TEENAGE PREGNANCY Arizona,1997-2007 Public Health Services Bureau of Public Health Statistics Health Status and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janet Napolitano, Governor State of Arizona January Contreras, Acting 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, 1997-2007 by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Clare Torres, Senior Health Data Analyst October 2008 TEENAGE PREGNANCY, ARIZONA, 1997-2007 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, 1997-2007 Figure 2...................................................................................................................................................................................3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 3...................................................................................................................................................................................4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 4...................................................................................................................................................................................4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 5...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 6...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 7...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 8...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Figure 9...................................................................................................................................................................................7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2007 Figure 10.................................................................................................................................................................................7 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2007 Figure 11.................................................................................................................................................................................8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2000-2007 Figure 12.................................................................................................................................................................................8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2000-2007 Figure 13.................................................................................................................................................................................9 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1987, 1997 AND 2007 Figure 14.................................................................................................................................................................................9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 1997 AND 2007 Figure 15............................................................................................................................................................................... 10 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 1997-2007 Teen Pregnancy, Arizona 1997-2007 List of Figures (continued) Figure 16............................................................................................................................................................................... 10 CUMULATIVE NUMBER OF CASES OF GENITAL HERPES AMONG FEMALES 15-19 YEARS, ARIZONA, 1997-2007 Figure 17............................................................................................................................................................................... 11 PERCENTAGE OF FEMALE HIGH SCHOOL STUDENTS WHO EVER HAD SEXUAL INTERCOURSE, ARIZONA, 2007 Figure 18............................................................................................................................................................................... 11 PERCENTAGE OF FEMALE HIGH SCHOOL STUDENTS WHO USED BIRTH CONTROL PILLS OR CONDOMS TO PREVENT PREGNANCY, ARIZONA, 2007 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1997-2007 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1997-2007 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 1997-2007 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 1997-2007 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 1997-2007 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 1997-2007 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1997-2007 Table 10 ................................................................................................................................................................................ 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA. 1997-2007 Table 11 ................................................................................................................................................................................ 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1997-2007 Table 12 ................................................................................................................................................................................ 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1997-2007 Table 13 ................................................................................................................................................................................ 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2007 Table 14 ................................................................................................................................................................................ 27 TRENDS INTEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP (INCLUDING REVISED RATES FOR 1997-1999), ARIZONA, 1997-2007 ii Teen Pregnancy, Arizona 1997-2007 List of Tables (continued) Table 15 ................................................................................................................................................................................ 28 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1997-2007 Table 16 ................................................................................................................................................................................ 29 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1997-2007 Table 17 ................................................................................................................................................................................ 30 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2007 Table 18 ................................................................................................................................................................................ 31 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2007 Table 19 ................................................................................................................................................................................ 32 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2007 Table 20 ................................................................................................................................................................................ 33 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2007 Table 21 ................................................................................................................................................................................ 34 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2007 Table 22 ................................................................................................................................................................................ 35 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2007 Table 23 ................................................................................................................................................................................ 36 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2007 Table 24 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2007 Table 25 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2007 Table 26 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2007 Table 27 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2007 Table 28 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2007 Table 29 ................................................................................................................................................................................ 39 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2007 Table 30 ................................................................................................................................................................................ 40 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2007 Table 31 ................................................................................................................................................................................ 41 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2007 Table 32 ................................................................................................................................................................................ 42 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2007 Appendix............................................................................................................................................................................... 43 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 1997-2007 iii PURPOSE This report is the twenty-third annual update of information about pregnancies among females under age 20. The data for 2007 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 and 2007, 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 singleyear of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2006 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 and 2007 from DES. The 2006-2007 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 the 1996-2006 edition of the 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, 1990July 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 1997 to 2007, 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 1997 to 2007. 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 1997 to 2007 in Table 12. Three new data tables were added beginning with the 1996-2006 edition of the report. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 1997 to 2007. It includes revised pregnancy rates for 1997-1999. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 1997-2007. Table 16 shows the incidence rates by year from 1997 to 2007. Frequency counts, proportions and rates in tables 17-32 all apply to the 2007 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 2007 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 2000-2007. Teen Pregnancy, Arizona 1997-2007 1 COMPARATIVE NATIONAL AND STATE DATA Timely, comparable, and reliable teen pregnancy statistics for other States and the Nation are not easily available. “Health, United States, 2007”, the premier annual publication of The Department of Health and Human Services, contains no information about pregnancies. The latest available preliminary national teenage birth rates for 2006 were published in December, 2007. No national abortion or fetal death data have been available since the 2004 calendar data year. A recent report, “Estimated Pregnancy Rates by Outcome for the United States, 1990-2004”* was published in April 2008. The authors combine the complete count of births provided by every state to the NCHS with the estimated numbers of abortions, early miscarriages, and fetal deaths. The number of abortions is estimated from surveys the Alan Guttmacher Institute conducts of known abortion providers (i.e. these data are by the place of occurrence and not by the woman’s place of residence). The fetal loss estimates – including early miscarriages before 20 weeks of gestation - are from pregnancy history information collected by the National Survey of Family Growth (NFSG). Unlike vital statistics reports of fetal losses occurring at gestations of 20 weeks or more, NFSG include all gestations. Since the majority of fetal losses occur early in pregnancy before the reporting requirements for fetal deaths are in effect, their inclusion dramatically raises both the fetal loss rate and the pregnancy rate. The National Survey of Family Growth data are not state-specific. The pregnancy rates for Arizona teens cannot be compared with the rates for their peers nationally. No comparable state-by-state data for 2006 or 2007 are available at this time. KEY FINDINGS The following section presents some illustrative findings contained in the figures and tables of the report. It is not intended to be an exhaustive analysis of the tabulated data. • In 2007, the pregnancy rate of 34.4 pregnancies per 1,000 females 19 years or younger was 21.5 percent lower than the rate of 43.8/1,000 in 1997. • However, the absolute number of teen pregnancies increased by 11.9 percent from 13,438 in 1997 to 15,038 in 2007. The latter is the highest number of teen pregnancies ever recorded in the State. • While the overall 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. • From 2006 to 2007, only White non-Hispanic females 19 years or younger experienced a decline in the number of pregnancies. In contrast, the number of pregnancies increased for Hispanic, American Indian, Black, and Asian females. • In 2007, the number of pregnancies increased by an unprecedented 34.3 percent among females aged 14 years or younger (from 242 to 325), and by 1.7 percent for females aged 18-19 years (from 9,571 to 9,738). • In contrast, the number of pregnancies among females 15-17 years old decreased by 130 from 5,105 in 2006 to 4,975 in 2007. • Nineteen percent of teenagers who already had one child gave birth again in 2007. • The number of teen births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased by 55.2 percent from 6,698 in 1997 to 10,394 in 2007. • The National Campaign to Prevent Teen and Unplanned Pregnancy estimated that in 2004, teen childbearing cost taxpayers an average of $1,430 per teen mother annually. This per capita cost of teen childbearing translates into at least $18,549,960 (in 2004 dollars) expended on public assistance, health care, and child welfare in Arizona in 2007. * Ventura SJ, Abma JC, Mosher WD, Henshaw SK. Estimated pregnancy rates by outcome for the United States, 1990-2004. National vital statistics reports; vol. 56 no 15. Hyattsville, MD: National Center for Health Statistics. 2008 2 Teen Pregnancy, Arizona 1997-2007 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 1997-2007 The pregnancy rate for Arizona teenagers 15-19 years old in 2007 remained essentially unchanged at 68.4 pregnancies per 1,000 females (compared to 68.7 in 2006; Figure 1, Table 2). The pregnancy rate for younger teenagers 15-17 years old decreased by 5.4 percent from 39.0/1,000 in 2006 to 36.9/1,000 in 2007. In contrast, the pregnancy rate for older teenagers 18-19 years old increased for the second consecutive year from 103.6/1,000 in 2005 to 121.4/1,000 in 2007 (Figure 1,Table 2). 160.0 140.0 18-19 years 120.0 100.0 80.0 15-19 years 60.0 15-17 years 40.0 All 19 or younger 20.0 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 All 19 or younger 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 2007 34.4 18-19 139.3 142.1 137.6 123.6 113.2 111.2 108.2 108.7 103.6 115.6 121.4 15-19 88.1 91.7 85.7 79.1 72.0 70.6 68.9 69.4 65.6 68.7 68.4 15-17 55.7 58.6 51.5 48.1 43.2 42.2 41.6 42.0 39.1 39.0 36.9 In 2007, the number of pregnancies increased by an unprecedented 34.3 percent among females aged 14 years or younger (from 242 to 325), and by 1.7 percent for females aged 18-19 years (from 9,571 to 9,738; Table 1). Among females 15-17 years old the number of pregnancies decreased by 130 from 5,105 in 2006 to 4,975 in 2007. Overall, there were 120 more pregnancies among females 19 years or younger in 2007 (15,038) than they were in 2006 (14,918). Note: All rates are per 1,000 females in specified group. Figure 2 Trends in the Number of Pregnancies and Pregnancy Rates among Females 19 or Younger, Arizona, 1997-2007 Number of pregnancies among females 19 or younger 17500 Rate per 1,000 females 19 years or younger 175.0 Number of pregnancies (right-hand scale) 150.0 15000 125.0 12500 100.0 10000 75.0 50.0 7500 Pregnancy rates (left-hand scale) 5000 25.0 2500 0.0 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Pregnancies 13438 14531 14095 14287 13429 13572 13654 14163 13898 14918 15038 Pregnancy rates 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 Trends in the number of pregnancies to teenage women do not always parallel the pregnancy rate. The teen pregnancy rate measures the proportion of teenagers becoming pregnant in a given year; in other words, the relative “risk for pregnancy” in a population “at risk”. The number of pregnancies is, however, also determined by the size of the population “at risk”: or in this case by the number of teenage females in the population. The number of teen pregnancies increased by 11.9 percent from 13,438 in 1997 to 15,038 in 2007 (Figure 2, Table 1). However, the proportional increase in the number of females 19 years old or younger was 3 times greater at 35.4 percent from 322,868 in 1997 to 437,239 in 2007. 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 15,038 pregnancies to females 19 years old or younger in Arizona in 2007 was the highest number ever recorded in the State. Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 1997-2007 3 KEY FINDINGS Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 1997-2007 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 19972007). In 2007, Hispanic or Latino mothers accounted for 56.8 percent of all pregnancies in this age group, followed by White non-Hispanics (27.3 percent). Black or African American, Asian or Pacific Islander and American Indian females aged 19 years or younger accounted for larger share of pregnancies in 2007 (15.9 percent) than they did in 1997 (13.5 percent). From 2006 to 2007, only White nonHispanic females 19 years or younger experienced a decline in the number of pregnancies. In contrast, the number of pregnancies increased for Hispanic, American Indian, Black, and Asian females. 9000 Hispanic or Latino 7500 6000 4500 White non-Hispanic 3000 American Indian 1500 Black or African American Asian or Pacific Islander 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Asian 110 129 136 137 134 130 134 148 132 132 167 Black 582 644 669 620 622 605 664 671 688 731 766 American Indian 1117 1301 1155 1216 1053 1082 1215 1215 1289 1277 1353 White non-Hispanic 4978 5375 4915 4814 4175 4102 3903 3924 3631 4148 4101 Hispanic 6378 6698 6701 7213 7239 7287 7476 7965 7748 8396 8545 The sum of live births+induced abortions+spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2007 than in 1997 (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 19972007. The pregnancy rate fell 17.4 percent for Hispanic or Latino females 19 years or younger in 1997-2003 and then increased in 2004 and 2006. (Figure 4). In each year from 1997 to 2007, 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 2007, the Hispanic rate exceeded the average rate for all groups by 60.8 percent. Figure 4 Comparison of Pregnancy Rates by Year among Hispanic or Latinos and all Females 19 or Younger, Arizona, 1997-2007 75.0 Hispanic or Latino 60.0 45.0 30.0 15.0 All groups 0.0 All groups 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 2007 34.4 Hispanic or Latino 68.2 67.1 63.0 60.9 59.1 57.6 57.5 59.2 55.5 56.0 55.3 Note: All rates are per 1,000 females in specified group. 4 Teen Pregnancy, Arizona 1997-2007 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 1997-2007 75.0 60.0 The pregnancy rate for White nonHispanics sharply increased by 19.6 percent in 2006 (Figure 5). The rate remained essentially unchanged at 19.0 in 2007. 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 non-Hispanic 15.0 All groups 0.0 1997 All groups 43.8 White non-Hispanic 27.5 1998 45.8 28.8 1999 42.7 25.6 2000 39.5 25.2 2001 36.0 21.1 2002 35.2 20.1 2003 34.5 18.2 2004 34.6 17.7 2005 32.7 15.8 2006 34.1 18.9 2007 34.4 19.0 Note: All rates are per 1,000 females in specified group. Figure 6 Comparison of Pregnancy Rates by Year among American Indian or Alaska Natives and all Females 19 or Younger, Arizona, 1997-2007 75.0 60.0 45.0 Despite some of the decreases noted between 1997 and 2007, 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 1997 to 1999, but higher in 2000-2007. American Indian 30.0 15.0 All groups 0.0 All groups American Indian 1997 43.8 38.9 1998 45.8 42.5 1999 42.7 38.0 2000 39.5 41.3 2001 36.0 36.7 2002 35.2 36.6 2003 34.5 39.9 2004 34.6 39.7 2005 32.7 40.8 2006 34.1 36.2 2007 34.4 39.1 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1997-2007 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 1997-2007 75.0 60.0 Black or African American The pregnancy rates for Black or African American females 19 years or younger increased from 32.6/1,000 in 2006 to 36.1/1,000 in 2007 (Figure 7). As in 1997-2005 the 2007 pregnancy rate for Black or African American teenagers was greater than the pregnancy rate for all groups. 45.0 30.0 15.0 All groups 0.0 All groups Black or African American 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 2007 34.4 45.8 50.3 45.8 51.9 45.1 42.5 45.4 44.2 43.5 32.6 36.1 Note: All rates are per 1,000 females in specified group. Figure 8 Comparison of Pregnancy Rates by Year among Asian or Pacific Islanders and all Females 19 or Younger, Arizona, 1997-2007 75.0 60.0 In each year from 1997 to 2007, 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 2007, the Asian rate (15.3/1,000) was 55.5 percent lower than the rate for all groups (34.4/1,000). 45.0 30.0 Asian or Pacific Islander 15.0 All groups 0.0 All groups Asian or Pacific Islander 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 2007 34.4 18.3 18.5 17.8 21.3 20.3 19.1 19.2 19.3 16.2 12.9 15.3 Note: All rates are per 1,000 females in specified group. 6 Teen Pregnancy, Arizona 1997-2007 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2001-2007 100% Surgical 80% The number of reported abortions to females 19 years or younger slightly increased from 1,919 in 2006 to 1,979 in 2007 (Table 1). In 2007, non-surgical abortions accounted for approximately 30 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 2007 Surgical % 98.9 83.3 77 74.5 74.9 74.6 70.3 Non-surgical % 1.1 16.7 2003 23 25.5 25.1 25.4 29.7 Surgical # 1512 1661 1438 1654 1417 1431 1392 Non-surgical # 17 334 429 566 475 488 587 Figure 10 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity among Females 19 or Younger, Arizona, 2007 White non-Hispanic 34.0% 66.0% Asian 33.3% 66.7% ALL GROUPS 29.7% American Indian 27.0% 73.0% Hispanic 25.9% 74.1% Black 0.0% Only among White non-Hispanic and Asian teens the proportion of nonsurgical abortions exceeded the average for all groups (Figure 10). The ratios of reported non-surgical abortions among Black and Hispanic females were the lowest among ethnic groups. 70.3% 16.2% 83.8% 20.0% 40.0% Non-surgical 60.0% 80.0% 100.0% Surgical Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona 1997-2007 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2000-2007 Gave birth that year Gave birth before and was still 19 years old or younger 32,000 There were approximately 28,661 mothers under age 20 in Arizona in 2007, the highest number ever reported in the State. Among them there were the 12,972 who gave birth that year and the 15,689 who gave birth prior to 2007 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 7.4 percent from 26,691 in 2003 to 28,661 in 2007. 27,923 27,500 26,784 26,691 26,870 27,005 11,863 11,933 28,661 28,117 24,000 16,000 12,198 11,790 11,700 11,474 12,972 12,916 8,000 0 2000 2001 2002 2003 2004 2005 2006 2007 *See Table 13 for more details. Figure 12 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2000-2007 2000 2002 2003 2004 2005 2006 2007 190.6 202.1 177.5 186.4 185.2 178.8 200.0 183.1 181.3 240.0 160.0 49.9 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 and by an additional 0.8 percent in 2007 to 49.9/1,000 (Figure 12). The repeat birth rates for teenagers who had already had a child decreased by 5.7 percent from 202.1 in 2006 to 190.6 in 2007 (Figure 7). Nineteen percent of teenagers (190.6/1,000) who already had one child gave birth again in 2007, compared to twenty percent (202.1 /1,000) in 2006. 2001 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 previous birth. See Appendix “How to compute rates of first and repeat childbearing.” 8 Teen Pregnancy, Arizona 1997-2007 KEY FINDINGS Figure 13 Births to Mothers 19 or Younger by Marital Status, Arizona, 1987, 1997 and 2007 Unmarried Married 100.0% 13.4% 17.9% 35.2% 75.0% 50.0% 86.6% 82.1% 64.8% 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 65 percent (Figure 13). In 2007, nonmarital births accounted for 86.6 percent of births to mothers 19 years or younger. 25.0% 0.0% 1987 1997 2007 Figure 14 Number of Births to Mothers 19 or Younger by Payee, Arizona, 1997 and 2007 A HCCCS Total births to mothers 19 years or younger P rivat e insurance O t her 14,000 814 1,764 10,500 In 2007, the Arizona Health Care Cost Containment System paid for 80.1 percent of the deliveries to mothers 19 or younger (Table 23), compared to 71.9 percent in 1997 (Figure 14). 843 1,773 7,000 10,394 3,500 6,698 0 1997 Percent of teen births paid for by AHCCCS 71.9 71.9 Teen Pregnancy, Arizona 1997-2007 The total number of births to mothers 19 years or younger increased by 17.0 percent from 11,085 in 1997 to 12,972 in 2007 (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 55.2 percent from 6,698 in 1997 to 10,394 in 2007. 2007 80.1 The National Campaign to Prevent Teen and Unplanned Pregnancy (www.teenpregnancy.org ) estimated that in 2004, teen childbearing cost taxpayers an average of $1,430 per teen mother annually. This per capita cost of teen childbearing translates into at least $18,549,960 (in 2004 dollars) expended on public assistance, health care, and child welfare in Arizona in 2007. 9 KEY FINDINGS Figure 15 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 1997-2007 4 0 0 0 .0 In 2007, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,700 (Table 15) compared to almost 4,400 reported in 1997. Females aged 15-19 years accounted for 95.6 percent of all sexually transmitted infections in 2007. The rate of STI among females 15-19 years old increased by 64.7 percent from 2109.2 cases per 100,000 in 2003 to 3473.1/100,000 in 2007. 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 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 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 3 4 7 3 .1 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. Assuming that females 15-19 years old reported with genital herpes since 1997 have not died or left the State, the 2007 prevalence of this diseases based on 1,395 cases (Figure 16) would be 648.6/100,000. In other words, one in every 143 females aged 15-19 years may be infected. Figure 16 Cumulative Number of Cases of Genital Herpes among Females 15-19 Years, Arizona, 1997-2007 1,500 1,200 900 1,395 1,259 600 1,116 988 777 642 300 521 291 Genital herpes also is a threat to newborns. Out of 136 females aged 15-19 years who were diagnosed with genital herpes in 2007, 38 (or 27.9 percent) also gave birth that year (Figure 16). 10 867 403 176 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Infected with genital herpes 176 115 112 118 121 1 35 90 121 128 143 136 Gave birth that year 23 27 26 41 30 35 27 28 31 43 38 Teen Pregnancy, Arizona 1997-2007 KEY FINDINGS Figure 17 Percentage of Female High School Students who ever had Sexual Intercourse, Arizona, 2007 Y es No 100.0% 34.0% 75.0% 49.0% 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 50.0% 66.0% 25.0% 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. 51.0% 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 2007. 2 0.0% 16 or 17 years 18 years or older Figure 18 Percentage of Female High School Students who used Birth Control Pills Or Condoms to Prevent Pregnancy, Arizona, 2007 Used birt h cont rol pills Used a condom Did not use birt h cont rol pills or a condom 100.0% 33.0% 44.4% 75.0% 50.0% 46.9% 42.5% 25.0% 20.1% 13.1% 0.0% 16 or 17 years old 1 2 3 4 18 years or older According to the National Survey of Family Growth, the oral contraceptive leading method of pill is the contraception in the United States.3 The survey provides no state-specific data. The 2007 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 44 percent of sexually active females 18-19 years old in 2007 have used other methods instead (such as female sterilization or a 3-month injectable contraceptive Depo-Provera). From 2005 to 2007, the birth rate per 1,000 females 18-19 years old increased by an unprecedented 18.9 percent. Perhaps, not a small fraction of those who were sexually active but not using contraception in 2007 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/YRBS2007Results.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/YRBS2007Results.asp Teen Pregnancy, Arizona 1997-2007 11 TEENAGE PREGNANCY, ARIZONA, 1997-2007 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Pregnancy outcome by year ALL PREGNANCIES 1997 14 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 13,438 278 13,160 5,096 8,064 1998 14,531 316 14,216 5,482 8,734 1999 14,095 303 13,792 4,993 8,799 2000 14,287 278 14,009 5,016 8,993 2001 13,429 253 13,170 4,661 8,515 2002 13,572 255 13,317 4,696 8,621 2003 13,654 272 13,382 4,755 8,627 2004 14,163 233 13,930 4,955 8,975 2005 13,898 239 13,659 4,790 8,869 2006 14,918 242 14,676 5,105 9,571 2007 LIVE BIRTHS 1997 15,038 325 14,713 4,975 9,738 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 12,916 170 12,746 4,450 8,296 2007 ABORTIONS 1997 12,972 180 12,792 4,361 8,431 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 1,919 69 1,850 624 1,226 2007 FETAL LOSSES 1997 1,979 142 1,837 576 1,261 120 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 2007 87 3 84 38 46 Teen Pregnancy, Arizona 1997-2007 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1997-2007 Pregnancy outcome by year ALL PREGNANCIES 1997 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 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 34.1 1.1 68.7 39.0 115.6 2007 LIVE BIRTHS 1997 34.4 1.5 68.4 36.9 121.4 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 29.6 0.8 59.6 34.0 100.2 2007 ABORTIONS 1997 29.7 0.8 59.5 32.3 105.1 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 4.4 0.3 8.7 4.8 14.8 2007 FETAL LOSSES 1997 4.5 0.6 8.5 4.3 15.7 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 2007 0.2 0.0 0.4 0.3 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 1997-2007 15 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1997-2007 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2007 3,100 HISPANIC OR LATINO 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 2007 7,782 BLACK OR AFRICAN AMERICAN 1997 519 1998 586 1999 603 2000 572 2001 545 2002 468 2003 549 2004 540 2005 569 2006 601 2007 621 AMERICAN INDIAN OR ALASKA NATIVE 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 2007 1,285 ASIAN OR PACIFIC ISLANDER 1997 66 1998 73 1999 108 2000 100 2001 104 2002 96 2003 107 2004 92 2005 96 2006 92 103 2007 16 15-19 years Under 15 years Total 15-17 years 18-19 years 27 38 31 38 34 23 23 17 17 19 26 3,706 3,805 3,838 3,721 3,362 3,041 2,947 2,789 2,727 3,190 3,074 1,239 1,261 1,115 1,040 926 824 782 747 711 852 779 2,467 2,544 2,723 2,681 2,436 2,217 2,165 2,042 2,016 2,338 2,295 146 142 149 144 132 147 146 137 137 123 115 5,590 5,809 6,012 6,404 6,516 6,438 6,646 7,001 7,051 7,615 7,667 2,329 2,419 2,415 2,567 2,552 2,507 2,600 2,779 2,721 2,923 2,892 3,261 3,390 3,597 3,837 3,964 3,931 4,046 4,222 4,330 4,692 4,775 13 16 14 12 13 12 3 12 8 7 12 506 570 589 560 532 456 546 528 561 594 609 207 223 222 198 193 152 204 180 199 187 195 299 347 367 362 339 304 342 348 362 407 414 25 31 38 20 17 18 37 21 21 19 26 946 1,091 1,012 1,069 996 1,021 1,104 1,121 1,183 1,197 1,259 407 429 389 405 348 374 434 452 478 430 445 539 662 623 664 648 647 670 669 705 767 814 1 1 1 1 0 1 1 1 1 1 0 65 72 107 99 104 95 106 91 95 91 103 17 17 28 29 29 19 38 25 28 28 31 48 55 79 70 75 76 68 66 67 63 72 Teen Pregnancy, Arizona 1997-2007 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1997-2007 Total, females 19 years or younger WHITE NON-HISPANIC 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 2007 982 HISPANIC OR LATINO 1997 642 1998 747 1999 540 2000 610 2001 534 2002 650 2003 630 2004 784 2005 522 2006 609 2007 710 BLACK OR AFRICAN AMERICAN 1997 107 1998 147 1999 96 2000 115 2001 71 2002 118 2003 107 2004 125 2005 114 2006 124 2007 136 AMERICAN INDIAN OR ALASKA NATIVE 1997 58 1998 53 1999 56 2000 43 2001 29 2002 40 2003 68 2004 65 2005 76 2006 55 2007 63 ASIAN OR PACIFIC ISLANDER 1997 42 1998 51 1999 28 2000 37 2001 30 2002 34 2003 27 2004 56 2005 35 2006 40 2007 63 Race/ethnic group and year Teen Pregnancy, Arizona 1997-2007 15-19 years Under 15 years Total 15-17 years 18-19 years 29 38 26 25 16 20 18 19 15 28 71 1,150 1,442 955 995 730 990 896 1,076 852 889 911 433 563 369 342 262 367 304 341 278 296 282 717 879 586 653 458 623 592 735 574 593 629 21 29 16 22 22 15 27 20 21 24 44 621 718 524 588 512 635 603 764 501 585 666 240 292 183 228 199 235 197 247 151 193 210 381 426 341 360 313 400 406 517 350 392 456 0 4 7 5 3 4 6 1 5 9 13 107 143 89 110 68 114 101 124 109 115 123 40 51 27 42 28 30 40 46 32 48 42 67 92 62 68 40 84 61 78 77 67 81 2 0 3 2 3 3 3 1 4 1 8 56 53 53 41 26 37 65 64 72 54 55 17 22 17 13 7 12 25 17 21 24 22 39 31 36 28 19 25 40 47 51 30 33 0 0 1 0 0 0 1 1 0 3 4 42 51 27 37 30 34 26 55 35 37 59 19 20 10 11 15 10 7 19 10 11 8 23 31 17 26 15 24 19 36 25 26 51 17 18 Teen Pregnancy, Arizona 1997-2007 20 19 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 10-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 10-17 years old. 3 4 5 4.4 2 3.5 Abortion rate 22.7 18.1 1 22.0 18.2 1,124 882 Fertility rate5 4,631 4,433 5,798 18 5,374 43 22 19 18 460 38 530 55 40 432 239 489 263 321 261 220 2,561 242 2,882 601 462 2,475 1,299 2,736 1,918 1,266 1998 1,760 1997 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 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 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 TABLE 5 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 17 OR YOUNGER WITH RATES 2, ARIZONA, 1997-2007 2.0 12.7 14.8 718 4,541 5,300 12 31 43 30 471 504 55 207 268 254 3,007 3,286 353 805 1,165 2007 2.0 12.7 14.8 1.3 3.5 4.8 1.1 16.9 18.1 3.1 11.7 15.1 2.0 23.4 25.6 2.0 4.6 6.7 2007 Rates Teen Pregnancy, Arizona 1997-2007 19 9.0 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 11.2 47.0 58.6 1,046 1 Fertility rate 46.1 55.7 826 5,482 4,397 20 19 5,096 4,219 42 17 37 22 17 17 464 429 439 51 407 40 276 223 250 207 292 2,419 2,329 240 2,711 2,569 563 1,261 433 1,841 1,699 1998 1,239 1997 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 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 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 TABLE 6 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 1997-2007 4.3 32.3 36.9 576 4,975 4,361 8 31 39 22 445 470 42 195 242 210 2,892 3,126 282 779 1,067 2007 4.3 36.9 32.3 2.5 9.6 12.0 2.0 40.2 42.4 6.4 29.7 36.9 4.6 63.3 68.5 4.1 11.4 15.6 2007 Rates 20 Teen Pregnancy, Arizona 1997-2007 23.3 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 26.2 114.9 142.1 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 1 Fertility rate 114.9 139.3 1,611 7,064 1,351 8,734 6,652 31 8,064 23 86 55 72 48 31 662 539 39 710 600 92 347 299 67 442 368 426 3,390 3,261 381 3,816 3,642 879 2,544 717 3,457 2,467 1998 3,218 1997 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 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 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 TABLE 7 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 1997-2007 15.7 105.1 121.4 1,261 8,431 9,738 51 72 124 33 814 849 81 414 498 456 4,775 5,259 629 2,295 2,936 2007 15.7 105.1 121.4 25.6 36.1 62.2 4.9 119.7 124.9 23.4 119.8 144.1 17.4 182.6 201.2 15.1 54.9 70.3 2007 Rates Teen Pregnancy, Arizona 1997-2007 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 8.6 2 7.3 Abortion rate 45.8 36.9 1 43.8 36.1 Fertility rate5 2,735 11,695 11,085 2,233 14,532 13,438 51 73 66 42 129 110 53 971 58 1,301 1,122 1,117 147 586 519 107 644 582 747 5,951 5,736 642 6,698 6,378 1,480 3,843 1,179 5,375 3,733 1998 4,978 1997 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 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 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 TABLE 8 NUMBER OF PREGNANCIES1 BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 19 OR YOUNGER, WITH RATES 2, ARIZONA, 1997-2007 4.5 29.7 34.4 1,979 12,972 15,038 63 103 167 63 1,285 1,353 136 621 766 710 7,782 8,545 982 3,100 4,101 2007 4.5 29.7 34.4 5.8 9.4 15.3 1.8 37.2 39.1 6.4 29.3 36.1 4.6 50.3 55.3 4.5 14.4 19.0 2007 Rates 19 YEARS OR YOUNGER 18-19 YEARS 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 ARIZONA 43.8 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 139.3 142.1 137.6 135.8 113.2 111.1 108.2 108.7 103.6 115.6 121.4 22.0 22.7 19.9 18.4 16.5 16.1 15.9 15.9 14.8 15.1 14.8 APACHE 30.4 30.2 23.9 29.2 21.6 23.2 30.8 32.8 25.9 25.6 27.5 98.8 105.7 88.3 109.9 91.9 100.7 130.1 141.6 105.4 87.9 89.4 15.7 13.7 9.6 15.0 9.2 9.6 13.4 13.5 11.9 10.8 12.5 COCHISE 39.8 36.2 35.6 38.7 34.3 30.6 31.5 30.0 30.0 24.2 29.1 155.6 115.5 115.5 124.5 116.8 104.4 107.3 106.7 110.0 71.1 99.8 19.2 16.9 15.8 19.1 15.5 13.7 14.3 12.7 11.7 12.0 12.0 COCONINO 31.7 28.0 30.2 28.6 30.3 26.0 26.9 27.7 27.7 31.0 33.2 91.8 77.6 78.9 74.7 84.3 68.9 70.6 76.9 79.5 84.0 81.2 14.1 12.8 15.1 14.6 13.9 13.0 13.6 12.9 12.1 14.1 16.3 45.0 45.4 41.4 41.1 43.2 42.4 42.8 38.4 38.8 37.7 41.7 154.5 130.5 121.0 167.3 154.3 151.5 145.5 164.3 150.5 139.8 164.0 30.4 24.8 22.1 17.6 22.5 22.1 23.7 15.4 18.2 16.6 16.2 GRAHAM 41.3 36.3 29.3 28.8 33.8 29.9 27.5 22.5 20.9 35.5 40.1 120.4 111.1 94.8 74.1 84.9 78.4 78.8 57.7 56.7 95.6 103.4 22.5 19.4 13.7 13.9 17.0 14.0 10.7 10.9 9.0 17.6 19.3 GREENLEE 46.1 43.3 34.9 26.7 18.3 40.0 26.0 36.6 31.0 24.7 25.4 192.6 94.0 116.1 123.8 78.4 161.9 64.8 173.1 174.8 69.0 122.4 16.5 31.9 16.3 8.8 7.2 17.5 18.8 10.9 6.6 5.1 8.8 MARICOPA 44.6 46.9 44.6 40.7 37.2 36.0 36.0 35.5 33.9 35.4 35.4 143.0 148.0 146.5 127.8 117.3 114.2 112.4 110.9 106.5 125.0 131.9 22.4 23.0 21.0 18.9 17.2 16.5 16.9 16.5 15.7 15.7 15.3 MOHAVE 42.6 40.1 40.1 33.5 31.4 32.5 30.9 28.7 32.1 33.0 31.9 156.3 139.1 139.4 139.7 132.5 131.5 129.0 112.8 134.0 142.1 157.6 18.5 18.1 17.4 12.0 10.9 12.5 11.1 11.8 11.5 12.4 10.7 NAVAJO 37.4 41.9 40.4 34.8 26.7 28.5 29.6 33.7 33.1 30.0 33.7 124.5 138.0 141.7 154.1 111.7 121.5 123.4 141.3 138.2 99.4 125.8 18.3 20.9 17.9 13.7 11.7 12.0 13.0 14.6 14.4 14.9 14.4 PIMA 43.1 43.1 38.8 39.6 36.0 36.3 32.0 33.8 30.6 32.9 30.5 133.3 123.8 118.3 104.7 96.6 96.7 86.0 93.7 83.7 95.8 89.6 20.4 22.0 17.6 19.1 16.9 17.2 14.6 15.1 14.0 14.7 13.6 PINAL 46.8 49.4 44.9 47.7 43.7 38.5 38.1 36.4 33.5 34.1 37.4 152.1 159.9 145.9 161.0 156.9 130.2 139.3 121.0 119.8 129.3 144.9 24.7 25.6 22.3 23.8 19.8 19.1 16.8 18.3 14.9 13.4 16.4 43.1 48.3 41.7 39.3 33.0 36.4 30.0 38.6 30.7 32.9 32.2 122.6 136.9 145.2 132.1 113.7 137.7 130.7 147.2 111.8 108.5 102.8 23.8 26.4 17.1 21.8 17.8 17.2 11.1 17.9 15.2 16.5 17.7 SANTA CRUZ 32.4 37.0 33.7 33.0 26.3 29.6 25.3 27.9 25.7 29.6 33.0 103.5 111.7 114.8 124.9 91.8 115.9 98.7 99.3 104.1 109.2 129.9 16.2 19.2 13.8 13.3 12.3 11.1 9.5 12.3 8.6 11.8 12.8 YUMA 48.6 46.6 46.3 42.0 36.7 38.8 40.6 42.1 37.0 38.0 37.8 168.4 156.6 151.7 149.8 130.8 133.4 134.2 135.6 122.2 122.8 129.8 23.5 22.9 20.9 17.5 15.3 17.3 19.3 20.4 17.1 16.6 16.0 TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS, ARIZONA, 1997-2007 GILA * Number of pregnancies per 1,000 females in specified group. 10-17 YEARS YAVAPAI 22 Teen Pregnancy, Arizona 1997-2007 44.1 39.2 29.2 32.6 36.8 35.6 32.2 39.8 49.8 30.0 50.9 144.9 135.7 72.7 127.1 153.0 127.0 113.4 153.8 148.7 63.0 242.8 21.6 13.0 18.6 15.2 15.2 18.7 17.2 17.8 30.7 13.1 15.8 LA PAZ Teen Pregnancy, Arizona 1997-2007 23 14.7 % Births to teenagers URBAN COUNTIES2 4.9 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 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 2,100 14,083 12.3 10,809 87,910 12.7 12,916 102,042 2006 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 5.8 100 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 2 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 % Births to teenagers 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 1 66 1,602 18.4 971 5,271 21.2 519 2,485 20.6 5,736 27,941 9.9 3,733 # 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 # Births (all ages) % Births to teenagers HISPANIC OR LATINO # Births to teenagers 37,869 16.6 % Births to teenagers WHITE NON-HISPANIC # Births (all ages) 2,009 # Births to teenagers 12,053 % Births to teenagers RURAL COUNTIES # Births (all ages) 9 14.3 # Births to teenagers 63,510 11,085 # Births (all ages) 75,563 1997 # 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, 1997-2007 3.0 103 3,412 20.0 1,285 6,408 14.9 621 4,165 17.0 7,782 45,731 7.3 3,100 42,216 15.8 2,279 14,413 12.1 10,693 88,266 12.6 12,972 102,687 2007 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1997-2007 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. 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 40.5 34.1 21.4 88.4 69.9 2006 0.8 0.6 59.6 41.9 34.0 22.0 100.2 73.0 2007 0.8 NA 59.5 NA 32.3 NA 105.1 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 1997-2007 Teen Pregnancy, Arizona 1997-2007 25 19 18 17 16 15 14 13 12 11 Mother's age 0 0 One or more Unknown 0 Unknown 1,554 One or more 16 2,180 Unknown 3,750 None Previous pregnancies 12 Total Unknown 939 1,951 Previous pregnancies One or more 2,902 13 Total None Unknown 516 1,729 Previous pregnancies One or more 2,258 6 Total None Unknown 182 1,175 Previous pregnancies One or more 1,363 4 Total None Unknown 41 553 One or more 598 Previous pregnancies 0 Total None Unknown 11 165 Previous pregnancies One or more 176 Total None 0 33 Previous pregnancies One or more 33 Total None 4 None 0 Unknown Previous pregnancies 0 One or more 4 1 Total 1 None Previous pregnancies 1997 Total Pregnancies 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 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 Year 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 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 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1997-2007 4 4 0 0 0 0 0 1,790 2,980 4,770 0 1,016 2,645 3,661 0 502 1,895 2,397 0 161 1,199 1,360 0 51 553 604 0 2 154 156 0 0 20 20 0 0 2007 26 Teen Pregnancy, Arizona 1997-2007 10 0 0 0 0 0 0 0 0 0 0 0 11 2 0 0 0 0 1 1 0 0 0 12 27 4 2 3 3 3 5 3 4 20 25 22 31 26 22 28 174 13 972 156 143 160 154 181 178 14 2,953 604 593 603 566 587 15 5,514 1,360 1,448 1,317 1,389 16 7,065 2,397 2,409 2,259 17 7,184 3,661 3,523 18 4,770 4,770 19 4 0 0 28,661 12,972 8,143 4,364 2,143 798 206 31 Mother was 19 or younger in 2007 The figures in Table 26 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 1998-2007. 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 or younger when the baby was born, but who were no longer under the age 20 by 2007. For example, mothers who were 12 years old in 1998 were 21 years old in 2007. 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 2007 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 2007. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 28,661 mothers under 20 in Arizona in 2007, 174 had given birth when 13 years old. gave birth to a baby prior to 2007 and were still 19 or less years old in 2007. gave birth to the 12,972 babies in 2007. Among them are those who: NOTE: The above table focuses on the 2007 cohort of Arizona mothers who were 19 or younger that year. Cumulative number of mothers 19 or younger 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 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 2007 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP (INCLUDING REVISED* RATES FOR 1997-1999), ARIZONA, 1997-2007 White non-Hispanic 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Hispanic or Latino 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 1997 Black or African 1998 American 1999 2000 2001 2002 2003 2004 2005 2006 2007 American Indian or 1997 1998 Alaska Native 1999 2000 2001 2002 2003 2004 2005 2006 2007 1997 Asian or Pacific 1998 Islander 1999 2000 2001 2002 2003 2004 2005 2006 2007 All 19 years or 10-14 years 15-19 years 15-17 years 18-19 years younger 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 19.0 0.9 36.3 15.6 70.3 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 55.3 1.9 116.8 68.5 201.2 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 36.1 2.3 73.9 36.9 144.1 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 39.1 2.0 73.8 42.4 124.9 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 15.3 0.7 31.1 12.0 62.2 *The pregnancy rates for 1997-1999 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 19971999 Teen Pregnancy, Arizona 1997-2007 27 28 Teen Pregnancy, Arizona 1997-2007 212 Total reported infections 4,183 Total reported infections 4,305 27 115 15 3,624 551 232 0 6 0 4,471 26 112 18 3,753 588 254 0 3 2 213 4,431 41 118 22 3,726 565 247 0 6 2 207 215 0 2 0 191 4,726 30 121 24 4,046 535 4,651 35 135 23 4,024 469 15-19 years old 269 0 7 2 223 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 32 7,470 38 136 25 6,600 709 321 0 10 1 278 2007 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 see Table 1B-34 in the Arizona Health Status and Vital Statistics annual reports. 23 176 Gave birth that year Genital herpes 13 3,472 Chlamydia Early syphilis 522 Gonorrhea Diagnosed with: 0 5 Genital herpes Gave birth that year 2 Early syphilis 194 22 171 32 Chlamydia 36 2002 37 32 2001 34 2000 Gonorrhea 1999 10-14 years old 1998 Diagnosed with: 1997 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1997-2007 Teen Pregnancy, Arizona 1997-2007 29 2807.3 13.1 118.1 2820.5 23.5 74.2 9.7 2381.1 355.5 143.3 3.7 0.0 119.8 19.8 1998 *Number of cases per 100,000 females in specified age group. Total reported infections Gave birth that year (%) Genital herpes 8.7 2330.2 Chlamydia Early syphilis 350.3 Gonorrhea Diagnosed with: 135.1 3.2 Genital herpes Total reported infections 1.3 108.9 Chlamydia Early syphilis 21.7 Gonorrhea Diagnosed with: 1997 2777.1 23.2 69.6 11.2 2331.1 365.2 150.3 1.8 1.2 126.0 21.3 1999 2502.8 34.7 66.7 12.4 2104.5 319.2 134.2 3.3 1.0 112.5 17.4 2000 2002 109.7 1.0 0.0 97.5 11.2 2583.1 24.8 66.1 13.1 2211.5 292.4 2460.9 25.9 71.4 12.2 2129.1 248.2 15-19 years old 146.9 3.7 1.1 122.6 19.5 2109.8 30.0 46.4 12.9 1791.2 259.3 100.1 1.0 0.0 83.7 15.4 2003 10-14 years old 2001 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 3346.3 30.1 66.9 7.5 2895.7 376.2 121.3 3.1 0.0 100.3 17.9 2006 TABLE 16 TRENDS IN THE INCIDENCE RATES* OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1997-2007 3473.1 27.9 63.2 11.6 3068.6 329.6 144.5 4.5 0.5 125.1 14.4 2007 TABLE 17 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2007 NUMBER OF PREGNANCIES:* County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years Apache 210 Cochise 284 3 Coconino 348 10 Gila 152 2 Graham 124 2 6 15-17 years 204 18-19 years 71 133 281 91 190 338 116 222 150 47 103 122 43 79 Greenlee 17 0 17 5 12 Maricopa 9,231 213 9,018 3,084 5,934 Mohave 379 6 373 103 270 Navajo 355 3 352 123 229 Pima 2,055 63 1,992 647 1,345 Pinal 712 9 703 252 451 Santa Cruz 127 0 127 58 69 Yavapai 407 3 404 127 277 Yuma 580 5 575 193 382 57 0 57 15 42 15,038 325 14,713 4,975 9,738 La Paz 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 27.5 1.6 51.4 28.6 89.4 Cochise 29.1 0.6 55.8 29.0 99.8 Coconino 33.2 2.1 58.7 38.3 81.2 Gila 41.7 1.1 80.6 38.1 164.0 Graham 40.1 1.5 70.8 44.9 103.4 Greenlee 25.4 0.0 56.9 24.9 122.4 Maricopa 35.4 1.6 72.4 38.7 131.9 Mohave 31.9 1.0 65.6 25.9 157.6 Navajo 33.7 0.6 65.8 34.9 125.8 Pima 30.5 2.0 56.6 32.1 89.6 Pinal 37.4 0.9 76.7 41.6 144.9 Santa Cruz 32.2 0.0 63.2 43.3 102.8 Yavapai 33.0 0.5 64.6 30.8 129.9 Yuma 37.8 0.7 74.9 40.8 129.8 La Paz 50.9 0.0 105.9 41.1 242.8 TOTAL STATE 34.4 1.5 68.4 36.9 121.4 * 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 1997-2007 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2007 NUMBER OF BIRTHS: County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years Apache 199 4 195 Cochise 261 2 Coconino 302 8 Gila 145 Graham 122 15-17 years 18-19 years 68 127 259 85 174 294 105 189 2 143 43 100 2 120 42 78 Greenlee 16 0 16 5 11 Maricopa 7,816 120 7,696 2,665 5,031 Mohave 370 5 365 101 264 Navajo 341 2 339 117 222 Pima 1,674 26 1,648 543 1,105 Pinal 644 4 640 227 413 Santa Cruz 116 0 116 51 65 Yavapai 353 1 352 108 244 Yuma 559 4 555 186 369 54 0 54 15 39 12,972 180 12,792 4,361 8,431 La Paz 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 26.1 1.1 49.1 27.4 85.4 Cochise 26.8 0.4 51.4 27.1 91.4 Coconino 28.8 1.7 51.1 34.7 69.2 Gila 39.8 1.1 76.9 34.9 159.2 Graham 39.5 1.5 69.7 43.8 102.1 Greenlee 23.9 0.0 53.5 24.9 112.2 Maricopa 30.0 0.9 61.8 33.5 111.8 Mohave 31.1 0.8 64.2 25.4 154.1 Navajo 32.3 0.4 63.4 33.2 121.9 Pima 24.9 0.8 46.8 26.9 73.6 Pinal 33.8 0.4 69.8 37.5 132.7 Santa Cruz 29.4 0.0 57.7 38.1 96.9 Yavapai 28.7 0.2 56.3 26.2 114.4 Yuma 36.4 0.5 72.3 39.3 125.4 La Paz 48.2 0.0 100.4 41.1 225.4 TOTAL STATE 29.7 0.8 59.5 32.3 105.1 ** The number of births per 1,000 females in specified group. Teen Pregnancy, Arizona 1997-2007 31 TABLE 19 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2007 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births Number Rate 44,087 0 2 0 2 0.0 11 44,207 0 15 0 15 0.3 12 44,273 4 25 0 29 0.7 13 44,755 20 40 0 60 1.3 14 44,838 156 60 3 219 4.9 222,160 180 145 3 325 1.5 15 45,312 604 96 4 704 15.5 16 45,796 1,360 190 8 1,558 34.0 17 43,789 2,397 290 26 2,713 62.0 134,897 4,361 576 38 4,975 36.9 18 40,608 3,661 567 20 4,248 104.6 19 39,574 4,770 694 26 5,490 138.7 18-19 80,182 8,431 1,261 46 9,738 121.4 437,239 12,972 1,979 87 15,038 34.4 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 1997-2007 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2007 Mother's age Total 12 TOTAL 13 14 15 16 17 18 19 12,972 4 20 156 604 1,360 2,397 3,661 4,770 Apache 199 0 0 4 6 23 39 47 80 Cochise 261 0 0 2 11 27 47 83 91 Coconino 302 0 1 7 14 26 65 83 106 Gila 145 0 0 2 5 14 24 42 58 Graham 122 0 0 2 2 10 30 38 40 Geenlee 16 0 0 0 2 0 3 3 8 7,816 4 16 100 378 841 1,446 2,226 2,805 Mohave 370 0 0 5 12 32 57 118 146 Navajo 341 0 0 2 18 27 72 96 126 Pima 1,674 0 3 23 66 181 296 470 635 Pima 644 0 0 4 35 72 120 169 244 Santa Cruz 116 0 0 0 8 18 25 25 40 Yavapai 353 0 0 1 12 26 70 100 144 Yuma 559 0 0 4 33 61 92 142 227 54 0 0 0 2 2 11 19 20 Maricopa La Paz Teen Pregnancy, Arizona 1997-2007 33 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2007 Total TOTAL 11 12 13 14 15 16 17 18 19 1,979 2 15 25 40 60 96 190 290 567 694 Apache 11 0 0 1 0 1 0 1 2 4 2 Cochise 19 0 0 0 0 0 0 2 3 6 8 Coconino 44 0 0 0 0 2 4 2 4 16 16 Gila 7 0 0 0 0 0 0 1 3 2 1 Graham 2 0 0 0 0 0 0 0 1 0 1 Greenlee 1 0 0 0 0 0 0 0 0 0 1 Maricopa 1,367 1 11 10 28 42 63 129 207 394 482 5 0 0 0 0 0 0 0 0 3 2 13 0 0 0 1 0 1 0 5 5 1 Pima 364 1 4 12 9 11 21 35 39 97 135 Pinal 61 0 0 2 0 3 3 6 12 19 16 Santa Cruz 11 0 0 0 0 0 1 3 3 1 3 Yavapai 52 0 0 0 2 0 3 6 10 16 15 Yuma 19 0 0 0 0 1 0 5 1 2 10 3 0 0 0 0 0 0 0 0 2 1 Mohave Navajo La Paz 34 10 Teen Pregnancy, Arizona 1997-2007 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2007 Total TOTAL AHCCCS Private insurance IHS Self Unknown 12,972 10,394 417 1,764 269 128 Apache 199 100 78 4 2 15 Cochise 261 197 0 58 4 2 Coconino 302 210 65 18 0 9 Gila 145 90 40 14 1 0 Graham 122 91 11 19 1 0 Greenlee 16 7 0 9 0 0 Maricopa 7,816 6,443 59 1,138 132 44 Mohave 370 307 0 31 11 21 Navajo 341 215 102 15 4 5 Pima 1,674 1,347 34 227 46 20 Pinal 644 483 16 120 22 3 Santa Cruz 116 99 0 6 11 0 Yavapai 353 308 0 38 6 1 Yuma 559 463 3 60 29 4 54 34 9 7 0 4 La Paz Teen Pregnancy, Arizona 1997-2007 35 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2007 Mother's age group Total <15 Total Count Payee for births AHCCCS Private insurance 180 4,361 8,431 10,394 150 3,505 6,739 80.1 83.3 80.4 79.9 Count 417 7 161 249 Percent 3.2 3.9 3.7 3.0 1,764 12 564 1,188 13.6 6.7 12.9 14.1 Count 269 9 96 164 Percent 2.1 5.0 2.2 1.9 Count 128 2 35 91 Percent 1.0 1.1 0.8 1.1 Count Count Percent Self Unknown 36 18-19 12,972 Percent IHS 15-17 Teen Pregnancy, Arizona 1997-2007 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2007 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count 3 4 or more 18-19 180 4,361 8,431 9,449 178 3,647 5,624 72.8 98.9 83.6 66.7 2 636 2,162 21.6 1.1 14.6 25.6 Count 587 0 69 518 Percent 4.5 0.0 1.6 6.1 Count 110 0 9 101 Percent 0.8 0.0 0.2 1.2 25 0 0 25 0.2 0.0 0.0 0.3 Count Percent Unknown 15-17 12,972 2,800 Percent 2 <15 Count Percent 1 0 0 1 0.0 0.0 0.0 0.0 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2007 Mother's age group Total Total Count Marital status Married Count Percent Unmarried Count Percent Other <15 15-17 18-19 12,972 180 4,361 8,431 1,713 1 255 1,457 13.2 0.6 5.8 17.3 11,237 179 4,104 6,954 86.6 99.4 94.1 82.5 22 0 2 20 0.2 0.0 0.0 0.2 Count Percent TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2007 Mother's age group Total Total Count Mother's education <8 8 8,431 Count 455 42 155 258 Percent 3.5 23.3 3.6 3.1 Count 669 86 333 250 Count Count Percent 13-16 17+ Unknown Teen Pregnancy, Arizona 1997-2007 18-19 4,361 Percent 12 15-17 180 Percent 9-11 <15 12,972 5.2 47.8 7.6 3.0 6,621 49 3,287 3,285 51.0 27.2 75.4 39.0 4,315 0 514 3,801 33.3 0.0 11.8 45.1 Count 783 0 22 761 Percent 6.0 0.0 0.5 9.0 1 0 1 0 Percent 0.0 0.0 0.0 0.0 Count 128 3 49 76 Percent 1.0 1.7 1.1 0.9 Count 37 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2007 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 180 4,361 8,431 Count 409 9 157 243 Percent 3.2 5.0 3.6 2.9 8,377 88 2,652 5,637 64.6 48.9 60.8 66.9 3,439 66 1,266 2,107 26.5 36.7 29.0 25.0 Count 739 17 283 439 Percent 5.7 9.4 6.5 5.2 8 0 3 5 0.1 0.0 0.1 0.1 Count Count Percent 3rd trimester 15-17 12,972 Percent 2nd trimester <15 Count Percent TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2007 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 4,361 8,431 Count 409 9 157 243 Percent 3.2 5.0 3.6 2.9 Count 756 14 294 448 Percent 5.8 7.8 6.7 5.3 3,084 59 1,069 1,956 23.8 32.8 24.5 23.2 5,915 62 1,963 3,890 45.6 34.4 45.0 46.1 2,799 36 875 1,888 21.6 20.0 20.1 22.4 9 0 3 6 0.1 0.0 0.1 0.1 Count Count Count Percent Unknown Count Percent 38 18-19 180 Percent 13+ visits 15-17 12,972 Percent 9-12 visits <15 Teen Pregnancy, Arizona 1997-2007 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2007 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker 180 4,361 8,431 17 0 8 9 Percent 0.1 0.0 0.2 0.1 Count 561 2 125 434 Percent 4.3 1.1 2.9 5.1 28 0 9 19 0.2 0.0 0.2 0.2 12,366 178 4,219 7,969 95.3 98.9 96.7 94.5 Count Count Count Percent Teen Pregnancy, Arizona 1997-2007 18-19 12,972 Percent Nonsmoker and nondrinker 15-17 39 40 Teen Pregnancy, Arizona 1997-2007 Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity 0 Smoker and drinker 23 157 0 Less than 5 5 or more Unknown 0 156 37 weeks or more Unknown 24 2 9 12 7 150 36 weeks or less Unknown Self Private insurance IHS AHCCCS 178 2 Smoker, nondrinker Nonsmoker and nondrinker 0 1 Unknown Drinker, nonsmoker 0 26 American Indian or Alaska Native Asian or Pacific Islander 12 115 Hispanic or Latino Black or African American 26 White non-Hispanic Total births 0 0 0 0 0 3 3 7 2 0 7 8 0 4 11 0 0 1 1 13 15 Count 0.0 4.5 34.8 0.0 2.6 45.8 0.0 0.0 8.3 14.3 8.7 8.4 0.0 0.0 0.0 0.0 0.0 11.5 25.0 6.1 7.7 Percent LBW births <15 3 3,907 451 2 3,896 463 35 96 564 161 3,505 4,219 9 125 8 19 31 445 195 2,892 779 Total births 1 297 65 0 121 242 3 5 50 9 296 347 0 16 0 2 2 31 25 238 65 Count 33.3 7.6 14.4 0.0 3.1 52.3 8.6 5.2 8.9 5.6 8.4 8.2 0.0 12.8 0.0 10.5 6.5 7.0 12.8 8.2 8.3 Percent LBW births 15-17 Mother's age group 6 7,734 691 2 7,574 855 91 164 1,188 249 6,739 7,969 19 434 9 61 72 814 414 4,775 2,295 Total births 2 552 103 0 189 468 7 16 104 22 508 597 5 53 2 0 4 63 56 340 194 Count 33.3 7.1 14.9 0.0 2.5 54.7 7.7 9.8 8.8 8.8 7.5 7.5 26.3 12.2 22.2 0.0 5.6 7.7 13.5 7.1 8.5 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2007 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2007 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 437,239 222,160 215,079 134,897 80,182 White non-Hispanic 215,939 105,795 110,144 68,355 41,789 Hispanic or Latino 154,592 82,795 71,797 45,654 26,143 Black or African American 21,214 11,196 10,018 6,562 3,456 American Indian or Alaska Native 34,588 16,705 17,883 11,083 6,800 Asian or Pacific Islander 10,906 5,669 5,237 3,243 1,994 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 15,038 325 14,713 4,975 9,738 White non-Hispanic 4,101 98 4,003 1,067 2,936 Hispanic or Latino 8,545 160 8,385 3,126 5,259 766 26 740 242 498 1,353 34 1,319 470 849 167 4 163 39 124 Black or African American American Indian or Alaska Native Asian or Pacific Islander 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 34.4 1.5 68.4 36.9 121.4 White non-Hispanic 19.0 0.9 36.3 15.6 70.3 Hispanic or Latino 55.3 1.9 116.8 68.5 201.2 Black or African American 36.1 2.3 73.9 36.9 144.1 American Indian or Alaska Native 39.1 2.0 73.8 42.4 124.9 Asian or Pacific Islander 15.3 0.7 31.1 12.0 62.2 Teen Pregnancy, Arizona 1997-2007 41 42 Teen Pregnancy, Arizona 1997-2007 10,544 67,298 19,028 Navajo Pima Pinal 15,341 Yuma 7,669 6,064 1,929 9,861 32,119 5,198 6,200 135,920 582 370 1,369 1,787 4,724 4,714 3,654 222,160 10-14 years 7,672 6,252 2,010 9,167 35,179 5,346 5,685 124,582 538 299 1,722 1,860 5,758 5,038 3,971 215,079 15-19 years 4,729 4,120 1,339 6,055 20,161 3,525 3,972 79,596 365 201 958 1,232 3,025 3,135 2,484 134,897 15-17 years 15-19 years 2,943 2,132 671 3,112 15,018 1,821 1,713 44,986 173 98 764 628 2,733 1,903 1,487 80,182 18-19 years Note: Two data sources were utilized in producing the 2007 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 2006 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#vintage2006). These percentages were then applied to total state and county population projections for 2007 from DES. 12,316 Yavapai 3,939 11,885 Mohave Santa Cruz 260,502 Maricopa 1,120 669 Greenlee La Paz 3,091 Graham 10,482 Coconino 3,647 9,752 Cochise Gila 7,625 437,239 Apache ARIZONA All 19 years or younger TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2007 Teen Pregnancy, Arizona 1997-2007 43 181.3 G. The rate of repeat childbearing (F/E)*1,000 2003 2004 2005 2006 2007 183.1 2,680 14,640 178.8 2,533 14,165 25,433 59.7 11,268 185.2 2,567 13,857 25,346 59.2 11,489 186.4 2,590 13,892 25,568 58.2 11,676 177.5 2,488 14,013 25,761 56.5 11,748 202.1 2,864 14,170 26,916 59.6 12,746 190.6 2,800 14,694 27,486 59.4 12,792 9,285 57.1 I. The number of first-time births to females 15-19 years old who did not have a birth previously J. The rate of first-time births (I/H)*1,000 52.7 8,870 49.8 8,699 49.5 8,922 48.6 9,071 47.7 9,259 49.5 9,880 49.9 9,992 162,562 168,417 174,615 180,270 186,784 194,092 199,528 200,385 2,639 F. The number of repeat births to females 15-19 years old who had a birth previously H. The number of females 15-19 years old who did not have a birth previously (A-E) 14,552 E. The number of females 15-19 years old who had a birth previously (D-B) 63.3 67.6 26,231 11,591 26,525 2002 183,057 188,780 194,127 200,676 208,105 213,698 215,079 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 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 13) - those who gave birth that year. Mothers who gave birth when 15-19 years old. As an example, the 2007 cohort of mothers who were 15-19 years old includes 12,792 who gave birth that year and 14,694 who gave birth prior to 2007 and were still 15-19 years old in 2007 (Table 13). The number of births per 1,000 females 15-19 years old. Based on the birth database. Census enumeration for 2000. Population estimates for 2001-2007. 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 room 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, Deaths from Exposure to Excessive Natural Heat Occurring in Arizona, Obesity in Arizona: Prevalence, Hospital Care Utilization, Mortality, and Marital Status and Health. Health Status and Vital Statistics Section Bureau of Public Health Statistics ARIZONA DEPARTMENT OF HEALTH SERVICES