TEENAGE PREGNANCY Arizona,2002-2012 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, 2002-2012 by Nicholas J. Bishop, Ph.D., Arizona Vital Statistician Sanhita Gupta, Vital Statistics Health Management Analyst Clare Torres, Senior Health Data Analyst January 2014 Acknowledgment Grateful acknowledgement is made to Khaleel S. Hussaini, PhD, Bureau Chief, for reviewing the typescript. TEENAGE PREGNANCY, ARIZONA, 2002-2012 Table of Contents PURPOSE ........................................................................................................................................................................1 METHODS AND SOURCES ...............................................................................................................................................1 DATA ORGANIZATION ....................................................................................................................................................1 COMPARATIVE NATIONAL AND STATE DATA .................................................................................................................2 KEY FINDINGS ...............................................................................................................................................................2 DATA TABLES ...............................................................................................................................................................11 List of Figures Figure 1 .................................................................................................................................................................................. 3 PREGNANCY RATES BY AGE GROUP AND YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 2 .................................................................................................................................................................................. 3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 3 .................................................................................................................................................................................. 4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 4 .................................................................................................................................................................................. 4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 5 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 6 .................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 7 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 8 .................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 9 .................................................................................................................................................................................. 7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Figure 10 ................................................................................................................................................................................ 7 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2002-2012 Figure 11 ................................................................................................................................................................................ 8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2002 AND 2012 Figure 12 ................................................................................................................................................................................ 8 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1992, 2002, AND 2012 Figure 13 ................................................................................................................................................................................ 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 2002 AND 2012 Figure 14 ................................................................................................................................................................................ 9 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 2002-2012 Figure 15 .............................................................................................................................................................................. 10 BIRTH RATES FOR TEENAGERS 15-19 YEARS NATIONALLY AND IN ARIZONA, 2002-2012 Teen Pregnancy, Arizona 2002-2012 List of Figures (continued) Figure 16 .............................................................................................................................................................................. 10 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS NATIONALLY AND IN ARIZONA, 2002-2012 List of Tables Table 1 .................................................................................................................................................................................. 12 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Table 2 .................................................................................................................................................................................. 13 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Table 3 .................................................................................................................................................................................. 14 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2002-2012 Table 4 .................................................................................................................................................................................. 15 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2002-2012 Table 5 .................................................................................................................................................................................. 16 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 2002-2012 Table 6 .................................................................................................................................................................................. 17 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 2002-2012 Table 7 .................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 2002-2012 Table 8 .................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 2002-2012 Table 9 .................................................................................................................................................................................. 20 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 YEARS, 18-19 YEARS, AND 19 YEARS OR YOUNGER, ARIZONA, 2002-2012 Table 10 ................................................................................................................................................................................ 21 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2002-2012 Table 11 ................................................................................................................................................................................ 22 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 2002-2012 Table 12 ................................................................................................................................................................................ 23 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2002-2012 Table 13 ................................................................................................................................................................................ 24 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2012 Table 14 ................................................................................................................................................................................ 25 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2002-2012 Table 15 ................................................................................................................................................................................ 26 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2002-2012 Table 16 ................................................................................................................................................................................ 27 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2002-2012 Teen Pregnancy, Arizona 2002-2012 ii List of Tables (continued) Table 17 ................................................................................................................................................................................ 28 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2012 Table 18 ................................................................................................................................................................................ 29 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2012 Table 19 ................................................................................................................................................................................ 30 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2012 Table 20 ................................................................................................................................................................................ 31 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2012 Table 21 ................................................................................................................................................................................ 32 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2012 Table 22 ................................................................................................................................................................................ 33 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE, AND COUNTY OF RESIDENCE, ARIZONA, 2012 Table 23 ................................................................................................................................................................................ 34 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2012 Table 24 ................................................................................................................................................................................ 35 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2012 Table 25 ................................................................................................................................................................................ 35 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2012 Table 26 ................................................................................................................................................................................ 35 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2012 Table 27 ................................................................................................................................................................................ 36 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2012 Table 28 ................................................................................................................................................................................ 36 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2012 Table 29 ................................................................................................................................................................................ 37 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2012 Table 30 ................................................................................................................................................................................ 38 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2012 Table 31 ................................................................................................................................................................................ 39 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2012 Table 32 ................................................................................................................................................................................ 40 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2012 Appendix .............................................................................................................................................................................. 41 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 2002-2012 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2012 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 2002-2009 and 2011-2012 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 2012 Teenage Pregnancy report suppresses information in tables with small cell sizes. 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 1-14 present annual numbers and rates of pregnancy, fertility, and abortion by year from 2002 to 2012 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 2002 to 2012. 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 2002 to 2012 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 2002 to 2012. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 2002-2012. Table 16 shows the incidence rates by year from 2002 to 2012. Frequency counts, proportions, and rates in Tables 17-32 all apply to the 2012 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 2012 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 2002-2012. Teen Pregnancy, Arizona 2002-2012 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 2002 – 2012 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 2012, the pregnancy rate of 21.6 pregnancies per 1,000 females 19 years or younger was 38.6 percent lower than the rate of 35.2 per 1,000 in 2002. • 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 steeply by 48.3 percent from 42.2 per 1,000 in 2002 to 21.8 in 2012. The rate for older teenagers (aged 18-19 years) fell by 36.9 percent from 111.2/1,000 in 2002 to 70.2/1,000 in 2012. • The 2012 teen pregnancy rate of 21.6/1,000 was based on 9,710 pregnancies occurring among 450,081 females aged 10-19 years. The number of 9,710 teen pregnancies in 2012 was 5.4 percent lower than 2011 and was the lowest number of teen pregnancies since 1984. • From 2007 to 2012, the number of teen pregnancies declined particularly steeply for White non-Hispanic (45.4 percent), Hispanic or Latino (-40.5 percent), and Asian females (-47.3 percent). • In 2012, Hispanic or Latino females accounted for 52.4 percent of all pregnancies in this age group, followed by White non-Hispanics (23.1 percent). • In each year from 2002 to 2012, 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 2012, the Hispanic rate exceeded the average rate for all groups by 29.6 percent. • If the 2012 “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 9,710 to approximately 3,376 ((7.5/1,000) * 450,081). • The proportion of non-surgical abortions to females 19 years or younger decreased from 44.3 percent in 2009 to 27.2 percent in 2012, indicating the proportion of surgical abortions increased 17.1 percent over that period. • The first birth rate for childless teenagers has dropped 32.1 percent from 49.8 first-time births per 1,000 females 15-19 years old in 2002 to 33.8/1,000 in 2012. • The repeat birth rates for teenagers who had already had a child decreased by 75.1 percent from 178.8 in 2002 to 44.6 per 1,000 females 15-19 years old in 2012 who had a previous birth . • Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. In 2012, nonmarital births accounted for 89.5 percent of births to mothers 19 years or younger. • The total number of births to mothers 19 years or younger decreased by 29.3 percent from 11,474 in 2002 to 8,117 in 2012. 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 77.6 percent in 2002 to 83.2 percent in 2012. _______________________________________________ * Available at www.guttmacher.org/pubs/UStrends.pdf Teen Pregnancy, Arizona 2002-2012 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 2002-2012 Teenage pregnancy rates dropped 38.6 percent overall from 2002 to 2012. (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 48.3 percent from 42.2 per 1,000 in 2002 to 21.8 in 2012. The rate for older teenagers (aged 18-19 years) fell by 36.9 percent from 111.2/1,000 in 2002 to 70.2/1,000 in 2012. Two of the three components of the pregnancy rates for teenagers 19 years old or younger (births and fetal losses) declined from 2007 to 2012, though the abortion rate increased from 2010 to 2011 and returned to 3.4/1,000 females in 2012 (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, 2002-2012 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 2003 2005 were lower than the 2002 rate of 35.2 /1,000. In contrast, the number of pregnancies increased from 13,572 in 2002 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). Note: Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2002-2012 The 2012 teen pregnancy rate of 21.6/1,000 was based on 9,710 pregnancies occurring among 450,081 females aged 10-19 years. The number of 9,710 teen pregnancies in 2012 was 5.4 percent lower than 2011 and was the lowest number of teen pregnancies since 1984. 3 KEY FINDINGS The number of pregnancies to Hispanic females aged 19 years or younger exceeded the number of pregnancies among white nonHispanic peers in every year since 1994 (Figure 3 and Table 8 in this report show only the data for 20022012). In 2012, Hispanic or Latino females accounted for 52.4 percent of all pregnancies in this age group, followed by White non-Hispanics (23.1 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 2012 (16.0 percent) than they did in 2002 (13.8 percent). Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 2002-2012 From 2007 to 2012, the number of teen pregnancies declined particularly steeply for White non-Hispanic (45.4 percent), Hispanic or Latino (-40.5 percent), and Asian females (-47.3 percent). Note: The sum of live births + induced abortions + spontaneous fetal deaths. The teen pregnancy rates for all race and ethnic groups were lower in 2012 than in 2002 (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, 2002-2012 Figures 4, 5, 6, 7, and 8 reveal race/ethnicity-specific trends in teen pregnancy rates in Arizona in 20022012. From 2002 to 2012, the teenage pregnancy rate for Hispanic or Latino women declined more than 50 percent (51.4 percent), with the majority of the decline occurring between 2007 and 2012 (Figure 4). In each year from 2002 to 2012, 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 2012, the Hispanic rate exceeded the average rate for all groups by 29.6 percent. Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2002-2012 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 2002-2012 The pregnancy rate for White non-Hispanics has substantially declined from 2002 to 2012 (46.8 percent), save for an increase from 2005 to 2007 (Figure 5). In each year from 2002 to 2012, the pregnancy rates for White non-Hispanic females were lower than the average rates for all females 19 years or younger in Arizona. 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, 2002-2012 The pregnancy rate among American Indian females 19 years or younger varied somewhat erratically from 2002 to 2012, showing a 21.1 percent decrease from 2010 to 2011 and a 15.1 percent increase from 2011 to 2012 (Figure 6). The American Indian teenage pregnancy rate was higher than the average for all groups from 2002 to 2012. Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2002-2012 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 2002-2012 Pregnancy rates for Black or African American females 19 years or younger decreased from 42.5/1,000 in 2002 to 26.2/1,000 in 2012 (Figure 7). Excluding 2006, the pregnancy rates for Black or African American teenagers exceeded the pregnancy rate for all groups. 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, 2002-2012 In each year from 2002 to 2012, 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 2012, the Asian rate (7.5/1,000) was 65.3 percent lower than the rate for all groups (21.6/1,000). If the 2012 “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 9,710 to approximately 3,376 ((7.5/1,000) * 450,081). Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2002-2012 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2002-2012 The proportion of non-surgical abortions to females 19 years or younger decreased from 44.3 percent in 2009 to 27.2 percent in 2012, indicating the proportion of surgical abortions increased 17.1 percent over that period (Figure 9). Note: Non-surgical: Mifepristone, Methotrexate, RU486, etc. Figure 10 Cumulative Number of Mothers who were 19 or Younger in Arizona by Year, 2002-2012 There were approximately 18,705 mothers under the age of 20 in Arizona in 2012. Among them there were the 8,117 who gave birth in 2012 and the 10,588 who gave birth prior to 2012 and were still 19 years old or younger in 2012 (Figure 11, Table 13). The cumulative number of mothers who were 19 years or younger in Arizona in 2012 decreased by 30.4 percent from 26,864 in 2010. Teen Pregnancy, Arizona 2002-2012 7 KEY FINDINGS Figure 11 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2002 and 2012 The first birth rate for childless teenagers has dropped 32.1 percent from 49.8 first-time births per 1,000 females 15-19 years old in 2002 to 33.8/1,000 in 2012 (Figure 12). The repeat birth rates for teenagers who had already had a child decreased by 75.1 percent from 178.8 in 2002 to 44.6 per 1,000 females 15-19 years old in 2012 who had a previous birth (Figure 12). Note: * 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.” Figure 12 Births to Mothers 19 or Younger by Marital Status, Arizona, 1992, 2002, and 2012 Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. Two decades ago, more than 7 out of 10 teenage mothers were unmarried (Figure 13). In 2012, nonmarital births accounted for 89.5 percent of births to mothers 19 years or younger. Teen Pregnancy, Arizona 2002-2012 8 KEY FINDINGS Figure 13 Number of Births to Mothers 19 or Younger by Payee, Arizona, 2002 and 2012 The total number of births to mothers 19 years or younger decreased by 29.3 percent from 11,474 in 2002 to 8,117 in 2012 (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 77.6 percent in 2002 to 83.2 percent in 2012 (Figure 14). Figure 14 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 2002-2012 In each year from 2007 to 2012, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,400 (Table 15) compared to an average of 5,457 reported in years 2002 to 2006. The rate of STI among females 15-19 years old increased by 39.5 percent from 2,460.9 cases per 100,000 in 2002 to a rate of 3,431.9/100,000 in 2012. 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. Note: * The sum of annually reported cases of gonorrhea, chlamydia, genital and early syphilis. Source: Bureau of Epidemiology and Disease Control Services, Office of Infectious Disease Services. Teen Pregnancy, Arizona 2002-2012 9 KEY FINDINGS Figure 15 Birth Rates for Teenagers 15-19 Years, Nationally and in Arizona, 2002-2012 In each year from 2002 to 2012, birth rates for Arizona teenagers 1519 years old exceeded the rates of their national peers (Figure 17, Table 11). In Arizona, Hispanic or Latino females 15-19 years old, a highfertility group, accounted for 40.0 percent of females aged 15-19 years in 2012. A high proportional representation of Hispanic or Latino females in Arizona puts upward pressure on the overall teen birth rate. Note: The number of births per 1,000 females 15-19 years old. Figure 16 Birth Rates for Hispanic or Latino Teenagers 15-19 Years, Nationally, and in Arizona, 2002-2012 In 2012, Hispanics or Latinos aged 15-19 years disproportionately accounted for 57.0 percent of births to mothers in this age group in Arizona (4,627 out of 8,117; see Table 6 and Table 7). The 2012 birth rate among teen 1519 years old exceeded the national rate for this age/ethnic group by 5.4 percent. Note: The number of births per 1,000 females 15-19 years old. Teen Pregnancy, Arizona 2002-2012 10 TEENAGE PREGNANCY, ARIZONA, 2002-2012 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Pregnancy outcome by year ALL PREGNANCIES 2002 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 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 10,269 150 10,119 2,939 7,180 2012 LIVE BIRTHS 2002 9,710 116 9,594 2,860 6,734 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 8,435 101 8,334 2,447 5,887 2012 ABORTIONS 2002 8,117 67 8,050 2,430 5,620 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 1,785 49 1,736 478 1,258 2012 FETAL LOSSES 2002 1,539 48 1,491 414 1,077 100† * 98 39 59 2003 90† * 86 31 55 2004 80† * 79 25 54 2005 73 0 73 29 44 2006 80† * 80 31 49 2007 90† * 84 38 46 2008 70† * 71 22 49 2009 66 0 66 26 40 2010 50† * 51 18 33 2011 49 0 49 14 35 2012 50† * 53 16 37 Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2002-2012 † Sum rounded to nearest tens unit due to non-zero addend less 12 TABLE 2 PREGNANCY RATESa BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2002-2012 Pregnancy outcome by year ALL PREGNANCIES 2002 Total females 19 years or younger 15-19 years old Under 15 years Total 15-17 years 18-19 years 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 24.7 0.7 48.3 25.5 80.8 2011 23.0 0.7 44.8 22.1 77.2 2012 LIVE BIRTHS 2002 21.6 0.5 42.2 21.8 70.2 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 19.0 0.5 37.2 18.6 63.7 2012 ABORTIONS 2002 18.0 0.3 35.4 18.5 58.6 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 4.0 0.2 7.7 3.6 13.5 2012 FETAL LOSSES 2002 3.4 0.2 6.6 3.1 11.2 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 0.0 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 0.0 0.3 0.2 0.5 2010 0.1 ** 0.2 0.1 0.4 2011 0.1 0.0 0.2 0.1 0.4 2012 0.1 ** 0.2 0.1 0.4 a Notes: ** Cell suppressed due to rate/ratio/percent based on non-zero 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 2002-2012 13 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2002-2012 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2012 1,977 HISPANIC OR LATINO 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 2012 4,627 BLACK OR AFRICAN AMERICAN 2002 468 2003 550† 2004 540 2005 569 2006 601 2007 621 2008 656 2009 603 2010 562 2011 561 2012 540† AMERICAN INDIAN OR ALASKA NATIVE 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 2012 890 ASIAN OR PACIFIC ISLANDER 2002 100† 2003 110† 2004 90† 2005 100† 2006 90† 2007 103 2008 110† 2009 90† 2010 100† 2011 110† 2012 80† Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2002-2012 15-19 years Under 15 years † Total 15-17 years 18-19 years 23 23 17 17 19 26 15 20 12 13 8 3,041 2,947 2,789 2,727 3,190 3,074 2,978 2,695 2,374 2,076 1,969 824 782 747 711 852 779 769 649 541 494 475 2,217 2,165 2,042 2,016 2,338 2,295 2,209 2,046 1,833 1,582 1,494 147 146 137 137 123 115 111 87 68 61 46 6,438 6,646 7,001 7,051 7,615 7,667 7,057 6,254 5,280 4,570 4,581 2,507 2,600 2,779 2,721 2,923 2,892 2,724 2,253 1,859 1,467 1,528 3,931 4,046 4,222 4,330 4,692 4,775 4,333 4,001 3,421 3,103 3,053 12 * 12 8 7 12 12 6 10 10 * 456 546 528 561 594 609 644 597 552 551 539 152 204 180 199 187 195 203 181 151 152 159 304 342 348 362 407 414 441 416 401 399 380 18 37 21 21 19 26 22 17 14 14 7 1,021 1,104 1,121 1,183 1,197 1,259 1,163 1,153 974 973 883 374 434 452 478 430 445 408 394 331 293 251 647 670 669 705 767 814 755 759 643 680 632 * * * * * 0 * * * * * 95 106 91 95 91 103 112 86 102 109 78 19 38 25 28 28 31 26 18 23 26 17 76 68 66 67 63 72 86 68 79 83 61 Sum rounded to nearest tens unit due to non-zero addend less 14 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2002-2012 Race/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 2002 1,010 2003 914 2004 1,095 2005 867 2006 917 2007 982 2008 841 2009 720 2010 694 2011 289 2012 238 HISPANIC OR LATINO 2002 650 2003 630 2004 784 2005 522 2006 609 2007 710 2008 561 2009 525 2010 532 2011 638 2012 441 BLACK OR AFRICAN AMERICAN 2002 120† 2003 107 2004 130† 2005 110† 2006 124 2007 136 2008 140† 2009 110† 2010 70† 2011 17 2012 10† AMERICAN INDIAN OR ALASKA NATIVE 2002 40† 2003 70† 2004 70† 2005 80† 2006 60† 2007 63 2008 50† 2009 52 2010 40† 2011 10† 2012 0† ASIAN OR PACIFIC ISLANDER 2002 34 2003 30† 2004 60† 2005 35 2006 40† 2007 60† 2008 40† 2009 40† 2010 14 2011 10† 2012 9 15-19 years Under 15 years Total 15-17 years 18-19 years 20 18 19 15 28 71 21 11 16 10 6 990 896 1,076 852 889 911 820 709 678 279 232 367 304 341 278 296 282 266 207 198 80 65 623 592 735 574 593 629 554 502 480 199 167 15 27 20 21 24 44 34 8 16 17 12 635 603 764 501 585 666 527 517 516 621 429 235 197 247 151 193 210 173 136 151 179 138 400 406 517 350 392 456 354 381 365 442 291 * 6 * * 9 13 * * * 0 * 114 101 124 109 115 123 138 107 66 20† 10† 30 40 46 32 48 42 43 28 24 * 6 84 61 78 77 67 81 95 79 42 13 * * * * * * 8 * 0 * 0 0 37 65 64 72 54 55 52 52 34 10† 0† 12 25 17 21 24 22 17 22 13 * * 25 40 47 51 30 33 35 30 21 * * 0 * * 0 * * * * 0 * 0 34 26 55 35 37 59 34 39 10† 0† 10† 10 7 19 10 11 8 12 8 * 0 * 24 19 36 25 26 51 22 31 9 * 7 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2002-2012 15 Teen Pregnancy, Arizona 2002-2012 16 15.9 13.7 2.1 16.1 13.5 2.4 Abortion rate 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 * 24 30† 15 345 361 25 161 189 167 1,927 2,106 214 553 770 2010 1.5 7.2 8.7 527 2,548 3,089 * 28 30† * 307 310† * 162 170† 196 1,528 1,731 90 507 600 2011 1.3 7.1 8.4 463 2,497 2,976 * 18 20† * 258 260† 9 164 174 150 1,574 1,728 71 483 564 2012 1.3 7.1 8.4 ** 1.9 2.2 ** 12.3 12.4 0.5 9.8 10.4 1.0 10.8 11.9 0.4 3.0 3.5 2012 Rates unspecified ethnicity; e Number of births per 1,000 females 10-17 years old. to non-zero addend less than 6; a Fetal deaths are included in the total counts of pregnancies; b All rates per 1,000 females 10-17 years old; c Not of Hispanic origin; d Includes other and Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; Sum rounded to nearest tens unit due Fertility rate Pregnancy rate, total: e 4,321 5,027 674 4,158 4,951 749 Abortions Births ALL RACE/ETHNIC GROUPSd, total: 10 8 39 20 Births Abortions 28 471 501 46 207 256 224 2,746 47 15 392 409 34 164 207 250 2,654 2,993 322 805 1,131 2003 30 ASIAN OR PACIFIC ISLANDER, total: Abortions Births AMERICAN INDIAN OR ALASKA NATIVE, total: Abortions Births BLACK OR AFRICAN AMERICAN, total: Abortions Births 2,926 387 Abortions HISPANIC OR LATINO, total: 847 1,245 2002 Births WHITEc NON-HISPANIC, total: Race/ethnicity Pregnancy outcome TABLE 5 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGED 17 AND YOUNGER WITH RATESb, ARIZONA, 2002-2012 Teen Pregnancy, Arizona 2002-2012 17 4,110 614 41.6 35.9 5.4 3,952 705 42.2 35.5 6.3 e Abortion rate 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 * 18 30† 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 * 23 30† 13 331 345 24 151 178 151 1,859 2,021 198 541 742 2010 3.6 18.4 22.1 478 2,447 2,939 0 26 26 * 293 300† * 152 160† 179 1,467 1,653 80 494 577 2011 3.1 18.5 21.8 414 2,430 2,860 * 17 20† * 251 250† 6 159 166 138 1,528 1,670 65 475 549 2012 3.1 18.5 21.8 ** 5.0 5.6 ** 31.8 32.2 0.9 25.1 26.2 2.6 28.9 31.6 1.1 7.8 9.0 2012 Rates unspecified ethnicity; e Number of births per 1,000 females 15-17 years old. to non-zero addend less than 6; a Fetal deaths are included in the total counts of pregnancies; b All rates per 1,000 females 15-17 years old; c Not of Hispanic origin; d Includes other and Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; Sum rounded to nearest tens unit due Fertility rate Pregnancy rate, total: Abortions Births 4,755 7 38 19 10 45 25 12 29 434 374 40 30 461 204 152 388 247 197 235 189 2,600 2,507 4,696 ALL RACE/ETHNIC GROUPSd, total: Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions Births AMERICAN INDIAN OR ALASKA NATIVE, total: Abortions Births BLACK OR AFRICAN AMERICAN, total: Abortions Births HISPANIC OR LATINO, total: 2,819 304 367 Abortions 2,761 782 824 WHITEc NON-HISPANIC, total: Births 2003 1,090 2002 1,202 Race/ethnicity Pregnancy outcome TABLE 6 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATESb, ARIZONA, 2002-2012 Teen Pregnancy, Arizona 2002-2012 18 19 24 Abortions 7,379 1,193 108.2 92.5 15.0 7,316 1,246 111.2 94.3 16.1 e Births Abortions Abortion rate 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 13.5 63.3 77.2 1,258 5,887 7,180 * 83 90† * 680 690† 13 399 413 442 3,103 3,566 199 1,582 1,792 2011 11.2 58.6 70.2 1,077 5,620 6,734 7 61 68 * 632 640† * 380 390† 291 3,053 3,357 167 1,494 1,675 2012 11.2 58.6 70.2 2.7 23.8 26.6 ** 109.2 110.7 ** 79.5 81.2 8.1 85.3 93.8 3.5 31.7 35.6 2012 Rates unspecified ethnicity; e Number of births per 1,000 females 18-19 years old. to non-zero addend less than 6; a Fetal deaths are included in the total counts of pregnancies; b All rates per 1,000 females 18-19 years old; c Not of Hispanic origin; d Includes other and Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; Sum rounded to nearest tens unit due Fertility rate Pregnancy rate, total: 8,627 8,621 ALL RACE/ETHNIC GROUPSd, total: 68 76 Births 40 25 87 670 647 61 84 714 342 304 673 408 406 400 398 4,046 3,931 592 623 4,483 2,165 2,217 4,361 2,772 2003 2,857 2002 100 ASIAN OR PACIFIC ISLANDER, total: Abortions Births AMERICAN INDIAN OR ALASKA NATIVE, total: Abortions Births BLACK OR AFRICAN AMERICAN, total: Abortions Births HISPANIC OR LATINO, total: Abortions Births WHITEc NON-HISPANIC, total: Race/ethnicity Pregnancy outcome TABLE 7 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATESb, ARIZONA, 2002-2012 Teen Pregnancy, Arizona 2002-2012 19 27 34 Abortions 11,700 1,867 34.5 29.5 4.7 11,474 1,995 35.2 29.8 5.2 e Abortion rate 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 4.0 18.9 23.0 1,785 8,435 10,269 * 111 120† * 987 1,000† 17 561 580 638 4,631 5,297 289 2,089 2,392 2011 3.4 18.0 21.6 1,539 8,117 9,710 9 79 88 * 890 900† 14 544 562 441 4,627 5,085 238 1,977 2,239 2012 3.4 18.0 21.6 0.8 6.7 7.5 ** 33.1 33.6 0.7 25.3 26.2 2.4 25.5 28.0 1.1 9.5 10.7 2012 Rates unspecified ethnicity; e Number of births per 1,000 females 19 or younger. to non-zero addend less than 6; a Fetal deaths are included in the total counts of pregnancies; b All rates per 1,000 females 19 or younger; c Not of Hispanic origin; d Includes other and Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; Sum rounded to nearest tens unit due Fertility rate Pregnancy rate, total: Abortions Births 13,654 13,572 ALL RACE/ETHNIC GROUPSd, total: 107 96 Births 68 40 134 1,141 1,039 130 ASIAN OR PACIFIC ISLANDER, total: Abortions Births 1,215 1,082 107 118 Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: 549 468 Births 630 650 664 6,792 6,585 605 BLACK OR AFRICAN AMERICAN, total: Abortions Births HISPANIC OR LATINO, total: 7,476 914 1,010 Abortions 7,287 2,970 3,064 WHITEc NON-HISPANIC, total: Births 2003 3,903 2002 4,102 Race/ethnicity Pregnancy outcome TABLE 8 NUMBER OF PREGNANCIESa BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 AND YOUNGER, WITH RATESb, ARIZONA, 2002-2012 19 YEARS OR YOUNGER 18-19 YEARS 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 ARIZONA 35.2 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 23.0 21.6 111.1 108.2 108.7 103.6 115.6 121.4 111.3 102.5 80.8 77.2 70.2 16.1 15.9 15.9 14.8 15.1 14.8 13.7 11.2 10.0 8.7 8.4 APACHE 23.2 30.8 32.8 25.9 25.6 27.5 25.3 27.7 26.7 23.6 21.6 100.7 130.1 141.6 105.4 87.9 89.4 89.5 100.2 96.6 94.2 79.6 9.6 13.4 13.5 11.9 10.8 12.5 9.7 10.1 11.0 7.8 7.7 COCHISE 30.6 31.5 30.0 30.0 24.2 29.1 27.2 28.7 27.5 24.7 24.0 104.4 107.3 106.7 110.0 71.1 99.8 92.4 102.7 90.6 78.9 80.2 13.7 14.3 12.7 11.7 12.0 12.0 11.3 10.8 10.8 10.4 9.2 COCONINO 26.0 26.9 27.7 27.7 31.0 33.2 28.6 27.6 22.5 20.3 18.0 68.9 70.6 76.9 79.5 84.0 81.2 72.2 68.9 40.2 36.2 33.4 13.0 13.6 12.9 12.1 14.1 16.3 13.2 13.0 11.5 10.6 8.3 GILA 42.4 42.8 38.4 38.8 37.7 41.7 45.9 40.8 39.7 35.9 29.9 151.5 145.5 164.3 150.5 139.8 164.0 165.9 160.2 137.9 132.6 105.8 22.1 23.7 15.4 18.2 16.6 16.2 21.0 15.9 18.1 14.6 11.7 GRAHAM 29.9 27.5 22.5 20.9 35.5 40.1 33.2 33.7 33.3 28.5 29.2 78.4 78.8 57.7 56.7 95.6 103.4 94.7 93.2 96.0 81.7 95.2 14.0 10.7 10.9 9.0 17.6 19.3 12.9 14.2 11.9 10.3 12.2 GREENLEE a 40.0 26.0 36.6 31.0 24.7 25.4 33.2 41.2 35.7 34.1 18.9 161.9 64.8 173.1 174.8 69.0 122.4 133.3 203.9 122.4 163.3 64.7 17.5 18.8 10.9 ** ** ** 16.2 13.3 19.3 ** ** LA PAZ 35.6 32.2 39.8 49.8 30.0 50.9 38.6 27.8 38.1 31.9 25.3 127.0 113.4 153.8 148.7 63.0 242.8 156.1 127.2 177.8 127.8 87.7 18.7 17.2 17.8 30.7 13.1 15.8 17.0 9.5 ** 10.1 8.9 MARICOPA 36.0 36.0 35.5 33.9 35.4 35.4 32.5 27.4 23.7 22.4 20.7 114.2 112.4 110.9 106.5 125.0 131.9 120.0 106.0 80.3 78.4 69.3 16.5 16.9 16.5 15.7 15.7 15.3 14.3 11.0 9.5 8.4 8.1 MOHAVE 32.5 30.9 28.7 32.1 33.0 31.9 28.1 25.9 24.6 18.9 19.2 131.5 129.0 112.8 134.0 142.1 157.6 135.7 129.2 96.5 75.9 69.6 12.5 11.1 11.8 11.5 12.4 10.7 9.5 8.1 8.1 5.8 6.3 NAVAJO 28.5 29.6 33.7 33.1 30.0 33.7 36.3 33.2 32.8 33.4 29.8 121.5 123.4 141.3 138.2 99.4 125.8 135.7 132.3 122.7 121.1 115.7 12.0 13.0 14.6 14.4 14.9 14.4 15.5 12.5 12.5 13.6 10.4 36.3 32.0 33.8 30.6 32.9 30.5 29.0 27.0 24.7 22.6 21.4 96.7 86.0 93.7 83.7 95.8 89.6 86.5 82.3 68.7 64.3 61.9 17.2 14.6 15.1 14.0 14.7 13.6 12.5 11.2 10.3 9.0 8.0 PINAL 38.5 38.1 36.4 33.5 34.1 37.4 31.3 27.6 22.8 21.7 20.6 130.2 139.3 121.0 119.8 129.3 144.9 121.8 108.4 96.8 94.7 82.2 19.1 16.8 18.3 14.9 13.4 16.4 13.6 11.8 8.6 7.7 7.2 SANTA CRUZ 36.4 30.0 38.6 30.7 32.9 32.2 31.5 29.1 30.5 27.9 29.0 137.7 130.7 147.2 111.8 108.5 102.8 111.6 115.7 94.2 104.2 97.9 17.2 11.1 17.9 15.2 16.5 17.7 15.0 11.4 17.1 11.9 15.0 29.6 25.3 27.9 25.7 29.6 33.0 26.9 25.0 21.4 19.9 18.7 115.9 98.7 99.3 104.1 109.2 129.9 100.1 101.3 84.5 71.3 64.6 11.1 9.5 12.3 8.6 11.8 12.8 10.9 8.4 6.6 7.8 7.4 YAVAPAI TABLE 9 TRENDS IN PREGNANCY RATESa BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2002-2012 PIMA Notes: ** Cell suppressed due to rate/ratio/percent based on count less than 6; Number of pregnancies per 1,000 females in specified group. 10-17 YEARS Teen Pregnancy, Arizona 2002-2012 20 38.8 40.6 42.1 37.0 38.0 37.8 35.1 36.1 34.1 30.1 29.0 133.4 134.2 135.6 122.2 122.8 129.8 121.7 119.9 114.7 109.3 90.1 17.3 19.3 20.4 17.1 16.6 16.0 14.6 16.1 14.9 11.2 12.6 YUMA Teen Pregnancy, Arizona 2002-2012 21 17.0 % Births to teenagers 18.7 % Births to teenagers 4.2 % Births to teenagers 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 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 2.2 79 3,625 16.0 890 5,569 11.5 544 4,715 14.0 4,627 33,146 5.1 1,977 38,670 12.2 1,420 11,597 9.0 6,697 74,128 9.5 8,117 85,725 2012 Notes: a 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;b Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. 96 # Births to teenagers # Births (all ages) 2,281 1,039 # Births to teenagers ASIAN OR PACIFIC ISLANDER 5,545 # Births (all ages) AMERICAN INDIAN OR ALASKA NATIVE 468 # Births to teenagers # Births (all ages) 2,753 18.2 % Births to teenagers BLACK OR AFRICAN AMERICAN 6,585 # Births to teenagers # Births (all ages) 36,089 7.9 % Births to teenagers HISPANIC OR LATINO 3,064 # Births to teenagers # Births (all ages) 38,819 15.7 % Births to teenagers WHITE NON-HISPANIC 1,959 # Births to teenagers # Births (all ages) 12,498 12.7 % Births to teenagers RURAL COUNTIES 9,512 # Births to teenagers # Births (all ages) 74,851 13.1 % Births to teenagers URBAN COUNTIES 11,474 b 87,379 2002 # Births to teenagers Group # Births (all ages) ARIZONA, TOTALa TABLE 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2002-2012 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA, AND UNITED STATES, 2002-2012 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. 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 2012 0.3 0.4 35.4 29.4 18.5 14.1 58.6 51.4 Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 2002-2012 22 Teen Pregnancy, Arizona 2002-2012 23 1,595 One or more 17 2,496 None Previous pregnancies Unknown 4,108 10 Total Unknown 967 2,231 Previous pregnancies One or more 3,208 9 437 Total None Unknown One or more 1,658 Previous pregnancies * 166 1,169 1,340† * 41 470 2,104 None Unknown One or more None Unknown One or more None 510† 2002 Total Previous pregnancies Total Previous pregnancies Total Pregnancies 9 1,567 2,592 4,168 6 996 2,209 3,211 * 475 1,729 2,210† * 168 1,144 1,310† 0 36 551 587 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† 0 940 2,411 3,351 0 468 1,791 2,259 0 150 1,167 1,317 0 44 559 603 2005 0 1,812 2,961 4,773 0 1,004 2,519 3,523 * 502 1,905 2,410† 0 158 1,290 1,448 0 35 558 593 2006 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 2007 Year Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 19 18 17 16 15 Mother's age * 1,407 3,065 4,470† * 799 2,576 3,380† 0 348 1,983 2,331 0 104 1,146 1,250 0 17 553 570 2008 * 1,570 2,667 4,240† * 851 2,226 3,080† 0 350 1,598 1,948 0 119 988 1,107 0 18 428 446 2009 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 2010 0 1,074 2,414 3,488 0 498 1,901 2,399 0 209 1,197 1,406 0 49 743 792 0 10 239 249 2011 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2002-2012 * 892 2,444 3,340† * 434 1,845 2,280† 0 145 1,218 1,363 0 42 732 774 * 8 283 290† 2012 Teen Pregnancy, Arizona 2002-2012 24 0 0 0 0 0 0 0 0 2005 2006 2007 2008 2009 2010 2011 2012 11 0 0 0 * 0 * 0 0 0 0 0 12 0 * * * * * * * * 0 0 13 94 * 7 11 15 16 20 25 - - - - - - - 659 61 93 92 116 141 156 14 - - - - - 1,897 293 249 339 446 570 15 - - - - - - 3,610 774 792 937 1,107 16 - - - - - - - 4,403 1,363 1,406 1,634 17 - - - - - - - - 4,680 2,281 2,399 18 - - - - - - - - - 3,339 3,339 19 * 0 0 18,705 8,117 4,947 3,015 1,685 731 180 27 Mother was 19 or younger in 2012 Notes: * Cell suppressed due to non-zero count less than 6; The above table focuses on the 2012 cohort of Arizona mothers who were 19 or younger that year. Among them are those who gave birth in 2012 and those who gave birth prior to 2012 and were still 19 or less years old in 2012. 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 2012 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2006, 27 remained in their teens in 2012. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 18,705 mothers under 20 in Arizona in 2012, 94 had given birth when 13 years old. 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 2012. For example, mothers who were 11 years old in 2003 were 20 years old in 2012. The figures in Table 13 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 20022012. For simplicity, the number of mothers equals the number of babies (i.e., no adjustment was made for multiple birth events). 0 0 2004 Cumulative number of mothers 19 or younger 0 10 2003 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 2012 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2002-2012 All 19 years or younger WHITE NON-HISPANIC 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 2012 10.7 HISPANIC OR LATINO 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 2012 28.0 BLACK OR AFRICAN AMERICAN 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 2012 26.2 AMERICAN INDIAN OR ALASKA NATIVE 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 2012 33.6 ASIAN OR PACIFIC ISLANDER 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 2012 7.5 10-14 years 15-19 years 15-17 years 18-19 years 0.4 0.4 0.3 0.3 0.4 0.9 0.3 0.3 0.3 0.2 0.1 40.0 36.3 35.3 31.6 37.2 36.3 34.1 30.3 30.5 22.8 20.6 20.2 17.5 16.9 14.9 17.2 15.6 14.9 12.3 12.9 9.6 9.0 67.9 62.9 61.2 55.1 68.6 70.3 65.3 59.6 53.9 40.8 35.6 2.5 2.6 2.3 2.2 1.9 1.9 1.7 1.1 0.9 0.9 0.6 116.6 116.2 120.1 112.5 117.3 116.8 104.4 92.4 67.9 60.5 56.7 77.0 76.5 79.7 72.9 72.7 68.5 62.7 51.3 38.9 31.8 31.6 172.8 172.7 177.4 168.9 188.1 201.2 177.2 164.2 112.6 104.0 93.8 2.4 ** 1.6 1.6 1.4 2.3 1.6 0.8 1.1 0.9 ** 87.5 94.9 91.8 89.0 67.2 73.9 78.1 69.5 56.1 47.7 49.8 47.0 59.8 53.0 51.6 36.1 36.9 37.2 31.6 27.3 22.3 26.2 148.0 147.5 149.8 144.8 118.1 144.1 155.7 141.7 97.0 84.0 81.2 1.3 2.5 1.4 1.5 1.1 2.0 1.4 1.0 1.2 0.8 0.5 77.0 82.9 83.6 85.8 71.1 73.8 67.4 66.2 69.5 55.7 65.5 45.1 52.0 53.2 55.0 41.5 42.4 38.1 36.9 40.5 28.8 32.2 130.1 134.2 134.2 137.0 119.8 124.9 115.2 114.0 111.0 94.2 110.7 ** ** ** ** ** 0.0 ** ** ** ** ** 35.7 35.5 36.2 30.4 25.7 31.1 27.6 23.6 19.9 18.0 14.6 14.6 22.0 20.2 16.2 13.0 12.0 11.6 8.2 8.3 7.2 5.6 61.6 52.1 55.0 47.6 45.0 62.2 53.5 48.7 35.5 32.7 26.6 Note: ** Cell supressed due to rate/ratio/percent based on non-zero count less than 6. Teen Pregnancy, Arizona 2002-2012 25 Teen Pregnancy, Arizona 2002-2012 26 4,516 4,003 25 3,475 503 200 0 4,957 19 4,400 538 224 0 188 6,185 13 5,451 721 250 0 210 40 310† * 278 7,008 16 6,188 804 7,334 25 6,600 709 15-19 years old 264 0 224 32 7,071 8 6,595 468 270† * 249 7,230 6 6,771 453 250 0 224 26 2009 7,205 10 6,666 529 245 0 223 22 2010 7,772 8 7,073 691 235 0 208 27 2011 7,701 6 6,882 813 218 0 197 21 2012 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Information about the number of reported cases of gonorrhea, chlamydia, and early syphilis was provided by STD Program in the Office of Infectious Diseases (see Table 3B-3 in the Arizona Health Status and Vital Statistics annual reports); Information about females who gave birth while infected with genital herpes is collected on birth certificates. Total reported infections 23 4,024 Chlamydia Early syphilis 469 213 0 Gonorrhea Diagnosed with: Total reported infections Early syphilis 169 36 191 31 19 2008 Chlamydia 2007 40 2006 22 2005 Gonorrhea 2004 10-14 years old 2003 Diagnosed with: 2002 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2002-2012 Teen Pregnancy, Arizona 2002-2012 27 2389.5 2063.4 12.9 1,791.2 259.3 99.1 0.0 83.7 15.4 2003 2466.3 9.5 2,189.1 267.7 107.3 0.0 90.1 17.2 2004 2972.1 6.2 2,619.4 346.5 124.6 0.0 97.1 18.5 2005 2007 140.0 ** 125.1 14.4 3279.4 7.5 2,895.7 376.2 3409.9 11.6 3,068.6 329.6 214.1 119.1 ** 110.3 3235.5 3.7 3,017.7 15-19 years old 118.2 0.0 100.3 17.9 8.4 2008 10-14 years old 2006 3278.1 2.7 3,070.0 205.4 109.7 0.0 98.3 11.4 2009 3230.2 4.5 2,971.9 253.8 111.5 0.0 101.5 10.0 2010 Notes: ** Cell supressed due to rate/ratio/percent based on non-zero count less than 6; a Number of cases per 100,000 females in specified age group. Total reported infections 12.2 2,129.1 Chlamydia Early syphilis 248.2 108.7 Gonorrhea Diagnosed with: Total reported infections 0.0 97.5 Chlamydia Early syphilis 11.2 Gonorrhea Diagnosed with: 2002 3465.0 3.6 3,153.3 308.1 107.0 0.0 94.7 12.3 2011 TABLE 16 TRENDS IN THE INCIDENCE RATESa OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2002-2012 3549.3 2.8 3,171.8 374.7 97.9 0.0 88.5 9.4 2012 TABLE 17 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2012 NUMBER OF PREGNANCIESa 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 140† * 134 38 96 Cochise 200† * 192 56 136 Coconino 200† * 194 53 141 Gila 90† * 91 28 63 Graham 80† * 79 25 54 Greenlee 12 0 10† * 8 La Paz 25 0 25 7 18 5,676 69 5,607 1,707 3,900 Mohave 220† * 222 57 165 Navajo 260† * 252 69 183 Pima 1,402 11 1,391 385 1,006 Pinal 533 9 524 143 381 Santa Cruz 120† * 114 48 66 Yavapai 210† * 209 64 145 459 7 452 151 301 9,710 120† 9,594 2,860† 6,734 Maricopa Yuma TOTAL STATE PREGNANCY RATESb 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 21.6 ** 43.0 19.9 79.6 Cochise 24.0 ** 45.1 21.9 80.2 Coconino 18.0 ** 29.1 21.7 33.4 Gila 29.9 ** 58.0 28.8 105.8 Graham 29.2 ** 58.5 31.9 95.2 Greenlee 18.9 0.0 39.5 ** 64.7 La Paz 25.3 0.0 51.1 24.6 87.7 Maricopa 20.7 0.5 41.0 21.2 69.3 Mohave 19.2 ** 37.8 16.3 69.6 Navajo 29.8 ** 59.6 26.1 115.7 Pima 21.4 0.4 40.2 20.9 61.9 Pinal 20.6 0.7 43.4 19.3 82.2 Santa Cruz 29.0 ** 58.8 37.9 97.9 Yavapai 18.7 ** 35.7 17.8 64.6 Yuma 29.0 0.9 55.2 31.1 90.1 TOTAL STATE 21.6 0.5 42.2 21.8 70.2 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2002-2012 a The sum of live births, fetal deaths and abortions; b The 28 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2012 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 130† * 133 37 96 Cochise 170† * 169 48 121 Coconino 180† * 173 45 128 90† * 84 24 60 73 0 73 25 48 Greenlee 9 0 9 * 6 Maricopa 4,698 38 4,660 1,445 3,215 Mohave 220† * 214 55 159 Navajo 250† * 243 67 176 Pima 1,103 7 1,096 312 784 Pinal 460† * 450 121 329 Santa Cruz 110† * 109 45 64 Yavapai 178 0 178 52 126 Yuma 441 6 435 145 290 24 0 24 6 18 8,117 70† 8,050 2,430† 5,620 Gila Graham La Paz TOTAL STATE BIRTH RATESa 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 21.4 ** 42.7 19.4 79.6 Cochise 21.1 ** 39.7 18.7 71.4 Coconino 16.1 ** 26.0 18.4 30.3 Gila 27.7 ** 53.6 24.7 100.8 Graham 26.3 0.0 54.1 31.9 84.6 Greenlee 14.2 0.0 29.6 ** 48.5 Maricopa 17.1 0.3 34.0 17.9 57.2 Mohave 18.5 ** 36.5 15.7 67.0 Navajo 28.5 ** 57.4 25.3 111.2 Pima 16.9 0.2 31.6 17.0 48.2 Pinal 17.6 ** 37.3 16.3 70.9 Santa Cruz 27.7 ** 56.2 35.6 94.9 Yavapai 15.7 0.0 30.4 14.4 56.1 Yuma 27.8 0.8 53.1 29.9 86.8 La Paz 24.3 0.0 49.0 21.1 87.7 TOTAL STATE 18.0 0.3 35.4 18.5 58.6 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; specified group. Teen Pregnancy, Arizona 2002-2012 a The number of births per 1,000 females in 29 TABLE 19 PREGNANCY RATESa AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2012 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births TOTAL PREGNANCIES Spontaneous fetal losses Number Rate 10 43,940 0 0 0 0 0.0 11 45,879 0 0 0 0 0.0 12 45,321 * * 0 * ** 13 44,037 * 6 0 8 0.2 14 43,510 61 41 * 103 2.4 222,686 67 48 * 116 0.5 15 43,877 293 53 * 348 7.9 16 43,703 774 157 * 932 21.3 17 43,849 1,363 204 13 1,580 36.0 131,429 2,430 414 16 2,860 21.8 18 47,195 2,281 417 17 2,715 57.5 19 48,771 3,339 660 20 4,019 82.4 18-19 95,966 5,620 1,077 37 6,734 70.2 450,081 8,117 1,539 50† 9,710 21.6 10-14 15-17 Total 10-19 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Teen Pregnancy, Arizona 2002-2012 a Rates per 1,000 female population in specific group. 30 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2012 Mother's age Total 12 TOTAL 13 14 15 16 17 18 19 8,120† 0† 0† 60† 290† 770† 1,360† 2,280† 3,340† Apache 130† 0 0 * 6 8 23 47 49 Cochise 170† 0 0 * 8 18 22 51 70 Coconino 180† 0 0 * 7 17 21 56 72 Gila 90† 0 0 * * * 16 19 41 Graham 70† 0 0 0 * * 16 29 19 Geenlee 10† 0 0 0 0 * * * * La Paz 20† 0 0 0 * * * 8 10 4,700† * 0 34 182 469 794 1,320 1,895 Mohave 220† 0 * 0 * 19 32 63 96 Navajo 250† 0 0 * 11 19 37 70 106 Pima 1,103 0 0 7 33 102 177 292 492 Pinal 460† 0 0 * 15 33 73 131 198 Santa Cruz 110† 0 0 * * 11 31 27 37 Yavapai 180† 0 0 0 * 10 40 53 73 Yuma 440† 0 * * 13 56 76 111 179 Maricopa Note: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2002-2012 31 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2012 Total TOTAL 12 13 14 15 16 17 18 19 1,540† 0† 10† 40† 50† 160† 200† 420† 660† Apache 0† 0 0 0 0 * 0 0 0 Cochise 20† 0 * 0 * * * * 13 Coconino 20† 0 0 0 * 0 6 * 8 Gila 10† 0 0 0 * * * * * Graham 10† 0 * * 0 0 0 * * Greenlee 0† 0 0 0 0 0 * 0 * La Paz 0† 0 0 0 0 * 0 0 0 950† * * 26 34 97 123 256 409 Mohave 10† 0 0 0 0 0 0 * * Navajo 10† 0 0 * 0 * 0 * * Pima 290† 0 * * 10 25 37 70 146 Pinal 70† 0 0 * * 8 10 23 27 Santa Cruz 10† 0 0 0 0 * * * * Yavapai 30† 0 0 * * 6 * 13 * Yuma 20† 0 0 * 0 * * * * 100† 0 0 * * 11 12 35 36 Maricopa Unknown Notes: * Cell suppressed due to non-zero count less than 6; Teen Pregnancy, Arizona 2002-2012 † Sum rounded to nearest tens unit due to non-zero addend less than 6. 32 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2012 Total AHCCCS Private insurance IHS Self Unknown TOTAL 8,117 6,765 230† 890† 210† 20† Apache 130† 86 38 * * * Cochise 170† 136 0 30 * 0 Coconino 180† 119 49 6 * 0 90† 51 26 7 * 0 73 50 14 9 0 0 Greenlee 10† 6 0 * 0 0 La Paz 20† 19 * 0 0 0 4,698 4,038 34 525 92 9 215 169 0 35 11 0 250† 191 33 16 * * Pima 1,103 911 13 146 32 * Pinal 455 367 17 58 13 0 Santa Cruz 111 92 0 6 12 * Yavapai 180† 154 0 20 * 0 Yuma 440† 376 * 28 35 * Gila Graham Maricopa Mohave Navajo Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2002-2012 † Sum rounded to nearest tens unit due to non-zero addend less 33 TABLE 23 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2012 Mother's age group Total <15 Total Count Payee for births AHCCCS IHS Private insurance Self Unknown 15-17 18-19 8,117 70† 2,430† 5,620 6,765 57 2,040 4,668 Percent 83.3 85.1 84.0 83.1 Count 230† * 70 159 Percent 2.8 ** 2.9 2.8 Count 894 8 242 644 Percent 11.0 11.9 10.0 11.5 Count 210† * 75 135 Percent 2.6 ** 3.1 2.4 Count 20† 0 * 14 Percent 0.2 0.0 ** 0.2 Count Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2002-2012 34 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2012 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 2 3 4 or more Unknown <15 15-17 18-19 8,117 70† 2,430† 5,620 6,588 66 2,233 4,289 81.2 98.5 91.9 76.3 1,325 0 176 1,149 Percent 16.3 0.0 7.2 20.4 Count 180† * 18 163 Percent 2.2 ** 0.7 2.9 Count 20† 0 * 14 Percent 0.2 0.0 ** 0.0 Count Count 0 0 0 0 Percent 0.0 0.0 0.0 0.0 Count 10† 0 * * Percent 0.1 0.0 ** ** TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2012 Mother's age group Total Total Count Marital status Married Unmarried 8,117 15-17 70† 18-19 2,430 5,620 Count 840† * 97 744 Percent 10.4 ** 4.0 13.2 7,268 66 2,333 4,869 89.5 98.5 96.0 86.6 7 0 0 7 0.1 0.0 0.0 0.1 Count Percent Other <15 Count Percent TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2012 Mother's age group Total Total Count Mother's education <8 8 2,430† 5,620† 129 11 45 73 Percent 1.6 16.4 1.9 1.3 Count 284 34 133 117 Count Count Count Percent 13-16 17+ Unknown 18-19 70† Percent 12 15-17 8,120† Percent 9-11 <15 3.5 50.7 5.5 2.1 3,611 20 1,846 1,745 44.5 29.9 76.0 31.0 3,415 0 386 3,029 53.9 42.1 0.0 15.9 Count 646 0 15 631 Percent 8.0 0.0 0.6 11.2 Count 0† 0 0 * Percent ** 0.0 0.0 ** Count 30† * * 21 Percent 0.3 ** ** 0.4 Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2002-2012 35 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2012 Mother's age group Total Total Count Prenatal care No care 1st trimester Unknown 18-19 67 2,430† 5,620 Count 185 0 68 117 Percent 2.3 0.0 2.8 2.1 5,734 33 1,594 4,107 70.6 49.3 65.6 73.1 1,684 25 592 1,067 20.7 37.3 24.4 19.0 Count 498 9 174 315 Percent 6.1 13.4 7.2 5.6 Count 20† 0 * 14 Percent 0.2 0.0 ** 0.2 Count Count Percent 3rd trimester 15-17 8,117 Percent 2nd trimester <15 TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2012 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 2,430 5,620 Count 185 0 68 117 Percent 2.3 0.0 2.8 2.1 Count 480 8 154 318 Percent 5.9 11.9 6.3 5.7 1,651 23 539 1,089 20.3 34.3 22.2 19.4 3,792 20 1,128 2,644 46.7 29.9 46.4 47.0 1,990 16 535 1,439 24.5 23.9 22.0 25.6 19 0 6 13 0.2 0.0 0.2 0.2 Count Count Count Percent Unknown 18-19 67 Percent 13+ visits 15-17 8,117 Percent 9-12 visits <15 Count Percent Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2002-2012 36 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2012 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 15-17 18-19 8,117 67 2,430† 5,620† Count 10† 0 * 7 Percent 0.1 0.0 ** 0.1 Count 293 0 52 241 Percent 3.6 0.0 2.1 4.3 Count 10† 0 * * Percent 0.1 0.0 ** ** 7,803 67 2,369 5,367 96.1 100.0 97.5 95.5 Count Percent Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Teen Pregnancy, Arizona 2002-2012 37 Teen Pregnancy, Arizona 2002-2012 38 8 59 0 5 or more Unknown 0 Less than 5 Unknown 61 0 Unknown 37 weeks or more 1 Self 6 8 Private insurance 36 weeks or less 1 57 IHS AHCCCS 67 0 Smoker and drinker Nonsmoker and nondrinker 0 Smoker, nondrinker 1 Asian 0 7 American Indian or Alaska Native Drinker, nonsmoker 5 46 Hispanic or Latino Black or African American 8 White non-Hispanic Count 0 * * 0 * * 0 0 0 0 * * 0 0 0 0 * * * 0 0.0 ** ** 0.0 ** ** 0.0 0.0 0.0 0.0 ** ** 0.0 0.0 0.0 0.0 ** ** ** 0.0 Percent LBW births 6 2,202 222 1 2,178 251 3 75 242 70 2,040 2,369 5 52 4 17 251 159 1,528 475 Total births * 160 45 0 53 154 0 9 21 * 174 196 * 8 * * 22 12 128 43 Count ** 7.3 20.3 0.0 2.4 61.4 0.0 12.0 8.7 ** 8.5 8.3 ** 15.4 ** ** 8.8 7.5 8.4 9.1 Percent LBW births 15-17 Mother's age group Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6. Prenatal visits Length of gestation Payee for births Substance use Race/ethnicity Total births <15 13 5,172 435 2 5,102 516 14 135 644 159 4,668 5,367 5 241 7 61 632 380 3,053 1,494 Total births * 342 83 0 126 301 * 12 46 11 355 391 * 35 0 11 44 43 209 120 Count ** 6.6 19.1 0.0 2.5 58.3 ** 8.9 7.1 6.9 7.6 7.3 ** 14.5 0.0 18.0 7.0 11.3 6.8 8.0 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2012 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2012 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 450,081 222,686 227,395 131,429 95,966 White non-Hispanic 208,554 100,559 107,995 60,937 47,058 Hispanic or Latino 181,395 92,755 88,639 52,855 35,784 Black or African American 21,485 10,364 11,120 6,343 4,778 American Indian or Alaska Native 26,848 13,174 13,674 7,887 5,788 Asian or Pacific Islander 11,799 5,833 5,966 3,408 2,558 Note: The 2012 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 15-19 years 15-17 years 18-19 years All groups 9,710 120† 9,594 2,860 6,734 White non-Hispanic 2,239 15 2,224 549 1,675 Hispanic or Latino 5,085 58 5,027 1,670 3,357 Black or African American 562 8 554 166 388 American Indian or Alaska Native 902 7 895 254 641 Asian or Pacific Islander 90† * 87 19 68 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 21.6 0.5 42.2 21.8 70.2 White non-Hispanic 10.7 0.1 20.6 9.0 35.6 Hispanic or Latino 28.0 0.6 56.7 31.6 93.8 Black or African American 26.2 0.8 49.8 26.2 81.2 American Indian or Alaska Native 33.6 0.5 65.5 32.2 110.7 7.5 ** 14.6 5.6 26.6 Asian or Pacific Islander Notes: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † sum rounded to nearest tens unit due to addend less than 6. Teen Pregnancy, Arizona 2002-2012 39 Teen Pregnancy, Arizona 2002-2012 40 15,847 Yuma 7,655 5,507 2,065 13,808 30,824 4,372 5,736 137,755 498 332 1,426 1,505 4,211 3,857 3,136 222,686 10-14 years 8,192 5,848 1,940 12,061 34,632 4,230 5,868 136,876 490 304 1,350 1,568 6,666 4,256 3,115 227,395 15-19 years 4,851 3,602 1,266 7,424 18,383 2,648 3,496 80,630 284 180 783 973 2,441 2,560 1,909 131,429 15-17 years 15-19 years 3,341 2,245 674 4,638 16,249 1,582 2,372 56,246 205 124 567 595 4,225 1,696 1,207 95,966 18-19 years http://www.azdhs.gov/plan//menu/info/pd.htm Note: The 2012 population denominators are population estimates. Totals may not equal sum of parts due to rounding. Cells contain non-rounded values. For more information visit: 11,355 Yavapai 4,005 25,869 Pinal Santa Cruz 65,456 8,602 Navajo Pima 11,604 Mohave 987 La Paz 274,631 636 Greenlee Maricopa 2,777 Graham 10,878 Coconino 3,073 8,113 Cochise Gila 6,251 450,081 Apache ARIZONA All 19 years or younger TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2012 Teen Pregnancy, Arizona 2002-2012 41 25,433 14,165 2,533 178.8 174,615 8,699 49.8 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 59.7 11,268 B. The number of births to females 15-19 years old C. The rate of births (B/A)*1,000 188,780 A. The number of females 15-19 years old 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 7,409 207,721 114.5 1,898 16,581 25,892 41.5 9,311 224,302 2010 31.2 6,683 214,375 142.7 1,639 11,482 19,816 36.9 8,334 225,857 2011 30.0 6,522 217,516 153.9 1,520 9,879 17,929 35.4 8,050 227,395 2012 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 2012 cohort of mothers who were 15-19 years old includes 8,050 who gave birth that year and 34,226 who gave birth prior to 2012 and were still 15-19 years old in 2012 (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 2002-2012. 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