the National Survey of Family Growth, the oral contraceptive pill is the leading method of contraception in the United States.3 The survey provides no state-specific data. The 2005 Arizona Youth Risk Behavior Survey results for “students who had sexual intercourse during the past three months”4 reveal that compared to younger teens, older teens were less likely to use birth control pills before or a condom during, the last intercourse (Figure 18). It is quite unlikely that over 41 percent of sexually active females 18-19 years old in 2005 have used other methods instead (such as female sterilization or a 3-month injectable contraceptive Depo-Provera). From 2005 to 2006, the birth rate per 1,000 females 18-19 years old increased by an unprecedented 13.3 percent. Perhaps, not a small fraction of those who were sexually active but not using contraception in 2005 were not so much placing themselves at a risk of unintended pregnancy but intentionally trying to have a baby? Mosher WD, Chandra A, Jones J. Sexual behavior and selected health measures: Men and women 15-44 years of age, United States, 2002.Advance data from vital and health statistics; no 362. Hyattsville, MD: National Center for Health Statistics, 2005. Percentage of students who ever had sexual intercourse. See the Arizona YRBS results at http://www.azed.gov/sa/health/matrix/YRBS2005Results.asp Mosher WD, Martinez GM, Chandra A, Abma JC, Wilson SJ. Use of contraception and use of family planning services in the United States,1982-2002. Advance data from vital and health statistics; no 350. Hyattsville, Maryland: National Center for Health Statistics, 2004 Percentage of students who used a condom during or birth control pills before last sexual intercourse. See the Arizona Youth Risk Behavior Survey results at http://www.azed.gov/sa/health/matrix/YRBS2005Results.asp Teen Pregnancy, Arizona 1996-2006 11 TEENAGE PREGNANCY, ARIZONA, 1996-2006 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Pregnancy outcome by year ALL PREGNANCIES 1996 14 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 13,521 293 13,228 5,262 7,966 1997 13,438 278 13,160 5,096 8,064 1998 14,532 316 14,216 5,482 8,734 1999 14,094 303 13,792 4,993 8,799 2000 14,287 278 14,009 5,016 8,993 2001 13,429 253 13,176 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 13,898 239 13,659 4,790 8,869 2006 LIVE BIRTHS 1996 14,918 242 14,676 5,105 9,571 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 11,933 185 11,748 4,179 7,569 2006 ABORTIONS 1996 12,916 170 12,746 4,450 8,296 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 1,892 54 1,838 582 1,256 2006 FETAL LOSSES 1996 1,919 69 1,850 624 1,226 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 2006 83 3 80 31 49 Teen Pregnancy, Arizona 1996-2006 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1996-2006 Pregnancy outcome by year ALL PREGNANCIES 1996 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 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 32.7 1.1 65.6 39.1 103.6 2006 LIVE BIRTHS 1996 34.1 1.1 68.7 39.0 115.6 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 28.1 0.9 56.5 34.1 88.4 2006 ABORTIONS 1996 29.6 0.8 59.6 34.0 100.2 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 4.5 0.2 8.8 4.8 14.7 2006 FETAL LOSSES 1996 4.4 0.3 8.7 4.8 14.8 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 2006 0.2 0.0 0.4 0.2 0.6 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 1996-2006 15 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1996-2006 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2006 3,209 HISPANIC OR LATINO 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 2006 7,738 BLACK OR AFRICAN AMERICAN 1996 498 1997 519 1998 586 1999 603 2000 572 2001 545 2002 468 2003 549 2004 540 2005 569 2006 601 AMERICAN INDIAN OR ALASKA NATIVE 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 2006 1,216 ASIAN OR PACIFIC ISLANDER 1996 76 1997 66 1998 73 1999 108 2000 100 2001 104 2002 96 2003 107 2004 92 2005 96 2006 92 16 15-19 years Under 15 years Total 15-17 years 18-19 years 40 27 38 31 38 34 23 23 17 17 19 3,993 3,706 3,805 3,838 3,721 3,362 3,041 2,947 2,789 2,727 3,190 1,368 1,239 1,261 1,115 1,040 926 824 782 747 711 852 2,625 2,467 2,544 2,723 2,681 2,436 2,217 2,165 2,042 2,016 2,338 132 146 142 149 144 132 147 146 137 137 123 5,496 5,590 5,809 6,012 6,404 6,516 6,438 6,646 7,001 7,051 7,615 2,308 2,329 2,419 2,415 2,567 2,552 2,507 2,600 2,779 2,721 2,923 3,188 3,261 3,390 3,597 3,837 3,964 3,931 4,046 4,222 4,330 4,692 10 13 16 14 12 13 12 3 12 8 7 488 506 570 589 560 532 456 546 528 561 594 220 207 223 222 198 193 152 204 180 199 187 268 299 347 367 362 339 304 342 348 362 407 28 25 31 38 20 17 18 37 21 21 19 968 946 1,091 1,012 1,069 996 1,021 1,104 1,121 1,183 1,197 401 407 429 389 405 348 374 434 452 478 430 567 539 662 623 664 648 647 670 669 705 767 3 1 1 1 1 0 1 1 1 1 1 73 65 72 107 99 104 95 106 91 95 91 36 17 17 28 29 29 19 38 25 28 28 37 48 55 79 70 75 76 68 66 67 63 Teen Pregnancy, Arizona 1996-2006 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1996-2006 Total, females 19 years or younger WHITE NON-HISPANIC 1996 1,148 1997 1,179 1998 1,480 1999 981 2000 1,020 2001 746 2002 1,010 2003 914 2004 1,095 2005 867 2006 917 HISPANIC OR LATINO 1996 562 1997 642 1998 747 1999 540 2000 610 2001 534 2002 650 2003 630 2004 784 2005 522 2006 609 BLACK OR AFRICAN AMERICAN 1996 105 1997 107 1998 147 1999 96 2000 115 2001 71 2002 118 2003 107 2004 125 2005 114 2006 124 AMERICAN INDIAN OR ALASKA NATIVE 1996 54 1997 58 1998 53 1999 56 2000 43 2001 29 2002 40 2003 68 2004 65 2005 76 2006 55 ASIAN OR PACIFIC ISLANDER 1996 37 1997 42 1998 51 1999 28 2000 37 2001 30 2002 34 2003 27 2004 56 2005 35 2006 40 Race/ethnic group and year Teen Pregnancy, Arizona 1996-2006 15-19 years Under 15 years Total 15-17 years 18-19 years 27 29 38 26 25 16 20 18 19 15 28 1,121 1,150 1,442 955 995 730 990 896 1,076 852 889 478 433 563 369 342 262 367 304 341 278 296 643 717 879 586 653 458 623 592 735 574 593 23 21 29 16 22 22 15 27 20 21 24 539 621 718 524 588 512 635 603 764 501 585 218 240 292 183 228 199 235 197 247 151 193 321 381 426 341 360 313 400 406 517 350 392 6 0 4 7 5 3 4 6 1 5 9 99 107 143 89 110 68 114 101 124 109 115 44 40 51 27 42 28 30 40 46 32 48 55 67 92 62 68 40 84 61 78 77 67 4 2 0 3 2 3 3 3 1 4 1 40 56 53 53 41 26 37 65 64 72 54 18 17 22 17 13 7 12 25 17 21 24 32 39 31 36 28 19 25 40 47 51 30 1 0 0 1 0 0 0 1 1 0 3 36 42 51 27 37 30 34 26 55 35 37 9 19 20 10 11 15 10 7 19 10 11 27 23 31 17 26 15 24 19 36 25 26 17 18 Teen Pregnancy, Arizona 1996-2006 19 10 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 3.5 2 4.0 Abortion rate 22.0 18.2 1 23.1 18.9 882 964 Fertility rate5 4,433 4,556 5,374 18 5,555 38 39 19 22 54 489 432 453 40 50 429 242 220 261 241 289 2,475 230 2,736 462 505 2,440 1,266 2,681 1,760 1,408 1997 1,937 1996 Pregnancy rate, total: Abortions ALL RACE/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 Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births 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 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 TABLE 5 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 17 OR YOUNGER WITH RATES 2, ARIZONA, 1996-2006 2.0 13.0 15.1 693 4,620 5,347 14 29 43 25 449 477 57 194 255 217 3,046 3,281 324 871 1,204 2006 2.0 13.0 15.1 1.7 3.5 5.2 0.9 15.7 16.7 3.1 10.5 13.9 1.8 24.8 26.7 1.8 4.9 6.8 2006 Rates Teen Pregnancy, Arizona 1996-2006 19 19 9 10.1 Abortion rate 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. 2 3 4 5 9.0 46.1 55.7 826 1 Fertility rate 49.0 59.4 892 5,096 4,219 17 36 5,262 4,340 37 50 17 407 401 18 439 421 40 207 220 44 250 271 240 2,329 2,308 218 2,569 2,526 433 1,239 478 1,699 1,368 1997 1,867 1996 5 Pregnancy rate, total: Abortions ALL RACE/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 Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births 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 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 TABLE 6 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 1996-2006 4.8 34.0 39.0 624 5,105 4,450 11 28 39 24 430 457 48 187 239 193 2,923 3,131 296 852 1,157 2006 4.8 39.0 34.0 3.7 9.3 13.0 2.2 39.1 41.5 7.3 28.3 36.1 4.5 67.8 72.7 4.4 12.7 17.2 2006 Rates 20 Teen Pregnancy, Arizona 1996-2006 21.7 Abortion rate 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. 2 23.3 114.9 139.3 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 1 Fertility rate 119 141.6 1,351 6,652 6,691 1,222 8,064 7,966 23 48 37 27 72 64 39 539 567 32 600 603 67 299 268 55 368 328 381 3,261 3,188 321 3,642 3,509 717 2,467 643 3,218 2,625 1997 3,312 1996 5 Pregnancy rate, total: Abortions ALL RACE/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 Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births 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 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 TABLE 7 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 1996-2006 14.8 100.2 115.6 1,226 8,296 9,571 26 63 89 30 767 800 67 407 476 392 4,692 5,115 593 2,338 2,944 2006 14.8 100.2 115.6 13.1 31.9 45.0 4.5 114.9 119.8 16.6 101.0 118.1 14.4 172.6 188.1 13.8 54.5 68.6 2006 Rates Teen Pregnancy, Arizona 1996-2006 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 7.3 2 7.4 Abortion rate 43.8 36.1 1 45.4 37.8 Fertility rate5 2,233 11,085 11,247 2,186 13,438 13,521 42 66 76 37 110 118 58 971 996 54 1,117 1,056 107 519 498 105 582 617 642 5,736 5,628 562 6,378 6,190 1,179 3,733 1,148 4,978 4,033 1997 5,249 1996 Pregnancy rate, total: Abortions ALL RACE/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 Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births 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 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 TABLE 8 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 19 OR YOUNGER, WITH RATES 2, ARIZONA, 1996-2006 4.4 29.6 34.1 1,919 12,916 14,918 40 92 132 55 1,216 1,277 124 601 731 609 7,738 8,396 917 3,209 4,148 2006 4.4 29.6 34.1 3.9 9.0 12.9 1.6 34.5 36.2 5.5 26.8 32.6 4.1 51.6 56.0 4.2 14.6 18.9 2006 Rates 19 YEARS OR YOUNGER 18-19 YEARS 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 ARIZONA 45.4 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 141.6 139.3 142.1 137.6 135.8 113.2 111.1 108.2 108.7 103.6 115.6 23.0 22.0 22.7 19.9 18.4 16.5 16.1 15.9 15.9 14.8 15.1 APACHE 29.6 30.4 30.2 23.9 29.2 21.6 23.2 30.8 32.8 25.9 25.6 107.2 98.8 105.7 88.3 109.9 91.9 100.7 130.1 141.6 105.4 87.9 12.7 15.7 13.7 9.6 15.0 9.2 9.6 13.4 13.5 11.9 10.8 COCHISE 37.5 39.8 36.2 35.6 38.7 34.3 30.6 31.5 30.0 30.0 24.2 114.8 155.6 115.5 115.5 124.5 116.8 104.4 107.3 106.7 110.0 71.1 19.7 19.2 16.9 15.8 19.1 15.5 13.7 14.3 12.7 11.7 12.0 COCONINO 39.7 31.7 28.0 30.2 28.6 30.3 26.0 26.9 27.7 27.7 31.0 112.7 91.8 77.6 78.9 74.7 84.3 68.9 70.6 76.9 79.5 84.0 18.9 14.1 12.8 15.1 14.6 13.9 13.0 13.6 12.9 12.1 14.1 42.4 45.0 45.4 41.4 41.1 43.2 42.4 42.8 38.4 38.8 37.7 143.8 154.5 130.5 121.0 167.3 154.3 151.5 145.5 164.3 150.5 139.8 20.1 30.4 24.8 22.1 17.6 22.5 22.1 23.7 15.4 18.2 16.6 GRAHAM 40.1 41.3 36.3 29.3 28.8 33.8 29.9 27.5 22.5 20.9 35.5 131.8 120.4 111.1 94.8 74.1 84.9 78.4 78.8 57.7 56.7 95.6 16.9 22.5 19.4 13.7 13.9 17.0 14.0 10.7 10.9 9.0 17.6 GREENLEE 53.6 46.1 43.3 34.9 26.7 18.3 40.0 26.0 36.6 31.0 24.7 189.4 192.6 94.0 116.1 123.8 78.4 161.9 64.8 173.1 174.8 69.0 26.8 16.5 31.9 16.3 8.8 7.2 17.5 18.8 10.9 6.6 5.1 MARICOPA 47.1 44.6 46.9 44.6 40.7 37.2 36.0 36.0 35.5 33.9 35.4 146.8 143.0 148.0 146.5 127.8 117.3 114.2 112.4 110.9 106.5 125.0 24.0 22.4 23.0 21.0 18.9 17.2 16.5 16.9 16.5 15.7 15.7 MOHAVE 44.2 42.6 40.1 40.1 33.5 31.4 32.5 30.9 28.7 32.1 33.0 146.8 156.3 139.1 139.4 139.7 132.5 131.5 129.0 112.8 134.0 142.1 22.1 18.5 18.1 17.4 12.0 10.9 12.5 11.1 11.8 11.5 12.4 NAVAJO 37.0 37.4 41.9 40.4 34.8 26.7 28.5 29.6 33.7 33.1 30.0 130.3 124.5 138.0 141.7 154.1 111.7 121.5 123.4 141.3 138.2 99.4 16.9 18.3 20.9 17.9 13.7 11.7 12.0 13.0 14.6 14.4 14.9 PIMA 44.3 43.1 43.1 38.8 39.6 36.0 36.3 32.0 33.8 30.6 32.9 134.6 133.3 123.8 118.3 104.7 96.6 96.7 86.0 93.7 83.7 95.8 21.8 20.4 22.0 17.6 19.1 16.9 17.2 14.6 15.1 14.0 14.7 PINAL 47.9 46.8 49.4 44.9 47.7 43.7 38.5 38.1 36.4 33.5 34.1 147.6 152.1 159.9 145.9 161.0 156.9 130.2 139.3 121.0 119.8 129.3 27.2 24.7 25.6 22.3 23.8 19.8 19.1 16.8 18.3 14.9 13.4 42.3 43.1 48.3 41.7 39.3 33.0 36.4 30.0 38.6 30.7 32.9 135.7 122.6 136.9 145.2 132.1 113.7 137.7 130.7 147.2 111.8 108.5 21.7 23.8 26.4 17.1 21.8 17.8 17.2 11.1 17.9 15.2 16.5 SANTA CRUZ 34.9 32.4 37.0 33.7 33.0 26.3 29.6 25.3 27.9 25.7 29.6 120.1 103.5 111.7 114.8 124.9 91.8 115.9 98.7 99.3 104.1 109.2 15.8 16.2 19.2 13.8 13.3 12.3 11.1 9.5 12.3 8.6 11.8 YUMA 50.1 48.6 46.6 46.3 42.0 36.7 38.8 40.6 42.1 37.0 38.0 157.1 168.4 156.6 151.7 149.8 130.8 133.4 134.2 135.6 122.2 122.8 26.8 23.5 22.9 20.9 17.5 15.3 17.3 19.3 20.4 17.1 16.6 TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS, ARIZONA, 1996-2006 GILA * Number of pregnancies per 1,000 females in specified group. 10-17 YEARS YAVAPAI 22 Teen Pregnancy, Arizona 1996-2006 29.8 44.1 39.2 29.2 32.6 36.8 35.6 32.2 39.8 49.8 30.0 91.4 144.9 135.7 72.7 127.1 153.0 127.0 113.4 153.8 148.7 63.0 15.5 21.6 13.0 18.6 15.2 15.2 18.7 17.2 17.8 30.7 13.1 LA PAZ Teen Pregnancy, Arizona 1996-2006 23 15.0 % Births to teenagers URBAN COUNTIES2 5.8 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 4.2 107 2,524 19.4 1,141 5,881 18.2 549 3,022 17.4 6,792 39,101 7.6 2,970 38,842 15.7 2,014 12,848 12.4 9,686 77,905 12.9 11,700 90,783 2003 3.5 92 2,614 18.9 1,142 6,120 16.8 540 3,216 17.5 7,138 40,822 7.2 2,806 39,271 15.5 2,074 13,409 12.2 9,786 79,951 12.7 11,863 93,396 2004 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 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 4.2 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 4.1 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 5.3 % Births to teenagers 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 76 1,427 18.6 996 5,328 21.3 498 2,336 20.5 5,628 # Births to teenagers # Births (all ages) % 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) % Births to teenagers BLACK OR AFRICAN AMERICAN # Births to teenagers 27,396 10.6 % Births to teenagers HISPANIC OR LATINO # Births (all ages) 4,033 # Births to teenagers 38,494 16.6 % Births to teenagers WHITE NON-HISPANIC # Births (all ages) 2,009 # Births to teenagers 12,215 14.7 % Births to teenagers RURAL COUNTIES # Births (all ages) 9,234 # Births to teenagers 62,879 11,247 # Births (all ages) 75,094 1996 # Births to teenagers Group # Births (all ages) ARIZONA, TOTAL1 TABLE 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA, 1996-2006 2.9 92 3,136 19.1 1,216 6,364 15.6 601 3,864 17.2 7,738 44,862 7.5 3,209 43,013 14.9 2,099 14,083 12.3 10,807 87,894 12.7 12,916 102,042 2006 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1996-2006 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. 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 0.7 56.5 40.4 34.1 21.4 88.4 69.9 2006 0.8 NA 59.6 NA 34.0 NA 100.2 NA Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. 24 Teen Pregnancy, Arizona 1996-2006 Teen Pregnancy, Arizona 1996-2006 25 19 18 17 16 15 14 13 12 11 Mother's age 0 0 One or more Unknown 0 Unknown 0 Unknown 1,571 One or more 0 2,194 Unknown 3,765 None Previous pregnancies 0 Total Unknown 894 2,032 Previous pregnancies One or more 2,926 0 Total None Unknown 470 1,778 Previous pregnancies One or more 2,248 0 Total None Unknown 195 1,239 Previous pregnancies One or more 1,434 0 Total None Unknown 45 613 Previous pregnancies One or more 658 Total None 4 174 Previous pregnancies One or more 178 Total None 2 32 Previous pregnancies One or more 34 Total None 3 None 0 Unknown Previous pregnancies 0 One or more 3 1 Total 1 None Previous pregnancies 1996 Total Pregnancies 0 4 4 0 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 0 11 165 176 0 0 33 33 0 1997 1 4 5 0 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 0 9 186 195 0 1 33 34 0 1998 0 2 2 0 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 0 11 189 200 0 0 36 36 0 1999 0 4 4 0 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 0 3 172 175 0 2 35 37 0 2000 0 3 3 0 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 0 10 157 167 0 0 28 28 0 2001 Year 0 5 5 0 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 0 11 167 178 1 0 21 22 0 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 0 5 176 181 0 1 25 26 0 0 3 3 0 0 1 1 2003 0 3 3 0 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 0 3 151 154 0 1 30 31 0 2004 1 2 3 0 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 0 5 155 160 0 0 22 22 0 2005 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1996-2006 0 0 0 0 0 1,812 2,961 4,773 0 1,004 2,519 3,523 2 502 1,905 2,409 0 158 1,290 1,448 0 35 558 593 0 3 140 143 0 0 25 25 0 0 2 2 2006 26 Teen Pregnancy, Arizona 1996-2006 10 0 0 0 0 0 0 0 0 0 0 0 11 2 0 0 0 1 1 0 0 0 0 12 25 2 3 3 3 5 3 4 2 25 22 31 26 22 28 37 191 13 983 143 160 154 181 178 167 14 2,861 593 603 566 587 512 15 5,468 1,448 1,317 1,389 1,314 16 6,940 2,409 2,259 2,272 17 6,874 3,523 3,351 18 4,773 4,773 19 2 0 0 28,117 12,916 7,715 4,415 2,112 718 198 41 Mother was 19 or younger in 2006 The figures in Table 26 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 1996-2006. 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 2006. For example, mothers who were 13 years old in 1998 were 21 years old in 2006. 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 2006 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 1999, 2 remained in their teens in 2006. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 28,117 mothers under 20 in Arizona in 2006, 191 had given birth when 13 years old. gave birth to a baby prior to 2006 and were still 19 or less years old in 2006. gave birth to the 12,916 babies in 2006. Among them are those who: NOTE: The above table focuses on the 2006 cohort of Arizona mothers who were 19 or younger that year. Cumulative number of mothers 19 or younger 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 Year Baby Was Born MOTHER'S AGE WHEN BABY WAS BORN TABLE 13 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2006 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP (INCLUDING REVISED* RATES FOR 1996-1999), ARIZONA, 1996-2006 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Hispanic or Latino 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Black or African 1996 1997 American 1998 1999 2000 2001 2002 2003 2004 2005 2006 American Indian 1996 1997 or Alaska Native 1998 1999 2000 2001 2002 2003 2004 2005 2006 Asian or Pacific 1996 1997 Islander 1998 1999 2000 2001 2002 2003 2004 2005 2006 White nonHispanic All 19 years or 10-14 years 15-19 years 15-17 years 18-19 years younger 29.4 0.8 59.2 35.4 95.4 27.5 0.7 54.3 31.1 89.3 28.8 0.8 56.5 32.9 91.2 25.6 0.6 50.6 26.6 84.8 25.2 0.7 49.9 25.1 85.0 21.1 0.5 41.9 20.8 71.0 20.1 0.4 40.0 20.2 67.9 18.2 0.4 36.3 17.5 62.9 17.7 0.3 35.3 16.9 61.2 15.8 0.3 31.6 14.9 55.1 18.9 0.4 37.2 17.2 68.6 69.6 3.5 136.0 95.7 195.0 68.2 3.6 131.8 92.2 189.2 67.1 3.4 131.1 93.0 185.0 63.0 3.1 125.0 85.5 179.9 60.9 2.7 123.0 84.0 178.4 59.1 2.5 119.5 79.7 176.0 57.6 2.5 116.6 77.0 172.8 57.5 2.6 116.2 76.5 172.7 59.2 2.3 120.1 79.7 177.4 55.5 2.2 112.5 72.9 168.9 56.0 1.9 117.3 72.7 188.1 46.0 2.6 93.9 69.4 132.4 45.8 1.8 93.9 62.0 144.4 50.3 2.6 101.3 65.2 154.7 45.8 2.6 93.6 57.8 146.9 51.9 2.4 107.3 64.2 171.7 45.1 2.2 93.1 57.5 146.0 42.5 2.4 87.5 47.0 148.0 45.4 1.2 94.9 59.8 147.5 44.2 1.6 91.8 53.0 149.8 43.5 1.6 89.0 51.6 144.8 32.6 1.4 67.2 36.1 118.1 39.5 2.2 83.4 53.5 136.7 38.9 2.0 80.8 54.1 126.4 42.5 2.2 87.4 55.3 141.0 38.0 2.7 78.0 47.6 128.2 41.3 1.6 86.7 52.1 144.4 36.7 1.4 77.2 43.5 133.0 36.6 1.3 77.0 45.1 130.1 39.9 2.5 82.9 52.0 134.2 39.7 1.4 83.6 53.2 134.2 40.8 1.5 85.8 55.0 137.0 36.2 1.1 71.1 41.5 119.8 17.8 1.2 34.2 26.0 45.3 18.3 0.6 35.5 20.4 55.7 18.5 0.6 35.0 23.1 50.7 17.8 0.5 33.6 17.0 54.6 21.3 0.3 39.8 21.4 62.4 20.3 0.0 38.2 22.8 57.0 19.1 0.3 35.7 14.6 61.6 19.2 0.2 35.5 22.0 52.1 19.3 0.6 36.2 20.2 55.0 16.2 0.3 30.4 16.2 47.6 12.9 0.8 25.7 13.0 45.0 *The pregnancy rates for 1996-1999 were revised using the population denominators that are consistent with the 2000 census. The populations estimated previously from the 1990 census underestimated the growth of the Hispanic population during the 1990s. According to the 2000 census, there were 118,490 Hispanic females 19 years or younger in Arizona, 37.5 percent more than the estimated number of 86,203 in 1999. The revised rates differ from those previously published for 1996-1999. Teen Pregnancy, Arizona 1996-2006 27 28 Teen Pregnancy, Arizona 1996-2006 243 Total reported infections 3,949 Total reported infections 4,183 23 176 13 3,472 522 212 0 5 2 4,305 27 115 15 3,624 551 232 0 6 0 194 4,471 26 112 18 3,753 588 254 0 3 2 213 269 0 7 2 223 4,431 41 118 22 3,726 565 4,726 30 121 24 4,046 535 15-19 years old 247 0 6 2 207 22 4,651 35 135 23 4,024 469 215 0 2 0 191 2002 31 4,093 27 90 25 3,475 503 202 0 2 0 169 2003 36 5,078 28 121 19 4,400 538 229 0 5 0 188 2004 40 6,313 31 128 13 5,451 721 255 0 5 0 210 2005 40 7,151 43 143 16 6,188 804 271 0 7 0 224 2006 Note: Information about the number of reported cases of gonorrhea, chlamydia, early syphilis and genital herpes was provided by STD Program in the Office of Infectious Diseases (see Table 3B-3 in the Arizona Health Status and Vital Statistics annual reports). Information about females who gave birth while infected with genital herpes is collected on birth certificates. 45 NA Gave birth that year Genital herpes 18 3,357 Chlamydia Early syphilis 574 Gonorrhea Diagnosed with: 1 NA Genital herpes Gave birth that year 0 Early syphilis 171 37 192 36 Chlamydia 32 2001 32 34 2000 51 1999 Gonorrhea 1998 10-14 years old 1997 Diagnosed with: 1996 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1996-2006 Teen Pregnancy, Arizona 1996-2006 29 2744.7 2807.3 13.1 118.1 8.7 2330.2 350.3 135.1 3.2 1.3 108.9 21.7 1997 2820.5 23.5 74.2 9.7 2381.1 355.5 143.3 3.7 0.0 119.8 19.8 1998 2777.1 23.2 69.6 11.2 2331.1 365.2 150.3 1.8 1.2 126.0 21.3 1999 2001 146.9 3.7 1.1 122.6 19.5 2502.8 34.7 66.7 12.4 2104.5 319.2 2583.1 24.8 66.1 13.1 2211.5 292.4 15-19 years old 134.2 3.3 1.0 112.5 17.4 2460.9 25.9 71.4 12.2 2129.1 248.2 109.7 1.0 0.0 97.5 11.2 2002 10-14 years old 2000 2109.8 30.0 46.4 12.9 1791.2 259.3 100.1 1.0 0.0 83.7 15.4 2003 2526.6 23.1 60.3 9.5 2189.1 267.7 109.7 2.4 0.0 90.1 17.2 2004 3033.6 24.2 61.5 6.2 2619.4 346.5 126.9 2.3 9.0 97.1 18.5 2005 *Number of cases per 100,000 females in specified age group. The incidence rates of genital herpes among females who gave birth that year are per 1,000 births. Total reported infections NA NA Genital herpes Gave birth that year (%) 13.0 2318.0 Chlamydia Early syphilis 413.7 Gonorrhea Diagnosed with: 160.0 NA Genital herpes Total reported infections 0.0 126.0 Chlamydia Early syphilis 33.4 Gonorrhea Diagnosed with: 1996 TABLE 16 TRENDS IN THE INCIDENCE RATES* OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1996-2006 3346.3 30.1 66.9 7.5 2895.7 376.2 121.3 3.1 0.0 100.3 17.9 2006 TABLE 17 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2006 NUMBER OF PREGNANCIES:* County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years Apache 199 1 198 Cochise 239 2 Coconino 324 5 Gila 142 Graham 110 15-17 years 18-19 years 67 131 237 92 145 319 107 212 3 139 49 90 1 109 41 68 Greenlee 17 0 17 3 14 Maricopa 9,203 157 9,046 3,197 5,849 Mohave 393 1 392 123 269 Navajo 325 3 322 130 192 Pima 2,225 45 2,180 727 1,453 Pinal 615 9 606 189 417 Santa Cruz 131 4 127 50 77 Yavapai 367 5 362 115 247 Yuma 581 6 575 197 378 La Paz 36 0 36 13 23 Unknown 11 0 11 5 6 14,918 242 14,676 5,105 9,571 TOTAL STATE ** PREGNANCY RATES:*** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 25.6 0.3 49.6 26.8 87.9 Cochise 24.2 0.4 46.4 30.0 71.1 Coconino 31.0 1.0 56.8 34.6 84.0 Gila 37.7 1.6 72.8 38.7 139.8 Graham 35.5 0.7 65.0 42.4 95.6 Greenlee 24.7 0.0 44.5 9.8 69.0 Maricopa 35.4 1.2 73.1 41.5 125.0 Mohave 33.0 0.2 69.6 32.9 142.1 Navajo 30.0 0.5 60.3 38.2 99.4 Pima 32.9 1.4 62.4 36.8 95.8 Pinal 34.1 1.0 69.0 34.0 129.3 Santa Cruz 32.9 2.0 63.1 38.4 108.5 Yavapai 29.6 0.8 57.0 28.1 109.2 Yuma 38.0 0.8 75.2 43.2 122.8 La Paz 30.0 0.0 57.4 22.7 63.0 TOTAL STATE 34.1 1.1 68.7 39.0 115.6 * 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. 30 Teen Pregnancy, Arizona 1996-2006 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2006 NUMBER OF BIRTHS: County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 194 1 193 64 129 Cochise 209 0 209 81 128 Coconino 274 5 269 92 177 Gila 129 3 126 40 86 Graham 105 1 104 38 66 Greenlee 17 0 17 3 14 Maricopa 7,903 112 7,791 2,782 5,009 Mohave 390 1 389 123 266 Navajo 311 3 308 120 188 Pima 1,768 24 1,744 577 1,167 Pinal 584 8 576 183 393 Santa Cruz 121 3 118 48 70 Yavapai 316 4 312 96 216 Yuma 554 5 549 187 362 34 0 34 13 21 7 0 7 3 4 12,916 170 12,746 4,450 8,296 La Paz Unknown TOTAL STATE BIRTH RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 24.9 0.3 48.3 25.6 86.6 Cochise 21.2 0.0 40.9 26.4 62.8 Coconino 26.2 1.0 47.9 29.8 70.2 Gila 34.2 1.6 66.0 31.6 133.5 Graham 33.9 0.7 62.0 39.3 92.8 Greenlee 24.7 0.0 44.5 9.8 69.0 Maricopa 30.4 0.8 62.9 36.1 107.0 Mohave 32.7 0.2 69.1 32.9 140.5 Navajo 28.7 0.5 57.7 35.2 97.3 Pima 26.2 0.7 49.9 29.2 76.9 Pinal 32.4 0.9 65.6 32.9 121.9 Santa Cruz 30.4 1.5 58.6 36.8 98.6 Yavapai 25.5 0.7 49.1 23.5 95.5 Yuma 36.2 0.7 71.8 41.0 117.6 La Paz 28.4 0.0 54.2 22.7 57.5 TOTAL STATE 29.6 0.8 59.6 34.0 100.2 ** The number of births per 1,000 females in specified group. Teen Pregnancy, Arizona 1996-2006 31 TABLE 19 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2006 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births Number Rate 44,138 0 1 0 1 0.0 11 44,322 0 1 0 1 0.0 12 44,636 2 4 0 6 0.1 13 44,925 25 19 0 44 1.0 14 45,279 143 44 3 190 4.2 223,300 170 69 3 242 1.1 15 45,863 593 99 3 695 15.2 16 43,891 1,448 215 9 1,672 38.1 17 41,151 2,409 310 19 2,738 66.5 130,905 4,450 624 31 5,105 39.0 18 41,172 3,523 548 19 4,090 99.3 19 41,621 4,773 678 30 5,481 131.7 18-19 82,793 8,296 1,226 49 9,571 115.6 436,998 12,916 1,919 83 14,918 34.1 15-17 Total 10-19 32 Spontaneous fetal losses 10 10-14 1 TOTAL PREGNANCIES Rates per 1,000 female population in specific group. Teen Pregnancy, Arizona 1996-2006 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2006 Mother's age Total 12 TOTAL 13 14 15 16 17 18 19 12,916 2 25 143 593 1,448 2,409 3,523 4,773 Apache 194 0 1 0 7 20 37 53 76 Cochise 209 0 0 0 8 28 45 50 78 Coconino 274 1 0 4 15 26 51 68 109 Gila 129 0 1 2 3 15 22 37 49 Graham 105 0 0 1 6 15 17 29 37 Geenlee 17 0 0 0 2 1 0 8 6 7,903 1 16 95 394 895 1,493 2,137 2,872 Mohave 390 0 0 1 13 45 65 110 156 Navajo 311 0 1 2 16 36 68 90 98 Pima 1,768 0 4 20 63 194 320 511 656 Pima 584 0 0 8 21 53 109 162 231 Santa Cruz 121 0 0 3 8 14 26 30 40 Yavapai 316 0 1 3 15 29 52 84 132 Yuma 554 0 1 4 19 73 95 143 219 34 0 0 0 3 3 7 8 13 7 0 0 0 0 1 2 3 1 Maricopa La Paz Unknown Teen Pregnancy, Arizona 1996-2006 33 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2006 Total TOTAL 12 13 14 15 16 17 18 19 1,919 2 4 19 44 99 215 310 548 678 Apache 5 0 0 0 0 0 1 2 1 1 Cochise 29 1 0 0 1 2 5 3 4 13 Coconino 50 0 0 0 0 2 7 6 16 19 Gila 9 0 0 0 0 2 2 3 1 1 Graham 3 0 0 0 0 1 0 1 0 1 Greenlee 0 0 0 0 0 0 0 0 Maricopa 1,242 11 29 63 129 204 362 442 0 0 0 0 0 0 0 Mohave Navajo 34 11 1 1 0 11 0 0 0 0 1 4 3 1 2 Pima 450 0 2 8 11 24 50 72 132 151 Pinal 30 0 0 0 1 0 2 4 9 14 Santa Cruz 10 0 1 0 0 0 1 1 6 1 Yavapai 50 0 0 0 1 3 8 7 11 20 Yuma 24 0 0 0 1 1 5 3 5 9 La Paz 2 0 0 0 0 0 0 0 0 2 Unknown 4 0 0 0 0 0 1 1 0 2 Teen Pregnancy, Arizona 1996-2006 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2006 Total TOTAL AHCCCS Private insurance IHS Self Unknown 12,916 10,322 337 1,791 338 128 Apache 194 101 75 1 3 14 Cochise 209 161 0 39 7 2 Coconino 274 184 69 16 1 4 Gila 129 77 47 3 2 0 Graham 105 77 10 12 3 3 Greenlee 17 10 0 6 1 0 Maricopa 7,903 6,523 35 1,147 158 40 Mohave 390 306 2 41 9 32 Navajo 311 216 71 13 5 6 Pima 1,768 1,353 18 305 74 18 Pinal 584 438 9 112 25 0 Santa Cruz 121 92 0 10 18 1 Yavapai 316 281 1 29 4 1 Yuma 554 474 0 52 28 0 34 29 0 5 0 0 7 0 0 0 0 7 La Paz Unknown Teen Pregnancy, Arizona 1996-2006 35 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2006 Mother's age group Total <15 Total Count Payee for births AHCCCS Private insurance 170 4,450 8,296 10,322 147 3,560 6,615 79.9 86.5 80.0 79.7 Count 337 4 117 216 Percent 2.6 2.4 2.6 2.6 1,791 13 591 1,187 13.9 7.6 13.3 14.3 Count 338 5 135 198 Percent 2.6 2.9 3.0 2.4 Count 128 1 47 80 Percent 1.0 0.6 1.1 1.0 Count Count Percent Self Unknown 36 18-19 12,916 Percent IHS 15-17 Teen Pregnancy, Arizona 1996-2006 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2006 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count 3 4 or more 18-19 170 4,450 8,296 9,400 167 3,753 5,480 72.8 98.2 84.3 66.1 3 614 2,133 21.3 1.8 13.8 25.7 Count 613 0 73 540 Percent 4.7 0.0 1.6 6.5 Count 117 0 5 112 Percent 0.9 0.0 0.1 1.4 34 0 3 31 0.3 0.0 0.1 0.4 Count Percent Unknown 15-17 12,916 2,750 Percent 2 <15 Count Percent 2 0 2 0 0.0 0.0 0.0 0.0 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2006 Mother's age group Total Total Count Marital status Married Count Percent Unmarried Count Percent Other <15 15-17 18-19 12,916 170 4,450 8,296 1,887 3 319 1,565 14.6 1.8 7.2 18.9 10,997 167 4,126 6,704 85.1 98.2 92.7 80.8 32 0 5 27 0.2 0.0 0.1 0.3 Count Percent TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2006 Mother's age group Total Total Count Mother's education <8 8 8,296 Count 544 44 186 314 Percent 4.2 25.9 4.2 3.8 Count 714 79 343 292 Count Count Percent 13-16 17+ Unknown Teen Pregnancy, Arizona 1996-2006 18-19 4,450 Percent 12 15-17 170 Percent 9-11 <15 12,916 5.5 46.5 7.7 3.5 6,534 46 3,319 3,169 50.6 27.1 74.6 38.2 4,246 0 533 3,713 32.9 0.0 12.0 44.8 Count 755 0 22 733 Percent 5.8 0.0 0.5 8.8 0 0 0 0 Percent 0.0 0.0 0.0 0.0 Count 123 1 47 75 Percent 1.0 0.6 1.1 0.9 Count 37 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2006 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 170 4,450 8,296 Count 459 13 166 280 Percent 3.6 7.6 3.7 3.4 8,237 77 2,615 5,545 63.8 45.3 58.8 66.8 3,445 66 1,345 2,034 26.7 38.8 30.2 24.5 Count 764 14 316 434 Percent 5.9 8.2 7.1 5.2 11 0 8 3 0.1 0.0 0.2 0.0 Count Count Percent 3rd trimester 15-17 12,916 Percent 2nd trimester <15 Count Percent TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2006 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 4,450 8,296 Count 459 13 166 280 Percent 3.6 7.6 3.7 3.4 821 17 355 449 6.4 10.0 8.0 5.4 3,154 50 1,177 1,927 24.4 29.4 26.4 23.2 5,828 60 1,878 3,890 45.1 35.3 42.2 46.9 2,624 30 858 1,736 20.3 17.6 19.3 20.9 30 0 16 14 0.2 0.0 0.4 0.2 Count Count Count Percent 13+ visits Count Percent Unknown Count Percent 38 18-19 170 Percent 9-12 visits 15-17 12,916 Percent 5-8 visits <15 Teen Pregnancy, Arizona 1996-2006 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2006 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker 170 4,450 8,296 20 0 11 9 Percent 0.2 0.0 0.2 0.1 Count 582 2 132 448 Percent 4.5 1.2 3.0 5.4 23 0 10 13 0.2 0.0 0.2 0.2 12,291 168 4,297 7,826 95.2 98.8 96.6 94.3 Count Count Count Percent Teen Pregnancy, Arizona 1996-2006 18-19 12,916 Percent Nonsmoker and nondrinker 15-17 39 40 Teen Pregnancy, Arizona 1996-2006 Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity 0 Smoker and drinker 30 140 0 Less than 5 5 or more Unknown 0 129 37 weeks or more Unknown 41 1 5 13 4 147 36 weeks or less Unknown Self Private insurance IHS AHCCCS 168 2 Smoker, nondrinker Nonsmoker and nondrinker 0 1 Unknown Drinker, nonsmoker 1 19 Asian or Pacific Islander American Indian or Alaska Native 7 123 Hispanic or Latino Black or African American 19 White non-Hispanic Total births 4 0 10 11 0 0 21 0 0 0 0 21 21 0 0 0 0 0 1 0 16 Count 0.0 7.1 36.7 0.0 0.0 51.2 0.0 0.0 0.0 0.0 14.3 12.5 0.0 0.0 0.0 0.0 0.0 5.3 0.0 13.0 21.1 Percent LBW births <15 16 3,913 521 3 3,537 910 47 135 591 117 3,560 4,297 10 132 11 30 28 430 187 2,923 852 Total births 1 282 91 1 69 304 3 20 42 2 307 360 0 13 1 2 1 37 21 246 67 Count 6.3 7.2 17.5 33.3 2.0 33.4 6.4 14.8 7.1 1.7 8.6 8.4 0.0 9.8 9.1 6.7 3.6 8.6 11.2 8.4 7.9 Percent LBW births 15-17 Mother's age group 14 7,553 729 6 6,689 1,601 80 198 1,187 216 6,615 7,826 13 448 9 29 63 767 407 4,692 2,338 Total births 2 524 136 1 119 542 4 23 93 5 537 602 1 59 0 1 2 53 62 367 177 Count 14.3 6.9 18.7 16.7 1.8 33.9 5.0 11.6 7.8 2.3 8.1 7.7 7.7 13.2 0.0 3.4 3.2 6.9 15.2 7.8 7.6 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2006 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2006 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 436,998 223,300 213,698 130,905 82,793 White non-Hispanic 219,100 108,998 110,102 67,183 42,920 Hispanic or Latino 149,959 79,675 70,284 43,094 27,191 Black or African American 22,419 11,773 10,646 6,617 4,029 American Indian or Alaska Native 35,250 17,565 17,685 11,009 6,676 Asian or Pacific Islander 10,270 5,289 4,981 3,003 1,978 Note: Two data sources were utilized in producing the 2006 population estimates. The totals for the State and each of its counties agree with the projections released by the Department of Economic Security (DES) on March 31, 2006 (http://www.workforce.az.gov/?PAGEID=67&SUBID=138). The percentages of population breakdowns by single-year of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2005 Postcensal Population Estimates for Calculating Vital Rates”, available from the National Center for Health Statistics (NCHS: http://www.cdc.gov/nchs/about/major/dvs/popbridge/datadoc.htm#vintage2005). These percentages were then applied to total state and county population projections for 2006 from DES. The 2006 population estimates by race/ethnicity should not be NUMBER OF PREGNANCIES All 19 years 10-14 years or younger All groups 15-19 years 15-17 years 18-19 years 14,918 242 14,676 5,105 9,571 White non-Hispanic 4,148 47 4,101 1,157 2,944 Hispanic or Latino 8,396 150 8,246 3,131 5,115 731 16 715 239 476 1,277 20 1,257 457 800 Asian or Pacific Islander 132 4 128 39 89 Unknown 234 5 229 82 147 Black or African American American Indian or Alaska Native PREGNANCY RATES PER 1,000 FEMALES All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 34.1 1.1 68.7 39.0 115.6 White non-Hispanic 18.9 0.4 37.2 17.2 68.6 Hispanic or Latino 56.0 1.9 117.3 72.7 188.1 Black or African American 32.6 1.4 67.2 36.1 118.1 American Indian or Alaska Native 36.2 1.1 71.1 41.5 119.8 Asian or Pacific Islander 12.9 0.8 25.7 13.0 45.0 Teen Pregnancy, Arizona 1996-2006 41 42 Teen Pregnancy, Arizona 1996-2006 10,829 67,545 18,045 Navajo Pima Pinal 15,302 Yuma 7,659 6,056 1,966 9,259 32,599 5,490 6,294 136,284 627 382 1,417 1,861 4,842 4,773 3,791 223,300 10-14 years 7,643 6,348 2,013 8,786 34,946 5,339 5,630 123,811 572 307 1,678 1,910 5,614 5,107 3,994 213,698 15-19 years 4,564 4,087 1,303 5,562 19,779 3,407 3,737 77,002 365 203 967 1,266 3,091 3,068 2,504 130,905 15-17 years 3,079 2,261 710 3,224 15,167 1,932 1,893 46,809 207 104 711 644 2,523 2,039 1,490 82,793 18-19 years Note: Two data sources were utilized in producing the 2006 population estimates. The totals for the State and each of its counties agree with the projections released by the Department of Economic Security (DES) on March 31, 2006 (http://www.workforce.az.gov/?PAGEID=67&SUBID=138). The percentages of population breakdowns by single-year of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2005 Postcensal Population Estimates for Calculating Vital Rates”, available from the National Center for Health Statistics (NCHS: http://www.cdc.gov/nchs/about/major/dvs/popbridge/datadoc.htm#vintage2005). These percentages were then applied to total state and county population projections for 2006 from DES. The 2006 population estimates by race/ethnicity should not be compared with the previously published estimates for 2001-2005, which used the 2000 year census shares. 12,404 Yavapai 3,979 11,924 Mohave Santa Cruz 260,095 Maricopa 1,199 689 Greenlee La Paz 3,095 Graham 10,456 Coconino 3,771 9,880 Cochise Gila 7,785 436,998 Apache ARIZONA All 19 years or younger TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2006 Teen Pregnancy, Arizona 1996-2006 43 57.1 162,562 H. The number of females 15-19 years old who did not have a birth previously (A-E) J. The rate of first-time births (I/H)*1,000 181.3 G. The rate of repeat childbearing (F/E)*1,000 9,285 2,639 F. The number of repeat births to females 15-19 years old who had a birth previously I. The number of first-time births to females 15-19 years old who did not have a birth previously 14,552 E. The number of females 15-19 years old who had a birth previously (D-B) 52.7 8,870 168,417 183.1 2,680 14,640 26,231 63.3 67.6 26,525 11,591 183,057 2001 11,973 177,114 D. Cumulative number of mothers who gave birth when 15-19 years old C. The rate of births (B/A)*1,000 B. The number of births to females 15-19 years old 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 49.5 9,880 199,528 202.1 2,864 14,170 26,916 59.6 12,746 213,698 2006 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 2006 cohort of mothers who were 15-19 years old includes 12,746 who gave birth that year and 14,170 who gave birth prior to 2005 and were still 15-19 years old in 2006. 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 the Health Status Among Race/Ethnic Groups, 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, falls among Arizonans 65 years or older), hospital inpatient and emergency department statistics for mental disorders, asthma, diabetes, influenza and pneumonia and substance abuse, 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