TEENAGE PREGNANCY Arizona,1998-2008 Public Health Services Bureau of Public Health Statistics Health Status and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janice K. Brewer, Governor State of Arizona Will Humble, Interim 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, 1998-2008 by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Clare Torres, Senior Health Data Analyst October 2009 TEENAGE PREGNANCY, ARIZONA, 1998-2008 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, 1998-2008 Figure 2...................................................................................................................................................................................3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 3...................................................................................................................................................................................4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 4...................................................................................................................................................................................4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANICS OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 5...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 6...................................................................................................................................................................................5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 7...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACKS OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 8...................................................................................................................................................................................6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIANS OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Figure 9...................................................................................................................................................................................7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2008 Figure 10.................................................................................................................................................................................7 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2008 Figure 11.................................................................................................................................................................................8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2000-2008 Figure 12.................................................................................................................................................................................8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2000-2008 Figure 13.................................................................................................................................................................................9 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1988, 1998 AND 2008 Figure 14.................................................................................................................................................................................9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 1998 AND 2008 Figure 15............................................................................................................................................................................... 10 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 1998-2008 Teen Pregnancy, Arizona 1998-2008 List of Figures (continued) Figure 16............................................................................................................................................................................... 10 CUMULATIVE NUMBER OF CASES OF GENITAL HERPES AMONG FEMALES 15-19 YEARS, ARIZONA, 1998-2008 Figure 17............................................................................................................................................................................... 11 BIRTH RATES FOR TEENAGERS 15-19 YEARS, NATIONALLY, 2000-2006 AND ARIZONA 2000-2008 Figure 18............................................................................................................................................................................... 11 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS, NATIONALLY, 2000-2006 AND ARIZONA, 2000-2008 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1998-2008 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1998-2008 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 1998-2008 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 1998-2008 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 1998-2008 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 1998-2008 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1998-2008 Table 10 ................................................................................................................................................................................ 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA. 1998-2008 Table 11 ................................................................................................................................................................................ 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1998-2008 Table 12 ................................................................................................................................................................................ 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1998-2008 Table 13 ................................................................................................................................................................................ 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2008 Table 14 ................................................................................................................................................................................ 27 TRENDS INTEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP (INCLUDING REVISED RATES FOR 1998-1999), ARIZONA, 1998-2008 Teen Pregnancy, Arizona 1998-2008 ii List of Tables (continued) Table 15 ................................................................................................................................................................................ 28 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1998-2008 Table 16 ................................................................................................................................................................................ 29 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1998-2008 Table 17 ................................................................................................................................................................................ 30 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2008 Table 18 ................................................................................................................................................................................ 31 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2008 Table 19 ................................................................................................................................................................................ 32 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2008 Table 20 ................................................................................................................................................................................ 33 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2008 Table 21 ................................................................................................................................................................................ 34 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2008 Table 22 ................................................................................................................................................................................ 35 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2008 Table 23 ................................................................................................................................................................................ 36 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2008 Table 24 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2008 Table 25 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2008 Table 26 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2008 Table 27 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2008 Table 28 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2008 Table 29 ................................................................................................................................................................................ 39 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2008 Table 30 ................................................................................................................................................................................ 40 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2008 Table 31 ................................................................................................................................................................................ 41 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2008 Table 32 ................................................................................................................................................................................ 42 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2008 Appendix............................................................................................................................................................................... 43 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 1998-2008 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2008 is placed in a temporal context by comparing it with the data from the preceding years. Earlier reports are available online at http://www.azdhs.gov/plan/report/tp/index.htm . 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. The denominators for 1998-1999 and 2001-2008 are population estimates of Arizona resident females aged 10-19 years. Detailed information about the assumptions and specific data sources is available online at http://www.azdhs.gov/plan/menu/info/pd.htm . The pregnancy rates for 1996-1999 were revised in the 1996-2006 edition of the report using the population denominators that are consistent with both the 1990 and 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 number of 86,203 estimated by the Census Bureau in 1999. The revised denominators for 1996-1999 were derived from the “Bridged-race intercensal population estimates for July 1, 1990-July 1, 1999, by year, county, single-year of age, Hispanic origin, and sex” provided by NCHS. These estimates also are available online at http://www.cdc.gov/nchs/nvss/bridged_race.htm . DATA ORGANIZATION Tables 1-16 present annual numbers and rates of pregnancy, fertility, and abortion by year from 1998 to 2008, 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 1998 to 2008. 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 1998 to 2008 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 1998 to 2008. It includes revised pregnancy rates for 1998-1999. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 1998-2008. Table 16 shows the incidence rates by year from 1998 to 2008. Frequency counts, proportions and rates in tables 17-32 all apply to the 2008 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 2008 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 2000-2008. 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, 2008”, the premier annual publication of The Department of Health and Human Services, contains no information about pregnancies. The latest available national teenage birth rates for 2006 were published in January, 2009. No national abortion or fetal death data have been available since the 2005 calendar data year. Teen Pregnancy, Arizona 1998-2008 1 A 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 2007 or 2008 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 2008, the pregnancy rate of 31.6 pregnancies per 1,000 females 19 years or younger was 31 percent lower than the rate of 45.8/1,000 in 1998. The decline in the pregnancy rates from 1998 to 2008 was not accompanied by an equally impressive reduction in the number of teen pregnancies. In 2008, there were 14,047 pregnancies to females 19 years old or younger, 485 fewer than the 14,532 pregnancies recorded in 1998. While the overall teen pregnancy rate has fallen in Arizona, the drop in the rate can be attributed to the growth in the female teenage population (i.e., there were substantially more teenage girls in Arizona in 2008 than there were in 1998, but not substantially fewer teen pregnancies). From 2007 to 2008, only Black or African American females 19 years or younger experienced an increase in the number of pregnancies. In contrast, the number of pregnancies decreased for Hispanic, White nonHispanic, American Indian, and Asian females. From 2007 to 2008, Arizona’s Hispanic or Latino mothers of all ages experienced a major decrease of 6.8 percent in the number of births, twice the magnitude of the overall decline of 3.4 percent. Among Hispanic females 19 years old or younger the number of births declined by and unprecedented 7.9 percent, and the number of pregnancies declined by 9.1 percent. There is a reason to believe that there were fewer births (and pregnancies) among Hispanics of all ages, as well as teenagers, because there were fewer Hispanic or Latino residents in Arizona in 2008, than there were in 2007.** The first birth rate for childless teenagers has dropped 19.6 percent from 2000. Compared to 2000-2002, the repeat birth rate to teenagers who already had a child was no different in 2008. Eighteen percent of teenagers who already had one child gave birth again in 2008. The number of teen births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased by 46.0 percent from 6,794 in 1998 to 9,921 in 2008. * 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 **Hispanics, unlike any other race/ethnic group in the State faced in 2008 not only the economic recession (shared by all), but also additional challenges such as the employer-sanction law (a penalty on employers hiring illegal immigrant), and a widespread practice of E-verify (checking the legal-residence status of those seeking employment. In fact, using the 2007 pregnancy rate (the number of pregnancies per 1,000 Hispanic females under the age of 20); we can estimate the number of Hispanic teens who left the State at 14,200. (For more information see http://www.azdhs.gov/plan/report/ahs/ahs2008/pdf/text1b.pdf ). Teen Pregnancy, Arizona 1998-2008 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 1998-2008 160.0 Teenage pregnancy rates dropped 31 percent overall from 1998 to 2008. Figure 1, Table 2). The declines in teenage pregnancy have been much steeper for younger than for older teenagers. The rate for teenagers 15-17 years dropped steeply by 41 percent from 58.6 per 1,000 in 1998 to 34.6 in 2008 (Figure 1,Table 2). The rate for older teenagers fell as well, by 21.7 percent beginning in 1998, from 142.1 to 111.3. 140.0 18-19 years 120.0 100.0 80.0 15-19 years 60.0 15-17 years 40.0 A ll 19 or younger 20.0 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 All 19 or younger 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 2008 31.6 18-19 142.1 137.6 123.6 113.2 111.2 108.2 108.7 103.6 115.6 121.4 111.3 15-19 91.7 85.7 79.1 72.0 70.6 68.9 69.4 65.6 68.7 68.4 63.2 15-17 58.6 51.5 48.1 43.2 42.2 41.6 42.0 39.1 39.0 36.9 34.6 All components of the pregnancy rates for teenagers 19 years old or younger (births, abortions, and fetal losses) declined from 2007 to 2008 (Table 1). 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, 1998-2008 Rate per 1,000 females 19 years or younger 175.0 Number of pregnancies among females 19 or younger 17500 Number of pregnancies (right -hand scale) 150.0 15000 125.0 12500 100.0 10000 75.0 50.0 7500 P regnancy rat es (lef t -hand scale) 5000 25.0 2500 0.0 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Pregnancies 14532 14095 14287 13429 13572 13654 14163 13898 14918 15038 14047 Pregnancy rates 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 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 decline in the pregnancy rates from 1998 to 2008 was not accompanied by an equally impressive reduction in the number of teen pregnancies (Figure 2, Table 1). The number of 14,047 pregnancies to females 19 years old or younger in Arizona in 2008 was only 3.3 percent lower than the 14,532 pregnancies recorded in 1998. It was the increase in the number of females 19 years old or younger from 316,975 in 1998 to 444,195 in 2008, which contributed to a substantially lower pregnancy rate. Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 1998-2008 3 KEY FINDINGS The number of pregnancies to Hispanic females aged 19 years or younger exceeded the number of pregnancies among white nonHispanic peers in every year since 1994 (Figure 3 and Table 8 in this report show only the data for 19982008). In 2008, Hispanic or Latino females accounted for 55.3 percent of all pregnancies in this age group, followed by White non-Hispanics (27.4 percent). Black or African American, Asian or Pacific Islander, American Indian, and females of other race aged 19 years or younger accounted for a slightly larger share of pregnancies in 2008 (17.3 percent) than they did in 1998 (16.9 percent). Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 1998-2008 9000 Hispanic or Latino 7500 6000 W hite non-Hispanic 4500 3000 A m erican I ndian 1500 From 2007 to 2008, only Black or African American females 19 years or younger experienced an increase in the number of pregnancies. In contrast, the number of pregnancies decreased for White non-Hispanic, Hispanic, American Indian, and Asian or Pacific Islander females. B lack or A f rican A m erican A sian or P acif ic Islander 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Asian 129 136 137 134 130 134 148 132 132 167 2008 149 Black 644 669 620 622 605 664 671 688 731 766 812 American Indian 1301 1155 1216 1053 1082 1215 1215 1289 1277 1353 1246 White non-Hispanic 5375 4915 4814 4175 4102 3903 3924 3631 4148 4101 3852 Hispanic 6698 6701 7213 7239 7287 7476 7965 7748 8396 8545 7764 The sum of live births+induced abortions+spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2008 than in 1998 (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 19982008. The pregnancy rate fell 14.3 percent for Hispanic or Latino females 19 years or younger in 1998-2003 and then increased in 2004 and 2006. From 2006 to 2008 the pregnancy rate of Hispanic or Latino females fell by 11.8 percent (Figure 4). In each year from 1998 to 2008, 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 2008, the Hispanic rate exceeded the average rate for all groups by 56.3 percent. Figure 4 Comparison of Pregnancy Rates by Year among Hispanic or Latinos and all Females 19 or Younger, Arizona, 1998-2008 75.0 His pa nic o r La tino 60.0 45.0 30.0 15.0 A ll gro ups 0.0 A ll groups 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 2008 31.6 Hispanic or Lat ino 67.1 63.0 60.9 59.1 57.6 57.5 59.2 55.5 56.0 55.3 49.4 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1998-2008 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 1998-2008 75.0 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 and then fell by 7.9 percent in 2008. In each year from 1998 to 2008, the pregnancy rates for White nonHispanic females were lower than the average rates for all females 19 years or younger in Arizona. 60.0 45.0 A ll gr o ups 30.0 15.0 White no n- Hispa nic 0.0 A ll groups W hit e non-Hispanic 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 2008 31.6 28.8 25.6 25.2 21.1 20.1 18.2 17.7 15.8 18.9 19.0 17.5 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, 1998-2008 75.0 60.0 45.0 Despite some of the decreases noted between 1998 and 2008, 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 1998 and 1999, but higher in 2000-2008. A m e r ic a n India n 30.0 15.0 A ll gr o ups 0.0 A ll groups A merican Indian 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 2008 31.6 42.5 38.0 41.3 36.7 36.6 39.9 39.7 40.8 36.2 39.1 35.5 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1998-2008 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 1998-2008 75.0 60.0 Bla c k o r A fric a n A m e r ic a n 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 and 37.7/1,000 in 2008 (Figure 7). As in 1998-2005 the pregnancy rates for Black or African American teenagers exceeded in 2007 and 2008 the pregnancy rate for all groups. 45.0 30.0 15.0 A ll gro ups 0.0 A ll groups Black or A f rican A merican 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 2008 31.6 50.3 45.8 51.9 45.1 42.5 45.4 44.2 43.5 32.6 36.1 37.7 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, 1998-2008 75.0 In each year from 1998 to 2008, 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 2008, the Asian rate (13.5/1,000) was 57.3 percent lower than the rate for all groups (31.6/1,000). If the 2008 “risk for pregnancy” of Asian teens (i.e., their pregnancy rate) applied to all Arizona females 19 years or younger, the number of teen pregnancies in the State would have been reduced from 14,047 to approximately 6,000. 60.0 45.0 A ll gro ups 30.0 A sia n o r Pa c ific Isla nde r 15.0 0.0 A ll groups A sian or Pacif ic Islander 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 2008 31.6 18.5 17.8 21.3 20.3 19.1 19.2 19.3 16.2 12.9 15.3 13.5 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1998-2008 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2001-2008 100% Surgical 80% The proportion of non-surgical abortions to females 19 years or younger increased for the 3rd consecutive year from 25.1 percent in 2005 to 31.9 percent in 2008 (Figure 9). 60% 40% 20% Nonsurgical 0% Surgical % 2001 2002 98.9 83.3 2003 2004 2005 2006 2007 74.5 74.9 74.6 70.3 77 2008 68.1 Non-surgical % 1.1 16.7 23 25.5 25.1 25.4 29.7 31.9 Surgical # 1512 1661 1438 1654 1417 1431 1392 1235 Non-surgical # 17 334 429 566 475 488 587 578 Figure 10 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity among Females 19 or Younger, Arizona, 2008 W hit e non-Hispanic A LL GRO UPS A sian 61.7% 38.3% 68.1% 31.9% 69.4% 30.6% A merican Indian 27.8% 72.2% Black 27.3% 72.7% Hispanic 0.0% Only among White non-Hispanic teens the proportion of non-surgical abortions exceeded the average for all groups (Figure 10). The ratios of reported non-surgical abortions among Hispanic and Black females were the lowest among ethnic groups. 74.2% 25.8% 20.0% 40.0% 60.0% 80.0% 100.0% No n- surgic a l Surgic a l Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona 1998-2008 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2000-2008 Gave birt h t hat year Gave birt h bef ore and w as st ill 19 years old or younger 32,000 There were approximately 28,084 mothers under age 20 in Arizona in 2008, the 3rd highest number ever reported in the State. Among them there were the 12,161 who gave birth that year and the 15,923 who gave birth prior to 2008 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 decreased by 2.0 percent from 28,661 in 2007. 27,923 27,500 26,784 28,117 27,005 26,870 26,691 28,661 28,084 24,000 16,000 12,198 11,790 2000 2001 11,863 11,700 11,474 12,916 11,933 12,972 12,161 8,000 0 2002 2003 2004 2005 2006 2007 2008 *See Table 13 for more details. Figure 12 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2000-2008 2001 2002 2003 2004 2005 2006 2007 2008 177.7 190.6 202.1 177.5 186.4 185.2 178.8 200.0 183.1 181.3 240.0 160.0 45.9 49.9 49.5 47.7 48.6 49.5 80.0 49.8 120.0 52.7 The repeat birth rates for teenagers who had already had a child decreased by 12.1 percent from 202.1 in 2006 to 190.6 in 2007 and 177.7 in 2008 (Figure 7). Eighteen percent of teenagers (177.7/1,000) who already had one child gave birth again in 2008, compared to twenty percent (202.1 /1,000) in 2006. 2000 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. In 2008 the birth rate declined by 8.0 percent to 45.9/1,000 (Figure 12). 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.” Teen Pregnancy, Arizona 1998-2008 8 KEY FINDINGS Figure 13 Births to Mothers 19 or Younger by Marital Status, Arizona, 1988, 1998 and 2008 Unmarried Married 100.0% 12.4% 16.8% 32.0% 75.0% 50.0% 87.6% 83.1% Unwed mothers have accounted for an increasing annual proportion of births throughout the 1980s and 1990s. Two decades ago, approximately 2 out of 3 teenage mothers were unmarried (Figure 13). In 2008, nonmarital births accounted for 87.6 percent of births to mothers 19 years or younger. 68.0% 25.0% 0.0% 1988 1998 2008 Figure 14 Number of Births to Mothers 19 or Younger by Payee, Arizona, 1998 and 2008 A HCCCS Total births to mothers 19 y ears or younger Privat e insurance O t her 14,000 730 1,510 10,500 932 2,067 7,000 9,921 3,500 6,794 0 1998 Percent of teen births paid for by AHCCCS 69.4 71.9 Teen Pregnancy, Arizona 1998-2008 2008 81.6 The total number of births to mothers 19 years or younger increased by 4.0 percent from 11,695 in 1998 to 12,161 in 2008 (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 46.0 percent from 6,794 in 1998 to 9,921 in 2008. In 2008, the Arizona Health Care Cost Containment System paid for 81.6 percent of the deliveries to mothers 19 or younger (Table 23), compared to 71.9 percent in 1998 (Figure 14). 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. Since there were approximately 28,084 mothers under age 20 in Arizona in 2008 (Figure 11), this per capita cost of teen childbearing translates into at least $40,160,200 (in 2004 dollars) expended on public assistance, health care, and child welfare in Arizona that year. 9 KEY FINDINGS In each year from 2006 to 2008, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,400 (Table 15) compared to approximately 4,500 reported in 1998. Females aged 15-19 years accounted for 96.3 percent of all sexually transmitted infections in 2008. 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 and then declined to a rate of 3303.2/100,000 in 2008. These STIs include chlamydia and syphilis. Chlamydia can cause sterility in the affected mother and eye infections and pneumonia in the newborn. Syphilis can cause blindness, maternal and/or infant death. Figure 15 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 1998-2008 4 0 0 0 .0 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 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 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 3 3 0 3 .2 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. Figure 16 Cumulative Number of Cases of Genital Herpes among Females 15-19 Years, Arizona, 1998-2008 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 1998 have not died or left the State, the 2008 prevalence of this diseases based on 1,367 cases (Figure 16) would be 625.5/100,000. In other words, one in every 160 females aged 15-19 years may be infected. Genital herpes also is a threat to newborns. Out of 148 females aged 15-19 years who were diagnosed with genital herpes in 2008, 53 (or 35.8 percent) also gave birth that year (Figure 16, Table 15). Teen Pregnancy, Arizona 1998-2008 1,500 1,200 900 1,367 1,219 600 1,083 940 812 601 300 691 466 345 115 227 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Infected with genital herpes 115 112 118 121 135 90 121 128 143 136 148 Gave birth that year 27 26 41 30 35 27 28 31 43 38 53 10 KEY FINDINGS Figure 17 Birth Rates for Teenagers 15-19 Years, Nationally, 2000-2006 and Arizona, 2000-2008 120.0 In each year from 2000 to 2006 birth rates for Arizona teenagers 15-19 years old exceeded by no less than 38.8 percent the rates of their national peers (Figure 17, Table 11; the 2006 rate is the latest one available nationally). 100.0 80.0 In Arizona, Hispanic or Latino females 15-19 years old, a high-fertility group, accounted for 32.9 percent of females aged 15-19 years in 2006; twice their proportional representation of 16.8 percent nationally.* A high proportional representation of Hispanic or Latino females in Arizona puts upward pressure on the overall teen birth rate. AZ 60.0 U.S. 40.0 20.0 __________________ 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 US 48.5 45.3 43.0 41.6 41.1 40.5 41.9 NA NA AZ 67.6 63.3 59.7 59.2 58.2 56.5 59.6 59.5 54.9 *Based on data in Table 4 in: Kristin Anderson Moore, Teen Births: examining the Recent Increase. The national campaign to Prevent Teen and Unplanned Pregnancy. October 2008. Available online at: www.thenationalcampaign.org/resources/birthdata The number of births per 1,000 females 15-19 years old. Figure 18 Birth Rates for Hispanic or Latino Teenagers 15-19 Years, Nationally, 2000-2006 and Arizona, 2000-2008 In 2006, Hispanics or Latinos aged 1519 years disproportionately accounted for 59.7 percent of births to mothers in this age group in Arizona compared to 33.5 percent nationally. 120.0 AZ 100.0 In her analysis of the recent (2006) increase in teen births, Kristin Anderson Moore points out that “given high levels of immigration from Mexico and teen birth rates in Mexico of 80.6 in 2006 (…), immigration from Mexico represents a possible explanation”. Teen birth rate in Mexico, quoted above, is similar to the U.S. rates for Hispanic or Latino teenagers. What is puzzling is that the birth rates of Arizona Hispanic teens exceed, consistently and substantially, not only the corresponding U.S. rates but also the teen birth rate in Mexico. U.S. 80.0 60.0 40.0 20.0 0.0 2000 2001 2002 2003 2004 2005 2006 2007 US 87.3 86.4 83.4 82.3 82.6 81.7 83.0 NA 2008 NA AZ 111.8 110.0 105.4 105.8 107.7 104.6 108.3 106.8 96.7 ____________________ * Page 4 in: Kristin Anderson Moore, Teen Births: examining the Recent Increase. The national campaign to Prevent Teen and Unplanned Pregnancy. October 2008. The number of births per 1,000 females 15-19 years old. Teen Pregnancy, Arizona 1998-2008 11 TEENAGE PREGNANCY, ARIZONA, 1998-2008 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Pregnancy outcome by year ALL PREGNANCIES 1998 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 14,532 316 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 15,038 325 14,713 4,975 9,738 2008 LIVE BIRTHS 1998 14,047 230 13,817 4,740 9,077 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 12,972 180 12,792 4,361 8,431 2008 ABORTIONS 1998 12,161 161 12,000 4,151 7,849 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 1,979 142 1,837 576 1,261 2008 FETAL LOSSES 1998 1,813 67 1,746 567 1,179 102 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 2008 73 2 71 22 49 Teen Pregnancy, Arizona 1998-2008 13 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1998-2008 Pregnancy outcome by year ALL PREGNANCIES 1998 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 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 34.4 1.5 68.4 36.9 121.4 2008 LIVE BIRTHS 1998 31.6 1.0 63.2 34.6 111.3 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 29.7 0.8 59.5 32.3 105.1 2008 ABORTIONS 1998 27.4 0.7 54.9 30.3 96.3 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 4.5 0.6 8.5 4.3 15.7 2008 FETAL LOSSES 1998 4.1 0.3 8.0 4.1 14.5 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 2008 0.2 0.0 0.3 0.2 0.6 1 The number of pregnancies (live births + abortions + fetal deaths) per 1,000 females in specified age group. 0.0: Quantity more than zero but less than 0.05. Teen Pregnancy, Arizona 1998-2008 14 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1998-2008 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2008 2,993 HISPANIC OR LATINO 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 2008 7,168 BLACK OR AFRICAN AMERICAN 1998 586 1999 603 2000 572 2001 545 2002 468 2003 549 2004 540 2005 569 2006 601 2007 621 2008 656 AMERICAN INDIAN OR ALASKA NATIVE 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 2008 1,185 ASIAN OR PACIFIC ISLANDER 1998 73 1999 108 2000 100 2001 104 2002 96 2003 107 2004 92 2005 96 2006 92 2007 103 2008 113 Teen Pregnancy, Arizona 1998-2008 15-19 years Under 15 years Total 15-17 years 18-19 years 38 31 38 34 23 23 17 17 19 26 15 3,805 3,838 3,721 3,362 3,041 2,947 2,789 2,727 3,190 3,074 2,978 1,261 1,115 1,040 926 824 782 747 711 852 779 769 2,544 2,723 2,681 2,436 2,217 2,165 2,042 2,016 2,338 2,295 2,209 142 149 144 132 147 146 137 137 123 115 111 5,809 6,012 6,404 6,516 6,438 6,646 7,001 7,051 7,615 7,667 7,057 2,419 2,415 2,567 2,552 2,507 2,600 2,779 2,721 2,923 2,892 2,724 3,390 3,597 3,837 3,964 3,931 4,046 4,222 4,330 4,692 4,775 4,333 16 14 12 13 12 3 12 8 7 12 12 570 589 560 532 456 546 528 561 594 609 644 223 222 198 193 152 204 180 199 187 195 203 347 367 362 339 304 342 348 362 407 414 441 31 38 20 17 18 37 21 21 19 26 22 1,091 1,012 1,069 996 1,021 1,104 1,121 1,183 1,197 1,259 1,163 429 389 405 348 374 434 452 478 430 445 408 662 623 664 648 647 670 669 705 767 814 755 1 1 1 0 1 1 1 1 1 0 1 72 107 99 104 95 106 91 95 91 103 112 17 28 29 29 19 38 25 28 28 31 26 55 79 70 75 76 68 66 67 63 72 86 15 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1998-2008 Total, females 19 years or younger WHITE NON-HISPANIC 1998 1,480 1999 981 2000 1,020 2001 746 2002 1,010 2003 914 2004 1,095 2005 867 2006 917 2007 982 2008 841 HISPANIC OR LATINO 1998 747 1999 540 2000 610 2001 534 2002 650 2003 630 2004 784 2005 522 2006 609 2007 710 2008 561 BLACK OR AFRICAN AMERICAN 1998 147 1999 96 2000 115 2001 71 2002 118 2003 107 2004 125 2005 114 2006 124 2007 136 2008 143 AMERICAN INDIAN OR ALASKA NATIVE 1998 53 1999 56 2000 43 2001 29 2002 40 2003 68 2004 65 2005 76 2006 55 2007 63 2008 54 ASIAN OR PACIFIC ISLANDER 1998 51 1999 28 2000 37 2001 30 2002 34 2003 27 2004 56 2005 35 2006 40 2007 63 2008 36 Race/ethnic group and year Teen Pregnancy, Arizona 1998-2008 15-19 years Under 15 years Total 15-17 years 18-19 years 38 26 25 16 20 18 19 15 28 71 21 1,442 955 995 730 990 896 1,076 852 889 911 820 563 369 342 262 367 304 341 278 296 282 266 879 586 653 458 623 592 735 574 593 629 554 29 16 22 22 15 27 20 21 24 44 34 718 524 588 512 635 603 764 501 585 666 527 292 183 228 199 235 197 247 151 193 210 173 426 341 360 313 400 406 517 350 392 456 354 4 7 5 3 4 6 1 5 9 13 5 143 89 110 68 114 101 124 109 115 123 138 51 27 42 28 30 40 46 32 48 42 43 92 62 68 40 84 61 78 77 67 81 95 0 3 2 3 3 3 1 4 1 8 2 53 53 41 26 37 65 64 72 54 55 52 22 17 13 7 12 25 17 21 24 22 17 31 36 28 19 25 40 47 51 30 33 35 0 1 0 0 0 1 1 0 3 4 2 51 27 37 30 34 26 55 35 37 59 34 20 10 11 15 10 7 19 10 11 8 12 31 17 26 15 24 19 36 25 26 51 22 16 Teen Pregnancy, Arizona 1998-2008 17 All rates per 1,000 females 10-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 10-17 years old. 3 4 5 3.0 Fetal deaths are included in the total counts of pregnancies. 4.4 Abortion rate 16.8 19.9 2 18.1 1 22.7 Fertility rate5 787 4,474 4,631 1,124 5,296 5,798 11 29 18 20 40 43 20 427 460 22 450 530 34 236 239 55 275 263 199 2,564 2,561 321 2,763 2,882 395 1,146 1,299 601 1,566 1999 1,918 1998 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 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 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 TABLE 5 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 17 OR YOUNGER WITH RATES 2, ARIZONA, 1998-2008 1 1.7 11.9 13.7 634 4,312 4,970 14 27 41 19 430 452 48 215 266 207 2,835 3,057 287 784 1,074 2008 1.7 11.9 13.7 1.6 3.0 4.5 0.7 15.3 16.0 2.7 11.9 14.8 1.6 21.7 23.4 1.6 4.4 6.1 2008 Rates Teen Pregnancy, Arizona 1998-2008 18 All rates per 1,000 females 15-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 15-17 years old. 3 4 5 7.5 Fetal deaths are included in the total counts of pregnancies. 11.2 Abortion rate 43.7 51.5 2 47.0 1 58.6 Fertility rate5 727 4,236 4,397 1,046 4,993 5,482 10 28 17 20 38 42 17 389 429 22 408 464 27 222 223 51 254 276 183 2,415 2,419 292 2,598 2,711 369 1,115 1,261 563 1,505 1999 1,841 1998 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 6.6 41.1 48.1 684 4,284 5,016 11 29 40 13 405 421 42 198 242 228 2,567 2,823 342 1,040 1,397 2000 5.0 37.8 43.2 540 4,080 4,661 15 29 44 7 348 363 28 193 224 199 2,552 2,771 262 926 1,197 2001 6.3 35.5 42.2 705 3,952 4,696 10 19 29 12 374 388 30 152 189 235 2,507 2,761 367 824 1,202 2002 5.4 35.9 41.6 614 4,110 4,755 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 4,227 4,955 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 4,179 4,790 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 4,450 5,105 11 28 39 24 430 457 48 187 239 193 2,923 3,131 296 852 1,157 2006 4.3 32.3 36.9 576 4,361 4,975 8 31 39 22 445 470 42 195 242 210 2,892 3,126 282 779 1,067 2007 TABLE 6 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 1998-2008 1 4.1 30.3 34.6 567 4,151 4,740 12 26 38 17 408 428 43 203 248 173 2,724 2,911 266 769 1,038 2008 4.1 30.3 34.6 3.7 7.9 11.6 1.5 36.3 38.1 6.5 30.5 37.2 3.7 58.7 62.7 3.8 11.1 14.9 2008 Rates Teen Pregnancy, Arizona 1998-2008 19 79 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. 19.7 2 26.2 Abortion rate 137.6 117.1 1 142.1 114.9 Fertility rate5 1,259 7,489 7,064 1,611 8,799 8,734 17 55 31 96 86 36 623 662 31 665 710 62 367 347 92 434 442 341 3,597 3,390 426 3,938 3,816 586 2,723 2,544 879 3,349 1999 3,457 1998 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 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 TABLE 7 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 1998-2008 1 14.5 96.3 111.3 1,179 7,849 9,077 22 86 108 35 755 794 95 441 546 354 4,333 4,707 554 2,209 2,778 2008 14.5 96.3 111.3 10.9 42.6 53.5 5.1 109.6 115.2 27.1 125.8 155.7 13.3 163.1 177.2 13.0 51.9 65.3 2008 Rates Teen Pregnancy, Arizona 1998-2008 20 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 6.2 Fetal deaths are included in the total counts of pregnancies. 8.6 Abortion rate 36.2 42.7 2 36.9 1 45.8 Fertility rate5 2,046 11,963 11,695 2,735 14,095 14,532 28 108 73 51 136 129 56 1,050 1,122 53 1,155 1,301 96 603 586 147 669 644 540 6,161 5,951 747 6,701 6,698 981 3,869 3,843 1,480 4,915 1999 5,375 1998 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 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 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 TABLE 8 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES 2, ARIZONA, 1998-2008 1 4.1 27.4 31.6 1,813 12,161 14,047 36 113 149 54 1,185 1,246 143 656 812 561 7,168 7,764 841 2,993 3,852 2008 4.1 27.4 31.6 3.3 10.2 13.5 1.5 33.8 35.5 6.6 30.5 37.7 3.6 45.6 49.4 3.8 13.6 17.5 2008 Rates 19 YEARS OR YOUNGER 18-19 YEARS 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 ARIZONA 45.8 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 142.1 137.6 135.8 113.2 111.1 108.2 108.7 103.6 115.6 121.4 111.3 22.7 19.9 18.4 16.5 16.1 15.9 15.9 14.8 15.1 14.8 13.7 APACHE 30.2 23.9 29.2 21.6 23.2 30.8 32.8 25.9 25.6 27.5 25.3 105.7 88.3 109.9 91.9 100.7 130.1 141.6 105.4 87.9 89.4 89.5 13.7 9.6 15.0 9.2 9.6 13.4 13.5 11.9 10.8 12.5 9.7 COCHISE 36.2 35.6 38.7 34.3 30.6 31.5 30.0 30.0 24.2 29.1 27.2 115.5 115.5 124.5 116.8 104.4 107.3 106.7 110.0 71.1 99.8 92.4 16.9 15.8 19.1 15.5 13.7 14.3 12.7 11.7 12.0 12.0 11.3 COCONINO 28.0 30.2 28.6 30.3 26.0 26.9 27.7 27.7 31.0 33.2 28.6 77.6 78.9 74.7 84.3 68.9 70.6 76.9 79.5 84.0 81.2 72.2 12.8 15.1 14.6 13.9 13.0 13.6 12.9 12.1 14.1 16.3 13.2 45.4 41.4 41.1 43.2 42.4 42.8 38.4 38.8 37.7 41.7 45.9 130.5 121.0 167.3 154.3 151.5 145.5 164.3 150.5 139.8 164.0 165.9 24.8 22.1 17.6 22.5 22.1 23.7 15.4 18.2 16.6 16.2 21.0 GRAHAM 36.3 29.3 28.8 33.8 29.9 27.5 22.5 20.9 35.5 40.1 33.2 111.1 94.8 74.1 84.9 78.4 78.8 57.7 56.7 95.6 103.4 94.7 19.4 13.7 13.9 17.0 14.0 10.7 10.9 9.0 17.6 19.3 12.9 GREENLEE 43.3 34.9 26.7 18.3 40.0 26.0 36.6 31.0 24.7 25.4 33.2 94.0 116.1 123.8 78.4 161.9 64.8 173.1 174.8 69.0 122.4 133.3 31.9 16.3 8.8 7.2 17.5 18.8 10.9 6.6 5.1 8.8 16.2 MARICOPA 46.9 44.6 40.7 37.2 36.0 36.0 35.5 33.9 35.4 35.4 32.5 148.0 146.5 127.8 117.3 114.2 112.4 110.9 106.5 125.0 131.9 120.0 23.0 21.0 18.9 17.2 16.5 16.9 16.5 15.7 15.7 15.3 14.3 MOHAVE 40.1 40.1 33.5 31.4 32.5 30.9 28.7 32.1 33.0 31.9 28.1 139.1 139.4 139.7 132.5 131.5 129.0 112.8 134.0 142.1 157.6 135.7 18.1 17.4 12.0 10.9 12.5 11.1 11.8 11.5 12.4 10.7 9.5 NAVAJO 41.9 40.4 34.8 26.7 28.5 29.6 33.7 33.1 30.0 33.7 36.3 138.0 141.7 154.1 111.7 121.5 123.4 141.3 138.2 99.4 125.8 135.7 20.9 17.9 13.7 11.7 12.0 13.0 14.6 14.4 14.9 14.4 15.5 PIMA 43.1 38.8 39.6 36.0 36.3 32.0 33.8 30.6 32.9 30.5 29.0 123.8 118.3 104.7 96.6 96.7 86.0 93.7 83.7 95.8 89.6 86.5 22.0 17.6 19.1 16.9 17.2 14.6 15.1 14.0 14.7 13.6 12.5 PINAL 49.4 44.9 47.7 43.7 38.5 38.1 36.4 33.5 34.1 37.4 31.3 159.9 145.9 161.0 156.9 130.2 139.3 121.0 119.8 129.3 144.9 121.8 25.6 22.3 23.8 19.8 19.1 16.8 18.3 14.9 13.4 16.4 13.6 SANTA CRUZ 48.3 41.7 39.3 33.0 36.4 30.0 38.6 30.7 32.9 32.2 31.5 136.9 145.2 132.1 113.7 137.7 130.7 147.2 111.8 108.5 102.8 111.6 26.4 17.1 21.8 17.8 17.2 11.1 17.9 15.2 16.5 17.7 15.0 YAVAPAI 37.0 33.7 33.0 26.3 29.6 25.3 27.9 25.7 29.6 33.0 26.9 111.7 114.8 124.9 91.8 115.9 98.7 99.3 104.1 109.2 129.9 100.1 19.2 13.8 13.3 12.3 11.1 9.5 12.3 8.6 11.8 12.8 10.9 46.6 46.3 42.0 36.7 38.8 40.6 42.1 37.0 38.0 37.8 35.1 156.6 151.7 149.8 130.8 133.4 134.2 135.6 122.2 122.8 129.8 121.7 22.9 20.9 17.5 15.3 17.3 19.3 20.4 17.1 16.6 16.0 14.6 YUMA TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1998-2008 GILA * Number of pregnancies per 1,000 females in specified group. 10-17 YEARS Teen Pregnancy, Arizona 1998-2008 21 39.2 29.2 32.6 36.8 35.6 32.2 39.8 49.8 30.0 50.9 38.6 135.7 72.7 127.1 153.0 127.0 113.4 153.8 148.7 63.0 242.8 156.1 13.0 18.6 15.2 15.2 18.7 17.2 17.8 30.7 13.1 15.8 17.0 LA PAZ Teen Pregnancy, Arizona 1998-2008 22 15.0 % Births to teenagers URBAN COUNTIES2 4.9 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 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 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 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 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 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 % Births to teenagers 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 1 73 1,747 # Births to teenagers # Births (all ages) 20.3 1,122 % Births to teenagers ASIAN OR PACIFIC ISLANDER 5,460 # Births to teenagers 22.4 586 2,629 20.7 5,951 # 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 28,824 10.0 % Births to teenagers HISPANIC OR LATINO # Births (all ages) 3,843 # Births to teenagers 38,611 17.0 % Births to teenagers WHITE NON-HISPANIC # Births (all ages) 2,090 # Births to teenagers 12,115 14.6 % Births to teenagers RURAL COUNTIES # Births (all ages) 9,605 # Births to teenagers 65,825 11,695 # Births (all ages) 77,940 1998 # Births to teenagers Group # Births (all ages) ARIZONA, TOTAL 1 TABLE 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA, 1998-2008 3.2 113 3,425 18.6 1,185 6,362 15.2 656 4,301 16.8 7,168 42,639 7.1 2,993 41,925 15.3 2,148 13,952 11.7 10,013 85,263 12.2 12,161 99,215 2008 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1998-2008 15 - 19 Years Old Under 15 Years Year Total AZ U.S. AZ 15-17 Years U.S. AZ 18-19 Years U.S. AZ U.S. 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 2008 0.7 NA 54.9 NA 30.3 NA 96.3 NA Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 1998-2008 23 Teen Pregnancy, Arizona 1998-2008 24 19 18 17 16 15 14 13 12 11 Mother's age 1 0 One or more Unknown 0 Unknown 0 Unknown 1,002 One or more 1,606 One or more 21 2,284 None Previous pregnancies Unknown 3,911 Total 13 2,138 None Previous pregnancies Unknown 3,153 9 Total Unknown 463 1,831 Previous pregnancies One or more 2,303 7 Total None Unknown 175 1,261 Previous pregnancies One or more 1,443 3 Total None Unknown 51 597 Previous pregnancies One or more 651 Total None 9 186 Previous pregnancies One or more 195 Total None 1 33 Previous pregnancies One or more 34 Total None 4 None 0 Previous pregnancies 0 One or more Unknown 5 0 None Previous pregnancies Total 0 1998 Total Pregnancies 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 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 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 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1998-2008 0 0 1 1 1 1,407 3,065 4,473 1 799 2,576 3,376 0 348 1,983 2,331 0 104 1,146 1,250 0 17 553 570 0 3 138 141 0 0 16 16 0 0 3 3 2008 Teen Pregnancy, Arizona 1998-2008 25 0 0 0 0 0 0 0 0 2001 2002 2003 2004 2005 2006 2007 2008 11 3 1 0 0 0 0 1 1 0 0 0 12 26 3 4 2 3 3 3 5 3 0 16 20 25 22 31 26 22 28 162 13 935 141 156 143 160 154 181 178 14 2,936 570 604 593 603 566 587 15 5,375 1,250 1,360 1,448 1,317 1,389 16 7,137 2,331 2,397 2,409 2,259 17 7,037 3,376 3,661 3,523 18 4,473 4,473 4,770 19 3 0 0 28,084 12,161 8,202 4,620 2,105 754 211 28 Mother was 19 or younger in 2008 The figures in Table 26 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 1998-2008. 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 2008. For example, mothers who were 12 years old in 1999 were 21 years old in 2008. 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 2008 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2002, 28 remained in their teens in 2008. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 28,084 mothers under 20 in Arizona in 2008, 162 had given birth when 13 years old. gave birth to a baby prior to 2008 and were still 19 or less years old in 2008. gave birth to the 12,161 babies in 2008. Among them are those who: NOTE: The above table focuses on the 2008 cohort of Arizona mothers who were 19 or younger that year. 0 0 2000 Cumulative number of mothers 19 or younger 0 10 1999 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 2008 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP (INCLUDING REVISED* RATES FOR 1998-1999), ARIZONA, 1998-2008 White non-Hispanic 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Hispanic or Latino 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Black or African 1998 American 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 American Indian or 1998 Alaska Native 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Asian or Pacific 1998 Islander 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 All 19 years or 10-14 years 15-19 years 15-17 years 18-19 years younger 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 17.5 0.3 34.1 14.9 65.3 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 49.4 1.7 104.4 62.7 177.2 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 37.7 1.6 78.1 37.2 155.7 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 35.5 1.4 67.4 38.1 115.2 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 13.5 0.5 27.6 11.6 53.5 *The pregnancy rates for 1998-1999 were revised using the population denominators that are consistent withboth the 1990 and the 2000 census. The populations estimated previously from the 1990 census underestimated the growth of the Hispanic population during the 1990s. The revised rates differ from those previously published for 1998-1999. Teen Pregnancy, Arizona 1998-2008 26 Teen Pregnancy, Arizona 1998-2008 27 232 Total reported infections 4,305 Total reported infections 4,471 26 112 18 3,753 588 254 0 3 2 4,431 41 118 22 3,726 565 247 0 6 2 207 4,726 30 121 24 4,046 535 269 0 7 2 223 202 0 2 0 169 4,651 35 135 23 4,024 469 4,093 27 90 25 3,475 503 15-19 years old 215 0 2 0 191 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 19 7,219 53 148 8 6,595 468 280 0 11 1 249 2008 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. 27 115 Genital herpes Gave birth that year 15 3,624 Chlamydia Early syphilis 551 Gonorrhea Diagnosed with: 0 6 Genital herpes Gave birth that year 0 Early syphilis 213 31 194 37 Chlamydia 32 2003 22 36 2002 32 2001 Gonorrhea 2000 10-14 years old 1999 Diagnosed with: 1998 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1998-2008 Teen Pregnancy, Arizona 1998-2008 28 2820.5 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 2583.1 24.8 66.1 13.1 2211.5 292.4 146.9 3.7 1.1 122.6 19.5 2001 2003 100.1 1.0 0.0 83.7 15.4 2460.9 25.9 71.4 12.2 2129.1 248.2 2109.8 30.0 46.4 12.9 1791.2 259.3 15-19 years old 109.7 1.0 0.0 97.5 11.2 2526.6 23.1 60.3 9.5 2189.1 267.7 109.7 2.4 0.0 90.1 17.2 2004 10-14 years old 2002 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 3473.1 27.9 63.2 11.6 3068.6 329.6 144.5 4.5 0.5 125.1 14.4 2007 * Number of cases per 100,000 females in specified age group. The incidence rates of genital herpes among females who gave birth that year are per 100 births. Total reported infections 23.5 74.2 Genital herpes Gave birth that year (%) 9.7 2381.1 Chlamydia Early syphilis 355.5 Gonorrhea Diagnosed with: 143.3 3.7 Genital herpes Total reported infections 0.0 119.8 Chlamydia Early syphilis 19.8 Gonorrhea Diagnosed with: 1998 TABLE 16 TRENDS IN THE INCIDENCE RATES* OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1998-2008 3303.2 35.8 67.7 3.7 3017.7 214.1 124.0 4.9 0.4 110.3 8.4 2008 TABLE 17 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2008 NUMBER OF PREGNANCIES:* County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 194 3 191 57 134 Cochise 268 4 264 86 178 Coconino 301 4 297 99 198 Gila 172 2 170 63 107 Graham 109 3 106 29 77 Greenlee 24 0 24 10 14 Maricopa 8,574 147 8,427 2,967 5,460 Mohave 340 0 340 98 242 Navajo 381 7 374 128 246 Pima 1,974 30 1,944 632 1,312 Pinal 653 9 644 228 416 Santa Cruz 126 2 124 48 76 Yavapai 341 5 336 109 227 Yuma 545 14 531 169 362 La Paz TOTAL STATE 43 0 43 16 27 14,047 230 13,817 4,740 9,077 PREGNANCY RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 25.3 0.8 47.8 22.8 89.5 Cochise 27.2 0.8 51.8 27.1 92.4 Coconino 28.6 0.8 51.4 32.6 72.2 Gila 45.9 1.1 89.0 49.8 165.9 Graham 33.2 2.1 57.9 28.5 94.7 Greenlee 33.2 0.0 74.5 46.1 133.3 Maricopa 32.5 1.1 66.9 36.8 120.0 Mohave 28.1 0.0 58.5 24.3 135.7 Navajo 36.3 1.4 70.3 36.5 135.7 Pima 29.0 0.9 54.7 31.0 86.5 Pinal 31.3 0.8 64.0 34.3 121.8 Santa Cruz 31.5 1.0 60.7 35.2 111.6 Yavapai 26.9 0.8 51.8 25.8 100.1 Yuma 35.1 1.8 68.5 35.4 121.7 La Paz 38.6 0.0 80.4 44.2 156.1 TOTAL STATE 31.6 1.0 63.2 34.6 111.3 * The sum of live births, fetal deaths and abortions. ** Includes records with unknown county of residence. *** The number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 1998-2008 29 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2008 NUMBER OF BIRTHS: County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 191 2 189 57 132 Cochise 249 4 245 82 163 Coconino 257 4 253 89 164 Gila 169 2 167 63 104 Graham 102 3 99 25 74 Greenlee 23 0 23 10 13 Maricopa 7,210 93 7,117 2,550 4,567 Mohave 331 0 331 93 238 Navajo 364 7 357 119 238 Pima 1,654 18 1,636 524 1,112 Pinal 618 7 611 219 392 Santa Cruz 122 2 120 47 73 Yavapai 300 5 295 94 201 Yuma 531 14 517 163 354 La Paz TOTAL STATE 40 0 40 16 24 12,161 161 12,000 4,151 7,849 BIRTH RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 24.9 0.5 47.3 22.8 88.1 Cochise 25.2 0.8 48.1 25.9 84.6 Coconino 24.4 0.8 43.8 29.3 59.8 Gila 45.1 1.1 87.4 49.8 161.2 Graham 31.0 2.1 54.1 24.6 91.0 Greenlee 31.9 0.0 71.4 46.1 123.8 Maricopa 27.4 0.7 56.5 31.7 100.3 Mohave 27.3 0.0 56.9 23.1 133.5 Navajo 34.7 1.4 67.1 33.9 131.3 Pima 24.3 0.6 46.0 25.7 73.3 Pinal 29.6 0.6 60.7 32.9 114.8 Santa Cruz 30.5 1.0 58.7 34.5 107.2 Yavapai 23.6 0.8 45.5 22.3 88.6 Yuma 34.2 1.8 66.7 34.1 119.0 La Paz 35.9 0.0 74.8 44.2 138.7 TOTAL STATE 27.4 0.7 54.9 30.3 96.3 ** The number of births per 1,000 females in specified group. Teen Pregnancy, Arizona 1998-2008 30 TABLE 19 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2008 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births Spontaneous fetal losses Number Rate 10 44,782 0 0 0 0 0.0 11 44,905 1 1 0 2 0.0 12 44,965 3 0 0 3 0.1 13 45,457 16 22 0 38 0.8 14 45,541 141 44 2 187 4.1 225,650 161 67 2 230 1.0 15 46,028 570 102 2 674 14.6 16 46,516 1,250 178 11 1,439 30.9 17 44,478 2,331 287 9 2,627 59.1 137,022 4,151 567 22 4,740 34.6 18 41,277 3,376 526 21 3,923 95.0 19 40,246 4,473 653 28 5,154 128.1 18-19 81,523 7,849 1,179 49 9,077 111.3 444,195 12,161 1,813 73 14,047 31.6 10-14 15-17 Total 10-19 1 TOTAL PREGNANCIES Rates per 1,000 female population in specific group. Teen Pregnancy, Arizona 1998-2008 31 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2008 Mother's age Total 11 TOTAL 12 13 14 15 16 17 18 19 12,161 1 3 16 141 570 1,250 2,331 3,376 4,473 Apache 191 0 0 0 2 8 19 30 59 73 Cochise 249 1 0 0 3 10 23 49 74 89 Coconino 257 0 1 1 2 18 28 43 81 83 Gila 169 0 0 0 2 4 22 37 49 55 Graham 102 0 0 1 2 2 2 21 31 43 Geenlee 23 0 0 0 0 0 3 7 3 10 7,210 0 1 10 82 353 805 1,392 1,997 2,570 Mohave 331 0 0 0 0 11 28 54 89 149 Navajo 364 0 0 1 6 15 28 76 110 128 Pima 1,654 0 0 0 18 82 134 308 453 659 Pima 618 0 0 0 7 32 66 121 161 231 Santa Cruz 122 0 0 0 2 2 14 31 28 45 Yavapai 300 0 0 0 5 10 29 55 73 128 Yuma 531 0 1 3 10 23 42 98 157 197 40 0 0 0 0 0 7 9 11 13 Maricopa La Paz Teen Pregnancy, Arizona 1998-2008 32 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2008 Total TOTAL 11 12 13 14 15 16 17 18 19 1,813 1 0 22 44 102 178 287 526 653 Apache 1 0 0 1 0 0 0 0 0 0 Cochise 18 0 0 0 0 0 2 2 8 6 Coconino 44 0 0 0 0 1 3 6 18 16 Gila 3 0 0 0 0 0 0 0 3 0 Graham 6 0 0 0 0 1 2 1 1 1 Greenlee 1 0 0 0 0 0 0 0 0 1 Maricopa 1,316 0 0 20 33 76 133 190 381 483 9 0 0 0 0 0 0 5 1 3 14 0 0 0 0 0 2 5 4 3 Pima 312 1 0 1 10 18 29 61 88 104 Pinal 29 0 0 0 1 0 1 7 9 11 4 0 0 0 0 0 0 1 2 1 Yavapai 41 0 0 0 0 4 5 6 9 17 Yuma 11 0 0 0 0 2 0 3 2 4 La Paz 3 0 0 0 0 0 0 0 0 3 Unknown 1 0 0 0 0 0 1 0 0 0 Mohave Navajo Santa Cruz Teen Pregnancy, Arizona 1998-2008 33 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2008 Total TOTAL AHCCCS Private insurance IHS Self Unknown 12,161 9,921 380 1,510 249 101 Apache 191 95 65 3 1 27 Cochise 249 204 1 38 6 0 Coconino 257 179 63 11 2 2 Gila 169 105 47 14 3 0 Graham 102 72 16 13 0 1 Greenlee 23 14 0 9 0 0 Maricopa 7,210 6,071 38 930 134 37 Mohave 331 274 2 29 9 17 Navajo 364 245 92 23 2 2 Pima 1,654 1,351 38 225 37 3 Pinal 618 463 11 122 15 7 Santa Cruz 122 104 0 10 8 0 Yavapai 300 263 1 28 8 0 Yuma 531 459 0 49 23 0 40 22 6 6 1 5 La Paz Teen Pregnancy, Arizona 1998-2008 34 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2008 Mother's age group Total <15 Total Count Payee for births AHCCCS Private insurance 161 4,151 7,849 9,921 135 3,384 6,402 81.6 83.9 81.5 81.6 Count 380 7 140 233 Percent 3.1 4.3 3.4 3.0 1,510 11 492 1,007 12.4 6.8 11.9 12.8 Count 249 7 106 136 Percent 2.0 4.3 2.6 1.7 Count 101 1 29 71 Percent 0.8 0.6 0.7 0.9 Count Count Percent Self Unknown Teen Pregnancy, Arizona 1998-2008 18-19 12,161 Percent IHS 15-17 35 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2008 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count Percent 2 3 18-19 4,151 7,849 9,481 158 3,682 5,641 78.0 98.1 88.7 71.9 2,271 3 428 1,840 18.7 1.9 10.3 23.4 Count 354 0 35 319 Percent 2.9 0.0 0.8 4.1 50 0 5 45 0.4 0.0 0.1 0.6 Count Count Percent Unknown 15-17 161 Percent 4 or more <15 12,161 Count Percent 4 0 1 3 0.0 0.0 0.0 0.0 1 0 0 1 0.0 0.0 0.0 0.0 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2008 Mother's age group Total Total Count Marital status Married Count Percent Unmarried Count Percent Other <15 15-17 18-19 12,161 161 4,151 7,849 1,486 2 243 1,241 12.2 1.2 5.9 15.8 10,652 159 3,903 6,590 87.6 98.8 94.0 84.0 23 0 5 18 0.2 0.0 0.1 0.2 Count Percent TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2008 Mother's age group Total Total Count Mother's education <8 8 4,151 7,849 Count 356 35 131 190 Percent 2.9 21.7 3.2 2.4 Count 621 80 312 229 Count Count Percent 13-16 17+ 49.7 7.5 2.9 43 3,123 3,075 51.3 26.7 75.2 39.2 4,099 0 536 3,563 33.7 0.0 12.9 45.4 748 0 14 734 Percent 6.2 0.0 0.3 9.4 0 0 0 0 0.0 0.0 0.0 0.0 Count Count Percent Teen Pregnancy, Arizona 1998-2008 5.1 6,241 Count Percent Unknown 18-19 161 Percent 12 15-17 12,161 Percent 9-11 <15 96 3 35 58 0.8 1.9 0.8 0.7 36 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2008 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 161 4,151 7,849 Count 314 7 133 174 Percent 2.6 4.3 3.2 2.2 8,183 76 2,636 5,471 67.3 47.2 63.5 69.7 2,947 54 1,124 1,769 24.2 33.5 27.1 22.5 Count 706 24 252 430 Percent 5.8 14.9 6.1 5.5 11 0 6 5 0.1 0.0 0.1 0.1 Count Count Percent 3rd trimester 15-17 12,161 Percent 2nd trimester <15 Count Percent TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2008 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 4,151 7,849 Count 314 7 133 174 Percent 2.6 4.3 3.2 2.2 Count 694 19 245 430 Percent 5.7 11.8 5.9 5.5 2,800 52 1,039 1,709 23.0 32.3 25.0 21.8 5,643 49 1,826 3,768 46.4 30.4 44.0 48.0 2,694 34 901 1,759 22.2 21.1 21.7 22.4 16 0 7 9 0.1 0.0 0.2 0.1 Count Count Count Percent Unknown Count Percent Teen Pregnancy, Arizona 1998-2008 18-19 161 Percent 13+ visits 15-17 12,161 Percent 9-12 visits <15 37 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2008 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker 161 4,151 7,849 18 0 9 9 Percent 0.1 0.0 0.2 0.1 Count 562 1 111 450 Percent 4.6 0.6 2.7 5.7 18 0 7 11 0.1 0.0 0.2 0.1 11,563 160 4,024 7,379 95.1 99.4 96.9 94.0 Count Count Count Percent Teen Pregnancy, Arizona 1998-2008 18-19 12,161 Percent Nonsmoker and nondrinker 15-17 38 Teen Pregnancy, Arizona 1998-2008 39 Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity 0 Smoker and drinker 26 135 0 Less than 5 5 or more Unknown 0 133 37 weeks or more Unknown 28 1 Unknown 36 weeks or less 7 11 7 135 Self Private insurance IHS AHCCCS 160 1 Smoker, nondrinker Nonsmoker and nondrinker 0 0 Unknown Drinker, nonsmoker 1 22 American Indian or Alaska Native Asian or Pacific Islander 12 111 Hispanic or Latino Black or African American 15 White non-Hispanic Total births 5 0 25 3 0 11 17 1 1 2 0 24 27 0 1 0 0 0 2 1 20 Count 0.0 18.5 11.5 0.0 8.3 60.7 100.0 14.3 18.2 0.0 17.8 16.9 0.0. 100.0 0.0 0.0 0.0 9.1 8.3 18.0 33.3 Percent LBW births <15 7 3,766 378 2 3,704 445 29 106 492 140 3,384 4,024 7 111 9 21 26 408 203 2,724 769 Total births 4 292 67 1 113 249 8 10 43 7 295 347 0 16 0 0 6 27 34 218 78 Count 57.1 7.8 17.7 50.0 3.1 56.0 27.6 9.4 8.7 5.0 8.7 8.6 0.0 14.4 0.0 0.0 23.1 6.6 16.7 8.0 10.1 Percent LBW births 15-17 Mother's age group 9 7,236 604 3 7,124 722 71 136 1,007 233 6,402 7,379 11 450 9 25 86 755 441 4,333 2,209 Total births 0 450 84 0 152 382 3 15 66 9 441 490 0 42 2 3 5 43 49 299 135 Count 0.0 6.2 13.9 0.0 2.1 52.9 4.2 11.0 6.6 3.9 6.9 6.6 0.0 9.3 22.2 12.0 5.8 5.7 11.1 6.9 6.1 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2008 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2008 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 444,195 225,650 218,545 137,022 81,523 White non-Hispanic 219,503 107,501 112,002 69,453 42,549 Hispanic or Latino 157,066 84,112 72,954 46,394 26,560 Black or African American 21,532 11,364 10,168 6,662 3,506 American Indian or Alaska Native 35,060 16,936 18,124 11,234 6,890 Asian or Pacific Islander 11,034 5,737 5,297 3,279 2,018 Note: Detailed information about the assumptions and specific data sources for 2008 population estimates is available online at http://www.azdhs.gov/plan/menu/info/pd.htm . NUMBER OF PREGNANCIES All 19 years 10-14 years or younger All groups 15-19 years 15-17 years 18-19 years 14,047 230 13,817 4,740 9,077 White non-Hispanic 3,852 36 3,816 1,038 2,778 Hispanic or Latino 7,764 146 7,618 2,911 4,707 812 18 794 248 546 1,246 24 1,222 428 794 149 3 146 38 108 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 31.6 1.0 63.2 34.6 111.3 White non-Hispanic 17.5 0.3 34.1 14.9 65.3 Hispanic or Latino 49.4 1.7 104.4 62.7 177.2 Black or African American 37.7 1.6 78.1 37.2 155.7 American Indian or Alaska Native 35.5 1.4 67.4 38.1 115.2 Asian or Pacific Islander 13.5 0.5 27.6 11.6 53.5 Teen Pregnancy, Arizona 1998-2008 40 Teen Pregnancy, Arizona 1998-2008 41 10,499 67,977 20,881 Navajo Pima Pinal 12,694 15,508 Yavapai Yuma 4,005 12,113 Mohave Santa Cruz 263,576 1,113 722 Maricopa La Paz Greenlee 3,287 Graham 10,521 Coconino 3,747 9,870 Cochise Gila 7,682 444,195 Apache ARIZONA All 19 years or younger 7,754 6,209 1,962 10,819 32,443 5,176 6,297 137,524 578 400 1,456 1,836 4,741 4,773 3,682 225,650 10-14 years 7,754 6,485 2,043 10,062 35,534 5,323 5,816 126,052 535 322 1,831 1,911 5,780 5,097 4,000 218,545 15-19 years 4,779 4,217 1,362 6,647 20,365 3,510 4,033 80,535 362 217 1,018 1,266 3,038 3,171 2,502 137,022 15-17 years 15-19 years TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2008 2,975 2,268 681 3,415 15,169 1,813 1,783 45,517 173 105 813 645 2,742 1,926 1,498 81,523 18-19 years Teen Pregnancy, Arizona 1998-2008 42 181.3 G. The rate of repeat childbearing (F/E)*1,000 9,285 57.1 I. The number of first-time births to females 15-19 years old who did not have a birth previously J. The rate of first-time births (I/H)*1,000 162,562 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) 52.7 8,870 168,417 183.1 2,680 14,640 26,231 63.3 67.6 26,525 11,591 183,057 2001 11,973 177,114 D. Cumulative number of mothers who gave birth when 15-19 years old C. The rate of births (B/A)*1,000 B. The number of births to females 1519 years old A. The number of females 15-19 years old 2000 49.8 8,699 174,615 178.8 2,533 14,165 25,433 59.7 11,268 188,780 2002 49.5 8,922 180,270 185.2 2,567 13,857 25,346 59.2 11,489 194,127 2003 48.6 9,071 186,784 186.4 2,590 13,892 25,568 58.2 11,676 200,676 2004 47.7 9,259 194,092 177.5 2,488 14,013 25,761 56.5 11,748 208,105 2005 49.5 9,880 199,528 202.1 2,864 14,170 26,916 59.6 12,746 213,698 2006 49.9 9,992 200,385 190.6 2,800 14,694 27,486 59.4 12,792 215,079 2007 45.9 9,342 203,587 177.7 2,658 14,958 26,958 54.9 12,000 218,545 2008 APPENDIX HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING 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 2008 cohort of mothers who were 15-19 years old includes 12,000 who gave birth that year and 14,958 who gave birth prior to 2008 and were still 15-19 years old in 2008 (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 2001-2008. Comments 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