TEENAGE PREGNANCY Arizona,2001-2011 Public Health Services Bureau of Public Health Statistics Population Health and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janice K. Brewer, Governor State of Arizona Will Humble, Director Arizona Department of Health Services POPULATION HEALTH 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, 2001-2011 by Nicholas J. Bishop, Ph.D., Arizona Vital Statistician Clare Torres, Senior Health Data Analyst Sanhita Gupta, Vital Statistics Health Management Analyst June 2013 Acknowledgment Grateful acknowledgement is made to Khaleel S. Hussaini, PhD, Bureau Chief, for reviewing the typescript. TEENAGE PREGNANCY, ARIZONA, 2001-2011 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, 2001-2011 Figure 2 .................................................................................................................................................................................. 3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 3 .................................................................................................................................................................................. 4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 4 .................................................................................................................................................................................. 4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 5 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 6 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 7 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 8 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 9 .................................................................................................................................................................................. 7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Figure 10 ................................................................................................................................................................................ 7 PROPORTIONAL CONTRIBUTION OF NON-SURGICAL AND SURGICAL ABORTIONS BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2011 Figure 11 ................................................................................................................................................................................ 8 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2001-2011 Figure 12 ................................................................................................................................................................................ 8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2001 AND 2011 Figure 13 ................................................................................................................................................................................ 9 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1991, 2001, AND 2011 Figure 14 ................................................................................................................................................................................ 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 2001 AND 2011 Figure 15 .............................................................................................................................................................................. 10 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 2001-2011 Figure 16 .............................................................................................................................................................................. 10 CUMULATIVE NUMBER OF CASES OF GENITAL HERPES AMONG FEMALES 15-19 YEARS, ARIZONA, 2001-2011 Teen Pregnancy, Arizona 2001-2011 List of Figures (continued) Figure 17 .............................................................................................................................................................................. 11 BIRTH RATES FOR TEENAGERS 15-19 YEARS NATIONALLY AND IN ARIZONA, 2001-2011 Figure 18 .............................................................................................................................................................................. 11 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS NATIONALLY AND IN ARIZONA, 2001-2011 List of Tables Table 1 .................................................................................................................................................................................. 14 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Table 2 .................................................................................................................................................................................. 15 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Table 3 .................................................................................................................................................................................. 16 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2001-2011 Table 4 .................................................................................................................................................................................. 17 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2001-2011 Table 5 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 2001-2011 Table 6 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 2001-2011 Table 7 .................................................................................................................................................................................. 20 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 2001-2011 Table 8 .................................................................................................................................................................................. 21 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 2001-2011 Table 9 .................................................................................................................................................................................. 22 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2001-2011 Table 10 ................................................................................................................................................................................ 23 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2001-2011 Table 11 ................................................................................................................................................................................ 24 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 2001-2011 Table 12 ................................................................................................................................................................................ 25 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2001-2011 Table 13 ................................................................................................................................................................................ 26 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2011 Table 14 ................................................................................................................................................................................ 27 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2001-2011 Teen Pregnancy, Arizona 2001-2011 ii List of Tables (continued) Table 15 ................................................................................................................................................................................ 28 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2001-2011 Table 16 ................................................................................................................................................................................ 29 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2001-2011 Table 17 ................................................................................................................................................................................ 30 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2011 Table 18 ................................................................................................................................................................................ 31 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2011 Table 19 ................................................................................................................................................................................ 32 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2011 Table 20 ................................................................................................................................................................................ 33 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2011 Table 21 ................................................................................................................................................................................ 34 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2011 Table 22 ................................................................................................................................................................................ 35 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2011 Table 23 ................................................................................................................................................................................ 36 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2011 Table 24 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2011 Table 25 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2011 Table 26 ................................................................................................................................................................................ 37 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2011 Table 27 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2011 Table 28 ................................................................................................................................................................................ 38 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2011 Table 29 ................................................................................................................................................................................ 39 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2011 Table 30 ................................................................................................................................................................................ 40 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2011 Table 31 ................................................................................................................................................................................ 41 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES, AND PREGNANCY RATES BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2011 Table 32 ................................................................................................................................................................................ 42 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2011 Appendix .............................................................................................................................................................................. 43 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 2001-2011 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2011 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 2001-2009 and 2011 are population estimates of Arizona resident females aged 10-19 years. The 2010 denominators are the actual census enumerations from the U.S. Census Bureau. Detailed information about the assumptions and specific data sources is available online at http://www.azdhs.gov/plan/menu/info/pd.htm. The 2011 Teenage Pregnancy report is the first report in this series to include cell suppression. To protect the anonymity of the individuals included in this report, cells in tables with five or fewer observations are denoted by an asterisk (*), cells containing rates based on counts of five or fewer are denoted by a double-asterisk(**), and cells containing sums based on addends of five or fewer are rounded to the nearest tens-unit and denoted by a dagger (†). DATA ORGANIZATION Tables 1-16 present annual numbers and rates of pregnancy, fertility, and abortion by year from 2001 to 2011 for Arizona teens. Information is presented for specific age groups and by race/ethnicity. 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 2001 to 2011. 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 2001 to 2011 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 2001 to 2011. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 2001-2011. Table 16 shows the incidence rates by year from 2001 to 2011. Frequency counts, proportions, and rates in Tables 17-32 all apply to the 2011 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 source of payment for labor and delivery, previous pregnancies, marital status, education, trimester of entry into prenatal care, number of prenatal visits, tobacco and alcohol use during pregnancy, and risk for low-birthweight by selected characteristics. The 2011 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 2001-2011. Teen Pregnancy, Arizona 2001-2011 1 COMPARATIVE NATIONAL AND STATE DATA Timely, comparable, and reliable teen pregnancy statistics for other States and the Nation provide meaningful comparisons to place Arizona’s teenage birth experiences in context. The Center for Disease Control (CDC) provides a useful source of information on national pregnancy outcomes. The most recent national abortion data provided by the CDC available is for 2009 and the most recent fetal death data distributed by the CDC is available for 2006. Another source of national data on reproductive health is the Alan Guttmacher Institute. The report, “U.S. Teenage Pregnancies, Births and Abortions, 2008: National Trends by Age, Race and Ethnicity”* was published by the Alan Guttmacher Institute in February 2012. 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 2001 – 2011 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 2011, the pregnancy rate of 23.0 pregnancies per 1,000 females 19 years or younger was 36.1 percent lower than the rate of 36.0 per 1,000 in 2001. • It is only since 2008 that the reduction in the number of teen pregnancies was accompanied by an equally impressive decline in pregnancy rates. • Historically, the declines in teenage pregnancy have been steeper for younger than for older teenagers, but recently are becoming more closely aligned. The rate for teenagers 15-17 years dropped by 40.1 percent from 43.2 per 1,000 in 2001 to 22.1 in 2011. The rate for older teenagers (aged 18-19 years) fell as well, by 36.4 percent from 121.4 per 1,000 in 2007 to 77.2 per 1,000 in 2011. • The 2011 teen pregnancy rate of 23.0/1,000 was based on 10,269 pregnancies occurring among 447,155 females aged 10-19 years. The number of 10,269 teen pregnancies in 2011 was the lowest since 1984. • From 2007 to 2011, the number of teen pregnancies declined particularly steeply for White non-Hispanic (41.7 percent), Hispanic or Latino (-38.0 percent), and Asian females (-30.5 percent). • In 2011, Hispanic or Latino females accounted for 51.6 percent of all pregnancies in this age group, followed by White non-Hispanics (23.3 percent). • In each year from 2001 to 2011, 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 2011, the Hispanic rate exceeded the average rate for all groups by 31.3 percent. • If the 2011 “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 10,269 to approximately 4,069 ((9.1/1,000) * 447,155). • The proportion of non-surgical abortions to females 19 years or younger decreased from 40.6 percent in 2010 to 33.8 percent in 2011. • The first birth rate for childless teenagers has dropped 36.6 percent from 52.7 first-time births per 1,000 females 15-19 years old in 2001 to 33.4 per 1,000 in 2011. • The repeat birth rates for teenagers who had already had a child decreased by 65.2 percent from 183.1 in 2001 to 63.8 per 1,000 females 15-19 years old in 2011 who had a previous birth. • Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. In 2011, nonmarital births accounted for 89.1 percent of births to mothers 19 years or younger. • The total number of births to mothers 19 years or younger decreased by 28.5 percent from 11,790 in 2001 to 8,435 in 2011. In contrast, the proportional share of births paid for by the Arizona Health Care Cost Containment System (AHCCCS, the State’s Medicaid program) increased from 73.7 percent in 2001 to 83.6 percent in 2011. ____________________________________________________ * Available at www.guttmacher.org/pubs/UStrends.pdf Teen Pregnancy, Arizona 2001-2011 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 2001-2011 160.0 140.0 120.0 100.0 18-19 years 80.0 15-19 years 60.0 40.0 15-17 years All 19 or younger 20.0 0.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 A ll 19 or younger 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 2010 2011 18-19 112.2 111.2 108.2 108.7 103.6 115.6 121.4 111.3 102.5 80.8 77.2 15-19 72.0 70.6 68.9 69.4 65.6 68.7 68.4 63.2 56.1 48.3 44.8 15-17 43.2 42.2 41.6 42.0 39.1 39.0 36.9 34.6 28.5 25.5 22.1 24.7 23.0 Teenage pregnancy rates dropped 36.1 percent overall from 2001 to 2011. (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 43.2 per 1,000 in 2001 to 22.1 in 2011. The rate for older teenagers (aged 18-19 years) fell as well, by 31.2 percent beginning in 2001, from 112.2 to 77.2. Two of the three components of the pregnancy rates for teenagers 19 years old or younger (births and fetal losses) declined from 2007 to 2010, though the abortion rate increased from 2010 to 2011 (Table 1). The increase in the teenage abortion rate from 2010 to 2011 is likely attributable to changes in abortion reporting requirements that took effect in 2011. 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, 2001-2011 Rate per 1,000 females 19 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 7500 75.0 50.0 Pregnancy rates (left-hand scale) 5000 2500 25.0 0 0.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Pregnancies 13429 13572 13654 14163 13898 14918 15038 14047 12537 10980 10269 Pregnancy rates 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 23.0 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 2002 2005 were lower than the 2001 rate of 36.0 /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 2011 teen pregnancy rate of 23.0/1,000 was based on 10,269 pregnancies occurring among 447,155 females aged 10-19 years. The number of 10,269 teen pregnancies in 2011 was the lowest since 1984. Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2001-2011 3 KEY FINDINGS Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 2001-2011 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 20012011). In 2011, Hispanic or Latino females accounted for 51.6 percent of all pregnancies in this age group, followed by White non-Hispanics (23.3 percent). Black or African American, Asian or Pacific Islander, and American Indian females aged 19 years or younger accounted for a larger share of pregnancies in 2011 (16.5 percent) than they did in 2001 (13.5 percent). 9000 Hispanic or Latino 7500 6000 4500 White non-Hispanic 3000 American Indian 1500 Black or African American Asian or Pacific Islander 0 2001 From 2007 to 2011, the number of teen pregnancies declined particularly steeply for White non-Hispanic (41.7 percent), Hispanic or Latino (-38.0 percent), and Asian females (-30.5 percent). 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 A sian 134 130 134 148 132 132 167 149 129 117 116 Black 622 605 664 671 688 731 766 812 722 635 580 A merican Indian 1053 1082 1215 1215 1289 1277 1353 1246 1229 1025 997 White non-Hispanic 4175 4102 3903 3924 3631 4148 4101 3852 3454 3086 2392 Hispanic 7239 7287 7476 7965 7748 8396 8545 7764 6896 5918 5297 The sum of live births + induced abortions + spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2011 than in 2001 (Figure 1). However, the temporal trends in annual teen pregnancy rates differed considerably by race/ethnicity. Figure 4 Comparison of Pregnancy Rates by Year among Hispanic or Latinos and all Females 19 or Younger, Arizona, 2001-2011 75.0 60.0 Figures 4, 5, 6, 7, and 8 reveal race/ethnicity-specific trends in teen pregnancy rates in Arizona in 20012011. From 2001 to 2011, the teenage pregnancy rate for Hispanic or Latino women declined nearly 50 percent (48.9 percent), with the majority of the decline occurring between 2007 and 2011 (Figure 4). Hispanic or Latino 45.0 30.0 15.0 All groups In each year from 2001 to 2011, 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 2011, the Hispanic rate exceeded the average rate for all groups by 31.3 percent. 0.0 All groups 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 2011 23.0 Hispanic or Latino 59.1 57.6 57.5 59.2 55.5 56.0 55.3 49.4 43.5 33.8 30.2 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2001-2011 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 2001-2011 75.0 60.0 45.0 The pregnancy rate for White nonHispanics has substantially declined from 2001 to 2011 (44.1 percent), save for an increase from 2005 to 2007 (Figure 5). In each year from 2001 to 2011, the pregnancy rates for White non-Hispanic females were lower than the average rates for all females 19 years or younger in Arizona. 30.0 White non-Hispanic 15.0 All groups 0.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 All groups 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 23.0 White nonHispanic 21.1 20.1 18.2 17.7 15.8 18.9 19.0 17.5 15.6 15.9 11.8 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, 2001-2011 75.0 60.0 45.0 American Indian 30.0 Pregnancies to American Indian females 19 years or younger varied somewhat erratically from 2001 to 2010, but from 2010 to 2011, the pregnancy rate of teenage American Indian mothers decreased 21.1 percent, the greatest single year decline observed from 2001 to 2011 (Figure 6). The American Indian rates were higher than the average for all groups in 2001-2011. 15.0 All groups 0.0 All groups American Indian 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 2011 23.0 36.7 36.6 39.9 39.7 40.8 36.2 39.1 35.5 34.7 37.0 29.2 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2001-2011 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 2001-2011 75.0 The pregnancy rates for Black or African American females 19 years or younger decreased from 45.1/1,000 in 2001 to 24.9/1,000 in 2011 (Figure 7). Except for 2006, the pregnancy rates for Black or African American teenagers exceeded the pregnancy rate for all groups. 60.0 45.0 Black or African American 30.0 15.0 All groups 0.0 All groups Black or African American 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 2011 23.0 45.1 42.5 45.4 44.2 43.5 32.6 36.1 37.7 33.3 29.5 24.9 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, 2001-2011 In each year from 2001 to 2011, 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 2011, the Asian rate (9.1/1,000) was 60.4 percent lower than the rate for all groups (23.0/1,000). 75.0 60.0 45.0 30.0 If the 2011 “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 10,269 to approximately 4,069 ((9.1/1,000) * 447,155). Asian or Pacific Islander 15.0 All groups 0.0 All groups Asian or Pacific Islander 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 2011 23.0 20.3 19.1 19.2 19.3 16.2 12.9 15.3 13.5 11.6 9.9 9.1 Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2001-2011 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2001-2011 100% Surgical The proportion of non-surgical abortions to females 19 years or younger decreased from 44.3 percent in 2009 to 33.8 percent in 2011, indicating the proportion of surgical abortions increased 10.4 percent over that period (Figure 9). 80% 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 59.4 Non-surgical % 1.1 16.7 2003 23 25.5 25.1 25.4 2007 29.7 2008 31.9 2009 44.3 2010 40.6 2011 33.8 Surgical # 1512 1661 1438 1654 1417 1431 1392 1235 846 878 1179 Non-surgical # 17 334 429 566 475 488 587 578 673 614 603 66.1 Figure 10 Proportional Contribution of Non-Surgical and Surgical Abortions by Race/Ethnicity among Females 19 or Younger, Arizona, 2011 American Indian 28.6% 71.4% Hispanic 37.1% 62.5% Black 36.4% 63.6% White non-Hispanic 35.3% 64.6% ALL GROUPS 33.8% 66.1% Asian 33.3% 66.7% 0.0% 20.0% 40.0% Non-surgical 60.0% Among American Indian, Hispanic or Latino, Black, and White nonHispanic teens, the proportion of non-surgical abortions exceeded the average for all groups (Figure 10). The ratio of reported non-surgical abortions among Asian females was the lowest among all ethnic groups. 80.0% 100.0% Surgical Non-surgical: Mifepristone, Methotrexate, RU486, etc. Teen Pregnancy, Arizona 2001-2011 7 KEY FINDINGS Figure 11 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2001-2011 There were approximately 20,694 mothers under age 20 in Arizona in 2011, the lowest number since 2001. Among them there were the 8,435 who gave birth in 2011 and the 12,259 who gave birth prior to 2011 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 23.0 percent from 26,864 in 2010. *See Table 13 for more details. Figure 12 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2001 and 2011 2001 240.0 200.0 160.0 33.4 80.0 63.8 120.0 52.7 The repeat birth rates for teenagers who had already had a child decreased by 65.2 percent from 183.1 in 2001 to 63.8 per 1,000 females 15-19 years old in 2011 who had a previous birth (Figure 12). 2011 183.1 The first birth rate for childless teenagers has dropped 36.6 percent from 52.7 first-time births per 1,000 females 15-19 years old in 2001 to 33.4/1,000 in 2011 (Figure 12). 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 2001-2011 8 KEY FINDINGS Figure 13 Births to Mothers 19 or Younger by Marital Status, Arizona, 1991, 2001, and 2011 Unmarried Married 100.0% 10.8% 25.9% 18.6% 75.0% 50.0% 89.1% 81.1% 74.1% Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. Two decades ago, approximately 7 out of 10 teenage mothers were unmarried (Figure 13). In 2011, nonmarital births accounted for 89.1 percent of births to mothers 19 years or younger. 25.0% 0.0% 1991 2001 2011 Figure 14 Number of Births to Mothers 19 or Younger by Payee, Arizona, 2001 and 2011 The total number of births to mothers 19 years or younger decreased by 28.5 percent from 11,790 in 2001 to 8,435 in 2011 (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 from 73.7 percent in 2001 to 83.6 percent in 2011 (Figure 14). Teen Pregnancy, Arizona 2001-2011 9 KEY FINDINGS Figure 15 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 2001-2011 In each year from 2006 to 2011, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,400 (Table 15) compared to an average of 5,206 reported in years 2001 to 2005. The rate of STI among females 15-19 years old increased by 35.3 percent from 2583.1 cases per 100,000 in 2001 to a rate of 3495.6/100,000 in 2011. 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 and maternal and/or infant death. Per 100,000 females 15-19 years old 4000.0 3000.0 2000.0 1000.0 0.0 STI rate 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2583.1 2460.9 2109.8 2526.6 3033.6 3346.3 3473.1 3303.2 3305.3 3337.0 3495.6 * 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, 2001-2011 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 2001 have not died or left the State, the 2011 prevalence of this diseases based on 1,360 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 2011, 36 (or 29.3 percent) also gave birth that year (Figure 16, Table 15). Teen Pregnancy, Arizona 2001-2011 1,500 1,200 900 1,360 1,237 600 1,022 1,082 874 738 595 300 467 256 346 121 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Infected with genital herpes 121 135 90 121 128 143 136 148 60 155 123 Gave birth that year 30 35 27 28 31 43 38 53 45 52 36 10 KEY FINDINGS Figure 17 Birth Rates for Teenagers 15-19 Years, Nationally and in Arizona, 2001-2011 90.0 In each year from 2001 to 2011, birth rates for Arizona teenagers 15-19 years old exceeded the rates of their national peers (Figure 17, Table 11). 75.0 AZ 60.0 45.0 In Arizona, Hispanic or Latino females 15-19 years old, a high-fertility group, accounted for 38.2 percent of females aged 15-19 years in 2011. A high proportional representation of Hispanic or Latino females in Arizona puts upward pressure on the overall teen birth rate. U.S. 30.0 15.0 0.0 2007 2008 2009 2010 2011 US 45.3 43.0 41.6 41.1 40.5 41.9 42.5 41.5 37.9 34.3 31.3 AZ 2001 63.3 2002 59.7 2003 59.2 2004 58.2 2005 56.5 2006 59.6 59.5 54.9 49.1 41.5 37.2 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, 2001-2011 140.0 In 2011, Hispanics or Latinos aged 1519 years disproportionately accounted for 54.8 percent of births to mothers in this age group in Arizona (4,570 out of 8,334; see Table 6 and Table 7). AZ 105.0 U.S. The 2011 birth rate among teen 15-19 years old exceeded the national rate for this age/ethnic group by 3.6 percent. 70.0 35.0 0.0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 US 86.4 83.4 82.3 82.6 81.7 83.0 81.7 77.4 63.6 55.7 49.4 AZ 110.0 105.4 105.8 107.7 104.6 108.3 106.8 96.7 85.0 61.5 53.0 The number of births per 1,000 females 15-19 years old. Teen Pregnancy, Arizona 2001-2011 11 TEENAGE PREGNANCY, ARIZONA, 2001-2011 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Pregnancy outcome by year ALL PREGNANCIES 2001 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 13,429 253 13,170 4,661 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 10,980 150 10,830 3,363 7,467 2011 LIVE BIRTHS 2001 10,269 150 10,119 2,939 7,180 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 9,416 105 9,311 2,910 6,401 2011 ABORTIONS 2001 8,435 101 8,334 2,447 5,887 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 1,512 44 1,468 435 1,033 2011 FETAL LOSSES 2001 1,785 49 1,736 478 1,258 111 9 102 41 61 2002 100† * 98 39 59 2003 90† * 86 31 55 2004 80† * 79 25 54 2005 70† * 73 29 44 2006 80† * 80 31 49 2007 90† * 84 38 46 2008 70† * 71 22 49 2009 70† * 66 26 40 2010 50† * 51 18 33 2011 50† * 49 14 35 Notes: * cell suppressed due to count less than 6; Teen Pregnancy, Arizona 2001-2011 † 8,515 sum rounded to nearest tens unit due to addend less than 6. 14 TABLE 2 PREGNANCY RATES1 BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2001-2011 Pregnancy outcome by year ALL PREGNANCIES 2001 Total females 19 years or younger Under 15 years 15-19 years old Total 15-17 years 18-19 years 36.0 1.3 72.0 43.2 2002 35.2 1.3 70.6 42.2 112.2 111.2 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 24.7 0.7 48.3 25.5 80.8 2011 LIVE BIRTHS 2001 23.0 0.7 44.8 22.1 77.2 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 21.2 0.5 41.5 22.1 69.2 2011 ABORTIONS 2001 19.0 0.5 37.2 18.6 63.7 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 3.4 0.2 6.5 3.3 11.2 2011 FETAL LOSSES 2001 4.0 0.2 7.7 3.6 13.5 0.3 0.0 0.6 0.4 0.8 2002 0.3 ** 0.5 0.4 0.8 2003 0.2 ** 0.4 0.3 0.7 2004 0.2 ** 0.4 0.2 0.7 2005 0.2 ** 0.4 0.2 0.5 2006 0.2 ** 0.4 0.2 0.6 2007 0.2 ** 0.4 0.3 0.6 2008 0.2 ** 0.3 0.2 0.6 2009 0.2 ** 0.3 0.2 0.5 2010 0.1 ** 0.2 0.1 0.4 2011 0.1 ** 0.2 0.1 0.4 1 Notes: ** cell suppressed due to rate based on count less than 6; 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 2001-2011 15 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2001-2011 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2011 2,089 HISPANIC OR LATINO 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 2011 4,631 BLACK OR AFRICAN AMERICAN 2001 545 2002 468 2003 550† 2004 540 2005 569 2006 601 2007 621 2008 656 2009 603 2010 562 2011 561 AMERICAN INDIAN OR ALASKA NATIVE 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 2011 987 ASIAN OR OTHER PACIFIC ISLANDER 2001 100† 2002 100† 2003 110† 2004 90† 2005 100† 2006 90† 2007 100† 2008 110† 2009 90† 2010 100† 2011 110† 15-19 years Under 15 years Total 15-17 years 18-19 years 34 23 23 17 17 19 26 15 20 12 13 3,362 3,041 2,947 2,789 2,727 3,190 3,074 2,978 2,695 2,374 2,076 926 824 782 747 711 852 779 769 649 541 494 2,436 2,217 2,165 2,042 2,016 2,338 2,295 2,209 2,046 1,833 1,582 132 147 146 137 137 123 115 111 87 68 61 6,516 6,438 6,646 7,001 7,051 7,615 7,667 7,057 6,254 5,280 4,570 2,552 2,507 2,600 2,779 2,721 2,923 2,892 2,724 2,253 1,859 1,467 3,964 3,931 4,046 4,222 4,330 4,692 4,775 4,333 4,001 3,421 3,103 13 12 * 12 8 7 12 12 6 10 10 532 456 546 528 561 594 609 644 597 552 551 193 152 204 180 199 187 195 203 181 151 152 339 304 342 348 362 407 414 441 416 401 399 17 18 37 21 21 19 26 22 17 14 14 996 1,021 1,104 1,121 1,183 1,197 1,259 1,163 1,153 974 973 348 374 434 452 478 430 445 408 394 331 293 648 647 670 669 705 767 814 755 759 643 680 * * * * * * * * * * * 104 95 106 91 95 91 103 112 86 102 109 29 19 38 25 28 28 31 26 18 23 26 75 76 68 66 67 63 72 86 68 79 83 Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 16 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2001-2011 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 2001 746 2002 1,010 2003 914 2004 1,095 2005 867 2006 917 2007 982 2008 841 2009 720 2010 694 2011 289 HISPANIC OR LATINO 2001 534 2002 650 2003 630 2004 784 2005 522 2006 609 2007 710 2008 561 2009 525 2010 532 2011 638 BLACK OR AFRICAN AMERICAN 2001 70† 2002 120† 2003 107 2004 130† 2005 110† 2006 124 2007 136 2008 140† 2009 110† 2010 70† 2011 20† AMERICAN INDIAN OR ALASKA NATIVE 2001 30† 2002 40† 2003 70† 2004 70† 2005 80† 2006 60† 2007 63 2008 50† 2009 50† 2010 40† 2011 10† ASIAN OR OTHER PACIFIC ISLANDER 2001 30† 2002 30† 2003 30† 2004 60† 2005 40† 2006 40† 2007 60† 2008 40† 2009 40† 2010 10† 2011 10† 15-19 years Under 15 years Total 15-17 years 18-19 years 16 20 18 19 15 28 71 21 11 16 10 730 990 896 1,076 852 889 911 820 709 678 279 262 367 304 341 278 296 282 266 207 198 80 458 623 592 735 574 593 629 554 502 480 199 22 15 27 20 21 24 44 34 8 16 17 512 635 603 764 501 585 666 527 517 516 621 199 235 197 247 151 193 210 173 136 151 179 313 400 406 517 350 392 456 354 381 365 442 * * 6 * * 9 13 * * * * 68 114 101 124 109 115 123 138 107 66 17 28 30 40 46 32 48 42 43 28 24 * 40 84 61 78 77 67 81 95 79 42 13 * * * * * * 8 * * * * 26 37 65 64 72 54 55 52 52 34 * 7 12 25 17 21 24 22 17 22 13 * 19 25 40 47 51 30 33 35 30 21 * * * * * * * * * * * * 30 34 26 55 35 37 59 34 39 14 * 15 10 7 19 10 11 8 12 8 * * 15 24 19 36 25 26 51 22 31 9 * Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 17 Teen Pregnancy, Arizona 2001-2011 18 14.3 2.0 Abortion rate 2.4 13.5 16.1 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 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 10.0 480† 3,015 3,513 * 24 30† 15 345 361 25 161 189 167 1,927 2,106 214 553 770 2010 1.5 7.2 8.7 530† 2,548 3,089 * 28 30† * 307 310† * 162 170† 196 1,528 1,731 90 507 600 2011 1.5 7.2 8.7 ** 2.8 2.9 ** 11.4 11.6 ** 8.8 9.1 1.4 10.8 12.3 0.6 3.2 3.8 2011 Rates are included in the total counts of pregnancies; 2 all rates per 1,000 females 10-17 years old; 3 not of Hispanic origin; 4 includes other and unspecified ethnicity; 5 number of births per 1,000 females 10-17 years old. † 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 Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; sum rounded to nearest tens unit due to addend less than 6; 1 fetal deaths 16.5 Fertility rate5 749 4,158 4,278 586 4,951 4,914 10 20 29 15 30 44 15 392 365 10 409 384 34 164 206 31 207 250 2,654 2,926 240 221 2,684 2,930 387 847 960 278 1,245 2002 1,250 2001 Pregnancy rate, total: Abortions ALL RACE/ETHNIC GROUPS4, total: Births Abortions ASIAN OR OTHER PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births TABLE 5 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGED 17 AND YOUNGER WITH RATES2, ARIZONA, 2001-2011 1 Teen Pregnancy, Arizona 2001-2011 19 37.8 5.0 Abortion rate 6.3 35.5 42.2 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 4.3 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 28.5 420† 3,501 3,945 * 18 30† 22 394 419 28 181 212 136 2,253 2,401 207 649 863 2009 3.3 22.1 25.5 440† 2,910 3,363 * 23 30† 13 331 345 24 151 178 151 1,859 2,021 198 541 742 2010 3.6 18.4 22.1 480† 2,447 2,939 * 26 30† * 293 300† * 152 160† 179 1,467 1,653 80 494 577 2011 3.6 18.4 22.1 ** 7.2 7.2 ** 28.3 28.8 ** 21.6 22.3 3.4 28.3 31.8 1.3 8.2 9.6 2011 Rates are included in the total counts of pregnancies; 2 all rates per 1,000 females 15-17 years old; 3 not of Hispanic origin; 4 includes other and unspecified ethnicity; 5 number of births per 1,000 females 15-17 years old. † 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 Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; sum rounded to nearest tens unit due to addend less than 6; 1 fetal deaths 43.2 Fertility rate5 705 3,952 4,080 540 4,696 4,661 10 19 29 15 29 44 12 374 348 7 388 363 30 152 193 28 189 224 235 2,507 2,552 199 2,761 2,771 367 824 926 262 1,202 2002 1,197 2001 Pregnancy rate, total: Abortions ALL RACE/ETHNIC GROUPS4, total: Births Abortions ASIAN OR OTHER PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births TABLE 6 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES2, ARIZONA, 2001-2011 1 Teen Pregnancy, Arizona 2001-2011 20 76 7,316 99.9 12.5 Abortion rate 16.1 94.3 111.2 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 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 13.5 63.3 77.2 1,260† 5,887 7,180 * 83 90† * 680 690† 13 399 413 442 3,103 3,566 199 1,582 1,792 2011 13.5 63.3 77.2 ** 31.2 32.7 ** 93.5 94.2 2.6 81.2 84.0 12.9 90.5 104.0 4.5 36.0 40.8 2011 Rates are included in the total counts of pregnancies; 2 all rates per 1,000 females 18-19 years old; 3 not of Hispanic origin; 4 includes other and unspecified ethnicity; 5 number of births per 1,000 females 18-19 years old. † 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 Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; sum rounded to nearest tens unit due to addend less than 6; 1 fetal deaths 113.2 Fertility rate5 1,246 7,512 942 8,621 8,515 24 75 15 100 90 25 647 648 19 673 669 84 304 339 40 398 382 400 3,931 3,964 313 4,361 4,309 623 2,217 2,436 468 2,857 2002 2,925 2001 Pregnancy rate, total: Abortions ALL RACE/ETHNIC GROUPS4, total: Births Abortions ASIAN OR OTHER PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births TABLE 7 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES2, ARIZONA, 2001-2011 1 Teen Pregnancy, Arizona 2001-2011 21 3,064 468 96 31.6 4.1 Abortion rate 5.2 29.8 35.2 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 4.5 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 4.0 18.9 23.0 1,790† 8,435 10,269 * 111 120† * 987 1,000† 17 561 580 638 4,631 5,297 289 2,089 2,392 2011 4.0 18.9 23.0 ** 8.7 9.1 ** 28.9 29.2 0.7 24.1 24.9 3.6 26.4 30.2 1.4 10.3 11.8 2011 Rates are included in the total counts of pregnancies; 2 all rates per 1,000 females 19 or younger; 3 not of Hispanic origin; 4 includes other and unspecified ethnicity; 5 number of births per 1,000 females 19 or younger. † 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 Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; sum rounded to nearest tens unit due to addend less than 6; 1 fetal deaths 36.0 Fertility rate5 1,995 11,474 11,790 1,528 13,572 13,429 34 104 30 130 134 40 1,039 1,013 29 1,082 1,053 118 545 71 605 622 650 6,585 6,648 534 7,287 7,239 1,010 3,396 746 4,102 2002 4,175 2001 Pregnancy rate, total: Abortions ALL RACE/ETHNIC GROUPS4, total: Births Abortions ASIAN OR OTHER PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITE3 NON-HISPANIC, total: Births TABLE 8 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 AND YOUNGER, WITH RATES2, ARIZONA, 2001-2011 1 19 YEARS OR YOUNGER 18-19 YEARS 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 ARIZONA 36.0 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 23.0 113.2 111.1 108.2 108.7 103.6 115.6 121.4 111.3 102.5 80.8 77.2 16.5 16.1 15.9 15.9 14.8 15.1 14.8 13.7 11.2 10.0 8.7 APACHE 21.6 23.2 30.8 32.8 25.9 25.6 27.5 25.3 27.7 26.7 23.6 91.9 100.7 130.1 141.6 105.4 87.9 89.4 89.5 100.2 96.6 94.2 9.2 9.6 13.4 13.5 11.9 10.8 12.5 9.7 10.1 11.0 7.8 COCHISE 34.3 30.6 31.5 30.0 30.0 24.2 29.1 27.2 28.7 27.5 24.7 116.8 104.4 107.3 106.7 110.0 71.1 99.8 92.4 102.7 90.6 78.9 15.5 13.7 14.3 12.7 11.7 12.0 12.0 11.3 10.8 10.8 10.4 COCONINO 30.3 26.0 26.9 27.7 27.7 31.0 33.2 28.6 27.6 22.5 20.3 84.3 68.9 70.6 76.9 79.5 84.0 81.2 72.2 68.9 40.2 36.2 13.9 13.0 13.6 12.9 12.1 14.1 16.3 13.2 13.0 11.5 10.6 GILA 43.2 42.4 42.8 38.4 38.8 37.7 41.7 45.9 40.8 39.7 35.9 154.3 151.5 145.5 164.3 150.5 139.8 164.0 165.9 160.2 137.9 132.6 22.5 22.1 23.7 15.4 18.2 16.6 16.2 21.0 15.9 18.1 14.6 GRAHAM 33.8 29.9 27.5 22.5 20.9 35.5 40.1 33.2 33.7 33.3 28.5 84.9 78.4 78.8 57.7 56.7 95.6 103.4 94.7 93.2 96.0 81.7 17.0 14.0 10.7 10.9 9.0 17.6 19.3 12.9 14.2 11.9 10.3 GREENLEE 18.3 40.0 26.0 36.6 31.0 24.7 25.4 33.2 41.2 35.7 34.1 78.4 161.9 64.8 173.1 174.8 69.0 122.4 133.3 203.9 122.4 163.3 ** 17.5 18.8 10.9 ** ** ** 16.2 13.3 19.3 ** MARICOPA 37.2 36.0 36.0 35.5 33.9 35.4 35.4 32.5 27.4 23.7 22.4 117.3 114.2 112.4 110.9 106.5 125.0 131.9 120.0 106.0 80.3 78.4 17.2 16.5 16.9 16.5 15.7 15.7 15.3 14.3 11.0 9.5 8.4 MOHAVE 31.4 32.5 30.9 28.7 32.1 33.0 31.9 28.1 25.9 24.6 18.9 132.5 131.5 129.0 112.8 134.0 142.1 157.6 135.7 129.2 96.5 75.9 10.9 12.5 11.1 11.8 11.5 12.4 10.7 9.5 8.1 8.1 5.8 NAVAJO 26.7 28.5 29.6 33.7 33.1 30.0 33.7 36.3 33.2 32.8 33.4 111.7 121.5 123.4 141.3 138.2 99.4 125.8 135.7 132.3 122.7 121.1 11.7 12.0 13.0 14.6 14.4 14.9 14.4 15.5 12.5 12.5 13.6 36.0 36.3 32.0 33.8 30.6 32.9 30.5 29.0 27.0 24.7 22.6 96.6 96.7 86.0 93.7 83.7 95.8 89.6 86.5 82.3 68.7 64.3 16.9 17.2 14.6 15.1 14.0 14.7 13.6 12.5 11.2 10.3 9.0 PINAL 43.7 38.5 38.1 36.4 33.5 34.1 37.4 31.3 27.6 22.8 21.7 156.9 130.2 139.3 121.0 119.8 129.3 144.9 121.8 108.4 96.8 94.7 19.8 19.1 16.8 18.3 14.9 13.4 16.4 13.6 11.8 8.6 7.7 SANTA CRUZ 33.0 36.4 30.0 38.6 30.7 32.9 32.2 31.5 29.1 30.5 27.9 113.7 137.7 130.7 147.2 111.8 108.5 102.8 111.6 115.7 94.2 104.2 17.8 17.2 11.1 17.9 15.2 16.5 17.7 15.0 11.4 17.1 11.9 YAVAPAI 26.3 29.6 25.3 27.9 25.7 29.6 33.0 26.9 25.0 21.4 19.9 91.8 115.9 98.7 99.3 104.1 109.2 129.9 100.1 101.3 84.5 71.3 12.3 11.1 9.5 12.3 8.6 11.8 12.8 10.9 8.4 6.6 7.8 36.7 38.8 40.6 42.1 37.0 38.0 37.8 35.1 36.1 34.1 30.1 130.8 133.4 134.2 135.6 122.2 122.8 129.8 121.7 119.9 114.7 109.3 15.3 17.3 19.3 20.4 17.1 16.6 16.0 14.6 16.1 14.9 11.2 YUMA TABLE 9 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2001-2011 1 PIMA Notes: ** cell suppressed due to rate based on count less than 6; 1 number of pregnancies per 1,000 females in specified group. 10-17 YEARS Teen Pregnancy, Arizona 2001-2011 22 36.8 35.6 32.2 39.8 49.8 30.0 50.9 38.6 27.8 38.1 31.9 153.0 127.0 113.4 153.8 148.7 63.0 242.8 156.1 127.2 177.8 127.8 15.2 18.7 17.2 17.8 30.7 13.1 15.8 17.0 9.5 ** 10.1 LA PAZ Teen Pregnancy, Arizona 2001-2011 23 15.9 % Births to teenagers 8.7 % Births to teenagers 19.0 % Births to teenagers 4.9 % Births to teenagers 4.2 96 2,281 18.7 1,039 5,545 4.2 107 2,524 19.4 1,141 5,881 18.2 549 3,022 17.4 6,792 39,101 7.6 2,970 38,842 15.7 2,014 12,848 12.4 9,686 77,905 12.9 11,700 90,783 2003 3.5 92 2,614 18.9 1,142 6,120 16.8 540 3,216 17.5 7,138 40,822 7.2 2,806 39,271 15.5 2,074 13,409 12.2 9,786 79,951 12.7 11,863 93,396 2004 3.4 96 2,805 19.1 1,204 6,293 16.5 569 3,450 17.0 7,188 42,156 6.9 2,744 39,657 15.5 2,103 13,603 12.0 9,827 82,141 12.5 11,933 95,798 2005 2.9 92 3,136 19.1 1,216 6,364 15.6 601 3,864 17.2 7,738 44,862 7.5 3,209 43,013 14.9 2,100 14,083 12.3 10,809 87,910 12.7 12,916 102,042 2006 3.0 103 3,412 20.0 1,285 6,408 14.9 621 4,165 17.0 7,782 45,731 7.3 3,100 42,216 15.8 2,279 14,413 12.1 10,693 88,266 12.6 12,972 102,687 2007 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 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 2 3.2 111 3,505 16.9 987 5,830 12.8 561 4,366 14.3 4,631 32,398 5.5 2,089 38,294 12.7 1,549 12,150 9.3 6,886 74,040 10.0 8,535 85,190 2011 Notes: 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; urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 1 104 # Births to teenagers # Births (all ages) 2,104 1,013 ASIAN OR OTHER PACIFIC ISLANDER 5,340 17.0 19.9 # Births to teenagers 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 545 # Births (all ages) AMERICAN INDIAN OR ALASKA NATIVE % Births to teenagers # Births to teenagers # Births (all ages) 2,736 18.9 % Births to teenagers BLACK OR AFRICAN AMERICAN 6,648 # Births to teenagers # Births (all ages) 35,103 3,3,96 # Births to teenagers HISPANIC OR LATINO 38,934 # Births (all ages) WHITE NON-HISPANIC 1,882 # Births to teenagers # Births (all ages) 11,851 13.5 % Births to teenagers RURAL COUNTIES 9,906 # Births to teenagers # Births (all ages) 73,319 13.8 % Births to teenagers URBAN COUNTIES 11,790 2 85,213 2001 # 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, 2001-2011 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA, AND UNITED STATES, 2001-2011 15 - 19 Years Old Under 15 Years Total Year AZ U.S. AZ 15-17 Years U.S. AZ 18-19 Years U.S. AZ U.S. 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 2011 0.5 0.4 37.2 31.3 18.6 15.4 63.7 54.1 Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 2001-2011 24 Teen Pregnancy, Arizona 2001-2011 25 1,735 One or more † 17 1,595 2,496 4,108 10 967 2,231 3,208 9 437 1,658 2,104 * 166 1,169 1,340† * 41 470 510† 2002 9 1,567 2,592 4,168 6 996 2,209 3,211 * 475 1,729 2,210† * 168 1,144 1,310† * 36 551 590† 2003 * 1,681 2,556 4,240† * 954 2,250 3,210† 7 427 1,838 2,272 * 159 1,228 1,390† * 25 538 570† 2004 * 1,586 2,631 4,220† * 940 2,411 3,350† * 468 1,791 2,260† * 150 1,167 1,320† * 44 559 600† 2005 sum rounded to nearest tens unit due to addend less than 6. 12 2,597 None Previous pregnancies Unknown 4,344 19 Total Unknown 988 2,161 Previous pregnancies One or more 3,168 9 Total None Unknown 464 1,634 Previous pregnancies One or more 2,107 6 176 Total None Unknown One or more 1,171 Previous pregnancies * 49 569 1,353 None Unknown One or more None 620† 2001 Total Previous pregnancies Total Pregnancies Notes: * cell suppressed due to count less than 6; 19 18 17 16 15 Mother's age * 1,812 2,961 4,770† * 1,004 2,519 3,520† * 502 1,905 2,410† * 158 1,290 1,450† * 35 558 590† 2006 Year * 1,790 2,980 4,770† * 1,016 2,645 3,660† * 502 1,895 2,400† * 161 1,199 1,360† * 51 553 600† 2007 * 1,407 3,065 4,470† * 799 2,576 3,380† * 348 1,983 2,330† * 104 1,146 1,250† * 17 553 570† 2008 * 1,570 2,667 4,240† * 851 2,226 3,080† * 350 1,598 1,950† * 119 988 1,110† * 18 428 450† 2009 * 1,295 2,459 3,750† * 680 1,967 2,650† * 291 1,343 1,630† * 89 848 940† * 22 317 340† 2010 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2001-2011 * 1,074 2,414 3,490† * 498 1,901 2,400† * 209 1,197 1,410† * 49 743 790† * 10 239 250† 2011 Teen Pregnancy, Arizona 2001-2011 26 * * * * * * * * 2004 2005 2006 2007 2008 2009 2010 2011 11 * * * * * * * * * * * 12 18 * * * * * * * * * 7 11 15 16 20 25 22 * * 116 13 * * * 741 93 92 116 141 156 143 14 * * * * 2,208 249 339 446 570 604 15 * * * * * 4,086 792 937 1,107 1,250 16 * * * * * * 4,988 1,406 1,634 1,948 17 * * * * * * * 5,046 2,399 2,647 18 * * * * * * * * 3,488 3,488 19 * * * 20,694 8,435 5,662 3,633 1,981 784 170 25 Mother was 19 or younger in 2011 The figures in Table 13 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 2001-2011. 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 2011. For example, mothers who were 11 years old in 2002 were 20 years old in 2011. 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 2011 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2005, 25 remained in their teens in 2011. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 20,694 mothers under 20 in Arizona in 2011, 116 had given birth when 13 years old. gave birth to a baby prior to 2011 and were still 19 or less years old in 2011. gave birth to the babies in 2011. Among them are those who: NOTE: The above table focuses on the 2011 cohort of Arizona mothers who were 19 or younger that year. Notes: * cell suppressed due to count less than 6; * * 2003 Cumulative number of mothers 19 or younger * 10 2002 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 2011 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2001-2011 All 19 years or younger 10-14 years WHITE NON-HISPANIC 2001 21.1 2002 20.1 2003 18.2 2004 17.7 2005 15.8 2006 18.9 2007 19.0 2008 17.5 2009 15.6 2010 15.9 2011 11.8 HISPANIC OR LATINO 2001 59.1 2002 57.6 2003 57.5 2004 59.2 2005 55.5 2006 56.0 2007 55.3 2008 49.4 2009 43.5 2010 33.8 2011 30.2 BLACK OR AFRICAN AMERICAN 2001 45.1 2002 42.5 2003 45.4 2004 44.2 2005 43.5 2006 32.6 2007 36.1 2008 37.7 2009 33.3 2010 29.5 2011 24.9 AMERICAN INDIAN OR ALASKA NATIVE 2001 36.7 2002 36.6 2003 39.9 2004 39.7 2005 40.8 2006 36.2 2007 39.1 2008 35.5 2009 34.7 2010 37.0 2011 29.2 ASIAN OR OTHER PACIFIC ISLANDER 2001 20.3 2002 19.1 2003 19.2 2004 19.3 2005 16.2 2006 12.9 2007 15.3 2008 13.5 2009 11.6 2010 9.9 2011 9.1 15-19 years 15-17 years 18-19 years 0.5 0.4 0.4 0.3 0.3 0.4 0.9 0.3 0.3 0.3 0.2 41.9 40.0 36.3 35.3 31.6 37.2 36.3 34.1 30.3 30.5 22.8 20.8 20.2 17.5 16.9 14.9 17.2 15.6 14.9 12.3 12.9 9.6 71.0 67.9 62.9 61.2 55.1 68.6 70.3 65.3 59.6 53.9 40.8 2.5 2.5 2.6 2.3 2.2 1.9 1.9 1.7 1.1 0.9 0.9 119.5 116.6 116.2 120.1 112.5 117.3 116.8 104.4 92.4 67.9 60.5 79.7 77.0 76.5 79.7 72.9 72.7 68.5 62.7 51.3 38.9 31.8 176.0 172.8 172.7 177.4 168.9 188.1 201.2 177.2 164.2 112.6 104.0 2.2 2.4 ** 1.6 1.6 1.4 2.3 1.6 0.8 1.1 0.9 93.1 87.5 94.9 91.8 89.0 67.2 73.9 78.1 69.5 56.1 47.7 57.5 47.0 59.8 53.0 51.6 36.1 36.9 37.2 31.6 27.3 22.3 146.0 148.0 147.5 149.8 144.8 118.1 144.1 155.7 141.7 97.0 84.0 1.4 1.3 2.5 1.4 1.5 1.1 2.0 1.4 1.0 1.2 0.8 77.2 77.0 82.9 83.6 85.8 71.1 73.8 67.4 66.2 69.5 55.7 43.5 45.1 52.0 53.2 55.0 41.5 42.4 38.1 36.9 40.5 28.8 133.0 130.1 134.2 134.2 137.0 119.8 124.9 115.2 114.0 111.0 94.2 ** ** ** ** ** ** ** ** ** ** ** 38.2 35.7 35.5 36.2 30.4 25.7 31.1 27.6 23.6 19.9 18.0 22.8 14.6 22.0 20.2 16.2 13.0 12.0 11.6 8.2 8.3 7.2 57.0 61.6 52.1 55.0 47.6 45.0 62.2 53.5 48.7 35.5 32.7 Note: ** cell suppressed due to rate based on count less than 6. Teen Pregnancy, Arizona 2001-2011 27 Teen Pregnancy, Arizona 2001-2011 28 270† Total reported infections 4,726 Total reported infections 4,651 35 135 23 4,024 469 220† * * * 4,093 27 90 25 3,475 503 200† * * * 169 5,078 28 121 19 4,400 538 230† * * * 188 270† * 7 * 224 6,313 31 128 13 5,451 721 7,151 43 143 16 6,188 804 15-19 years old 260† * * * 210 32 7,470 38 136 25 6,600 709 320† * 10 * 278 2007 19 7,219 53 148 8 6,595 468 280† * 11 * 249 2008 26 7,290 45 60 6 6,771 453 250† * * * 224 2009 22 7,360 52 155 10 6,666 529 250† * 7 * 223 2010 27 7,895 36 123 8 7,073 691 240† * 7 * 208 2011 Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6; 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. 30 121 Genital herpes Gave birth that year 24 4,046 Chlamydia Early syphilis 535 Gonorrhea Diagnosed with: * 7 Genital herpes Gave birth that year * Early syphilis 191 40 223 36 Chlamydia 31 2006 40 22 2005 37 2004 Gonorrhea 2003 10-14 years old 2002 Diagnosed with: 2001 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2001-2011 Teen Pregnancy, Arizona 2001-2011 29 2583.1 2460.9 25.9 71.4 12.2 2129.1 248.2 110† ** ** 97.5 11.2 2002 2109.8 30.0 46.4 12.9 1791.2 259.3 100† ** ** 83.7 15.4 2003 2526.6 23.1 60.3 9.5 2189.1 267.7 110† ** ** 90.1 17.2 2004 2006 120† 3.1 ** 100.3 17.9 3033.6 24.2 61.5 6.2 2619.4 346.5 3346.3 30.1 66.9 7.5 2895.7 376.2 15-19 years old 130† ** ** 97.1 18.5 3473.1 27.9 63.2 11.6 3068.6 329.6 140† 4.5 ** 125.1 14.4 2007 10-14 years old 2005 3303.2 35.8 67.7 3.7 3017.7 214.1 120† 4.9 ** 110.3 8.4 2008 3305.3 75.0 27.2 2.7 3070.0 205.4 110† ** ** 98.3 11.4 2009 3337.0 33.5 69.1 4.5 2971.9 253.8 110† 3.2 ** 101.5 10.0 2010 3495.6 29.3 54.8 3.6 3153.3 308.1 110† 3.2 ** 94.7 12.3 2011 Notes: ** cell suppressed due to rate based on count less than 6; † sum rounded to nearest tens unit due to addend less than 6; 1 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 24.8 66.1 Genital herpes Gave birth that year (%) 13.1 2211.5 Chlamydia Early syphilis 292.4 Gonorrhea Diagnosed with: 150† 3.7 Genital herpes Total reported infections ** 122.6 Chlamydia Early syphilis 19.5 Gonorrhea Diagnosed with: 2001 TABLE 16 TRENDS IN THE INCIDENCE RATES1 OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2001-2011 TABLE 17 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2011 NUMBER OF PREGNANCIES:1 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 150† * 150 39 111 Cochise 200† * 203 67 136 Coconino 230† * 225 71 154 Gila 110† * 112 36 76 Graham 90† * 85 23 62 Greenlee 20† * 21 * 16 Maricopa 6,096 96 6,000 1,726 4,274 Mohave 220† * 214 51 163 Navajo 290† * 290 94 196 Pima 1,487 20 1,467 427 1,040 Pinal 525 8 517 149 368 Santa Cruz 120† * 115 40 75 Yavapai 220† * 219 66 153 Yuma 476 6 470 137 333 La Paz 30† * 31 8 23 10,269 150† 10,119 2,940† 7,180 TOTAL STATE PREGNANCY RATES:2 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 23.6 ** 45.5 18.4 94.2 Cochise 24.7 ** 47.8 26.5 78.9 Coconino 20.3 ** 32.4 26.4 36.2 Gila 35.9 ** 69.7 34.8 132.6 Graham 28.5 ** 54.1 28.4 81.7 Greenlee 34.1 ** 75.0 ** 163.3 Maricopa 22.4 0.7 44.4 21.4 78.4 Mohave 18.9 ** 37.3 14.2 75.9 Navajo 33.4 ** 65.5 33.5 121.1 Pima 22.6 0.7 41.5 22.3 64.3 Pinal 21.7 0.6 47.2 21.1 94.7 Santa Cruz 27.9 ** 55.9 29.9 104.2 Yavapai 19.9 ** 39.2 19.1 71.3 Yuma 30.1 0.8 58.6 27.6 109.3 La Paz 31.9 ** 61.1 24.5 127.8 TOTAL STATE 23.0 0.7 44.8 22.1 77.2 † Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; sum rounded to nearest tens unit due to addend less than 6; 1,000 females in specified group. Teen Pregnancy, Arizona 2001-2011 1 the sum of live births, fetal deaths and abortions; 2 the number of pregnancies per 30 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2011 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 150† * 146 39 107 Cochise 180† * 175 55 120 Coconino 190† * 188 63 125 Gila 110† * 103 35 68 Graham 80† * 82 23 59 Greenlee 20† * 16 * 12 Maricopa 4,780 63 4,717 1,381 3,336 Mohave 210† * 209 50 159 Navajo 280† * 278 88 190 Pima 1,183 13 1,170 344 826 Pinal 481 7 474 133 341 Santa Cruz 110† * 107 36 71 Yavapai 210† * 202 58 144 Yuma 440† * 438 130 308 30† * 29 8 21 8,435 100† 8,334 2,450† 5,887 La Paz TOTAL STATE BIRTH RATES:1 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 23.1 ** 44.6 18.5 91.5 Cochise 21.1 ** 41.0 21.7 69.3 Coconino 16.9 ** 26.8 23.4 29.0 Gila 33.1 ** 64.1 33.9 118.7 Graham 27.9 ** 52.9 28.8 78.7 Greenlee 26.0 ** 57.1 ** 122.4 Maricopa 17.7 0.5 35.1 17.2 61.6 Mohave 18.4 ** 36.5 14.0 74.1 Navajo 31.8 ** 62.7 31.3 117.1 Pima 18.1 0.4 33.3 18.1 51.3 Pinal 20.3 0.5 44.2 19.2 89.7 Santa Cruz 26.3 ** 52.7 27.3 99.9 Yavapai 18.2 ** 36.2 16.8 67.2 Yuma 28.7 ** 56.0 26.8 103.6 La Paz 29.9 ** 57.3 24.5 116.7 TOTAL STATE 19.0 0.5 37.2 18.6 63.7 † Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; sum rounded to nearest tens unit due to addend less than 6; Teen Pregnancy, Arizona 2001-2011 1 the number of births per 1,000 females in specified group. 31 TABLE 19 PREGNANCY RATES1 AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2011 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births TOTAL PREGNANCIES Spontaneous fetal losses Number Rate 10 45,415 * * * 0† ** 11 44,502 * * * 0† ** 12 43,706 * 6 * 10† 0.2 13 43,979 7 11 * 20† 0.4 14 43,696 93 31 * 120† 2.8 221,298 101 49 * 150† 0.7 15 43,808 249 73 * 320† 7.4 16 44,542 792 159 * 950† 21.4 17 44,464 1,406 246 10 1,662 37.4 132,814 2,447 478 14 2,939 22.1 18 46,336 2,399 527 12 2,938 63.4 19 46,707 3,488 731 23 4,242 90.8 18-19 93,043 5,887 1,258 35 7,180 77.2 447,155 8,440† 1,790† 50† 10,270† 23.0 10-14 15-17 Total 10-19 Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; † sum rounded to nearest tens unit due to addend less than 6; Teen Pregnancy, Arizona 2001-2011 1 rates per 1,000 female population in specific group. 32 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2011 Mother's age Total 12 13 14 15 16 17 18 19 TOTAL 8,435 0† 10† 90† 250† 790† 1,410† 2,400† 3,488 Apache 150† * * * * 8 27 43 64 Cochise 180† * * * * 20 31 48 72 Coconino 190† * * * * 14 46 48 77 Gila 110† * * * * 8 22 27 41 Graham 80† * * * * 8 13 19 40 Greenlee 20† * * * * * * * 9 Maricopa 4,780† * * 58 146 458 777 1,338 1,998 Mohave 210† * * * 7 17 26 65 94 Navajo 280† * * * 8 28 52 74 116 Pima 1,180† * * 13 39 114 191 350 476 Pinal 480† * * 6 8 48 77 151 190 Santa Cruz 110† * * * * 6 25 39 32 Yavapai 210† * * * * 19 35 54 90 Yuma 440† * * * 12 42 76 133 175 30† * * * * * * 7 14 La Paz Note: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 33 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2011 Total TOTAL 12 13 14 15 16 17 18 19 1,784 10† 10† 30† 70† 160† 250† 530† 730† Apache 0† * * * * * * * * Cochise 30† * * * * * 6 6 9 Coconino 40† * * * * * * 10 18 Gila 10† * * * * * * * * 0† * * * * * * * * Greenlee 10† * * * * * * * * Maricopa 1,280† * 8 19 54 113 170 385 530 Mohave 10† * * * * * * * * Navajo 10† * * * * * * * * Pima 300† * * 7 7 27 46 91 122 Pinal 40† * * * * 7 6 8 18 Santa Cruz 10† * * * * * * * * Yavapai 20† * * * * * 7 * * Yuma 30† * * * * * * 11 9 0† * * * * * * * * Graham La Paz Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 34 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2011 Total AHCCCS Private insurance IHS Self Unknown TOTAL 8,435 7,049 310† 850† 190† 50† Apache 150† 87 53 * * * Cochise 180† 134 * 30 11 * Coconino 190† 118 58 13 * * Gila 110† 58 41 * * * Graham 80† 48 20 11 * * Greenlee 20† 11 * * * * Maricopa 4,780 4,163 30 491 71 25 Mohave 210† 168 * 34 7 * Navajo 280† 204 63 12 * * Pima 1,183 996 22 133 26 6 Pinal 480† 413 8 49 8 * Santa Cruz 110† 85 * 6 17 * Yavapai 210† 178 * 21 * * Yuma 440† 366 * 34 40 * 30† 20 7 * * * La Paz Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 35 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2011 Mother's age group Total <15 Total Count Payee for births AHCCCS IHS Self Unknown 18-19 8,435 100† 2,447 5,887 7,049 85 2,039 4,925 Percent 83.6 84.2 83.3 83.7 Count 310† * 106 194 3.6 * 4.3 3.3 Count 850† * 215 625 Percent 10.0 * 8.8 10.6 Count 190 6 73 111 Percent 2.3 5.9 3.0 1.9 Count 50† 0 14 32 Percent 0.5 * 0.6 0.5 Count Percent Private insurance 15-17 Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 36 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2011 Mother's age group Total Total Count Total prior pregnancies None 2 3 4 or more 18-19 2,450† 5,890† 6,773 100 2,219 4,454 80.3 99.0 90.7 75.7 1,400† * 214 1,187 Percent 16.6 * 8.7 20.2 Count 220† * 9 212 Percent 2.6 * 0.4 3.6 Count 20† * * 22 Percent 0.3 * * 0.4 Count Count Count Percent Unknown 15-17 100† Percent 1 <15 8,435 0† * * * * * * * Count 10† * * 10 Percent 0.1 * * 0.2 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2011 Mother's age group Total Total Count Marital status Married Unmarried 15-17 18-19 8,435 100† 2,450† Count 910† * 128 778 Percent 10.8 * 5.2 13.2 7,512 100 2,317 5,095 86.5 Count Percent Other <15 5,887 89.1 99.0 94.7 Count 20† * * 14 Percent 0.2 * * 0.2 TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2011 Mother's age group Total Total Count Mother's education <8 8 13-16 17+ 2,450† Count 136 21 39 76 Percent 1.6 20.8 1.6 1.3 Count 316 46 152 118 Count 5,890† 3.7 45.5 6.2 2.0 3,784 33 1,850 1,901 44.9 32.7 75.6 32.3 3,420† * 368 3,055 Percent 40.6 * 15.0 51.9 Count 710† * 17 693 Percent 8.4 * 0.7 11.8 Count 10† * * * * * * * Count Percent Unknown 18-19 100† Percent 12 15-17 8,435 Percent 9-11 <15 Count 60† * 21 39 Percent 0.7 * 0.9 0.7 Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 37 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2011 Mother's age group Total Total Count Prenatal care No care 2,447 5,887 210† * 71 138 2.5 * 2.9 2.3 5,790 61 1,563 4,166 68.6 60.4 63.9 70.8 1,911 29 614 1,268 22.7 28.7 25.1 21.5 Count 485 8 190 287 Percent 5.7 7.9 7.8 4.9 Count 40† * 9 28 Percent 0.4 * 0.4 0.5 Count Count Count Percent 3rd trimester Unknown 18-19 100† Percent 2nd trimester 15-17 8,435 Percent 1st trimester <15 TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2011 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 2,447 5,887 210† * 71 138 Percent 2.5 * 2.9 2.3 Count 490 12 169 309 Percent 5.8 11.9 6.9 5.2 1,787 30 562 1,195 21.2 29.7 23.0 20.3 3,926 38 1,095 2,793 46.5 37.6 44.7 47.4 1,972 18 539 1,415 23.4 17.8 22.0 24.0 Count 50† * 11 37 Percent 0.6 * 0.4 0.6 Count Count Count Count Percent Unknown 18-19 100† Percent 13+ visits 15-17 8,435 Percent 9-12 visits <15 Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 38 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2011 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 15-17 18-19 8,435 100† 2,450† 5,887 Count 10† * * 10 Percent 0.1 * * 0.2 340† * 63 276 Percent 4.0 * 2.6 4.7 Count 20† * * 13 Percent 0.2 * * 0.2 8,069 100 2,381 5,588 95.7 99.0 97.3 94.9 Count Count Percent Notes: * cell suppressed due to count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 39 Teen Pregnancy, Arizona 2001-2011 40 15 86 * 5 or more Unknown * Less than 5 Unknown 96 * Unknown 37 weeks or more 6 Self * * Private insurance 36 weeks or less * 85 IHS AHCCCS 100 * Smoker and drinker Nonsmoker and nondrinker * Smoker, nondrinker * Unknown * * Other Drinker, nonsmoker * 14 American Indian or Alaska Native Native Hawaiian or Pacific Islander 10 Black or African American * 61 Hispanic or Latino Asian 13 White non-Hispanic Note: * cell suppressed due to count less than 6. Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity Total births Count * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Percent LBW births <15 11 2,196 240 * 2,208 239 14 73 215 106 2,039 2,381 * 63 * 11 * * 24 293 152 1,467 494 Total births * 178 46 * 69 156 * * 21 * 193 215 * 9 * * * * * 29 15 131 42 Count * 8.1 19.2 * 3.1 65.3 * * 9.8 * 9.5 9.0 * 14.3 * * * * * 9.9 9.9 8.9 8.5 Percent LBW births 15-17 Mother's age group 37 5,403 447 * 5,361 521 32 111 625 194 4,925 5,588 13 276 10 34 6 * 81 680 399 3,103 1,582 Total births 7 391 63 * 150 310 * 8 46 7 398 429 * 30 * * * * 9 46 60 211 128 Count 18.9 7.2 14.1 * 2.8 59.5 * 7.2 7.4 3.6 8.1 7.7 * 10.9 * * * * 11.1 6.8 15.0 6.8 8.1 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2011 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2011 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 447,155 221,298 225,857 132,814 93,043 White non-Hispanic 201,862 98,072 103,790 59,892 43,898 Hispanic or Latino 175,162 88,963 86,199 51,902 34,297 Black or African American 23,290 11,342 11,948 7,034 4,914 American Indian or Alaska Native 34,119 16,480 17,639 10,364 7,275 Asian or Pacific Islander 12,723 6,441 6,282 3,622 2,660 Note: The 2011 population denominators are population estimates. 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 10,269 150 10,119 2,939 7,180 White non-Hispanic 2,392 23 2,369 577 1,792 Hispanic or Latino 5,297 78 5,219 1,653 3,566 Black or African American 580 10 570 157 413 American Indian or Alaska Native 997 14 983 298 685 120† * 113 26 87 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 23.0 0.7 44.8 22.1 77.2 White non-Hispanic 11.8 0.2 22.8 9.6 40.8 Hispanic or Latino 30.2 0.9 60.5 31.8 104.0 Black or African American 24.9 0.9 47.7 22.3 84.0 American Indian or Alaska Native 29.2 0.8 55.7 28.8 94.2 10† ** 18.0 7.2 32.7 Asian or Pacific Islander Notes: * cell suppressed due to count less than 6; ** cell suppressed due to rate based on count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2001-2011 41 Teen Pregnancy, Arizona 2001-2011 42 15,805 Yuma 7,785 5,658 2,099 13,265 30,410 4,374 5,739 136,807 465 336 1,414 1,568 4,227 4,011 3,140 221,298 10-14 years http://www.azdhs.gov/plan//menu/info/pd.htm Note: The 2011 population denominators are population estimates. For more information visit: 11,250 4,157 Yavapai Santa Cruz 24,220 Pinal 8,799 Navajo 65,761 11,469 Mohave Pima 272,077 972 La Paz Maricopa 616 Greenlee 2,984 Graham 11,172 Coconino 3,174 8,259 Cochise Gila 6,440 447,155 Apache ARIZONA All 19 years or younger 8,020 5,592 2,058 10,955 35,351 4,425 5,730 135,270 507 280 1,570 1,606 6,945 4,248 3,300 225,857 15-19 years 4,972 3,447 1,338 7,068 19,165 2,806 3,582 80,746 327 182 811 1,033 2,691 2,524 2,122 132,814 15-17 years 15-19 years TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2011 3,048 2,145 720 3,887 16,186 1,619 2,148 54,524 180 98 759 573 4,254 1,724 1,178 93,043 18-19 years Teen Pregnancy, Arizona 2001-2011 43 26,231 14,640 2,680 183.1 168,417 8,870 52.7 D. Cumulative number of mothers who gave birth when 15-19 years old 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 first-time births to females 15-19 years old who did not have a birth previously J. The rate of first-time births (I/H)*1,000 63.3 11,591 B. The number of births to females 15-19 years old C. The rate of births (B/A)*1,000 183,057 A. The number of females 15-19 years old 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 35.7 7,409 207,721 114.4 1,898 16,581 25,892 41.5 9,311 224,302 2010 33.4 6,683 199,965 63.8 1,651 25,892 34,226 37.2 8,334 225,857 2011 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 2011 cohort of mothers who were 15-19 years old includes 8,334 who gave birth that year and 25,892 who gave birth prior to 2011 and were still 15-19 years old in 2011 (Table 13). The number of births per 1,000 females 1519 years old. Based on the birth database. Cenus enumerations for 2010; population estimates for 2001-2011. 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, Marital Status, and Health, Heart Disease vs. Cancer: An Epidemiologic Transition in Mortality Risks. Population Health and Vital Statistics Section Bureau of Public Health Statistics ARIZONA DEPARTMENT OF HEALTH SERVICES