TEENAGE PREGNANCY Arizona,1999-2009 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, 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, 1999-2009 by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Clare Torres, Senior Health Data Analyst January 2011 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. TEENAGE PREGNANCY, ARIZONA, 1999-2009 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, 1999-2009 Figure 2 .................................................................................................................................................................................. 3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 3 .................................................................................................................................................................................. 4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 4 .................................................................................................................................................................................. 4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 5 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 6 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 7 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 8 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Figure 9 .................................................................................................................................................................................. 7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2009 Figure 10 ................................................................................................................................................................................ 7 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2009 Figure 11 ................................................................................................................................................................................ 8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2000-2009 Figure 12 ................................................................................................................................................................................ 8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2000 AND 2009 Figure 13 ................................................................................................................................................................................ 9 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1989, 1999 AND 2009 Figure 14 ................................................................................................................................................................................ 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 1999 AND 2009 Figure 15 .............................................................................................................................................................................. 10 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 1999-2009 Figure 16 .............................................................................................................................................................................. 10 CUMULATIVE NUMBER OF CASES OF GENITAL HERPES AMONG FEMALES 15-19 YEARS, ARIZONA, 1999-2009 Teen Pregnancy, Arizona 1999-2009 List of Figures (continued) Figure 17 .............................................................................................................................................................................. 11 BIRTH RATES FOR TEENAGERS 15-19 YEARS NATIONALLY, 2000-2008 AND IN ARIZONA, 2000-2009 Figure 18 .............................................................................................................................................................................. 11 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS NATIONALLY, 2000-2008 AND IN ARIZONA, 2000-2009 Figure 19 .............................................................................................................................................................................. 12 PERCENTAGE OF FEMALE HIGH SCHOOL STUDENTS WHO EVER HAD SEXUAL INTERCOURSE, ARIZONA, 2009 Figure 20 .............................................................................................................................................................................. 12 PERCENTAGE OF FEMALE HIGH SCHOOL STUDENTS WHO USED SPECIFIED METHOD OF CONTRACEPTION THE LAST TIME THEY HAD SEXUAL INTERCOURSE, ARIZONA, 2009 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1999-2009 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1999-2009 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 1999-2009 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 1999-2009 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 1999-2009 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 1999-2009 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1999-2009 Table 10 ................................................................................................................................................................................ 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA. 1999-2009 Table 11 ................................................................................................................................................................................ 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1999-2009 Table 12 ................................................................................................................................................................................ 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1999-2009 Table 13 ................................................................................................................................................................................ 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2009 Teen Pregnancy, Arizona 1999-2009 ii List of Tables (continued) Table 14 ................................................................................................................................................................................ 27 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 1999-2009 Table 15 ................................................................................................................................................................................ 28 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1999-2009 Table 16 ................................................................................................................................................................................ 29 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1999-2009 Table 17 ................................................................................................................................................................................ 30 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2009 Table 18 ................................................................................................................................................................................ 31 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2009 Table 19 ................................................................................................................................................................................ 32 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2009 Table 20 ................................................................................................................................................................................ 33 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2009 Table 21 ................................................................................................................................................................................ 34 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2009 Table 22 ................................................................................................................................................................................ 35 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2009 Table 23 ................................................................................................................................................................................ 36 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2009 Table 24 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2009 Table 25 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2009 Table 26 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2009 Table 27 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2009 Table 28 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2009 Table 29 ................................................................................................................................................................................ 39 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2009 Table 30 ................................................................................................................................................................................ 40 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2009 Table 31 ................................................................................................................................................................................ 41 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2009 Table 32 ................................................................................................................................................................................ 42 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2009 Appendix .............................................................................................................................................................................. 43 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 1999-2009 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2009 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 1999 and 2001-2009 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 . The population denominators used to compute the rates for 2008 – 2009 will most likely also be revised in the future. It is not only because they are based on the quite outdated 2000 Census enumerations, but they have not been adjusted for the effects of the economic downturn or changes in the law penalizing the illegal immigration. Unlike after the 2000 Census, these revisions are likely to show that there were fewer Arizonans in 2008 and 2009 than there were in 2007. According to the 2010 Census enumerations released on 12/21/2010, there were 6,392,017 residents of the State in 2010, 203,761 fewer than the Census Bureau estimate of 6,595,778 for 2009, and fewer than the estimated number of Arizonans in 2007. Under the circumstances, it is important to treat the 2008 and 2009 birth and pregnancy rates (particularly for Hispanics) with caution. Perhaps these rates have not declined; rather the population denominators used to calculate them, did (see the footnote on the next page). DATA ORGANIZATION Tables 1-16 present annual numbers and rates of pregnancy, fertility, and abortion by year from 1999 to 2009, 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 1999 to 2009. 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 1999 to 2009 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 1999 to 2009. It includes revised pregnancy rates for 1999. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 1999-2009. Table 16 shows the incidence rates by year from 1999 to 2009. Frequency counts, proportions and rates in tables 17-32 all apply to the 2009 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 2009 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 2000-2009 Teen Pregnancy, Arizona 1999-2009 1 COMPARATIVE NATIONAL AND STATE DATA Timely, comparable, and reliable teen pregnancy statistics for other States and the Nation are not easily available. “Health, United States, 2009”, the premier annual publication of The Department of Health and Human Services, contains no information about pregnancies. The latest available (preliminary) national teenage birth rates for 2008 were published in May, 2010. No national abortion or fetal death data have been available since the 2006 calendar data year. The report, “U.S. Teenage Pregnancies, Births and Abortions: National and State Trends and Trends by Race and Ethnicity”* was published by the Alan Guttmacher Institute in January 2010. 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 (and estimated as 20% of live births plus 10% of abortions) - 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 teen pregnancy data for 2007 – 2009 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 2009, the pregnancy rate of 28.0 pregnancies per 1,000 females 19 years or younger was 34.4 percent lower than the rate of 42.7/1,000 in 1999. The annual pregnancy rates in 2000 -2007 were lower than the 1999 rate of 42.7/1,000. In contrast, the number of pregnancies increased from 14,095 in 1999 to 15,038 in 2007. In is only since 2007 that the reduction in the number of teen pregnancies was accompanied by an equally impressive decline in pregnancy rates. From 2007 to 2009, the number of teen pregnancies declined particularly steeply for Asian (-22.8 percent), and Hispanic or Latino females (-19.3 percent). From 2007 to 2009, Arizona’s Hispanic or Latino women of all ages experienced a major decrease of 15.8 percent in the number of pregnancies, 1.7 times the magnitude of the overall decline of 9.3 percent. Among Hispanic females 19 years old or younger the number of births declined by and unprecedented 18.5 percent, and the number of pregnancies declined by 19.3 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 2009, than there were in 2007.** The first birth rate for childless teenagers has dropped 27.1 percent from 57.1 first-time births per 1,000 females 15-19 years old in 2000, to 41.6/1,000 in 2009. The repeat birth rates for teenagers who had already had a child decreased by 14.5 percent from 181.3 in 2000 to 155.0 per 1,000 females 15-19 years old in 2009 who had a previous birth. The total number of births to mothers 19 years or younger increased by 12.0 percent from 9,775 in 1999 to 10,952 in 2009. 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 35.1 percent from 6,756 in 1999 to 9,124 in 2009. Unwed mothers have accounted for an increasing annual proportion of births throughout the 1980s and 1990s. In 2009, nonmarital births accounted for 87.7 percent of births to mothers 19 years or younger. The proportion of non-surgical abortions to females 19 years or younger increased for the 4th consecutive year from 25.1 percent in 2005 to 44.3 percent in 2009 ____________________________________________________ * Available at www.guttmacher.org/pubs/UStrends.pdf **Hispanics, unlike any other race/ethnic group in the State faced in 2008 and 2009 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 Everify (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 by 2009 left the State at approximately 30,000. (The 2007 teen pregnancy for Hispanic or Latinos was 55.3/1,000. It was based on 8,545 pregnancies among the estimated number of 154,592 Hispanic females. In 2009, the number of pregnancies among Hispanic females aged 10-19 years declined to 6,896. If the denominator declined proportionately to 124,702, the 2009 pregnancy rate would remain unchanged at 55.3/100,000. The difference between the 2007 and 2009 denominators (154,592 – 124,702 = 29,890). Teen Pregnancy, Arizona 1999-2009 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 1999-2009 Teenage pregnancy rates dropped 34.4 percent overall from 1999 to 2009. 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 44.7 percent from 51.5 per 1,000 in 1999 to 28.5 in 2009 (Figure 1,Table 2). The rate for older teenagers fell as well, by 25.5 percent beginning in 1999, from 137.6 to 102.5. 160.0 140.0 18-19 years 120.0 100.0 80.0 15-19 years All components of the pregnancy rates for teenagers 19 years old or younger (births, abortions, and fetal losses) declined from 2007 to 2009 (Table 1). 60.0 15-17 years 40.0 A ll 19 or younger 20.0 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 All 19 or younger 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 2009 28.0 18-19 137.6 123.6 112.2 111.2 108.2 108.7 103.6 115.6 121.4 111.3 102.5 15-19 85.7 79.1 72.0 70.6 68.9 69.4 65.6 68.7 68.4 63.2 56.1 15-17 51.5 48.1 43.2 42.2 41.6 42.0 39.1 39.0 36.9 34.6 28.5 While the decrease in the frequency counts reflects a reality, all the rates in this report are based on the assumption that the population denominators – projected from the 2000 census continued to increase after 2007. This assumption most likely is wrong. 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, 1999-2009 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 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Pregnancies 14095 14287 13429 13572 13654 14163 13898 14918 15038 14047 12537 Pregnancy rates 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 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 annual pregnancy rates in 2000 2007 were lower than the 1999 rate of 42.7/1,000. In contrast, the number of pregnancies increased from 14,095 in 1999 to 15,038 in 2007. In is only since 2007 that the reduction in the number of teen pregnancies was accompanied by an equally impressive decline in pregnancy rates (Figure 2, Table 1). The 2007 teen pregnancy rate of 34.4/100,000 was based on 15,038 pregnancies occurring among 437,239 females aged 10-19 years. If, compared to 2007, the 2009 denominator also declined proportionately by 16.6 percent, the pregnancy rate would not have changed. We may be overestimating the 2009 “population at risk” by approximately 72,790 females aged 1019 years. Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 1999-2009 3 KEY FINDINGS Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 1999-2009 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 19992009). In 2009, Hispanic or Latino females accounted for 55.0 percent of all pregnancies in this age group, followed by White non-Hispanics (27.6 percent). Black or African American, Asian or Pacific Islander, American Indian, and females of other race aged 19 years or younger accounted for a similar share of pregnancies in 2009 (17.4 percent) than they did in 1999 (17.6 percent). 9000 Hispanic or Latino 7500 6000 W hite non-Hispanic 4500 3000 A m erican I ndian 1500 Black or A f rican A m erican A sian or P acif ic I slander From 2007 to 2009, the number of teen pregnancies declined particularly steeply for Asian (-22.8 percent), and Hispanic or Latino females (-19.3 percent). 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Asian 136 137 134 130 134 148 132 132 167 149 129 Black 669 620 622 605 664 671 688 731 766 812 722 American Indian 1155 1216 1053 1082 1215 1215 1289 1277 1353 1246 1229 White non-Hispanic 4915 4814 4175 4102 3903 3924 3631 4148 4101 3852 3454 Hispanic 6701 7213 7239 7287 7476 7965 7748 8396 8545 7764 6896 The sum of live births + induced abortions + spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2009 than in 1999 (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 19992009. The pregnancy rate fell 8.7 percent for Hispanic or Latino females 19 years or younger in 1999-2003 and then increased in 2004 and 2006. From 2006 to 2009 the pregnancy rate of Hispanic or Latino females fell by 22.3 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 2009, the Hispanic rate exceeded the average rate for all groups by 55.4 percent. Figure 4 Comparison of Pregnancy Rates by Year among Hispanic or Latinos and all Females 19 or Younger, Arizona, 1999-2009 75.0 Hispa nic o r La tino 60.0 45.0 30.0 15.0 A ll gro ups 0.0 A ll groups 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 2009 28.0 Hispanic or Lat ino 63.0 60.9 59.1 57.6 57.5 59.2 55.5 56.0 55.3 49.4 43.5 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1999-2009 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 1999-2009 75.0 60.0 The pregnancy rate for White nonHispanics sharply increased by 19.6 percent in 2006 (Figure 5). The rate remained essentially unchanged at 19.0 in 2007 and then fell by 17.9 percent to 15.6/1,000 in 2009. In each year from 1999 to 2009, the pregnancy rates for White nonHispanic females were lower than the average rates for all females 19 years or younger in Arizona. 45.0 A ll gr o ups 30.0 15.0 White no n- His p a nic 0.0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 A ll groups 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 W hit e nonHispanic 25.6 25.2 21.1 20.1 18.2 17.7 15.8 18.9 19.0 17.5 15.6 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, 1999-2009 75.0 60.0 45.0 Despite some of the decreases noted between 2001 and 2002, 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 1999 a, but higher in 2000-2009. A m e ric a n India n 30.0 15.0 A ll gro ups 0.0 A ll groups A merican Indian 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 2009 28.0 38.0 41.3 36.7 36.6 39.9 39.7 40.8 36.2 39.1 35.5 34.7 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1999-2009 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 1999-2009 75.0 The pregnancy rates for Black or African American females 19 years or younger increased from 45.8/1,000 in 1999 to 51.9/1,000 in 2000 (Figure 7). Except 2006, the pregnancy rates for Black or African American teenagers exceeded in 1999-2006 and 2007-2009 the pregnancy rate for all groups. 60.0 Bla c k o r A fric a n A m e ric a n 45.0 30.0 15.0 A ll groups 0.0 A ll groups Black or A f rican A merican 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 2009 28.0 45.8 51.9 45.1 42.5 45.4 44.2 43.5 32.6 36.1 37.7 33.3 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, 1999-2009 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 2009, the Asian rate (11.6/1,000) was 58.6 percent lower than the rate for all groups (28.0/1,000). If the 2009 “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 12,537 to approximately 5,200. 60.0 45.0 A ll gro ups 30.0 A sia n o r Pa cific Is la nde r 15.0 0.0 A ll groups A sian or P acif ic Islander 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 2009 28.0 17.8 21.3 20.3 19.1 19.2 19.3 16.2 12.9 15.3 13.5 11.6 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 1999-2009 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2001-2009 100% Surgical 80% The proportion of non-surgical abortions to females 19 years or younger increased for the 4th consecutive year from 25.1 percent in 2005 to 44.3 percent in 2009 (Figure 9). 60% 40% 20% Nonsurgical 0% 2001 2002 2004 2005 2006 Surgical % 98.9 83.3 77 74.5 74.9 74.6 70.3 68.1 55.7 Non-surgical % 1.1 16.7 2003 23 25.5 25.1 25.4 2007 29.7 2008 31.9 2009 44.3 Surgical # 1512 1661 1438 1654 1417 1431 1392 1235 846 Non-surgical # 17 334 429 566 475 488 587 578 673 Figure 10 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity among Females 19 or Younger, Arizona, 2009 A sian 62.5% W hit e non-Hispanic 50.0% A merican Indian Black 0.0% 50.0% 46.2% A LL GROUPS Hispanic 37.5% Among Asian, White non-Hispanic and American Indian 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. 53.8% 44.3% 55.7% 41.5% 58.5% 26.4% 73.6% 20.0% 40.0% No n- surgica l 60.0% 80.0% 100.0% Surgic a l Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona 1999-2009 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2000-2009 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 26,404 mothers under age 20 in Arizona in 2009, the lowest number since 1999. Among them there were the 10,952 who gave birth that year and the 15,452 who gave birth prior to 2009 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 7.9 percent from 28,661 in 2007. 27,923 27,500 26,784 26,870 27,005 11,700 11,863 11,933 2003 2004 2005 26,691 28,117 28,661 28,084 26,404 24,000 16,000 12,198 11,790 11,474 12,916 12,972 12,161 10,952 8,000 0 2000 2001 2002 2006 2007 2008 2009 *See Table 13 for more details. Figure 12 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2000 and 2009 2000 2009 155.0 200.0 160.0 80.0 41.6 120.0 57.1 The repeat birth rates for teenagers who had already had a child decreased by 14.5 percent from 181.3 in 2000 to 155.0 per 1,000 females 15-19 years old in 2009 who had a previous birth (Figure 12). 181.3 240.0 The first birth rate for childless teenagers has dropped 27.1 percent from 57.1 first-time births per 1,000 females 15-19 years old in 2000, to 41.6/1,000 in 2009 (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 1999-2009 8 KEY FINDINGS Figure 13 Births to Mothers 19 or Younger by Marital Status, Arizona, 1989, 1999 and 2009 Unmarried Married 100.0% 12.3% 16.5% 27.9% 75.0% 50.0% 87.7% 83.5% Unwed mothers have accounted for an increasing annual proportion of births throughout the 1980s and 1990s. Two decades ago, approximately 7 out of 10 teenage mothers were unmarried (Figure 13). In 2009, nonmarital births accounted for 87.7 percent of births to mothers 19 years or younger. 72.1% 25.0% 0.0% 1989 1999 2009 Figure 14 Number of Births to Mothers 19 or Younger by Payee, Arizona, 1999 and 2009 A HCCCS Total births to mothers 19 years or younger P rivat e insurance O t her 14,000 664 10,500 997 1,164 2,022 7,000 9,124 3,500 6,756 The total number of births to mothers 19 years or younger increased by 12.0 percent from 9,775 in 1999 to 10,952 in 2009 (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 35.1 percent from 6,756 in 1999 to 9,124 in 2009. In 2009, the Arizona Health Care Cost Containment System paid for 83.3 percent of the deliveries to mothers 19 or younger (Table 23), compared to 69.1 percent in 1999 (Figure 14). 0 Percent of teen births paid for by AHCCCS 1999 2009 69.1 69.1 83.3 Teen Pregnancy, Arizona 1999-2009 9 KEY FINDINGS Figure 15 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 1999-2009 In each year from 2006 to 2009, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,400 (Table 15) compared to approximately 4,300 reported in 2003. Females aged 15-19 years accounted for 96.7 percent of all sexually transmitted infections in 2009. The rate of STI among females 15-19 years old increased by 64.7 percent from 2109.8 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. The 2009 rate of 3305.3 was not significantly higher from the 2008 rate. 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. 4 0 0 0 .0 3 0 0 0 .0 Per 100,000 f emales 15-19 years old 2 0 0 0 .0 1 0 0 0 .0 0 .0 STI rate 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2777.1 2502.8 2583.1 2460.9 2109.8 2526.6 3033.6 3346.3 3473.1 3303.2 3305.3 * 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, 1999-2009 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 1999 have not died or left the State, the 2009 prevalence of this diseases based on 1,312 accumulated cases (Figure 16) would be 594.9/100,000. In other words, one in every 168 females aged 15-19 years may be infected. Genital herpes also is a threat to newborns. Out of 60 females aged 15-19 years who were diagnosed with genital herpes in 2009, 45 (or 75.0 percent) also gave birth that year (Figure 16, Table 15). Teen Pregnancy, Arizona 1999-2009 1,500 1,200 900 1,252 600 1,312 1,104 968 825 697 300 486 576 351 230 112 0 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Infected with genital herpes 112 118 121 135 90 121 128 143 136 148 2009 60 Gave birth that year 26 41 30 35 27 28 31 43 38 53 45 10 KEY FINDINGS Figure 17 Birth Rates for Teenagers 15-19 Years Nationally, 2000-2008 and in Arizona, 2000-2009 90.0 In each year from 2000 to 2006 birth rates for Arizona teenagers 15-19 years old exceeded by no less than 32.3 percent the rates of their national peers (Figure 17, Table 11; the 2008 rate is the latest one available nationally). 75.0 AZ 60.0 U.S. In Arizona, Hispanic or Latino females 15-19 years old, a high-fertility group, accounted for 33.4 percent of females aged 15-19 years in 2009; 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. 45.0 30.0 15.0 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 42.5 41.5 2009 NA AZ 67.6 63.3 59.7 59.2 58.2 56.5 59.6 59.5 54.9 49.1 _______________ *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, 2000-2008 and in Arizona, 2000-2009 140.0 In 2008, Hispanics or Latinos aged 1519 years disproportionately accounted for 58.8 percent of births to mothers in this age group in Arizona (7,057 out of 12,000; see Table 6 and Table 7) compared to 33.3 percent nationally.* AZ 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. 105.0 U.S. 70.0 35.0 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 US 87.3 86.4 83.4 82.3 82.6 81.7 83.0 81.7 77.4 NA AZ 111.8 110.0 105.4 105.8 107.7 104.6 108.3 106.8 96.7 85.0 ____________________ * Births: Final Data for 2008 available at http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_01.pdf ** 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 1999-2009 11 KEY FINDINGS Figure 19 Percentage of Female High School Students Who Ever Had Sexual Intercourse, Arizona, 2009 Y ES NO 100.0% Patterns in sexual activity such as the age at first intercourse and the frequency of intercourse are among the factors for both pregnancy rate and the incidence of sexually transmitted infections. The age-specific proportions of female high school students (including charter schools) who ever had sexual intercourse in Figure 19 are from the latest Arizona Youth Behavior Survey conducted in 2009. 24.4% 75.0% 51.9% 71.8% 50.0% 75.6% 25.0% 48.1% 28.2% 0.0% 15 or younger 16 or 17 18 or older Based on the results of the 2009 Arizona Youth Risk Behavior Survey. For more details see https://www.azed.gov/sa/health/whatsnew.asp#ResultsFrom2009 Figure 20 Percentage of Female High School Students Who Used Specified Method of Contraception The Last Time They Had Sexual Intercourse, Arizona, 2009 YES The 2009 Arizona Youth Behavior Survey results for female high school students asked whether they used a specified method of contraception the last time they had sexual intercourse (Figure 20) reveal that compared to younger teens, older teens were less likely to use any method of contraception. 100.0% Perhaps, not a small fraction of older teens who were sexually active but not using contraception in 2009 were not so much placing themselves at a risk of unintended pregnancy but intentionally trying to have a baby? 50.0% NO 16.8% 26.2% 26.7% 73.8% 73.3% 16 or 17 18 or older 75.0% 83.2% 25.0% 0.0% 15 or younger Percent of female students who ever had sexual intercourse. Based on the results of the 2009 Arizona Youth Risk Behavior Survey. For more details see https://www.azed.gov/sa/health/whatsnew.asp#ResultsFrom2009 Teen Pregnancy, Arizona 1999-2009 12 TEENAGE PREGNANCY, ARIZONA, 1999-2009 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Pregnancy outcome by year ALL PREGNANCIES 1999 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 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 14,047 230 13,817 4,740 9,077 2009 LIVE BIRTHS 1999 12,537 156 12,381 3,945 8,436 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 12,161 161 12,000 4,151 7,849 2009 ABORTIONS 1999 10,952 132 10,820 3,501 7,319 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 1,813 67 1,746 567 1,179 2009 FETAL LOSSES 1999 1,519 24 1,495 418 1,077 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 2009 66 0 66 26 40 Teen Pregnancy, Arizona 1999-2009 14 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 1999-2009 Pregnancy outcome by year ALL PREGNANCIES 1999 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 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 31.6 1.0 63.2 34.6 111.3 2009 LIVE BIRTHS 1999 28.0 0.7 56.1 28.5 102.5 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 34.0 100.2 105.1 2007 29.7 0.8 59.5 32.3 2008 27.4 0.7 54.9 30.3 96.3 2009 ABORTIONS 1999 24.4 0.6 49.1 25.3 89.0 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 4.1 0.3 8.0 4.1 14.5 2009 FETAL LOSSES 1999 3.4 0.1 6.8 3.0 13.1 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 2009 0.2 0.0 0.3 0.2 0.5 1 The number of pregnancies (live births + abortions + fetal deaths) per 1,000 females in specified age group. 0.0: Quantity more than zero but less than 0.05. Teen Pregnancy, Arizona 1999-2009 15 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1999-2009 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2009 2,715 HISPANIC OR LATINO 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 2009 6,341 BLACK OR AFRICAN AMERICAN 1999 603 2000 572 2001 545 2002 468 2003 549 2004 540 2005 569 2006 601 2007 621 2008 656 2009 603 AMERICAN INDIAN OR ALASKA NATIVE 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 2009 1,170 ASIAN OR PACIFIC ISLANDER 1999 108 2000 100 2001 104 2002 96 2003 107 2004 92 2005 96 2006 92 2007 103 2008 113 2009 88 Teen Pregnancy, Arizona 1999-2009 15-19 years Under 15 years Total 15-17 years 18-19 years 31 38 34 23 23 17 17 19 26 15 20 3,838 3,721 3,362 3,041 2,947 2,789 2,727 3,190 3,074 2,978 2,695 1,115 1,040 926 824 782 747 711 852 779 769 649 2,723 2,681 2,436 2,217 2,165 2,042 2,016 2,338 2,295 2,209 2,046 149 144 132 147 146 137 137 123 115 111 87 6,012 6,404 6,516 6,438 6,646 7,001 7,051 7,615 7,667 7,057 6,254 2,415 2,567 2,552 2,507 2,600 2,779 2,721 2,923 2,892 2,724 2,253 3,597 3,837 3,964 3,931 4,046 4,222 4,330 4,692 4,775 4,333 4,001 14 12 13 12 3 12 8 7 12 12 6 589 560 532 456 546 528 561 594 609 644 597 222 198 193 152 204 180 199 187 195 203 181 367 362 339 304 342 348 362 407 414 441 416 38 20 17 18 37 21 21 19 26 22 17 1,012 1,069 996 1,021 1,104 1,121 1,183 1,197 1,259 1,163 1,153 389 405 348 374 434 452 478 430 445 408 394 623 664 648 647 670 669 705 767 814 755 759 1 1 0 1 1 1 1 1 0 1 2 107 99 104 95 106 91 95 91 103 112 86 28 29 29 19 38 25 28 28 31 26 18 79 70 75 76 68 66 67 63 72 86 68 16 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 1999-2009 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 1999 981 2000 1,020 2001 746 2002 1,010 2003 914 2004 1,095 2005 867 2006 917 2007 982 2008 841 2009 720 HISPANIC OR LATINO 1999 540 2000 610 2001 534 2002 650 2003 630 2004 784 2005 522 2006 609 2007 710 2008 561 2009 525 BLACK OR AFRICAN AMERICAN 1999 96 2000 115 2001 71 2002 118 2003 107 2004 125 2005 114 2006 124 2007 136 2008 143 2009 110 AMERICAN INDIAN OR ALASKA NATIVE 1999 56 2000 43 2001 29 2002 40 2003 68 2004 65 2005 76 2006 55 2007 63 2008 54 2009 52 ASIAN OR PACIFIC ISLANDER 1999 28 2000 37 2001 30 2002 34 2003 27 2004 56 2005 35 2006 40 2007 63 2008 36 2009 40 Teen Pregnancy, Arizona 1999-2009 15-19 years Under 15 years Total 15-17 years 18-19 years 26 25 16 20 18 19 15 28 71 21 11 955 995 730 990 896 1,076 852 889 911 820 709 369 342 262 367 304 341 278 296 282 266 207 586 653 458 623 592 735 574 593 629 554 502 16 22 22 15 27 20 21 24 44 34 8 524 588 512 635 603 764 501 585 666 527 517 183 228 199 235 197 247 151 193 210 173 136 341 360 313 400 406 517 350 392 456 354 381 7 5 3 4 6 1 5 9 13 5 3 89 110 68 114 101 124 109 115 123 138 107 27 42 28 30 40 46 32 48 42 43 28 62 68 40 84 61 78 77 67 81 95 79 3 2 3 3 3 1 4 1 8 2 0 53 41 26 37 65 64 72 54 55 52 52 17 13 7 12 25 17 21 24 22 17 22 36 28 19 25 40 47 51 30 33 35 30 1 0 0 0 1 1 0 3 4 2 1 27 37 30 34 26 55 35 37 59 34 39 10 11 15 10 7 19 10 11 8 12 8 17 26 15 24 19 36 25 26 51 22 31 17 Teen Pregnancy, Arizona 1999-2009 18 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 10-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 10-17 years old. 3 4 5 2.6 2 3.0 Abortion rate 18.4 15.6 1 19.9 16.8 Fertility rate5 741 4,500 4,474 787 5,294 5,296 11 30 29 11 41 40 15 425 427 20 476 450 47 210 236 34 227 275 250 2,711 2,564 199 2,991 2,763 367 1,078 1,146 395 1,462 2000 1,566 1999 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 2.0 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 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 TABLE 5 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 17 OR YOUNGER WITH RATES2, ARIZONA, 1999-2009 1 1.2 9.9 11.2 442 3,633 4,101 9 20 30 22 411 436 31 187 221 144 2,340 2,496 218 669 894 2009 1.2 9.9 11.2 1.0 2.2 3.3 0.8 14.4 15.3 1.7 10.3 12.2 1.1 17.8 19.0 1.2 3.7 5.0 2009 Rates Teen Pregnancy, Arizona 1999-2009 19 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 15-17 years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 15-17 years old. 3 4 5 6.6 2 7.5 Abortion rate 48.1 41.1 1 51.5 43.7 Fertility rate5 684 4,284 4,236 727 5,016 4,993 11 29 28 10 40 38 13 405 389 17 421 408 42 198 222 27 242 254 228 2,567 2,415 183 2,823 2,598 342 1,040 1,115 369 1,397 2000 1,505 1999 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 5.0 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 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 TABLE 6 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 1999-2009 1 3.0 25.3 28.5 418 3,501 3,945 1 18 27 22 394 419 28 181 212 136 2,253 2,401 207 649 863 2009 3.0 25.3 28.5 2.4 5.4 8.2 1.9 34.7 36.9 4.2 26.9 31.6 2.9 48.1 51.3 3.0 9.3 12.3 2009 Rates Teen Pregnancy, Arizona 1999-2009 20 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. 17.1 2 19.7 Abortion rate 123.6 105.7 1 137.6 117.1 Fertility rate5 1,247 7,689 7,489 1,259 8,993 8,799 26 70 79 17 96 96 28 664 623 36 700 665 68 362 367 62 433 434 360 3,837 3,597 341 4,222 3,938 653 2,681 2,723 586 3,352 2000 3,349 1999 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 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 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 TABLE 7 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 1999-2009 1 13.1 89.0 102.5 1,077 7,319 8,436 31 68 99 30 759 793 79 416 501 381 4,001 4,400 502 2,046 2,560 2009 13.1 89.0 102.5 15.2 33.4 48.7 4.3 109.1 114.0 22.3 117.6 141.7 14.2 149.3 164.2 11.7 47.6 59.6 2009 Rates Teen Pregnancy, Arizona 1999-2009 21 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 19 or less years old. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 19 or less years old. 3 4 5 5.5 2 6.2 Abortion rate 39.5 33.7 1 42.7 36.2 Fertility rate5 1,988 12,189 11,963 2,046 14,287 14,095 37 100 108 28 137 136 43 1,089 1,050 56 1,216 1,155 115 572 603 96 620 669 610 6,548 6,161 540 7,213 6,701 1,020 3,759 3,869 981 4,814 2000 4,915 1999 Pregnancy rate, total: Abortions ALL RACE/ETHNIC GROUPS4, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions HISPANIC OR LATINO, total: Births Abortions Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births 4.1 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 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 TABLE 8 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 19 OR YOUNGER, WITH RATES2, ARIZONA, 1999-2009 1 3.4 24.4 28.0 1,519 10,952 12,537 40 88 129 52 1,170 1,229 110 603 722 525 6,341 6,896 720 2,715 3,454 2009 3.4 24.4 28.0 3.6 7.9 11.6 1.5 33.0 34.7 5.1 27.8 33.3 3.3 40.0 43.5 3.2 12.3 15.6 2009 Rates 19 YEARS OR YOUNGER 18-19 YEARS 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 ARIZONA 42.7 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 137.6 135.8 113.2 111.1 108.2 108.7 103.6 115.6 121.4 111.3 102.5 19.9 18.4 16.5 16.1 15.9 15.9 14.8 15.1 14.8 13.7 11.2 APACHE 23.9 29.2 21.6 23.2 30.8 32.8 25.9 25.6 27.5 25.3 27.7 88.3 109.9 91.9 100.7 130.1 141.6 105.4 87.9 89.4 89.5 100.2 9.6 15.0 9.2 9.6 13.4 13.5 11.9 10.8 12.5 9.7 10.1 COCHISE 35.6 38.7 34.3 30.6 31.5 30.0 30.0 24.2 29.1 27.2 28.7 115.5 124.5 116.8 104.4 107.3 106.7 110.0 71.1 99.8 92.4 102.7 15.8 19.1 15.5 13.7 14.3 12.7 11.7 12.0 12.0 11.3 10.8 COCONINO 30.2 28.6 30.3 26.0 26.9 27.7 27.7 31.0 33.2 28.6 27.6 78.9 74.7 84.3 68.9 70.6 76.9 79.5 84.0 81.2 72.2 68.9 15.1 14.6 13.9 13.0 13.6 12.9 12.1 14.1 16.3 13.2 13.0 41.4 41.1 43.2 42.4 42.8 38.4 38.8 37.7 41.7 45.9 40.8 121.0 167.3 154.3 151.5 145.5 164.3 150.5 139.8 164.0 165.9 160.2 22.1 17.6 22.5 22.1 23.7 15.4 18.2 16.6 16.2 21.0 15.9 GRAHAM 29.3 28.8 33.8 29.9 27.5 22.5 20.9 35.5 40.1 33.2 33.7 94.8 74.1 84.9 78.4 78.8 57.7 56.7 95.6 103.4 94.7 93.2 13.7 13.9 17.0 14.0 10.7 10.9 9.0 17.6 19.3 12.9 14.2 GREENLEE 34.9 26.7 18.3 40.0 26.0 36.6 31.0 24.7 25.4 33.2 41.2 116.1 123.8 78.4 161.9 64.8 173.1 174.8 69.0 122.4 133.3 203.9 16.3 8.8 7.2 17.5 18.8 10.9 6.6 5.1 8.8 16.2 13.3 MARICOPA 44.6 40.7 37.2 36.0 36.0 35.5 33.9 35.4 35.4 32.5 27.4 146.5 127.8 117.3 114.2 112.4 110.9 106.5 125.0 131.9 120.0 106.0 21.0 18.9 17.2 16.5 16.9 16.5 15.7 15.7 15.3 14.3 11.0 MOHAVE 40.1 33.5 31.4 32.5 30.9 28.7 32.1 33.0 31.9 28.1 25.9 139.4 139.7 132.5 131.5 129.0 112.8 134.0 142.1 157.6 135.7 129.2 17.4 12.0 10.9 12.5 11.1 11.8 11.5 12.4 10.7 9.5 8.1 NAVAJO 40.4 34.8 26.7 28.5 29.6 33.7 33.1 30.0 33.7 36.3 33.2 141.7 154.1 111.7 121.5 123.4 141.3 138.2 99.4 125.8 135.7 132.3 17.9 13.7 11.7 12.0 13.0 14.6 14.4 14.9 14.4 15.5 12.5 PIMA 38.8 39.6 36.0 36.3 32.0 33.8 30.6 32.9 30.5 29.0 27.0 118.3 104.7 96.6 96.7 86.0 93.7 83.7 95.8 89.6 86.5 82.3 17.6 19.1 16.9 17.2 14.6 15.1 14.0 14.7 13.6 12.5 11.2 PINAL 44.9 47.7 43.7 38.5 38.1 36.4 33.5 34.1 37.4 31.3 27.6 145.9 161.0 156.9 130.2 139.3 121.0 119.8 129.3 144.9 121.8 108.4 22.3 23.8 19.8 19.1 16.8 18.3 14.9 13.4 16.4 13.6 11.8 SANTA CRUZ 41.7 39.3 33.0 36.4 30.0 38.6 30.7 32.9 32.2 31.5 29.1 145.2 132.1 113.7 137.7 130.7 147.2 111.8 108.5 102.8 111.6 115.7 17.1 21.8 17.8 17.2 11.1 17.9 15.2 16.5 17.7 15.0 11.4 YAVAPAI 33.7 33.0 26.3 29.6 25.3 27.9 25.7 29.6 33.0 26.9 25.0 114.8 124.9 91.8 115.9 98.7 99.3 104.1 109.2 129.9 100.1 101.3 13.8 13.3 12.3 11.1 9.5 12.3 8.6 11.8 12.8 10.9 8.4 46.3 42.0 36.7 38.8 40.6 42.1 37.0 38.0 37.8 35.1 36.1 151.7 149.8 130.8 133.4 134.2 135.6 122.2 122.8 129.8 121.7 119.9 20.9 17.5 15.3 17.3 19.3 20.4 17.1 16.6 16.0 14.6 16.1 YUMA TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 1999-2009 GILA * Number of pregnancies per 1,000 females in specified group. 10-17 YEARS Teen Pregnancy, Arizona 1999-2009 22 29.2 32.6 36.8 35.6 32.2 39.8 49.8 30.0 50.9 38.6 27.8 72.7 127.1 153.0 127.0 113.4 153.8 148.7 63.0 242.8 156.1 127.2 18.6 15.2 15.2 18.7 17.2 17.8 30.7 13.1 15.8 17.0 9.5 LA PAZ Teen Pregnancy, Arizona 1999-2009 23 72,596 68,611 # Births to teenagers 4.2 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 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 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 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 Includes records for ethnic groups other than White Non-Hispanic, Hispanic or Latino, Black or African American, American Indian or Alaska Native or Asian or Pacific Islander. 4.9 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 2 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 1 5.8 % Births to teenagers 100 2,041 1,875 92 19.4 19.8 # Births to teenagers # Births (all ages) % Births to teenagers ASIAN OR PACIFIC ISLANDER 5,602 5,295 1,050 # Births (all ages) # Births to teenagers 1,089 20.7 572 2,760 2,699 603 19.3 6,548 20.0 6,161 22.3 % Births to teenagers AMERICAN INDIAN OR ALASKA NATIVE # Births to teenagers # Births (all ages) % Births to teenagers BLACK OR AFRICAN AMERICAN 33,893 9.4 3,759 39,850 16.9 30,784 10.0 % Births to teenagers HISPANIC OR LATINO # Births (all ages) 3,869 # Births to teenagers 38,711 17.4 % Births to teenagers WHITE NON-HISPANIC # Births (all ages) 2,067 2,083 12,333 11,877 # Births to teenagers # Births (all ages) 13.9 14.4 % Births to teenagers RURAL COUNTIES 10,102 9,896 # Births to teenagers # Births (all ages) 14.3 14.9 % Births to teenagers URBAN COUNTIES2 12,189 80,505 84,985 2000 11,963 1999 # Births (all ages) Group # Births to teenagers 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, 1999-2009 2.6 88 3,396 19.0 1,170 6,170 13.8 603 4,378 16.5 6,341 38,362 6.8 2,715 39,781 15.4 2,085 13,570 11.2 8,867 79,046 11.8 10,952 92,616 2009 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 1999-2009 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. 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 0.6 59.5 42.5 32.3 22.2 105.1 73.9 2008 0.7 0.6 54.9 41.5 30.3 21.7 96.3 70.7 2009 0.6 NA 49.1 NA 25.3 NA 89.0 NA Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 1999-2009 24 Teen Pregnancy, Arizona 1999-2009 25 19 18 17 16 15 14 13 12 11 Mother's age 0 0 One or more Unknown 0 Unknown 1,041 One or more 24 2,485 1,680 None One or more Previous pregnancies Unknown 4,189 Total 12 2,247 None Previous pregnancies Unknown 3,300 6 Total Unknown 475 1,772 Previous pregnancies One or more 2,253 4 Total None Unknown 177 1,207 Previous pregnancies One or more 1,388 1 35 Total None Unknown One or more 595 559 Previous pregnancies 0 Total None Unknown 11 189 Previous pregnancies One or more 200 Total None 0 36 Previous pregnancies One or more 36 Total None 2 2 0 None 0 One or more Unknown Total 0 None Previous pregnancies Previous pregnancies 0 1999 Total Pregnancies 0 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 2000 0 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 2001 0 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 2002 0 0 3 3 0 0 1 1 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 2003 0 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 2004 Year 0 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 2005 0 0 2 2 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 2006 0 0 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 2007 0 0 3 3 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 2008 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 1999-2009 0 0 1 1 0 0 0 0 4 1,570 2,667 4,241 1 851 2,226 3,078 0 350 1,598 1,948 0 119 988 1,107 0 18 428 446 0 3 113 116 0 0 15 15 2009 Teen Pregnancy, Arizona 1999-2009 26 0 0 0 0 0 0 0 0 2002 2003 2004 2005 2006 2007 2008 2009 11 3 0 1 0 0 0 0 1 1 0 0 12 24 1 3 4 2 3 3 3 5 0 15 16 20 25 22 31 26 28 155 13 870 116 141 156 143 160 154 178 14 2,816 446 570 604 593 603 587 15 5,165 1,107 1,250 1,360 1,448 1,389 16 6,676 1,948 2,331 2,397 2,259 17 6,454 3,078 3,376 3,523 18 4,241 4,241 4,770 19 6 0 0 26,404 10,952 7,688 4,541 2,211 788 188 30 Mother was 19 or younger in 2009 The figures in Table 13 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 2000-2009. 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 2009. For example, mothers who were 12 years old in 2001 were 20 years old in 2009. 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 2009 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2002, 6 remained in their teens in 2009. 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 2009, 155 had given birth when 13 years old. gave birth to a baby prior to 2009 and were still 19 or less years old in 2009. gave birth to the 10,952 babies in 2009. Among them are those who: NOTE: The above table focuses on the 2009 cohort of Arizona mothers who were 19 or younger that year. 0 0 2001 Cumulative number of mothers 19 or younger 0 10 2000 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 2009 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 1999-2009 White non-Hispanic 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Hispanic or Latino 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Black or African 1999 American 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 American Indian or 1999 Alaska Native 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Asian or Pacific 1999 Islander 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All 19 years or 10-14 years 15-19 years 15-17 years 18-19 years younger 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 15.6 0.3 30.3 12.3 59.6 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 43.5 1.1 92.4 51.3 164.2 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 33.3 0.8 69.5 31.6 141.7 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 34.7 1.0 66.2 114.0 36.9 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 11.6 0.5 23.6 8.2 48.7 *The pregnancy rates for 1999 were revised using the population denominators that are consistent with both 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 1996-1999. Teen Pregnancy, Arizona 1999-2009 27 Teen Pregnancy, Arizona 1999-2009 28 4,431 4,726 30 121 24 4,046 535 269 0 7 2 223 4,651 35 135 23 4,024 469 215 0 2 0 191 229 0 5 0 188 4,093 27 90 25 3,475 503 5,078 28 121 19 4,400 538 15-19 years old: 202 0 2 0 169 6,313 31 128 13 5,451 721 255 0 5 0 210 40 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. Total reported infections 4,471 41 26 Gave birth that year 118 112 Genital herpes 22 3,726 18 3,753 Chlamydia 565 247 0 6 2 Early syphilis 588 254 Gonorrhea Diagnosed with: Total reported infections 0 3 Genital herpes Gave birth that year 2 Early syphilis 207 36 213 22 2005 Chlamydia 37 2004 31 32 2003 36 2002 Gonorrhea 2001 10-14 years old: 2000 Diagnosed with: 1999 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1999-2009 26 7,290 45 60 6 6,771 453 251 0 1 0 224 2009 Teen Pregnancy, Arizona 1999-2009 29 2502.8 2777.1 2583.1 24.8 66.1 13.1 2211.5 292.4 146.9 3.7 1.1 122.6 19.5 2001 2460.9 25.9 71.4 12.2 2129.1 248.2 109.7 1.0 0.0 97.5 11.2 2002 2004 109.7 2.4 0.0 90.1 17.2 2109.8 30.0 46.4 12.9 1791.2 259.3 2526.6 23.1 60.3 9.5 2189.1 267.7 15-19 years old 100.1 1.0 0.0 83.7 15.4 3033.6 24.2 61.5 6.2 2619.4 346.5 126.9 2.3 9.0 97.1 18.5 2005 10-14 years old 2003 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 3303.2 35.8 67.7 3.7 3017.7 214.1 124.0 4.9 0.4 110.3 8.4 2008 * 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 34.7 66.7 12.4 2104.5 319.2 134.2 3.3 1.0 112.5 17.4 2000 23.2 69.6 Genital herpes Gave birth that year (%) 11.2 2331.1 Chlamydia Early syphilis 365.2 Gonorrhea Diagnosed with: 150.3 1.8 Genital herpes Total reported infections 1.2 126.0 Chlamydia Early syphilis 21.3 Gonorrhea Diagnosed with: 1999 TABLE 16 TRENDS IN THE INCIDENCE RATES* OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 1999-2009 3305.3 75.0 27.2 2.7 3070.0 205.4 110.2 0.4 0.0 98.3 11.4 2009 TABLE 17 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2009 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 214 2 212 61 Cochise 288 2 286 85 151 201 Coconino 296 2 294 101 193 Gila 158 1 157 50 107 Graham 114 3 111 33 78 Greenlee 29 0 29 8 21 Maricopa 7,293 89 7,204 2,330 4,874 230 Mohave 313 3 310 80 Navajo 350 6 344 103 241 Pima 1,845 21 1,824 571 1,253 Pinal 586 7 579 203 376 Santa Cruz 117 2 115 36 79 Yavapai 320 5 315 83 232 Yuma 561 12 549 191 358 La Paz TOTAL STATE 31 1 30 8 22 12,537 156 12,381 3,945 8,436 PREGNANCY RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 27.7 0.5 52.6 24.2 100.2 Cochise 28.7 0.4 55.2 26.4 102.7 Coconino 27.6 0.4 49.8 32.6 68.9 Gila 40.8 0.5 79.5 38.2 160.2 Graham 33.7 2.0 58.9 31.5 93.2 Greenlee 41.2 0.0 92.4 37.9 203.9 Maricopa 27.4 0.6 56.6 28.6 106.0 Mohave 25.9 0.5 53.4 19.9 129.2 Navajo 33.2 1.2 64.3 29.2 132.3 Pima 27.0 0.6 51.1 27.9 82.3 Pinal 27.6 0.6 56.7 30.1 108.4 Santa Cruz 29.1 1.0 56.1 26.3 115.7 Yavapai 25.0 0.8 48.1 19.5 101.3 Yuma 36.1 1.5 70.6 39.8 119.9 La Paz 27.8 1.7 55.9 22.0 127.2 TOTAL STATE 28.0 0.7 56.1 28.5 102.5 * The sum of live births, fetal deaths and abortions. ** The number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 1999-2009 30 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2009 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 207 2 205 58 147 Cochise 255 1 254 74 180 Coconino 251 1 250 88 162 Gila 150 1 149 48 101 Graham 110 3 107 31 76 Greenlee 29 0 29 8 21 Maricopa 6,246 74 6,172 2,044 4,128 Mohave 309 3 306 78 228 Navajo 343 5 338 101 237 Pima 1,524 18 1,506 479 1,027 Pinal 560 7 553 198 355 Santa Cruz 113 0 113 35 78 Yavapai 287 5 282 71 211 Yuma 537 11 526 180 346 La Paz TOTAL STATE 31 1 30 8 22 10,952 132 10,820 3,501 7,319 BIRTH RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 26.8 0.5 50.9 23.0 97.5 Cochise 25.4 0.2 49.0 23.0 91.9 Coconino 23.4 0.2 42.4 28.4 57.9 Gila 38.7 0.5 75.4 36.7 151.2 Graham 32.6 2.0 56.8 29.6 90.8 Greenlee 41.2 0.0 92.4 37.9 203.9 Maricopa 23.5 0.5 48.5 25.1 89.8 Mohave 25.6 0.5 52.7 19.4 128.1 Navajo 32.5 1.0 63.2 28.6 130.1 Pima 22.3 0.6 42.2 23.4 67.4 Pinal 26.4 0.6 54.1 29.3 102.4 Santa Cruz 28.1 0.0 55.1 25.6 114.2 Yavapai 22.4 0.8 43.1 16.7 92.1 Yuma 34.5 1.4 67.6 37.5 115.9 La Paz 27.8 1.7 55.9 22.0 127.2 TOTAL STATE 24.4 0.6 49.1 25.3 89.0 ** The number of births per 1,000 females in specified group. Teen Pregnancy, Arizona 1999-2009 31 TABLE 19 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2009 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births Spontaneous fetal losses Number Rate 10 45,197 0 0 0 0 0.0 11 45,319 0 0 0 0 0.0 12 45,376 1 2 0 3 0.1 13 45,878 15 4 0 19 0.4 14 45,960 116 18 0 134 2.9 227,730 132 24 0 156 0.7 15 46,450 446 76 6 528 11.4 16 46,943 1,107 130 11 1,248 26.6 17 44,887 1,948 212 9 2,169 48.3 138,280 3,501 418 26 3,945 28.5 18 41,654 3,078 506 16 3,600 86.4 19 40,621 4,241 571 24 4,836 119.1 18-19 82,275 7,319 1,077 40 8,436 102.5 448,285 10,952 1,519 66 12,537 28.0 10-14 15-17 Total 10-19 1 TOTAL PREGNANCIES Rates per 1,000 female population in specific group. Teen Pregnancy, Arizona 1999-2009 32 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2009 Mother's age Total 11 TOTAL 12 13 14 15 16 17 18 19 10,952 0 1 15 116 446 1,107 1,948 3,078 4,241 Apache 207 0 0 0 2 8 14 36 63 84 Cochise 255 0 0 0 1 4 22 48 80 100 Coconino 251 0 0 0 1 17 27 44 65 97 Gila 150 0 0 0 1 8 16 24 35 66 Graham 110 0 0 1 2 4 9 18 39 37 Geenlee 29 0 0 0 0 0 2 6 9 12 6,246 0 1 11 62 255 670 1,119 1,762 2,366 Mohave 309 0 0 0 3 10 21 47 93 135 Navajo 343 0 0 0 5 15 32 54 88 149 Pima 1,524 0 0 2 16 68 144 267 441 586 Pinal 560 0 0 0 7 18 59 121 155 200 Santa Cruz 113 0 0 0 0 4 6 25 34 44 Yavapai 287 0 0 0 5 11 23 37 79 132 Yuma 537 0 0 1 10 22 58 100 128 218 31 0 0 0 1 2 4 2 7 15 Maricopa La Paz Teen Pregnancy, Arizona 1999-2009 33 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2009 Total TOTAL 11 12 13 14 15 16 17 18 19 1,519 0 2 4 18 76 130 212 506 571 Apache 6 0 0 0 0 1 0 2 1 2 Cochise 29 0 0 1 0 2 5 2 10 9 Coconino 42 0 0 0 1 2 1 9 14 15 Gila 7 0 0 0 0 1 0 0 3 3 Graham 4 0 0 0 0 0 1 1 2 0 Greenlee 0 0 0 0 0 0 0 0 0 0 Maricopa 1,009 0 1 3 11 53 88 131 333 389 Mohave 2 0 0 0 0 0 0 1 1 0 Navajo 5 0 0 0 1 1 0 0 1 2 Pima 315 0 0 0 3 12 24 53 112 111 Pinal 23 0 0 0 0 0 3 2 4 14 4 0 0 0 2 0 1 0 1 0 Yavapai 31 0 0 0 0 2 3 6 11 9 Yuma 21 0 1 0 0 2 3 4 5 6 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 1 1 8 11 Santa Cruz La Paz Unknown Teen Pregnancy, Arizona 1999-2009 34 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2009 Total TOTAL AHCCCS Private insurance IHS Self Unknown 10,952 9,124 310 1,164 250 104 Apache 207 107 64 3 1 32 Cochise 255 207 0 43 3 2 Coconino 251 187 43 18 1 2 Gila 150 87 50 13 0 0 Graham 110 68 25 17 0 0 Greenlee 29 19 0 10 0 0 Maricopa 6,246 5,379 33 689 112 33 Mohave 309 261 2 22 11 13 Navajo 343 264 57 14 1 7 Pima 1,524 1,281 18 179 42 4 Pinal 560 458 5 65 24 8 Santa Cruz 113 97 0 5 11 0 Yavapai 287 247 4 31 3 2 Yuma 537 442 1 52 41 1 31 20 8 3 0 0 La Paz Teen Pregnancy, Arizona 1999-2009 35 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2009 Mother's age group Total <15 Total Count Payee for births AHCCCS Private insurance 132 3,501 7,319 9,124 105 2,909 6,110 83.3 79.5 83.1 83.5 Count 310 5 112 193 Percent 2.8 3.8 3.2 2.6 1,164 16 351 797 10.6 12.1 10.0 10.9 Count 250 4 98 148 Percent 2.3 3.0 2.8 2.0 Count 104 2 31 71 Percent 0.9 1.5 0.9 1.0 Count Count Percent Self Unknown Teen Pregnancy, Arizona 1999-2009 18-19 10,952 Percent IHS 15-17 36 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2009 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count Percent 2 3 18-19 3,501 7,319 8,036 129 3,014 4,893 73.4 97.7 86.1 66.9 2,273 3 428 1,842 20.8 2.3 12.2 25.2 Count 523 0 52 471 Percent 4.8 0.0 1.5 6.4 90 0 3 87 0.8 0.0 0.1 1.2 Count Count Percent Unknown 15-17 132 Percent 4 or more <15 10,952 Count Percent 25 0 4 21 0.2 0.0 0.1 0.3 5 0 0 5 0.0 0.0 0.0 0.1 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2009 Mother's age group Total Total Count Marital status Married Count Percent Unmarried Count Percent Other <15 15-17 18-19 10,952 132 3,501 7,319 1,315 0 218 1,097 12.0 0.0 6.2 15.0 9,607 132 3,277 6,198 87.7 100.0 93.6 84.7 30 0 6 24 0.3 0.0 0.2 0.3 Count Percent TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2009 Mother's age group Total Total Count Mother's education <8 15-17 18-19 10,952 132 3,501 7,319 Count 231 31 85 115 Percent 2.1 23.5 2.4 1.6 8 Count 520 61 268 191 9-11 Count Percent Percent 12 Count Percent 13-16 17+ Unknown 4.7 46.2 7.7 2.6 5,275 38 2,639 2,598 48.2 28.8 75.4 35.5 4,129 0 483 3,646 49.8 37.7 0.0 13.8 Count 752 0 15 737 Percent 6.9 0.0 0.4 10.1 Count Percent Count Percent Teen Pregnancy, Arizona 1999-2009 <15 0 0 0 0 0.0 0.0 0.0 0.0 45 2 11 32 0.4 1.5 0.3 0.4 37 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2009 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 132 3,501 7,319 Count 349 7 120 222 Percent 3.2 5.3 3.4 3.0 7,437 74 2,229 5,134 67.9 56.1 63.7 70.1 2,543 36 925 1,582 23.2 27.3 26.4 21.6 Count 602 15 220 367 Percent 5.5 11.4 6.3 5.0 21 0 7 14 0.2 0.0 0.2 0.2 Count Count Percent 3rd trimester 15-17 10,952 Percent 2nd trimester <15 Count Percent TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2009 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 3,501 7,319 Count 349 7 120 222 Percent 3.2 5.3 3.4 3.0 Count 604 14 217 373 Percent 5.5 10.6 6.2 5.1 2,458 34 872 1,552 22.4 25.8 24.9 21.2 5,136 57 1,554 3,525 46.9 43.2 44.4 48.2 2,380 20 730 1,630 21.7 15.2 20.9 22.3 25 0 8 17 0.2 0.0 0.2 0.2 Count Count Count Percent Unknown Count Percent Teen Pregnancy, Arizona 1999-2009 18-19 132 Percent 13+ visits 15-17 10,952 Percent 9-12 visits <15 38 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2009 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker 132 3,501 7,319 21 1 9 11 Percent 0.2 0.8 0.3 0.2 Count 521 2 109 410 Percent 4.8 1.5 3.1 5.6 24 0 4 20 0.2 0.0 0.1 0.3 10,386 129 3,379 6,878 94.8 97.7 96.5 94.0 Count Count Count Percent Teen Pregnancy, Arizona 1999-2009 18-19 10,952 Percent Nonsmoker and nondrinker 15-17 39 Teen Pregnancy, Arizona 1999-2009 40 Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity 21 111 0 Less than 5 5 or more Unknown 0 124 37 weeks or more Unknown 8 2 Unknown 36 weeks or less 4 16 5 105 Self Private insurance IHS AHCCCS 129 0 Smoker and drinker Nonsmoker and nondrinker 2 Smoker, nondrinker 0 Unknown 1 0 Other Drinker, nonsmoker 2 17 Asian or Pacific Islander American Indian or Alaska Native 6 87 Hispanic or Latino Black or African American 20 White non-Hispanic Total births 0 0 0 0 0 0 1 0 9 2 0 9 3 0 9 3 0 1 0 0 11 12 Count 0.0 8.1 14.3 0.0 7.3 37.5 0.0 25.0 0.0 0.0 10.5 9.3 0.0 0.0 0.0 0.0 0.0 0.0 5.9 0.0 10.3 10.0 Percent LBW births <15 8 3,156 337 2 3,157 342 31 98 351 112 2,909 3,379 4 109 9 3 3 18 394 181 2,253 649 Total births 3 207 55 0 82 183 5 12 25 4 219 251 0 14 0 0 0 4 27 28 156 50 Count 37.5 6.6 16.3 0.0 2.6 53.5 16.1 12.2 7.1 3.6 7.5 7.4 0.0 12.8 0.0 0.0 0.0 22.2 6.9 15.5 6.9 7.7 Percent LBW births 15-17 Mother's age group 17 6,707 595 4 6,625 690 71 148 797 193 6,110 6,878 20 410 11 23 6 68 759 416 4,001 2,046 Total births 2 487 94 1 201 381 11 15 64 9 484 536 4 43 0 2 0 6 44 49 297 185 Count 11.8 7.3 15.8 25.0 3.0 55.2 15.5 10.1 8.0 4.7 7.9 7.8 20.0 10.5 0.0 8.7 0.0 8.8 5.8 11.8 7.4 9.0 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2009 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2009 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 448,285 227,730 220,555 138,280 82,275 White non-Hispanic 221,573 108,515 113,058 70,106 42,952 Hispanic or Latino 158,460 84,862 73,598 46,803 26,795 Black or African American 21,714 11,459 10,255 6,719 3,536 American Indian or Alaska Native 35,414 17,109 18,305 11,347 6,958 Asian or Pacific Islander 11,124 5,785 5,339 3,305 2,034 Note: Detailed information about the assumptions and specific data sources for 2009 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 12,537 156 12,381 3,945 8,436 White non-Hispanic 3,454 31 3,423 863 2,560 Hispanic or Latino 6,896 95 6,801 2,401 4,400 722 9 713 212 501 1,229 17 1,212 419 793 129 3 126 27 99 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 28.0 0.7 56.1 28.5 102.5 White non-Hispanic 15.6 0.3 30.3 12.3 59.6 Hispanic or Latino 43.5 1.1 92.4 51.3 164.2 Black or African American 33.3 0.8 69.5 31.6 141.7 American Indian or Alaska Native 34.7 1.0 66.2 36.9 114.0 Asian or Pacific Islander 11.6 0.5 23.6 8.2 48.7 Teen Pregnancy, Arizona 1999-2009 41 Teen Pregnancy, Arizona 1999-2009 42 10,557 68,265 21,204 Navajo Pima Pinal 12,813 15,558 Yavapai Yuma 4,021 12,087 Mohave Santa Cruz 266,200 1,117 704 Maricopa La Paz Greenlee 3,378 Graham 10,740 Coconino 3,875 10,032 Cochise Gila 7,734 448,285 Apache ARIZONA All 19 years or younger 7,779 6,268 1,970 10,985 32,582 5,207 6,282 138,894 580 390 1,495 1,899 4,840 4,852 3,707 227,730 10-14 years 7,779 6,545 2,051 10,219 35,683 5,350 5,805 127,306 537 314 1,883 1,976 5,900 5,180 4,027 220,555 15-19 years 4,794 4,255 1,368 6,751 20,451 3,528 4,025 81,337 364 211 1,046 1,308 3,100 3,222 2,520 138,280 15-17 years 15-19 years TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2009 2,985 2,290 683 3,468 15,232 1,822 1,780 45,969 173 103 837 668 2,800 1,958 1,507 82,275 18-19 years Teen Pregnancy, Arizona 1999-2009 43 26,525 14,552 2,639 181.3 162,562 9,285 57.1 E. The number of females 15-19 years old who had a birth previously (D-B) F. The number of repeat births to females 15-19 years old who had a birth previously G. The rate of repeat childbearing (F/E)*1,000 H. The number of females 15-19 years old who did not have a birth previously (A-E) I. The number of firsttime births to females 1519 years old who did not have a birth previously J. The rate of first-time births (I/H)*1,000 67.6 11,973 177,114 D. Cumulative number of mothers who gave birth when 15-19 years old C. The rate of births (B/A)*1,000 B. The number of births to females 15-19 years old A. The number of females 15-19 years old 2000 52.7 8,870 168,417 183.1 2,680 14,640 26,231 63.3 11,591 183,057 2001 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 41.6 8,568 206,023 155.0 2,252 14,532 25,352 49.1 10,820 220,555 2009 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 2009 cohort of mothers who were 15-19 years old includes 10,820 who gave birth that year and 14,532 who gave birth prior to 2009 and were still 15-19 years old in 2009 (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 2001-2009. 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