TEENAGE PREGNANCY Arizona,2000-2010 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, 2000-2010 by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Clare Torres, Senior Health Data Analyst March 2012 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. TEENAGE PREGNANCY, ARIZONA, 2000-2010 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, 2000-2010 Figure 2 .................................................................................................................................................................................. 3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 3 .................................................................................................................................................................................. 4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 4 .................................................................................................................................................................................. 4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 5 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 6 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 7 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 8 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Figure 9 .................................................................................................................................................................................. 7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2010 Figure 10 ................................................................................................................................................................................ 7 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2010 Figure 11 ................................................................................................................................................................................ 8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2000-2010 Figure 12 ................................................................................................................................................................................ 8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2000 AND 2010 Figure 13 ................................................................................................................................................................................ 9 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1990, 2000 AND 2010 Figure 14 ................................................................................................................................................................................ 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 2000 AND 2010 Figure 15 .............................................................................................................................................................................. 10 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 2000-2010 Figure 16 .............................................................................................................................................................................. 10 CUMULATIVE NUMBER OF CASES OF GENITAL HERPES AMONG FEMALES 15-19 YEARS, ARIZONA, 2000-2010 Teen Pregnancy, Arizona 2000-2010 List of Figures (continued) Figure 17 .............................................................................................................................................................................. 11 BIRTH RATES FOR TEENAGERS 15-19 YEARS NATIONALLY AND IN ARIZONA, 2000-2010 Figure 18 .............................................................................................................................................................................. 11 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS NATIONALLY AND IN ARIZONA, 2000-2010 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 2000-2010 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 2000-2010 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 2000-2010 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 2000-2010 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 2000-2010 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNIC GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 2000-2010 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2000-2010 Table 10 ................................................................................................................................................................................ 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA. 2000-2010 Table 11 ................................................................................................................................................................................ 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 2000-2010 Table 12 ................................................................................................................................................................................ 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2000-2010 Table 13 ................................................................................................................................................................................ 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2010 Table 14 ................................................................................................................................................................................ 27 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2000-2010 Teen Pregnancy, Arizona 2000-2010 ii List of Tables (continued) Table 15 ................................................................................................................................................................................ 28 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2000-2010 Table 16 ................................................................................................................................................................................ 29 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2000-2010 Table 17 ................................................................................................................................................................................ 30 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2010 Table 18 ................................................................................................................................................................................ 31 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2010 Table 19 ................................................................................................................................................................................ 32 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2010 Table 20 ................................................................................................................................................................................ 33 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2010 Table 21 ................................................................................................................................................................................ 34 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2010 Table 22 ................................................................................................................................................................................ 35 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2010 Table 23 ................................................................................................................................................................................ 36 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2010 Table 24 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2010 Table 25 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2010 Table 26 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2010 Table 27 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2010 Table 28 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2010 Table 29 ................................................................................................................................................................................ 39 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2010 Table 30 ................................................................................................................................................................................ 40 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2010 Table 31 ................................................................................................................................................................................ 41 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2010 Table 32 ................................................................................................................................................................................ 42 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA 2010 Appendix .............................................................................................................................................................................. 43 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 2000-2010 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2010 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. The population denominators for Arizona's resident females, used to calculate rates for 2000 and 2010 are the actual census enumerations from the U.S. Census Bureau. The denominators for 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 population denominators used to compute the rates for 2007 – 2009 will most likely be revised in the future. It is not only because they are based on the quite outdated 2000 Census, but they have not been adjusted for the effects of the economic downturn or changes in the law penalizing the illegal immigration. According to the 2010 Census enumerations 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. DATA ORGANIZATION Tables 1-16 present annual numbers and rates of pregnancy, fertility, and abortion by year from 2000 to 2010, 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 2000 to 2010. 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 2000 to 2010 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 2000 to 2010. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 2000-2010. Table 16 shows the incidence rates by year from 2000 to 2010. Frequency counts, proportions and rates in Tables 17-32 all apply to the 2010 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 2010 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 2000-2010. Teen Pregnancy, Arizona 2000-2010 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, 2010”, 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 (NSFG). Unlike vital statistics reports of fetal losses occurring at gestations of 20 weeks or more, NSFG 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 2000 – 2010 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 2010, the pregnancy rate of 24.7 pregnancies per 1,000 females 19 years or younger was 37.5 percent lower than the rate of 39.5/1,000 in 2000. • It is only since 2007 that the reduction in the number of teen pregnancies was accompanied by an equally impressive decline in pregnancy rates. • 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 47.0 percent from 48.1 per 1,000 in 2000 to 25.5 in 2010. The rate for older teenagers (aged 18-19 years) fell as well, by 34.6 percent beginning in 2000, from 123.6 to 80.8. • The 2010 teen pregnancy rate of 24.7/1,000 was based on 10,980 pregnancies occurring among 443,971 females aged 10-19 years. The number of 10,980 teen pregnancies in 2010 was the lowest since 1984. • From 2007 to 2009, the number of teen pregnancies declined particularly steeply for Asian (-29.9 percent), and Hispanic or Latino females (-30.8 percent). • In 2010, Hispanic or Latino females accounted for 53.9 percent of all pregnancies in this age group, followed by White non-Hispanics (28.1 percent). • In each year from 2000 to 2010, 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 2010, the Hispanic rate exceeded the average rate for all groups by 33.8 percent. • If the 2010 “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 10,980 to approximately 4,395. • The first birth rate for childless teenagers has dropped 37.5 percent from 57.1 first-time births per 1,000 females 15-19 years old in 2000, to 35.7/1,000 in 2010. • The repeat birth rates for teenagers who had already had a child decreased by 36.9 percent from 181.3 in 2000 to 114.4 per 1,000 females 15-19 years old in 2010 who had a previous birth. • The total number of births to mothers 19 years or younger decreased by 22.7 percent from 12,189 in 2000 to 9,416 in 2010 (Table 1). In contrast, the proportional share of births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased by 21.1 from 69.1 percent in 2000 to 83.7 percent in 2010. • Unwed mothers have accounted for an increasing annual proportion of births throughout the 1980s and 1990s. In 2010, nonmarital births accounted for 88.1 percent of births to mothers 19 years or younger. • The proportion of non-surgical abortions to females 19 years or younger decreased from 44.3 percent in 2009 to 40.6 percent in 2010. ____________________________________________________ * Available at www.guttmacher.org/pubs/UStrends.pdf Teen Pregnancy, Arizona 2000-2010 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 2000-2010 160.0 Teenage pregnancy rates dropped 37.5 percent overall from 2000 to 2010. 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 47.0 percent from 48.1 per 1,000 in 2000 to 25.5 in 2010 (Figure 1,Table 2). The rate for older teenagers (aged 18-19 years) fell as well, by 34.6 percent beginning in 2000, from 123.6 to 80.8. 140.0 120.0 18-19 years 100.0 80.0 15-19 years 60.0 15-17 years 40.0 20.0 A ll 19 or younger 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 All 19 or younger 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 2010 24.7 18-19 123.6 112.2 111.2 108.2 108.7 103.6 115.6 121.4 111.3 102.5 80.8 15-19 79.1 72.0 70.6 68.9 69.4 65.6 68.7 68.4 63.2 56.1 48.3 15-17 48.1 43.2 42.2 41.6 42.0 39.1 39.0 36.9 34.6 28.5 25.5 All components of the pregnancy rates for teenagers 19 years old or younger (births, abortions, and fetal losses) declined from 2007 to 2010 (Table 1). Note: All rates are per 1,000 females in specified group. Figure 2 Trends in the Number of Pregnancies and Pregnancy Rates among Females 19 or Younger, Arizona, 2000-2010 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 Pregnancy rates (left-hand scale) 5000 25.0 2500 0.0 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Pregnancies 14287 13429 13572 13654 14163 13898 14918 15038 14047 12537 10980 Pregnancy rates 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 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 2001 2005 were lower than the 2000 rate of 39.5 /1,000. In contrast, the number of pregnancies increased from 13,429 in 2001 to 14,918 in 2006 and 15,038 in 2007. It is only since 2008 that the reduction in the number of teen pregnancies was accompanied by an equally impressive decline in pregnancy rates (Figure 2, Table 1). The 2010 teen pregnancy rate of 24.7/1,000 was based on 10,980 pregnancies occurring among 443,971 females aged 10-19 years. The number of 10,980 teen pregnancies in 2010 was the lowest since 1984. Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2000-2010 3 KEY FINDINGS Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 2000-2010 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 20002010). In 2010, Hispanic or Latino females accounted for 53.9 percent of all pregnancies in this age group, followed by White non-Hispanics (28.1 percent). Black or African American, Asian or Pacific Islander, American Indian, and females of other race aged 19 years or younger accounted for a larger share of pregnancies in 2010 (16.2 percent) than they did in 2000 (13.8 percent). 9000 His panic or Latino 7500 6000 4500 White non-His panic 3000 Americ an Indian 1500 B lac k or Af ric an Americ an As ian or Pac if ic Is lander From 2007 to 2010, the number of teen pregnancies declined particularly steeply for Asian (-29.9 percent), and Hispanic or Latino females (-30.8 percent). 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Asian 137 134 130 134 148 132 132 167 149 129 Black 620 622 605 664 671 688 731 766 812 722 635 1216 1053 1082 1215 1215 1289 1277 1353 1246 1229 1025 American Indian White non-Hispanic Hispanic 117 4814 4175 4102 3903 3924 3631 4148 4101 3852 3454 3086 7213 7239 7287 7476 7965 7748 8396 8545 7764 6896 5918 The sum of live births + induced abortions + spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2010 than in 2000 (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 20002010. The pregnancy rate fell 5.6 percent for Hispanic or Latino females 19 years or younger in 2000-2003 and then increased in 2004. From 2006 to 2010 the pregnancy rate of Hispanic or Latino females fell by 42.9 percent (Figure 4). In each year from 2000 to 2010, 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 2010, the Hispanic rate exceeded the average rate for all groups by 33.8 percent. Figure 4 Comparison of Pregnancy Rates by Year among Hispanic or Latinos and all Females 19 or Younger, Arizona, 2000-2010 75.0 Hisp a nic o r La tino 60.0 45.0 30.0 15.0 A ll g ro up s 0.0 A ll groups 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 2010 24.7 Hispanic or Lat ino 60.9 59.1 57.6 57.5 59.2 55.5 56.0 55.3 49.4 43.5 33.8 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2000-2010 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 2000-2010 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 2000 to 2010, 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 gro ups 30.0 15.0 White no n- Hispa nic 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 A ll groups 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 W hit e nonHispanic 25.2 21.1 20.1 18.2 17.7 15.8 18.9 19.0 17.5 15.6 15.9 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, 2000-2010 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 higher than the average for all groups in 2000-2010. A m e ric a n India n 30.0 15.0 A ll gro ups 0.0 A ll groups A merican Indian 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 2010 24.7 41.3 36.7 36.6 39.9 39.7 40.8 36.2 39.1 35.5 34.7 37.0 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2000-2010 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 2000-2010 75.0 60.0 The pregnancy rates for Black or African American females 19 years or younger decreased from 51.9/1,000 in 2000 to 32.6/1,000 in 2006 (Figure 7). Except 2006, the pregnancy rates for Black or African American teenagers exceeded in 2000-2005 and 2007-2010 the pregnancy rate for all groups. Bla ck o r A fric a n A m e ric a n 45.0 30.0 15.0 A ll gro ups 0.0 A ll groups Black or A f rican A merican 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 2010 24.7 51.9 45.1 42.5 45.4 44.2 43.5 32.6 36.1 37.7 33.3 29.5 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, 2000-2010 75.0 In each year from 2000 to 2010, 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 2010, the Asian rate (9.9/1,000) was 59.9 percent lower than the rate for all groups (24.7/1,000). If the 2010 “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 10,980 to approximately 4,395. 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 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 2010 24.7 21.3 20.3 19.1 19.2 19.3 16.2 12.9 15.3 13.5 11.6 9.9 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2000-2010 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2001-2010 100% Surgical 80% 60% The proportion of non-surgical abortions to females 19 years or younger decreased from 44.3 percent in 2009 to 40.6 percent in 2010 (Figure 9). 40% 20% Nonsurgical 0% 2001 2002 2004 2005 2006 2007 2008 Surgical % 98.9 83.3 77 74.5 74.9 74.6 70.3 68.1 55.7 59.4 Non-surgical % 1.1 16.7 2003 23 25.5 25.1 25.4 29.7 31.9 2009 44.3 2010 40.6 Surgical # 1512 1661 1438 1654 1417 1431 1392 1235 846 878 Non-surgical # 17 334 429 566 475 488 587 578 673 614 Figure 10 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity among Females 19 or Younger, Arizona, 2010 A merican Indian W hit e non-Hispanic Hispanic A LL GRO UPS Black A sian 0.0% 37.1% 62.9% 54.8% 45.2% 41.5% 58.5% 40.6% 59.4% Among American Indian, White nonHispanic or Latino teens the proportion of non-surgical abortions exceeded the average for all groups (Figure 10). The ratios of reported non-surgical abortions among Asian and Black females were the lowest among ethnic groups. 62.7% 37.3% 69.2% 30.8% 20.0% 40.0% No n- surgic a l 60.0% 80.0% 100.0% Surgic a l Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona 2000-2010 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2000-2010 Gave birth that year Gave birth before and was still 19 years old or younger 32,000 There were approximately 26,864 mothers under age 20 in Arizona in 2010, the second lowest number since 2000. Among them there were the 9,416 who gave birth that year and the 17,448 who gave birth prior to 2010 and were still 19 years old or younger (Figure 11, Table 13). The cumulative number of mothers who were 19 years or younger in Arizona increased by 1.7 percent from 26,404 in 2009. 27,923 27,500 28,117 26,784 26,691 26,870 27,005 11,863 11,933 28,661 28,084 26,864 26,404 24,000 16,000 12,916 12,189 11,790 11,474 11,700 12,972 12,161 10,952 9,416 8,000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 *See Table 13 for more details. Figure 12 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2000 and 2010 2000 181.3 200.0 114.4 160.0 120.0 80.0 35.7 The repeat birth rates for teenagers who had already had a child decreased by 36.9 percent from 181.3 in 2000 to 114.4 per 1,000 females 15-19 years old in 2010 who had a previous birth (Figure 12). 240.0 57.1 The first birth rate for childless teenagers has dropped 37.5 percent from 57.1 first-time births per 1,000 females 15-19 years old in 2000, to 35.7/1,000 in 2010 (Figure 12). 2010 40.0 0.0 Rates of first-time childbearing* Rates 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 2000-2010 8 KEY FINDINGS Figure 13 Births to Mothers 19 or Younger by Marital Status, Arizona, 1990, 2000 and 2010 Unmarried Married 100.0% 11.6% 19.3% 27.9% 75.0% 50.0% 88.1% 80.4% 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 2010, nonmarital births accounted for 88.1 percent of births to mothers 19 years or younger. 72.0% 25.0% 0.0% 1990 2000 2010 Figure 14 Number of Births to Mothers 19 or Younger by Payee, Arizona, 2000 and 2010 A HCCCS Total births to mothers 19 years or y ounger Privat e insurance O t her 14,000 983 10,500 2,634 603 930 7,000 8,572 3,500 The total number of births to mothers 19 years or younger decreased by 22.7 percent from 12,189 in 2000 to 9,416 in 2010 (Table 1). In contrast, the proportional share of births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased by 21.1 from 69.1 percent in 2000 to 83.7 percent in 2010 (Figure 14). 7,883 0 Percent of teen births paid for by AHCCCS 2000 2010 69.1 70.3 83.7 Teen Pregnancy, Arizona 2000-2010 9 KEY FINDINGS Figure 15 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 2000-2010 In each year from 2006 to 2010, 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 2010. The rate of STI among females 15-19 years old increased by 64.6 percent from 2109.8 cases per 100,000 in 2003 to 3473.1/100,000 in 2007 and then declined to a rate of 3281.3/100,000 in 2010. 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 Per 100,000 f emales 15-19 years old 3 0 0 0 .0 2 0 0 0 .0 1 0 0 0 .0 0 .0 STI rate 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2502.8 2583.1 2460.9 2109.8 2526.6 3033.6 3346.3 3473.1 3303.2 3305.3 3281.3 * 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, 2000-2010 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 2000 have not died or left the State, the 2010 prevalence of this diseases based on 1,355 accumulated cases (Figure 16), one in every 63 females aged 15-19 years may be infected. Genital herpes also is a threat to newborns. Out of 155 females aged 15-19 years who were diagnosed with genital herpes in 2010, 52 (or 33.5 percent) also gave birth that year (Figure 16, Table 15). Teen Pregnancy, Arizona 2000-2010 1,500 1,200 900 1,355 600 1,140 1,200 992 856 713 300 585 374 464 239 118 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Infected with genital herpes 118 121 135 90 121 128 143 136 148 60 155 Gave birth that year 41 30 35 27 28 31 43 38 53 45 52 10 KEY FINDINGS Figure 17 Birth Rates for Teenagers 15-19 Years, Nationally and in Arizona, 2000-2010 90.0 75.0 AZ In each year from 2000 to 2010 birth rates for Arizona teenagers 15-19 years old exceeded the rates of their national peers (Figure 17, Table 11). 60.0 U.S. 45.0 In Arizona, Hispanic or Latino females 15-19 years old, a high-fertility group, accounted for 39.4 percent of females aged 15-19 years in 2010. A high proportional representation of Hispanic or Latino females in Arizona puts upward pressure on the overall teen birth rate. 30.0 15.0 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 US 48.5 45.3 43.0 41.6 41.1 40.5 41.9 42.5 41.5 37.9 34.3 AZ 67.6 63.3 59.7 59.2 58.2 56.5 59.6 59.5 54.9 49.1 41.5 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, and in Arizona, 2000-2010 140.0 AZ 105.0 U.S. In 2010, Hispanics or Latinos aged 1519 years disproportionately accounted for 56.7 percent of births to mothers in this age group in Arizona (5,280 out of 9,311; see Table 6 and Table 7). 70.0 The 2010 birth rate among teen 15-19 years old exceeded the national rate for this age/ethnic group by 10.4 percent. 35.0 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 US 87.3 86.4 83.4 82.3 82.6 81.7 83.0 81.7 77.4 63.6 55.7 AZ 111.8 110.0 105.4 105.8 107.7 104.6 108.3 106.8 96.7 85.0 61.5 The number of births per 1,000 females 15-19 years old. Teen Pregnancy, Arizona 2000-2010 11 TEENAGE PREGNANCY, ARIZONA, 2000-2010 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Pregnancy outcome by year ALL PREGNANCIES 2000 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 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 12,537 156 12,381 3,945 8,436 2010 LIVE BIRTHS 2000 10,980 150 10,830 3,363 7,467 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 10,952 132 10,820 3,501 7,319 2010 ABORTIONS 2000 9,416 105 9,311 2,910 6,401 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 1,519 24 1,495 418 1,077 2010 FETAL LOSSES 2000 1,512 44 1,468 435 1,033 110 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 2010 52 1 51 18 33 Teen Pregnancy, Arizona 2000-2010 14 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2000-2010 Pregnancy outcome by year ALL PREGNANCIES 2000 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 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 28.0 0.7 56.1 28.5 102.5 2010 LIVE BIRTHS 2000 24.7 0.7 48.3 25.5 80.8 33.7 1.2 67.6 41.1 105.7 2001 31.6 1.0 63.3 37.8 99.9 2002 29.8 1.0 59.7 35.5 94.3 2003 29.5 1.0 59.2 35.9 92.5 2004 29.0 0.9 58.2 35.8 90.2 2005 28.1 0.9 56.5 34.1 88.4 2006 29.6 0.8 59.6 34.0 100.2 2007 29.7 0.8 59.5 32.3 105.1 2008 27.4 0.7 54.9 30.3 96.3 2009 24.4 0.6 49.1 25.3 89.0 2010 ABORTIONS 2000 21.2 0.5 41.5 22.1 69.2 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 3.4 0.1 6.8 3.0 13.1 2010 FETAL LOSSES 2000 3.4 0.2 6.5 3.3 11.2 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 2010 0.1 0.0 0.2 0.1 0.4 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 2000-2010 15 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 2000-2010 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2010 2,386 HISPANIC OR LATINO 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 2010 5,348 BLACK OR AFRICAN AMERICAN 2000 572 2001 545 2002 468 2003 549 2004 540 2005 569 2006 601 2007 621 2008 656 2009 603 2010 562 AMERICAN INDIAN OR ALASKA NATIVE 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 2010 988 ASIAN OR PACIFIC ISLANDER 2000 100 2001 104 2002 96 2003 107 2004 92 2005 96 2006 92 2007 103 2008 113 2009 88 2010 103 Teen Pregnancy, Arizona 2000-2010 15-19 years Under 15 years Total 15-17 years 18-19 years 38 34 23 23 17 17 19 26 15 20 12 3,721 3,362 3,041 2,947 2,789 2,727 3,190 3,074 2,978 2,695 2,374 1,040 926 824 782 747 711 852 779 769 649 541 2,681 2,436 2,217 2,165 2,042 2,016 2,338 2,295 2,209 2,046 1,833 144 132 147 146 137 137 123 115 111 87 68 6,404 6,516 6,438 6,646 7,001 7,051 7,615 7,667 7,057 6,254 5,280 2,567 2,552 2,507 2,600 2,779 2,721 2,923 2,892 2,724 2,253 1,859 3,837 3,964 3,931 4,046 4,222 4,330 4,692 4,775 4,333 4,001 3,421 12 13 12 3 12 8 7 12 12 6 10 560 532 456 546 528 561 594 609 644 597 552 198 193 152 204 180 199 187 195 203 181 151 362 339 304 342 348 362 407 414 441 416 401 20 17 18 37 21 21 19 26 22 17 14 1,069 996 1,021 1,104 1,121 1,183 1,197 1,259 1,163 1,153 974 405 348 374 434 452 478 430 445 408 394 331 664 648 647 670 669 705 767 814 755 759 643 1 0 1 1 1 1 1 0 1 2 1 99 104 95 106 91 95 91 103 112 86 102 29 29 19 38 25 28 28 31 26 18 23 70 75 76 68 66 67 63 72 86 68 79 16 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY AND YEAR, ARIZONA, 2000-2010 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 2000 1,020 2001 746 2002 1,010 2003 914 2004 1,095 2005 867 2006 917 2007 982 2008 841 2009 720 2010 694 HISPANIC OR LATINO 2000 610 2001 534 2002 650 2003 630 2004 784 2005 522 2006 609 2007 710 2008 561 2009 525 2010 532 BLACK OR AFRICAN AMERICAN 2000 115 2001 71 2002 118 2003 107 2004 125 2005 114 2006 124 2007 136 2008 143 2009 110 2010 67 AMERICAN INDIAN OR ALASKA NATIVE 2000 43 2001 29 2002 40 2003 68 2004 65 2005 76 2006 55 2007 63 2008 54 2009 52 2010 36 ASIAN OR PACIFIC ISLANDER 2000 37 2001 30 2002 34 2003 27 2004 56 2005 35 2006 40 2007 63 2008 36 2009 40 2010 14 Teen Pregnancy, Arizona 2000-2010 15-19 years Under 15 years Total 15-17 years 18-19 years 25 16 20 18 19 15 28 71 21 11 16 995 730 990 896 1,076 852 889 911 820 709 678 342 262 367 304 341 278 296 282 266 207 198 653 458 623 592 735 574 593 629 554 502 480 22 22 15 27 20 21 24 44 34 8 16 588 512 635 603 764 501 585 666 527 517 516 228 199 235 197 247 151 193 210 173 136 151 360 313 400 406 517 350 392 456 354 381 365 5 3 4 6 1 5 9 13 5 3 1 110 68 114 101 124 109 115 123 138 107 66 42 28 30 40 46 32 48 42 43 28 24 68 40 84 61 78 77 67 81 95 79 42 2 3 3 3 1 4 1 8 2 0 2 41 26 37 65 64 72 54 55 52 52 34 13 7 12 25 17 21 24 22 17 22 13 28 19 25 40 47 51 30 33 35 30 21 0 0 0 1 1 0 3 4 2 1 0 37 30 34 26 55 35 37 59 34 39 14 11 15 10 7 19 10 11 8 12 8 5 26 15 24 19 36 25 26 51 22 31 9 17 Teen Pregnancy, Arizona 2000-2010 18 960 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 2.0 Fetal deaths are included in the total counts of pregnancies. 2.6 Abortion rate 14.3 16.5 2 15.6 1 18.4 Fertility rate5 586 4,278 4,500 741 4,914 5,294 15 29 30 11 44 41 10 365 425 15 384 476 31 206 210 47 240 227 221 2,684 2,711 250 2,930 2,991 278 1,078 367 1,250 2001 1,462 2000 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 2.4 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 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 1.4 8.6 10.0 479 3,015 3,513 5 24 29 15 345 361 25 161 189 167 1,927 2,106 214 553 770 2010 1.4 8.6 10.0 0.5 2.6 3.1 0.7 15.9 16.6 1.5 9.5 11.2 1.2 13.7 14.9 1.4 3.7 5.1 2010 Rates TABLE 5 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES AGED 17 AND YOUNGER WITH RATES2, ARIZONA, 2000-2010 1 Teen Pregnancy, Arizona 2000-2010 19 926 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 5.0 Fetal deaths are included in the total counts of pregnancies. 6.6 Abortion rate 37.8 43.2 2 41.1 1 48.1 Fertility rate5 540 4,080 4,284 684 4,661 5,016 15 29 29 11 44 40 7 348 405 13 363 421 28 193 198 42 224 242 199 2,552 2,567 228 2,771 2,823 262 1,040 342 1,197 2001 1,397 2000 Pregnancy rate, total: Abortions ALL RACE/ETHNIC GROUPS4, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions HISPANIC OR LATINO, total: Births Abortions Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births 6.3 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 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 3.3 22.1 25.5 435 2,910 3,363 5 23 28 13 331 345 24 151 178 151 1,859 2,021 198 541 742 2010 3.3 22.1 25.5 1.5 6.8 8.3 1.5 38.8 40.5 3.7 23.1 27.3 2.9 35.7 38.9 3.4 9.4 12.9 2010 Rates TABLE 6 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 2000-2010 1 Teen Pregnancy, Arizona 2000-2010 20 Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 18-19 years old. 4 5 All rates per 1,000 females 18-19 years old. 3 12.5 Fetal deaths are included in the total count of pregnancies. 17.1 Abortion rate 99.9 113.2 2 105.7 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 1 123.6 Fertility rate5 942 7,512 7,689 1,247 8,515 8,993 15 75 70 26 90 96 19 648 664 28 669 700 40 339 362 68 382 433 313 3,964 3,837 360 4,309 4,222 468 2,436 2,681 653 2,925 2001 3,352 2000 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 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 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 11.2 69.2 80.8 1,033 6,401 7,467 9 79 88 21 643 664 42 401 446 365 3,421 3,812 480 1,833 2,316 2010 11.2 69.2 80.8 3.6 31.9 35.5 3.5 107.5 111.0 9.1 87.2 97.0 10.8 101.1 112.6 11.2 42.7 53.9 2010 Rates TABLE 7 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 2000-2010 1 Teen Pregnancy, Arizona 2000-2010 21 Fetal deaths are included in the total counts of pregnancies. All rates per 1,000 females 19 or younger. Not of Hispanic origin. Includes other and unspecified ethnicity. Number of births per 1,000 females 19 or younger. 3 4 5 4.1 2 5.5 Abortion rate 36.0 31.6 1 39.5 33.7 Fertility rate5 1,528 11,790 12,189 1,988 13,429 14,287 30 104 100 37 134 137 29 1,013 1,089 43 1,053 1,216 71 545 572 115 622 620 534 6,648 6,548 610 7,239 7,213 746 3,396 3,759 1,020 4,175 2001 4,814 2000 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 5.2 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 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 21.2 24.7 1,512 9,416 10,980 14 103 117 36 988 1,025 67 562 635 532 5,348 5,918 694 2,386 3,086 2010 3.4 21.2 24.7 1.2 8.7 9.9 1.3 35.7 37.0 3.1 26.1 29.5 3.0 30.6 33.8 3.6 12.3 15.9 2010 Rates TABLE 8 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY AND YEAR AMONG FEMALES 19 AND YOUNGER, WITH RATES2, ARIZONA, 2000-2010 1 19 YEARS OR YOUNGER 18-19 YEARS 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 ARIZONA 39.5 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 135.8 113.2 111.1 108.2 108.7 103.6 115.6 121.4 111.3 102.5 80.8 18.4 16.5 16.1 15.9 15.9 14.8 15.1 14.8 13.7 11.2 10.0 APACHE 29.2 21.6 23.2 30.8 32.8 25.9 25.6 27.5 25.3 27.7 26.7 109.9 91.9 100.7 130.1 141.6 105.4 87.9 89.4 89.5 100.2 96.6 15.0 9.2 9.6 13.4 13.5 11.9 10.8 12.5 9.7 10.1 11.0 COCHISE 38.7 34.3 30.6 31.5 30.0 30.0 24.2 29.1 27.2 28.7 27.5 124.5 116.8 104.4 107.3 106.7 110.0 71.1 99.8 92.4 102.7 90.6 19.1 15.5 13.7 14.3 12.7 11.7 12.0 12.0 11.3 10.8 10.8 COCONINO 28.6 30.3 26.0 26.9 27.7 27.7 31.0 33.2 28.6 27.6 22.5 74.7 84.3 68.9 70.6 76.9 79.5 84.0 81.2 72.2 68.9 40.2 14.6 13.9 13.0 13.6 12.9 12.1 14.1 16.3 13.2 13.0 11.5 41.1 43.2 42.4 42.8 38.4 38.8 37.7 41.7 45.9 40.8 39.7 167.3 154.3 151.5 145.5 164.3 150.5 139.8 164.0 165.9 160.2 137.9 17.6 22.5 22.1 23.7 15.4 18.2 16.6 16.2 21.0 15.9 18.1 GRAHAM 28.8 33.8 29.9 27.5 22.5 20.9 35.5 40.1 33.2 33.7 33.3 74.1 84.9 78.4 78.8 57.7 56.7 95.6 103.4 94.7 93.2 96.0 13.9 17.0 14.0 10.7 10.9 9.0 17.6 19.3 12.9 14.2 11.9 GREENLEE 26.7 18.3 40.0 26.0 36.6 31.0 24.7 25.4 33.2 41.2 35.7 123.8 78.4 161.9 64.8 173.1 174.8 69.0 122.4 133.3 203.9 122.4 8.8 7.2 17.5 18.8 10.9 6.6 5.1 8.8 16.2 13.3 19.3 MARICOPA 40.7 37.2 36.0 36.0 35.5 33.9 35.4 35.4 32.5 27.4 23.7 127.8 117.3 114.2 112.4 110.9 106.5 125.0 131.9 120.0 106.0 80.3 18.9 17.2 16.5 16.9 16.5 15.7 15.7 15.3 14.3 11.0 9.5 MOHAVE 33.5 31.4 32.5 30.9 28.7 32.1 33.0 31.9 28.1 25.9 24.6 139.7 132.5 131.5 129.0 112.8 134.0 142.1 157.6 135.7 129.2 96.5 12.0 10.9 12.5 11.1 11.8 11.5 12.4 10.7 9.5 8.1 8.1 NAVAJO 34.8 26.7 28.5 29.6 33.7 33.1 30.0 33.7 36.3 33.2 32.8 154.1 111.7 121.5 123.4 141.3 138.2 99.4 125.8 135.7 132.3 122.7 13.7 11.7 12.0 13.0 14.6 14.4 14.9 14.4 15.5 12.5 12.5 PIMA 39.6 36.0 36.3 32.0 33.8 30.6 32.9 30.5 29.0 27.0 24.7 104.7 96.6 96.7 86.0 93.7 83.7 95.8 89.6 86.5 82.3 68.7 19.1 16.9 17.2 14.6 15.1 14.0 14.7 13.6 12.5 11.2 10.3 PINAL 47.7 43.7 38.5 38.1 36.4 33.5 34.1 37.4 31.3 27.6 22.8 161.0 156.9 130.2 139.3 121.0 119.8 129.3 144.9 121.8 108.4 96.8 23.8 19.8 19.1 16.8 18.3 14.9 13.4 16.4 13.6 11.8 8.6 SANTA CRUZ 39.3 33.0 36.4 30.0 38.6 30.7 32.9 32.2 31.5 29.1 30.5 132.1 113.7 137.7 130.7 147.2 111.8 108.5 102.8 111.6 115.7 94.2 21.8 17.8 17.2 11.1 17.9 15.2 16.5 17.7 15.0 11.4 17.1 YAVAPAI 33.0 26.3 29.6 25.3 27.9 25.7 29.6 33.0 26.9 25.0 21.4 124.9 91.8 115.9 98.7 99.3 104.1 109.2 129.9 100.1 101.3 84.5 13.3 12.3 11.1 9.5 12.3 8.6 11.8 12.8 10.9 8.4 6.6 42.0 36.7 38.8 40.6 42.1 37.0 38.0 37.8 35.1 36.1 34.1 149.8 130.8 133.4 134.2 135.6 122.2 122.8 129.8 121.7 119.9 114.7 17.5 15.3 17.3 19.3 20.4 17.1 16.6 16.0 14.6 16.1 14.9 YUMA TABLE 9 TRENDS IN PREGNANCY RATES* BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2000-2010 GILA * Number of pregnancies per 1,000 females in specified group. 10-17 YEARS Teen Pregnancy, Arizona 2000-2010 22 32.6 36.8 35.6 32.2 39.8 49.8 30.0 50.9 38.6 27.8 38.1 127.1 153.0 127.0 113.4 153.8 148.7 63.0 242.8 156.1 127.2 177.8 15.2 15.2 18.7 17.2 17.8 30.7 13.1 15.8 17.0 9.5 6.3 LA PAZ Teen Pregnancy, Arizona 2000-2010 23 13.9 % Births to teenagers RURAL COUNTIES 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 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 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 % Births to teenagers 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 1 100 2,041 # Births to teenagers # Births (all ages) 19.4 1,089 % Births to teenagers ASIAN OR PACIFIC ISLANDER 5,602 # Births to teenagers 20.7 572 2,760 19.3 6,548 33,893 9.4 3,759 # Births (all ages) % Births to teenagers AMERICAN INDIAN OR ALASKA NATIVE # Births to teenagers # Births (all ages) % Births to teenagers BLACK OR AFRICAN AMERICAN # Births to teenagers # Births (all ages) % Births to teenagers HISPANIC OR LATINO # Births to teenagers 39,850 16.9 % Births to teenagers WHITE NON-HISPANIC # Births (all ages) 2,083 # Births to teenagers 12,333 10,102 # Births (all ages) 72,596 14.3 % Births to teenagers URBAN COUNTIES2 # Births to teenagers 12,189 # Births (all ages) 84,985 2000 # Births to teenagers Group # Births (all ages) ARIZONA, TOTAL 1 TABLE 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY AND YEAR, ARIZONA, 2000-2010 3.1 103 3,293 17.0 988 5,815 13.0 562 4,328 15.6 5,348 34,333 6.2 2,386 38,777 13.9 1,726 12,429 10.3 7,690 74,624 10.8 9,416 87,053 2010 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 2000-2010 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. 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 0.5 49.1 37.9 25.3 19.6 89.0 64.0 2010 0.5 0.4 41.5 34.3 22.1 17.3 69.2 58.3 Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 2000-2010 24 Teen Pregnancy, Arizona 2000-2010 25 19 18 17 16 15 14 13 12 11 Mother's age 0 0 One or more Unknown 0 Unknown 0 Unknown 1,014 One or more 1,706 One or more 18 2,627 None Previous pregnancies Unknown 4,351 Total 11 2,313 None Previous pregnancies Unknown 3,338 8 Total Unknown 447 1,806 Previous pregnancies One or more 2,261 8 Total None Unknown 163 1,205 Previous pregnancies One or more 1,376 3 Total None Unknown 36 604 Previous pregnancies One or more 647 Total None 3 172 Previous pregnancies One or more 175 Total None 2 35 Previous pregnancies One or more 37 Total None 4 None 0 Unknown Previous pregnancies 0 One or more 4 0 None Previous pregnancies Total 0 2000 Total Pregnancies 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 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 Year 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 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 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2000-2010 0 0 1 1 0 0 1 1 0 1,295 2,459 3,754 0 680 1,967 2,647 0 291 1,343 1,634 0 89 848 937 0 22 317 339 0 4 88 2 0 0 11 11 2010 Teen Pregnancy, Arizona 2000-2010 26 0 0 0 0 0 0 0 0 2003 2004 2005 2006 2007 2008 2009 2010 11 4 1 0 1 0 0 0 0 1 1 12 20 1 1 3 4 2 3 3 3 0 11 15 16 20 25 22 31 28 140 13 808 92 116 141 156 143 160 178 14 2,552 339 446 570 604 593 587 15 7,948 937 1,107 1,250 4,654 1,389 16 5,913 1,634 1,948 2,331 2,259 17 5,725 2,647 3,078 3,523 18 3,754 3,754 4,770 19 4 1 0 26,864 9,416 6,711 4,312 5,438 763 185 34 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 2000-2010. 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 2010. For example, mothers who were 11 years old in 2001 were 20 years old in 2010. 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 2010 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2003, 4 remained in their teens in 2010. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 26,8644 mothers under 20 in Arizona in 2010, 140 had given birth when 13 years old. gave birth to a baby prior to 2010 and were still 19 or less years old in 2010. gave birth to the babies in 2010. Among them are those who: NOTE: The above table focuses on the 2010 cohort of Arizona mothers who were 19 or younger that year. 0 0 2002 Cumulative number of mothers 19 or younger 0 10 2001 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 2010 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2000-2010 White non-Hispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Teen Pregnancy, Arizona 2000-2010 All 19 years 10-14 years 15-19 years 15-17 years 18-19 years or younger 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 15.9 0.3 30.5 12.9 53.9 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 33.8 0.9 67.9 38.9 112.6 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 29.5 1.1 56.1 27.3 97.0 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 36.9 114.0 37.0 1.2 69.5 40.5 111.0 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 9.9 0.2 19.9 8.3 35.5 27 Teen Pregnancy, Arizona 2000-2010 28 247 Total reported infections 4,431 Total reported infections 4,726 30 121 24 4,046 535 269 0 7 2 4,651 35 135 23 4,024 469 215 0 2 0 191 4,093 27 90 25 3,475 503 202 0 2 0 169 255 0 5 0 210 5,078 28 121 19 4,400 538 6,313 31 128 13 5,451 721 15-19 years old 229 0 5 0 188 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 0 0 7,290 45 60 6 6,771 453 7,360 52 155 10 6,666 529 252 7 1 251 0 0 22 223 26 2010 224 2009 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. 41 118 Genital herpes Gave birth that year 22 3,726 Chlamydia Early syphilis 565 Gonorrhea Diagnosed with: 0 6 Genital herpes Gave birth that year 2 Early syphilis 223 40 207 31 Chlamydia 22 2005 36 37 2004 32 2003 Gonorrhea 2002 10-14 years old 2001 Diagnosed with: 2000 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2000-2010 Teen Pregnancy, Arizona 2000-2010 29 2502.8 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 2109.8 30.0 46.4 12.9 1791.2 259.3 100.1 1.0 0.0 83.7 15.4 2003 2005 126.9 2.3 9.0 97.1 18.5 2526.6 23.1 60.3 9.5 2189.1 267.7 3033.6 24.2 61.5 6.2 2619.4 346.5 376.2 121.3 3.1 0.0 100.3 3346.3 30.1 66.9 7.5 2895.7 15 -19 years old 109.7 2.4 0.0 90.1 17.2 17.9 2006 10 - 14 years old 2004 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 Total reported infections 34.7 66.7 Genital herpes Gave birth that year (%) 12.4 2104.5 Chlamydia Early syphilis 319.2 Gonorrhea Diagnosed with: 134.2 3.3 Genital herpes Total reported infections 1.0 112.5 Chlamydia Early syphilis 17.4 Gonorrhea Diagnosed with: 2000 3305.3 75.0 27.2 2.7 3070.0 205.4 110.2 0.4 0.0 98.3 11.4 2009 TABLE 16 TRENDS IN THE INCIDENCE RATES* OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2000-2010 3337.0 33.5 69.1 4.5 2971.9 253.8 110.7 3.2 0.0 101.5 10.0 2010 TABLE 17 PREGNANCIES AND PREGNANCY RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2010 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 171 1 170 57 113 Cochise 228 2 226 69 157 Coconino 253 4 249 76 173 Gila 126 3 123 44 79 98 0 98 26 72 Graham Greenlee 22 1 21 9 12 Maricopa 6,407 98 6,309 1,962 4,347 Mohave 282 2 280 73 207 Navajo 289 5 284 85 199 Pima 1,613 19 1,594 488 1,106 Pinal 540 7 533 165 368 Santa Cruz 125 0 125 58 67 Yavapai 241 0 241 60 181 Yuma 526 5 521 180 341 La Paz 37 0 37 5 32 Unknown 22 3 19 6 13 10,980 150 10,830 3,363 7,467 TOTAL STATE PREGNANCY RATES:** County of residence All 19 years or younger 15-19 years 10-14 years Total 15-19 years 15-17 years 18-19 years Apache 26.7 0.3 51.9 27.1 96.6 Cochise 27.5 0.5 52.9 27.2 90.6 Coconino 22.5 0.9 35.6 28.2 40.2 Gila 39.7 1.9 76.6 42.6 137.9 Graham 33.3 0.0 63.2 32.5 96.0 Greenlee 35.7 3.0 75.0 49.5 122.4 Maricopa 23.7 0.7 47.0 24.5 80.3 Mohave 24.6 0.3 48.9 20.4 96.5 Navajo 32.8 1.1 64.1 30.2 122.7 Pima 24.7 0.6 45.4 25.6 68.7 Pinal 22.8 0.5 49.7 23.9 96.8 Santa Cruz 30.5 0.0 61.5 43.9 94.2 Yavapai 21.4 0.0 43.1 17.4 84.5 Yuma 34.1 0.7 66.6 37.1 114.7 La Paz 38.1 0.0 73.1 15.3 177.8 TOTAL STATE 24.7 0.7 48.3 25.5 80.8 * The sum of live births, fetal deaths and abortions. ** The number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2000-2010 30 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2010 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 166 0 166 55 111 Cochise 207 0 207 62 145 Coconino 205 2 203 63 140 Gila 123 3 120 42 78 Graham 94 0 94 26 68 Greenlee 17 1 16 8 8 Maricopa 5,342 69 5,273 1,654 3,619 Mohave 275 1 274 72 202 Navajo 274 4 270 84 186 Pima 1,346 14 1,332 409 923 Pinal 511 6 505 156 349 Santa Cruz 117 0 117 55 62 Yavapai 211 0 211 53 158 Yuma 491 5 486 166 320 La Paz TOTAL STATE 37 0 37 5 32 9,416 105 9,311 2,910 6,401 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 25.9 0.0 50.7 26.1 94.9 Cochise 24.9 0.0 48.5 24.4 83.7 Coconino 18.2 0.5 29.0 23.4 32.5 Gila 38.8 1.9 74.7 40.7 136.1 Graham 31.9 0.0 60.6 32.5 90.7 Greenlee 27.6 3.0 57.1 44.0 81.6 Maricopa 19.8 0.5 39.2 20.6 66.8 Mohave 23.9 0.2 47.9 20.1 94.1 Navajo 31.1 0.9 60.9 29.9 114.7 Pima 20.6 0.5 37.9 21.5 57.4 Pinal 21.6 0.5 47.1 22.6 91.8 Santa Cruz 28.5 0.0 57.6 41.6 87.2 Yavapai 18.8 0.0 37.8 15.4 73.7 Yuma 31.8 0.7 62.1 34.2 107.6 La Paz 38.1 0.0 73.1 15.3 177.8 TOTAL STATE 21.2 0.5 41.5 22.1 69.2 ** The number of births per 1,000 females in specified group. Teen Pregnancy, Arizona 2000-2010 31 TABLE 19 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2010 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births Spontaneous fetal losses Number Rate 10 45,080 0 0 0 0 0.0 11 44,176 1 0 0 1 0.0 12 43,381 1 2 0 3 0.1 13 43,657 11 7 1 19 0.4 14 43,375 92 35 0 127 2.9 219,669 105 44 1 150 0.7 15 43,491 339 70 2 411 9.5 16 44,218 937 137 10 1,084 24.5 17 44,145 1,634 228 6 1,868 42.3 131,854 2,910 435 18 3,363 25.5 18 46,009 2,647 455 12 3,114 67.7 19 46,439 3,754 578 21 4,353 93.7 18-19 92,448 6,401 1,033 33 7,467 80.8 443,971 9,416 1,512 52 10,980 24.7 10-14 15-17 Total 10-19 1 TOTAL PREGNANCIES Rates per 1,000 female population in specific group. Teen Pregnancy, Arizona 2000-2010 32 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2010 Mother's age Total 11 TOTAL 12 13 14 15 16 17 18 19 9,416 1 1 11 92 339 937 1,634 2,647 3,754 Apache 166 0 0 0 0 6 17 32 47 64 Cochise 207 0 0 0 0 7 15 40 56 89 Coconino 205 0 0 0 2 8 22 33 59 81 Gila 123 0 0 0 3 5 16 21 38 40 Graham 94 0 0 0 0 3 8 15 27 41 Geenlee 17 0 0 0 1 2 2 4 5 3 5,342 0 1 9 59 202 512 940 1,491 2,128 Mohave 275 0 0 0 1 9 14 49 72 130 Navajo 274 0 0 0 4 10 29 45 83 103 Pima 1,346 1 0 0 13 44 134 231 373 550 Pinal 511 0 0 2 4 14 63 79 136 213 Santa Cruz 117 0 0 0 0 5 21 29 25 37 Yavapai 211 0 0 0 0 7 19 27 77 81 Yuma 491 0 0 0 5 15 64 87 143 177 37 0 0 0 0 2 1 2 15 17 Maricopa La Paz Teen Pregnancy, Arizona 2000-2010 33 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2010 Total TOTAL 11 12 13 14 15 16 17 18 19 1,512 0 2 7 35 70 137 228 455 578 Apache 5 0 0 0 1 0 1 1 1 1 Cochise 20 0 0 0 1 0 1 6 7 5 Coconino 48 0 0 0 2 3 3 7 13 20 Gila 2 0 0 0 0 0 1 1 0 0 Graham 4 0 0 0 0 0 0 0 3 1 Greenlee 5 0 0 0 0 0 0 1 2 2 Maricopa 1,031 0 2 5 22 47 101 150 308 396 7 0 0 0 1 1 0 0 0 5 14 0 0 0 1 0 0 0 9 4 Pima 258 0 0 1 4 10 19 46 80 98 Pinal 28 0 0 1 0 4 2 2 7 12 8 0 0 0 0 0 1 2 3 2 Yavapai 29 0 0 0 0 0 1 6 6 16 Yuma 31 0 0 0 0 3 5 4 8 11 0 0 0 0 0 0 0 0 0 0 22 0 0 0 3 2 2 2 8 5 Mohave Navajo Santa Cruz La Paz Unknown Teen Pregnancy, Arizona 2000-2010 34 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2010 Total TOTAL AHCCCS Private insurance IHS Self Unknown 9,416 7,883 313 930 234 56 Apache 166 101 54 1 1 9 Cochise 207 158 0 43 4 2 Coconino 205 134 52 16 2 1 Gila 123 72 44 7 0 0 Graham 94 57 19 17 1 0 Greenlee 17 10 0 7 0 0 Maricopa 5,342 4,653 27 523 119 20 Mohave 275 226 1 35 7 6 Navajo 274 192 72 5 0 5 Pima 1,346 1,121 21 155 43 6 Pinal 511 427 10 61 10 3 Santa Cruz 117 96 0 6 15 0 Yavapai 211 193 1 15 2 0 Yuma 491 424 1 36 28 2 37 19 11 3 2 2 La Paz Teen Pregnancy, Arizona 2000-2010 35 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2010 Mother's age group Total <15 Total Count Payee for births AHCCCS Private insurance Self Unknown 105 2,910 6,401 7,883 89 2,392 5,402 83.7 84.8 82.2 84.4 Count 313 6 115 192 Percent 3.3 5.7 4.0 3.0 Count 930 6 291 633 Percent 9.9 5.7 10.0 9.9 Count 234 4 95 135 Percent 2.5 3.8 3.3 2.1 56 0 17 39 0.6 0.0 0.6 0.6 Count Count Percent Teen Pregnancy, Arizona 2000-2010 18-19 9,416 Percent IHS 15-17 36 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2010 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count Percent 2 3 18-19 2,910 6,401 6,973 101 2,499 4,373 74.1 96.2 85.9 68.3 1,875 3 363 1,509 19.9 2.9 12.5 23.6 Count 469 1 35 433 Percent 5.0 1.0 1.2 6.8 73 0 8 65 0.8 0.0 0.3 1.0 Count Count Percent Unknown 15-17 105 Percent 4 or more <15 9,416 Count Percent 21 0 3 18 0.2 0.0 0.1 0.3 5 0 2 3 0.1 0.0 0.1 0.0 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2010 Mother's age group Total Total Count Marital status Married Count Percent Unmarried Count Percent Other <15 15-17 18-19 9,416 105 2,910 1,093 0 153 940 11.6 0.0 5.3 14.7 8,298 104 2,752 5,442 88.1 99.0 94.6 85.0 25 1 5 19 0.3 1.0 0.2 0.3 Count Percent 6,401 TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2010 Mother's age group Total Total Count Mother's education <8 8 2,910 Count 170 23 54 93 Percent 1.8 21.9 1.9 1.5 Count 384 53 197 134 Count Count Percent 13-16 17+ 4.1 50.5 6.8 2.1 4,426 28 2,194 2,204 47.0 26.7 75.4 34.4 3,669 0 431 3,238 50.6 39.0 0.0 14.8 719 0 24 695 Percent 7.6 0.0 0.8 10.9 Count Count Percent Teen Pregnancy, Arizona 2000-2010 6,401 Count Percent Unknown 18-19 105 Percent 12 15-17 9,416 Percent 9-11 <15 4 0 0 4 0.0 0.0 0.0 0.1 44 1 10 33 0.5 1.0 0.3 0.5 37 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2010 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 105 2,910 6,401 Count 245 5 94 146 Percent 2.6 4.8 3.2 2.3 6,654 52 1,953 4,649 70.7 49.5 67.1 72.6 2,009 37 671 1,301 21.3 35.2 23.1 20.3 Count 483 11 183 289 Percent 5.1 10.5 6.3 4.5 25 0 9 16 0.3 0.0 0.3 0.2 Count Count Percent 3rd trimester 15-17 9,416 Percent 2nd trimester <15 Count Percent TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2010 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 2,910 6,401 Count 245 5 94 146 Percent 2.6 4.8 3.2 2.3 Count 494 7 178 309 Percent 5.2 6.7 6.1 4.8 1,987 28 675 1,284 21.1 26.7 23.2 20.1 4,511 44 1,340 3,127 47.9 41.9 46.0 48.9 2,149 21 614 1,514 22.8 20.0 21.1 23.7 30 0 9 21 0.3 0.0 0.3 0.3 Count Count Count Percent Unknown Count Percent Teen Pregnancy, Arizona 2000-2010 18-19 105 Percent 13+ visits 15-17 9,416 Percent 9-12 visits <15 38 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2010 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker 105 2,910 6,401 17 0 4 13 Percent 0.2 0.0 0.1 0.2 Count 406 0 79 327 Percent 4.3 0.0 2.7 5.1 18 0 4 14 0.2 0.0 0.1 0.2 8,975 105 2,823 6,047 95.3 100.0 97.0 94.5 Count Count Count Percent Teen Pregnancy, Arizona 2000-2010 18-19 9,416 Percent Nonsmoker and nondrinker 15-17 39 Teen Pregnancy, Arizona 2000-2010 40 Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity 0 Smoker and drinker 12 93 0 5 or more Unknown 101 Less than 5 Unknown 4 0 Unknown 37 weeks or more 4 Self 0 6 Private insurance 36 weeks or less 6 89 IHS AHCCCS 105 0 Smoker, nondrinker Nonsmoker and nondrinker 0 0 Unknown Drinker, nonsmoker 0 14 American Indian or Alaska Native Other 10 Black or African American 1 68 Hispanic or Latino Asian or Pacific Islander 12 White non-Hispanic Total births 0 0 0 0 0 0 3 4 6 2 0 13 2 11 4 0 0 0 2 0 13 15 Count 0.0 14.0 16.7 10.9 100.0 0.0 0.0 0.0 33.3 0.0 14.6 14.3 0.0 0.0 0.0 0.0 0.0 0.0 21.4 40.0 8.8 16.7 Percent LBW births <15 9 2,629 272 2,852 48 10 17 95 291 115 2,392 2,823 4 79 4 4 1 23 331 151 1,859 541 Total births 1 197 46 197 41 6 2 11 22 9 200 232 1 11 0 1 0 6 25 19 143 50 Count 11.1 7.5 16.9 6.9 85.4 60.0 11.8 11.6 7.6 7.8 8.4 8.2 25.0 13.9 0.0 25.0 0.0 26.1 7.6 12.6 7.7 9.2 Percent LBW births 15-17 Mother's age group 21 5,925 455 6,312 68 21 39 135 633 192 5,402 6,047 14 327 13 15 9 79 643 401 3,421 1,833 Total births 3 428 64 415 64 16 5 13 43 11 423 448 0 44 3 5 2 9 34 63 251 131 Count 14.3 7.2 14.1 6.6 94.1 76.2 12.8 9.6 6.8 5.7 7.8 7.4 0.0 13.5 23.1 33.3 22.2 11.4 5.3 15.7 7.3 7.1 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2010 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2010 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 443,971 219,669 224,302 131,854 92,448 White non-Hispanic 194,069 93,642 100,427 57,485 42,942 Hispanic or Latino 175,017 89,150 85,867 52,013 33,854 Black or African American 21,535 10,413 11,122 6,524 4,598 American Indian or Alaska Native 27,707 13,194 14,513 8,529 5,984 Asian or Pacific Islander 11,832 5,996 5,836 3,358 2,478 Note: The 2010 population denominators are the census enumerations. For more information visit: 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 10,980 150 10,830 3,363 7,467 White non-Hispanic 3,086 28 3,058 742 2,316 Hispanic or Latino 5,918 85 5,833 2,021 3,812 635 11 624 178 446 1,025 16 1,009 345 664 117 1 116 28 88 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 24.7 0.7 48.3 25.5 80.8 White non-Hispanic 15.9 0.3 30.5 12.9 53.9 Hispanic or Latino 33.8 0.9 67.9 38.9 112.6 Black or African American 29.5 1.1 56.1 27.3 97.0 American Indian or Alaska Native 37.0 1.2 69.5 40.5 111.0 9.9 0.2 19.9 8.3 35.5 Asian or Pacific Islander Teen Pregnancy, Arizona 2000-2010 41 Teen Pregnancy, Arizona 2000-2010 42 11,240 15,424 Yuma 4,104 Yavapai Santa Cruz 23,689 Pinal 8,818 Navajo 65,374 11,459 Mohave Pima 270,221 971 La Paz Maricopa 616 Greenlee 2,944 Graham 11,240 Coconino 3,174 8,300 Cochise Gila 6,397 443,971 Apache ARIZONA All 19 years or younger 7,597 5,653 2,072 12,975 30,229 4,384 5,734 135,874 465 336 1,394 1,568 4,237 4,031 3,120 219,669 10-14 years 7,827 5,587 2,032 10,714 35,145 4,434 5,725 134,347 506 280 1,550 1,606 7,003 4,269 3,277 224,302 15-19 years 4,854 3,444 1,321 6,912 19,054 2,812 3,579 80,196 326 182 800 1,033 2,697 2,537 2,107 131,854 15-17 years 15-19 years TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2010 2,973 2,143 711 3,802 16,091 1,622 2,146 54,151 180 98 750 573 4,306 1,732 1,170 92,448 18-19 years Teen Pregnancy, Arizona 2000-2010 43 2002 2003 2004 2005 2006 2007 2008 2009 2010 2,639 181.3 F. The number of repeat births to females 15-19 years old who had a birth previously G. The rate of repeat childbearing (F/E)*1,000 183.1 2,680 14,640 26,231 63.3 11,591 178.8 2,533 14,165 25,433 59.7 11,268 185.2 2,567 13,857 25,346 59.2 11,489 186.4 2,590 13,892 25,568 58.2 11,676 177.5 2,488 14,013 25,761 56.5 11,748 202.1 2,864 14,170 26,916 59.6 12,746 190.6 2,800 14,694 27,486 59.4 12,792 177.7 2,658 14,958 26,958 54.9 12,000 155.0 2,252 14,532 25,352 49.1 10,820 114.4 1,898 16,581 25,892 41.5 9,311 9,285 57.1 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 52.7 8,870 49.8 8,699 49.5 8,922 48.6 9,071 47.7 9,259 49.5 9,880 49.9 9,992 45.9 9,342 41.6 8,568 35.7 7,409 162,562 168,417 174,615 180,270 186,784 194,092 199,528 200,385 203,587 206,023 207,721 14,552 E. The number of females 15-19 years old who had a birth previously (D-B) 67.6 11,973 26,525 H. The number of females 15-19 years old who did not have a birth previously (A-E) 2001 177,114 183,057 188,780 194,127 200,676 208,105 213,698 215,079 218,545 220,555 224,302 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 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) minus those who gave birth that year. Mothers who gave birth when 15-19 years old. As an example, the 2010 cohort of mothers who were 15-19 years old includes 9,311 who gave birth that year and 16,581 who gave birth prior to 2010 and were still 15-19 years old in 2010 (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