TEENAGE PREGNANCY Arizona,2003-2013 Public Health Services Bureau of Public Health Statistics Population Health and Vital Statistics Section ~ Health and Wellness for all Arizonans ~ 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, 2003-2013 by Nicholas J. Bishop, Ph.D., Arizona Vital Statistician Sanhita Gupta, Vital Statistics Health Management Analyst Clare Torres, Senior Health Data Analyst November 2014 Acknowledgment Grateful acknowledgement is made to Khaleel S. Hussaini, PhD, Bureau Chief, for reviewing the typescript. TEENAGE PREGNANCY, ARIZONA, 2003-2013 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, 2003-2013 Figure 2 ................................................................................................................................................................................................. 3 TRENDS IN THE NUMBER OF PREGNANCIES AND PREGNANCY RATES AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 3 ................................................................................................................................................................................................. 4 TRENDS IN THE NUMBER OF PREGNANCIES BY RACE/ETHNICITY AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 4 ................................................................................................................................................................................................. 4 COMPARISON OF PREGNANCY RATES BY YEAR AMONG HISPANIC OR LATINOS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 5 ................................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG WHITE NON-HISPANICS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 6 ................................................................................................................................................................................................. 5 COMPARISON OF PREGNANCY RATES BY YEAR AMONG AMERICAN INDIAN OR ALASKA NATIVES AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 7 ................................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG BLACK OR AFRICAN AMERICANS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 8 ................................................................................................................................................................................................. 6 COMPARISON OF PREGNANCY RATES BY YEAR AMONG ASIAN OR PACIFIC ISLANDERS AND ALL FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 9 ................................................................................................................................................................................................. 7 PROPORTIONAL CONTRIBUTION OF SURGICAL AND NON-SURGICAL ABORTIONS BY YEAR AMONG FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Figure 10 ............................................................................................................................................................................................... 7 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA BY YEAR, 2003-2013 Figure 11 ............................................................................................................................................................................................... 8 RATES OF FIRST AND REPEAT BIRTHS TO FEMALES 15-19 YEARS, ARIZONA, 2003 AND 2013 Figure 12 ............................................................................................................................................................................................... 8 BIRTHS TO MOTHERS 19 OR YOUNGER BY MARITAL STATUS, ARIZONA, 1993, 2003, AND 2013 Figure 13 ............................................................................................................................................................................................... 9 NUMBER OF BIRTHS TO MOTHERS 19 OR YOUNGER BY PAYEE, ARIZONA, 2003 AND 2013 Figure 14 ............................................................................................................................................................................................... 9 TRENDS IN THE INCIDENCE OF SEXUALLY TRANSMITTED INFECTIONS AMONG FEMALES 15-19 YEARS, ARIZONA, 2003-2013 Figure 15 ............................................................................................................................................................................................. 10 BIRTH RATES FOR TEENAGERS 15-19 YEARS, NATIONALLY AND IN ARIZONA, 2003-2013 Figure 16 ............................................................................................................................................................................................. 10 BIRTH RATES FOR HISPANIC OR LATINO TEENAGERS 15-19 YEARS, NATIONALLY AND IN ARIZONA, 2003-2013 Teen Pregnancy, Arizona 2003-2013 List of Tables Table 1 ................................................................................................................................................................................................. 12 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Table 2 ................................................................................................................................................................................................. 13 PREGNANCY RATES BY PREGNANCY OUTCOME, AGE GROUP, AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Table 3 ................................................................................................................................................................................................. 14 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2003-2013 Table 4 ................................................................................................................................................................................................. 15 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2003-2013 Table 5 ................................................................................................................................................................................................. 16 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGE 17 OR YOUNGER WITH RATES, ARIZONA, 2003-2013 Table 6 ................................................................................................................................................................................................. 17 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATES, ARIZONA, 2003-2013 Table 7 ................................................................................................................................................................................................. 18 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATES, ARIZONA, 2003-2013 Table 8 ................................................................................................................................................................................................. 19 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 OR YOUNGER WITH RATES, ARIZONA, 2003-2013 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, 2003-2013 Table 10 ............................................................................................................................................................................................... 21 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2003-2013 Table 11 ............................................................................................................................................................................................... 22 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA AND UNITED STATES, 2003-2013 Table 12 ............................................................................................................................................................................................... 23 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2003-2013 Table 13 ............................................................................................................................................................................................... 24 CUMULATIVE NUMBER OF MOTHERS WHO WERE 19 OR YOUNGER IN ARIZONA IN 2013 Table 14 ............................................................................................................................................................................................... 25 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2003-2013 Table 15 ............................................................................................................................................................................................... 26 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2003-2013 Table 16 ............................................................................................................................................................................................... 27 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2003-2013 Table 17 ............................................................................................................................................................................................... 28 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2013 Table 18 ............................................................................................................................................................................................... 29 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2013 Table 19 ............................................................................................................................................................................................... 30 PREGNANCY RATES AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2013 Table 20 ............................................................................................................................................................................................... 31 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2013 Table 21 ............................................................................................................................................................................................... 32 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2013 Teen Pregnancy, Arizona 2003-2013 ii List of Tables (continued) Table 22 ............................................................................................................................................................................................... 33 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE, AND COUNTY OF RESIDENCE, ARIZONA, 2013 Table 23 ............................................................................................................................................................................................... 34 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2013 Table 24 ............................................................................................................................................................................................... 35 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2013 Table 25 ............................................................................................................................................................................................... 35 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2013 Table 26 ............................................................................................................................................................................................... 35 TEENAGE BIRTHS BY MOTHER’S EDUCATION AND AGE GROUP, ARIZONA, 2013 Table 27 ............................................................................................................................................................................................... 36 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2013 Table 28 ............................................................................................................................................................................................... 36 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2013 Table 29 ............................................................................................................................................................................................... 37 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2013 Table 30 ............................................................................................................................................................................................... 38 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2013 Table 31 ............................................................................................................................................................................................... 39 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2013 Table 32 ............................................................................................................................................................................................... 40 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2013 Appendix ............................................................................................................................................................................................. 41 HOW TO COMPUTE THE RATES OF FIRST AND REPEAT CHILDBEARING Teen Pregnancy, Arizona 2003-2013 iii PURPOSE This report is the annual update of information about pregnancies among females under age 20. The data for 2013 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.php. 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 2003-2009 and 2011-2013 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/pop/index.php. The 2013 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 2003 to 2013 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 2003 to 2013. 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 2003 to 2013 in Table 12. Table 14 presents teen pregnancy rates by race/ethnicity and age group by year from 2003 to 2013. Table 15 provides information about the incidence of sexually transmitted infections among females 10-14 and 15-19 years old in Arizona in 2003-2013. Table 16 shows the incidence rates by year from 2003 to 2013. Frequency counts, proportions, and rates in Tables 17-32 all apply to the 2013 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 2013 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 2003-2013. Teen Pregnancy, Arizona 2003-2013 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 2010 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 2003 – 2013 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 2013, the pregnancy rate of 19.2 pregnancies per 1,000 females 19 years or younger was 44.3 percent lower than the rate of 34.5 per 1,000 in 2003. The teen pregnancy rate of 19.2/1,000 females 19 years or younger was the lowest teen pregnancy rate since at least 1983. 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 56.7 percent from 41.6 per 1,000 in 2003 to 18.0 in 2013. The rate for older teenagers (aged 18-19 years) fell by 40.1 percent from 108.2/1,000 in 2003 to 64.8/1,000 in 2013. The 2013 teen pregnancy rate of 19.2/1,000 was based on 8,715 pregnancies occurring among 453,659 females aged 10-19 years. The number of 8,715 teen pregnancies in 2013 was 10.2 percent lower than 2012 and was the lowest number of teen pregnancies since 1984. From 2007 to 2013, the number of teen pregnancies declined particularly steeply for White non-Hispanic (50.0 percent), Hispanic or Latino (-46.0 percent), and Asian females (-50.3 percent). In 2013, Hispanic or Latino females accounted for 53.0 percent of all pregnancies in this age group, followed by White non-Hispanics (23.5 percent). In each year from 2003 to 2013, 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 2013, the Hispanic rate exceeded the average rate for all groups by 30.2 percent. If the 2013 “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 8,715 to approximately 3,085 ((6.8/1,000) * 453,659). The first birth rate for childless teenagers has dropped 46.3 percent from 49.5 first-time births per 1,000 females 15-19 years old in 2003 to 26.6/1,000 in 2013. The repeat birth rates for teenagers who had already had a child decreased by 21.0 percent from 185.2 in 2003 to 146.4 per 1,000 females 15-19 years old in 2013 who had a previous birth. Unwed mothers have accounted for an increasing annual proportion of births throughout the 1990s and 2000s. In 2013, nonmarital births accounted for 89.8 percent of births to mothers 19 years or younger. The total number of births to mothers 19 years or younger decreased by 38.3 percent from 11,700 in 2003 to 7,222 in 2013. 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 79.4 percent in 2003 to 84.3 percent in 2013. Teen Pregnancy, Arizona 2003-2013 2 KEY FINDINGS Figure 1 Pregnancy Rates by Age Group and Year among Females 19 or Younger, Arizona, 2003-2013 Teenage pregnancy rates dropped 44.3 percent overall from 2003 to 2013. (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 56.7 percent from 41.6 per 1,000 in 2003 to 18.0 in 2013. The rate for older teenagers (aged 18-19 years) fell by 40.1 percent from 108.2/1,000 in 2003 to 64.8/1,000 in 2013. Two of the three components of the pregnancy rates for teenagers 19 years old or younger (births and fetal losses) declined from 2007 to 2013, though the abortion rate increased from 2010 to 2011 and returned to 3.4/1,000 females in 2012 and 3.2/1,000 females in 2013 (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, 2003-2013 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 2013 teen pregnancy rate of 19.2/1,000 was based on 8,715 pregnancies occurring among 453,659 females aged 10-19 years. The number of 8,715 teen pregnancies in 2013 was 10.2 percent lower than 2012 and was the lowest number of teen pregnancies since 1984. Note: Pregnancy rate = the number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2003-2013 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 20032013). In 2013, Hispanic or Latino females accounted for 53.0 percent of all pregnancies in this age group, followed by White non-Hispanics (23.5 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 2013 (16.1 percent) than they did in 2003 (14.7 percent). Figure 3 Trends in the Number of Pregnancies* by Race/Ethnicity among Females 19 or Younger, Arizona, 2003-2013 From 2007 to 2013, the number of teen pregnancies declined particularly steeply for White non-Hispanic (50.0 percent), Hispanic or Latino (-46.0 percent), and Asian females (-50.3 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 2013 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, 2003-2013 Figures 4, 5, 6, 7, and 8 reveal race/ethnicity-specific trends in teen pregnancy rates in Arizona in 20032013. From 2003 to 2013, the teenage pregnancy rate for Hispanic or Latino women declined more than 50 percent (56.5 percent), with the majority of the decline occurring between 2007 and 2013 (Figure 4). In each year from 2003 to 2013, 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 2013, the Hispanic rate exceeded the average rate for all groups by 30.2 percent. Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2003-2013 4 KEY FINDINGS Figure 5 Comparison of Pregnancy Rates by Year among White non-Hispanics and all Females 19 or Younger, Arizona, 2003-2013 The pregnancy rate for White non-Hispanics has substantially declined from 2003 to 2013 (46.82 percent), save for an increase from 2005 to 2007 (Figure 5). In each year from 2003 to 2013, 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, 2003-2013 The pregnancy rate among American Indian females 19 years or younger varied somewhat erratically from 2003 to 2013, showing a 21.1 percent decrease from 2010 to 2011, a 15.1 percent increase from 2011 to 2012, and an 11.6 percent increase from 2012 to 2013 (Figure 6). The American Indian teenage pregnancy rate was higher than the average for all groups from 2003 to 2013. Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2003-2013 5 KEY FINDINGS Figure 7 Comparison of Pregnancy Rates by Year among Black or African Americans and all Females 19 or Younger, Arizona, 2003-2013 Pregnancy rates for Black or African American females 19 years or younger decreased from 45.4/1,000 in 2003 to 25.1/1,000 in 2013 (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, 2003-2013 In each year from 2003 to 2013, 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 2013, the Asian rate (6.8/1,000) was 64.6 percent lower than the rate for all groups (19.2/1,000). If the 2013 “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 8,715 to approximately 3,085 ((6.8/1,000) * 453,659). Note: All rates are per 1,000 females in specified group. Teen Pregnancy, Arizona 2003-2013 6 KEY FINDINGS Figure 9 Proportional Contribution of Surgical and Non-Surgical Abortions by Year among Females 19 or Younger, Arizona, 2003-2013 The proportion of non-surgical abortions to females 19 years or younger decreased from 44.3 percent in 2009 to 23.7 percent in 2013, indicating the proportion of surgical abortions increased 20.6 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, 2003-2013 There were approximately 16,694 mothers under the age of 20 in Arizona in 2013. Among them there were the 7,222 who gave birth in 2013 and the 9,472 who gave birth prior to 2013 and were still 19 years old or younger in 2013 (Figure 11, Table 13). The cumulative number of mothers who were 19 years or younger in Arizona in 2013 decreased by 37.9 percent from 26,864 in 2010. Teen Pregnancy, Arizona 2003-2013 7 KEY FINDINGS Figure 11 Rates of First and Repeat Births to Females 15-19 Years, Arizona, 2003 and 2013 The first birth rate for childless teenagers has dropped 46.3 percent from 49.5 first-time births per 1,000 females 15-19 years old in 2003 to 26.6/1,000 in 2013 (Figure 12). The repeat birth rates for teenagers who had already had a child decreased by 21.0 percent from 185.2 in 2003 to 146.4 per 1,000 females 15-19 years old in 2013 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, 1993, 2003, and 2013 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 2013, nonmarital births accounted for 89.8 percent of births to mothers 19 years or younger. Teen Pregnancy, Arizona 2003-2013 8 KEY FINDINGS Figure 13 Number of Births to Mothers 19 or Younger by Payee, Arizona, 2003 and 2013 The total number of births to mothers 19 years or younger decreased by 38.3 percent from 11,700 in 2003 to 7,222 in 2013 (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 79.4 percent in 2003 to 84.3 percent in 2013 (Figure 14). Figure 14 Trends in the Incidence of Sexually Transmitted Infections* among Females 15-19 Years, Arizona, 2003-2013 In each year from 2007 to 2012, the total number of sexually transmitted infections (STI) among females aged 19 or younger exceeded 7,400, but fell to 6,921 in 2013 (Table 15). Even with the recent decline, the rate of STI among females 15-19 years old increased 53.4 percent from 2,063.4 cases per 100,000 in 2003 to a rate of 3,164.3/100,000 in 2013. 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, and early syphilis. Source: Bureau of Epidemiology and Disease Control Services, Office of Infectious Disease Services. Teen Pregnancy, Arizona 2003-2013 9 KEY FINDINGS Figure 15 Birth Rates for Teenagers 15-19 Years, Nationally and in Arizona, 2003-2013 In each year from 2003 to 2013, 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 40.7 percent of females aged 15-19 years in 2013. 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. In 2013, 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 7,222; see Table 6 and Table 7). Figure 16 Birth Rates for Hispanic or Latino Teenagers 15-19 Years, Nationally, and in Arizona, 2003-2013 Historically the birth rates among Hispanic or Latino teenagers have been higher in Arizona than nationally. In 2013, the national birth rate for Hispanic teenagers increased 37.4 percent from 2012, making the national rate 42.0 percent higher than Arizona’s rate of 44.8 in 2013. Note: The number of births per 1,000 females 15-19 years old. Teen Pregnancy, Arizona 2003-2013 10 TEENAGE PREGNANCY, ARIZONA, 2003-2013 DATA TABLES TABLE 1 PREGNANCIES AND PREGNANCY OUTCOME BY AGE GROUP AND YEAR, FEMALES 19 OR YOUNGER, ARIZONA, 2003-2013 Pregnancy outcome by year ALL PREGNANCIES 2003 2004 Total, females 19 years or younger 15-19 years old Under 15 years Total, 15-19 years 15-17 years 18-19 years 13,654 272 13,382 4,755 8,627 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 9,710 116 9,594 2,860 6,734 2013 LIVE BIRTHS 2003 8,715 91 8,624 2,385 6,239 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 8,117 67 8,050 2,430 5,620 2013 ABORTIONS 2003 7,222 71 7,151 1,985 5,166 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 1,539 48 1,491 414 1,077 2013 FETAL LOSSES 2003 1,441 20 1,421 382 1,039 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 2013 52 0 52 18 34 Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2003-2013 † 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, 2003-2013 Pregnancy outcome by year ALL PREGNANCIES 2003 Total, females 19 years or younger 15-19 years old Under 15 years Total, 15-19 years 15-17 years 18-19 years 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 21.6 0.5 42.2 21.8 70.2 2013 LIVE BIRTHS 2003 19.2 0.4 37.7 18.0 64.8 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 18.0 0.3 35.4 18.5 58.6 2013 ABORTIONS 2003 15.9 0.3 31.3 15.0 53.6 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 3.4 0.2 6.6 3.1 11.2 2013 FETAL LOSSES 2003 3.2 0.1 6.2 2.9 10.8 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 0.5 2009 0.2 0.0 0.3 0.2 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 2013 0.1 0.0 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 2003-2013 13 TABLE 3 LIVE BIRTHS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2003-2013 Racial/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 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 2013 1,781 HISPANIC OR LATINO 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 2013 4,080 BLACK OR AFRICAN AMERICAN 2003 550† 2004 540 2005 569 2006 601 2007 621 2008 656 2009 603 2010 562 2011 561 2012 540† 2013 507 AMERICAN INDIAN OR ALASKA NATIVE 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 2013 775 ASIAN OR PACIFIC ISLANDER 2003 110† 2004 90† 2005 100† 2006 90† 2007 103 2008 110† 2009 90† 2010 100† 2011 110† 2012 80† 2013 80† 15-19 years old Under 15 years Total, 15-19 years 15-17 years 18-19 years 23 17 17 19 26 15 20 12 13 8 8 2,947 2,789 2,727 3,190 3,074 2,978 2,695 2,374 2,076 1,969 1,773 782 747 711 852 779 769 649 541 494 475 365 2,165 2,042 2,016 2,338 2,295 2,209 2,046 1,833 1,582 1,494 1,408 146 137 137 123 115 111 87 68 61 46 47 6,646 7,001 7,051 7,615 7,667 7,057 6,254 5,280 4,570 4,581 4,033 2,600 2,779 2,721 2,923 2,892 2,724 2,253 1,859 1,467 1,528 1,244 4,046 4,222 4,330 4,692 4,775 4,333 4,001 3,421 3,103 3,053 2,789 * 12 8 7 12 12 6 10 10 * 6 546 528 561 594 609 644 597 552 551 539 501 204 180 199 187 195 203 181 151 152 159 122 342 348 362 407 414 441 416 401 399 380 379 37 21 21 19 26 22 17 14 14 7 8 1,104 1,121 1,183 1,197 1,259 1,163 1,153 974 973 883 767 434 452 478 430 445 408 394 331 293 251 243 670 669 705 767 814 755 759 643 680 632 524 * * * * 0 * * * * * * 106 91 95 91 103 112 86 102 109 78 77 38 25 28 28 31 26 18 23 26 17 11 68 66 67 63 72 86 68 79 83 61 66 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 2003-2013 14 TABLE 4 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE GROUP, RACE/ETHNICITY, AND YEAR, ARIZONA, 2003-2013 Racial/ethnic group and year Total, females 19 years or younger WHITE NON-HISPANIC 2003 914 2004 1,095 2005 867 2006 917 2007 982 2008 841 2009 720 2010 694 2011 289 2012 238 2013 257 HISPANIC OR LATINO 2003 630 2004 784 2005 522 2006 609 2007 710 2008 561 2009 525 2010 532 2011 638 2012 441 2013 509 BLACK OR AFRICAN AMERICAN 2003 107 2004 130† 2005 110† 2006 124 2007 136 2008 140† 2009 110† 2010 70† 2011 17 2012 10† 2013 20† AMERICAN INDIAN OR ALASKA NATIVE 2003 70† 2004 70† 2005 80† 2006 60† 2007 63 2008 50† 2009 52 2010 40† 2011 10† 2012 0† 2013 8 ASIAN OR PACIFIC ISLANDER 2003 30† 2004 60† 2005 35 2006 40† 2007 60† 2008 40† 2009 40† 2010 14 2011 10† 2012 9 2013 0† 15-19 years old Under 15 years Total, 15-19 years 15-17 years 18-19 years 18 19 15 28 71 21 11 16 10 6 6 896 1,076 852 889 911 820 709 678 279 232 251 304 341 278 296 282 266 207 198 80 65 66 592 735 574 593 629 554 502 480 199 167 185 27 20 21 24 44 34 8 16 17 12 6 603 764 501 585 666 527 517 516 621 429 503 197 247 151 193 210 173 136 151 179 138 136 406 517 350 392 456 354 381 365 442 291 367 6 * * 9 13 * * * 0 * * 101 124 109 115 123 138 107 66 20† 10† 22 40 46 32 48 42 43 28 24 * 6 8 61 78 77 67 81 95 79 42 13 * 14 * * * * 8 * 0 * 0 0 0 65 64 72 54 55 52 52 34 10† 0† 10† 25 17 21 24 22 17 22 13 * * * 40 47 51 30 33 35 30 21 * * * * * 0 * * * * 0 * 0 0 26 55 35 37 59 34 39 10† 0† 10† 0† 7 19 10 11 8 12 8 * 0 * * 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 2003-2013 15 Teen Pregnancy, Arizona 2003-2013 16 13.7 2.1 Abortion rate 2.3 13.5 15.9 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 1.1 5.8 6.9 402 2,056 2,476 * 13 20† * 251 260† 9 128 140 142 1,291 1,443 72 373 448 2013 1.1 5.8 6.9 ** 1.4 1.6 ** 11.9 12.2 0.5 7.7 8.4 1.0 8.7 9.7 0.4 2.3 2.8 2013 Rates unspecified ethnicity; e Number of births per 1,000 females 10-17 years old. 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 to 15.9 Fertility ratee 747 4,415 4,321 674 5,188 5,027 20 26 39 8 46 47 18 473 471 28 495 501 47 192 207 46 241 267 2,916 3,198 256 224 2,746 2,993 360 764 805 322 1,129 2004 1,131 2003 Pregnancy rate, total: Abortions ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births TABLE 5 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES AGED 17 AND YOUNGER WITH RATESb, ARIZONA, 2003-2013 a Teen Pregnancy, Arizona 2003-2013 17 35.9 5.4 Abortion rate 6.0 35.8 42.0 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 2.9 15.0 18.0 382 1,985 2,385 * 11 10† * 243 250† 8 122 133 136 1,244 1,390 66 365 434 2013 2.9 15.0 18.0 ** 3.2 3.7 ** 30.8 31.5 1.3 19.2 20.9 2.5 23.1 25.9 1.1 6.0 7.1 2013 Rates unspecified ethnicity; e Number of births per 1,000 females 15-17 years old. 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 to 41.6 Fertility ratee 703 4,227 4,110 614 4,955 4,755 19 25 38 7 44 45 17 452 434 25 473 461 46 180 204 40 228 247 247 2,779 2,600 197 3,040 2,819 341 747 782 304 1,093 2004 1,090 2003 Pregnancy rate, total: Abortions ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births TABLE 6 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 15-17 YEARS OLD WITH RATESb, ARIZONA, 2003-2013 a Teen Pregnancy, Arizona 2003-2013 18 66 7,448 92.5 15.0 Abortion rate 17.8 90.2 108.7 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 10.8 53.6 64.8 1,039 5,166 6,239 * 66 70† * 524 530† 14 379 397 367 2,789 3,175 185 1,408 1,602 2013 10.8 53.6 64.8 ** 24.8 25.5 ** 96.7 97.8 2.9 79.1 82.8 10.1 76.8 87.4 3.9 29.9 34.0 2013 Rates unspecified ethnicity; e Number of births per 1,000 females 18-19 years old. 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 to 108.2 Fertility ratee 1,473 7,379 1,193 8,975 8,627 36 68 19 102 87 47 669 670 40 720 714 78 348 342 61 430 408 517 4,222 4,046 406 4,767 4,483 735 2,042 2,165 592 2,795 2004 2,772 2003 Pregnancy rate, total: Abortions ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births TABLE 7 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 18-19 YEARS OLD WITH RATESb, ARIZONA, 2003-2013 a Teen Pregnancy, Arizona 2003-2013 19 540 92 29.5 4.7 Abortion rate 5.4 29.0 34.6 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 3.2 15.9 19.2 1,441 7,222 8,715 * 79 80† 8 775 787 23 507 537 509 4,080 4,618 257 1,781 2,050 2013 3.2 15.9 19.2 ** 6.5 6.8 0.3 29.3 29.7 1.1 23.7 25.1 2.8 22.1 25.0 1.2 8.5 9.8 2013 Rates unspecified ethnicity; e Number of births per 1,000 females 19 or younger. 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 to 34.5 Fertility ratee 2,220 11,863 11,700 1,867 14,163 13,654 56 107 27 148 134 65 1,142 1,141 68 1,215 1,215 125 549 107 671 664 784 7,138 6,792 630 7,965 7,476 1,095 2,806 2,970 914 3,924 2004 3,903 2003 Pregnancy rate, total: Abortions ALL RACIAL/ETHNIC GROUPSd, total: Births Abortions ASIAN OR PACIFIC ISLANDER, total: Births Abortions AMERICAN INDIAN OR ALASKA NATIVE, total: Births Abortions BLACK OR AFRICAN AMERICAN, total: Births Abortions Births HISPANIC OR LATINO, total: Abortions Race/ethnicity Pregnancy outcome WHITEc NON-HISPANIC, total: Births TABLE 8 NUMBER OF PREGNANCIES BY PREGNANCY OUTCOME, RACE/ETHNICITY, AND YEAR AMONG FEMALES 19 AND YOUNGER, WITH RATESb, ARIZONA, 2003-2013 a 19 YEARS OR YOUNGER 18-19 YEARS 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 ARIZONA 34.5 34.6 32.7 34.1 34.4 31.6 28.0 24.7 23.0 21.6 19.2 108.2 108.7 103.6 115.6 121.4 111.3 102.5 80.8 77.2 70.2 64.8 15.9 15.9 14.8 15.1 14.8 13.7 11.2 10.0 8.7 8.4 6.9 APACHE 30.8 32.8 25.9 25.6 27.5 25.3 27.7 26.7 23.6 21.6 19.1 130.1 141.6 105.4 87.9 89.4 89.5 100.2 96.6 94.2 79.6 68.5 13.4 13.5 11.9 10.8 12.5 9.7 10.1 11.0 7.8 7.7 8.1 COCHISE 31.5 30.0 30.0 24.2 29.1 27.2 28.7 27.5 24.7 24.0 18.9 107.3 106.7 110.0 71.1 99.8 92.4 102.7 90.6 78.9 80.2 65.2 14.3 12.7 11.7 12.0 12.0 11.3 10.8 10.8 10.4 9.2 6.9 COCONINO 26.9 27.7 27.7 31.0 33.2 28.6 27.6 22.5 20.3 18.0 16.2 70.6 76.9 79.5 84.0 81.2 72.2 68.9 40.2 36.2 33.4 30.8 13.6 12.9 12.1 14.1 16.3 13.2 13.0 11.5 10.6 8.3 7.3 GILA 42.8 38.4 38.8 37.7 41.7 45.9 40.8 39.7 35.9 29.9 32.0 145.5 164.3 150.5 139.8 164.0 165.9 160.2 137.9 132.6 105.8 132.9 23.7 15.4 18.2 16.6 16.2 21.0 15.9 18.1 14.6 11.7 10.7 GRAHAM 27.5 22.5 20.9 35.5 40.1 33.2 33.7 33.3 28.5 29.2 26.7 78.8 57.7 56.7 95.6 103.4 94.7 93.2 96.0 81.7 95.2 103.3 10.7 10.9 9.0 17.6 19.3 12.9 14.2 11.9 10.3 12.2 10.0 GREENLEE 26.0 36.6 31.0 24.7 25.4 33.2 41.2 35.7 34.1 18.9 28.8 64.8 173.1 174.8 69.0 122.4 133.3 203.9 122.4 163.3 64.7 108.9 18.8 10.9 ** ** ** 16.2 13.3 19.3 ** ** 10.8 LA PAZ 32.2 39.8 49.8 30.0 50.9 38.6 27.8 38.1 31.9 25.3 37.6 113.4 153.8 148.7 63.0 242.8 156.1 127.2 177.8 127.8 87.7 146.2 17.2 17.8 30.7 13.1 15.8 17.0 9.5 ** 10.1 8.9 12.8 MARICOPA 36.0 35.5 33.9 35.4 35.4 32.5 27.4 23.7 22.4 20.7 18.4 112.4 110.9 106.5 125.0 131.9 120.0 106.0 80.3 78.4 69.3 64.2 16.9 16.5 15.7 15.7 15.3 14.3 11.0 9.5 8.4 8.1 6.6 MOHAVE 30.9 28.7 32.1 33.0 31.9 28.1 25.9 24.6 18.9 19.2 15.8 129.0 112.8 134.0 142.1 157.6 135.7 129.2 96.5 75.9 69.6 59.4 11.1 11.8 11.5 12.4 10.7 9.5 8.1 8.1 5.8 6.3 4.4 NAVAJO 29.6 33.7 33.1 30.0 33.7 36.3 33.2 32.8 33.4 29.8 23.3 123.4 141.3 138.2 99.4 125.8 135.7 132.3 122.7 121.1 115.7 92.9 13.0 14.6 14.4 14.9 14.4 15.5 12.5 12.5 13.6 10.4 7.1 32.0 33.8 30.6 32.9 30.5 29.0 27.0 24.7 22.6 21.4 19.2 86.0 93.7 83.7 95.8 89.6 86.5 82.3 68.7 64.3 61.9 54.6 14.6 15.1 14.0 14.7 13.6 12.5 11.2 10.3 9.0 8.0 7.4 PINAL 38.1 36.4 33.5 34.1 37.4 31.3 27.6 22.8 21.7 20.6 16.4 139.3 121.0 119.8 129.3 144.9 121.8 108.4 96.8 94.7 82.2 67.7 16.8 18.3 14.9 13.4 16.4 13.6 11.8 8.6 7.7 7.2 5.3 SANTA CRUZ 30.0 38.6 30.7 32.9 32.2 31.5 29.1 30.5 27.9 29.0 20.6 130.7 147.2 111.8 108.5 102.8 111.6 115.7 94.2 104.2 97.9 92.3 11.1 17.9 15.2 16.5 17.7 15.0 11.4 17.1 11.9 15.0 7.7 25.3 27.9 25.7 29.6 33.0 26.9 25.0 21.4 19.9 18.7 16.7 98.7 99.3 104.1 109.2 129.9 100.1 101.3 84.5 71.3 64.6 62.2 9.5 12.3 8.6 11.8 12.8 10.9 8.4 6.6 7.8 7.4 5.4 YAVAPAI TABLE 9 TRENDS IN PREGNANCY RATES BY COUNTY OF RESIDENCE AMONG FEMALES 10-17 AND 18-19 YEARS OLD, ARIZONA, 2003-2013 a PIMA Notes: ** Cell suppressed due to rate/ratio/percent based on count less than 6; a Number of pregnancies per 1,000 females in specified group. 10-17 YEARS Teen Pregnancy, Arizona 2003-2013 20 40.6 42.1 37.0 38.0 37.8 35.1 36.1 34.1 30.1 29.0 25.1 134.2 135.6 122.2 122.8 129.8 121.7 119.9 114.7 109.3 90.1 83.0 19.3 20.4 17.1 16.6 16.0 14.6 16.1 14.9 11.2 12.6 10.1 YUMA Teen Pregnancy, Arizona 2003-2013 21 18.2 % Births to teenagers 19.4 % Births to teenagers b 2006 2007 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 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 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 95,798 102,042 102,687 2005 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 2.3 79 3,466 14.2 775 5,476 10.7 507 4,726 12.3 4,080 33,075 4.7 1,781 38,220 10.6 1,211 11,470 8.2 6,011 73,493 8.5 7,222 84,963 2013 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; 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 Urban = Maricopa, Pima, Pinal, and Yuma. The remaining counties comprise Arizona's rural areas. a 4.2 % Births to teenagers Notes: 107 # Births to teenagers # Births (all ages) 2,524 1,141 # Births to teenagers ASIAN OR PACIFIC ISLANDER 5,881 # Births (all ages) AMERICAN INDIAN OR ALASKA NATIVE 549 # Births to teenagers # Births (all ages) 3,022 17.4 % Births to teenagers BLACK OR AFRICAN AMERICAN 6,792 # Births to teenagers # Births (all ages) 39,101 7.6 % Births to teenagers HISPANIC OR LATINO 2,970 # Births to teenagers # Births (all ages) 38,842 15.7 % Births to teenagers WHITE NON-HISPANIC 2,014 # Births to teenagers # Births (all ages) 12,848 12.4 % Births to teenagers RURAL COUNTIES 9,686 # Births to teenagers # Births (all ages) 77,905 12.9 % Births to teenagers URBAN COUNTIESb 11,700 # Births to teenagers 2003 90,783 Group # Births (all ages) ARIZONA, TOTAL a TABLE 10 LIVE BIRTHS TO FEMALES 19 OR YOUNGER AS A PERCENTAGE OF TOTAL LIVE BIRTHS BY AREA, RACE/ETHNICITY, AND YEAR, ARIZONA, 2003-2013 TABLE 11 BIRTH RATES BY AGE GROUP FOR FEMALES 19 OR YOUNGER, ARIZONA, AND UNITED STATES, 2003-2013 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. 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 41.5 32.3 21.7 105.1 71.7 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 2013 0.3 0.3 31.3 26.6 15.0 12.3 53.6 47.3 Note: The U.S. data is from the National Vital Statistics reports published by the National Center for Health Statistics. Teen Pregnancy, Arizona 2003-2013 22 Teen Pregnancy, Arizona 2003-2013 23 † 1,567 One or more * 1,681 2,556 4,240 * 954 2,250 3,208 7 427 1,838 2,272 * 159 1,228 1,389 * 25 538 566 2004 * 1,586 2,631 4,218 0 940 2,411 3,351 0 468 1,791 2,259 0 150 1,167 1,317 0 44 559 603 2005 0 1,812 2,961 4,773 0 1,004 2,519 3,523 * 502 1,905 2,409 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 * 1,407 3,065 4,473 * 799 2,576 3,376 0 348 1,983 2,331 0 104 1,146 1,250 0 17 553 570 2008 Year * 1,570 2,667 4,241 * 851 2,226 3,078 0 350 1,598 1,948 0 119 988 1,107 0 18 428 446 2009 Sum rounded to nearest tens unit due to non-zero addend less than 6. 9 2,592 None Previous pregnancies Unknown 4,168 6 Total Unknown 996 2,209 Previous pregnancies One or more 3,211 * Total None Unknown 475 1,729 Previous pregnancies One or more 2,209 * Total None Unknown 168 1,144 Previous pregnancies One or more 1,314 0 Total None Unknown 36 551 Previous pregnancies One or more 587 2003 Total None Pregnancies Notes: * Cell suppressed due to non-zero count less than 6; 19 18 17 16 15 Mother's age 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 * 892 2,444 3,339 * 434 1,845 2,281 0 145 1,218 1,363 0 42 732 774 * 8 283 293 2012 TABLE 12 REPEAT PREGNANCIES AMONG TEENAGE MOTHERS GIVING BIRTH BY AGE AND YEAR, ARIZONA, 2003-2013 * 777 2,376 3,154 * 351 1,658 2,012 * 129 1,022 1,153 0 38 571 609 * * 217 220† 2013 Teen Pregnancy, Arizona 2003-2013 24 0 0 0 0 0 0 0 0 2006 2007 2008 2009 2010 2011 2012 2013 11 0† 0 0 0 * 0 * 0 0 0 * * * * * * * * 20† 12 15 * 7 11 15 16 20 90† 13 558 55 61 93 92 116 141 14 1,550 223 293 249 339 446 15 3,112 609 774 792 937 16 3,922 1,153 1,363 1,406 17 4,293 2,012 2,281 18 3,154 3,154 3,339 19 0 0 16,690† 7,220† 4,780† 2,550† 1,380† 580† 160† 20† 0† Mother was 19 or younger in 2013 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; The above table focuses on the 2013 cohort of Arizona mothers who were 19 or younger that year. Among them are those who gave birth in 2013 and those who gave birth prior to 2013 and were still 19 or less years old in 2013. 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 2013 by the year the baby was born. For example, from among those girls and adolescents who had their baby in 2007, 24 remained in their teens in 2013. The bottom row gives the cumulative total by mother's age when the baby was born. For example, among the 16,694 mothers under 20 in Arizona in 2013, 86 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 2013. For example, mothers who were 11 years old in 2004 were 20 years old in 2013. The figures in Table 13 are unadjusted for in-and-out migration, as well as mortality of mothers, in the period of 2003-2013. For simplicity, the number of mothers equals the number of babies (i.e., no adjustment was made for multiple birth events). 0 0 2005 Cumulative number of mothers 19 or younger 0 10 2004 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 2013 TABLE 14 TRENDS IN TEEN PREGNANCY RATES BY RACE/ETHNICITY AND AGE GROUP, ARIZONA, 2003-2013 All 19 years or younger WHITE NON-HISPANIC 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 2013 9.8 HISPANIC OR LATINO 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 2013 25.0 BLACK OR AFRICAN AMERICAN 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 2013 25.1 AMERICAN INDIAN OR ALASKA NATIVE 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 2013 29.7 ASIAN OR PACIFIC ISLANDER 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 2013 6.8 10-14 years 15-19 years 15-17 years 18-19 years 0.4 0.3 0.3 0.4 0.9 0.3 0.3 0.3 0.2 0.1 0.1 36.3 35.3 31.6 37.2 36.3 34.1 30.3 30.5 22.8 20.6 18.9 17.5 16.9 14.9 17.2 15.6 14.9 12.3 12.9 9.6 9.0 7.1 62.9 61.2 55.1 68.6 70.3 65.3 59.6 53.9 40.8 35.6 34.0 2.6 2.3 2.2 1.9 1.9 1.7 1.1 0.9 0.9 0.6 0.6 116.2 120.1 112.5 117.3 116.8 104.4 92.4 67.9 60.5 56.7 50.7 76.5 79.7 72.9 72.7 68.5 62.7 51.3 38.9 31.8 31.6 25.9 172.7 177.4 168.9 188.1 201.2 177.2 164.2 112.6 104.0 93.8 87.4 ** 1.6 1.6 1.4 2.3 1.6 0.8 1.1 0.9 ** 0.7 94.9 91.8 89.0 67.2 73.9 78.1 69.5 56.1 47.7 49.8 47.5 59.8 53.0 51.6 36.1 36.9 37.2 31.6 27.3 22.3 26.2 20.9 147.5 149.8 144.8 118.1 144.1 155.7 141.7 97.0 84.0 81.2 82.9 2.5 1.4 1.5 1.1 2.0 1.4 1.0 1.2 0.8 0.5 0.6 82.9 83.6 85.8 71.1 73.8 67.4 66.2 69.5 55.7 65.5 58.6 52.0 53.2 55.0 41.5 42.4 38.1 36.9 40.5 28.8 32.2 31.5 134.2 134.2 137.0 119.8 124.9 115.2 114.0 111.0 94.2 110.7 98.0 ** ** ** ** 0.0 ** ** ** ** ** ** 35.5 36.2 30.4 25.7 31.1 27.6 23.6 19.9 18.0 14.6 13.2 22.0 20.2 16.2 13.0 12.0 11.6 8.2 8.3 7.2 5.6 3.7 52.1 55.0 47.6 45.0 62.2 53.5 48.7 35.5 32.7 26.6 25.5 Note: ** Cell supressed due to rate/ratio/percent based on non-zero count less than 6. Teen Pregnancy, Arizona 2003-2013 25 Teen Pregnancy, Arizona 2003-2013 26 4,003 4,957 19 4,400 538 224 0 6,185 13 5,451 721 250 0 210 7,008 16 6,188 804 264 0 224 270† * 249 7,334 25 6,600 709 7,071 8 6,595 468 15-19 years old 310† * 278 26 7,230 6 6,771 453 250 0 224 2009 22 7,205 10 6,666 529 245 0 223 2010 27 7,772 8 7,073 691 235 0 208 2011 21 7,701 6 6,882 813 218 0 197 2012 21 6,921 6 6,213 702 156 0 135 2013 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). Total reported infections 25 3,475 Chlamydia Early syphilis 503 200 0 Gonorrhea Diagnosed with: Total reported infections Early syphilis 188 19 169 40 Chlamydia 40 2008 32 36 2007 31 2006 Gonorrhea 2005 10-14 years old 2004 Diagnosed with: 2003 TABLE 15 TRENDS IN SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2003-2013 Teen Pregnancy, Arizona 2003-2013 27 2,063.4 2,466.3 9.5 2,189.1 267.7 107.3 0.0 90.1 17.2 2004 2,972.1 6.2 2,619.4 346.5 124.6 0.0 97.1 18.5 2005 3,279.4 7.5 2,895.7 376.2 118.2 0.0 100.3 17.9 2006 3,409.9 11.6 3,068.6 329.6 140.0 ** 125.1 14.4 2007 3,235.5 3.7 3,017.7 214.1 119.1 ** 110.3 8.4 2008 3,278.1 2.7 3,070.0 205.4 109.7 0.0 98.3 11.4 2009 3,230.2 4.5 2,971.9 253.8 111.5 0.0 101.5 10.0 2010 3,465.0 3.6 3,153.3 308.1 107.0 0.0 94.7 12.3 2011 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 12.9 1,791.2 Chlamydia Early syphilis 259.3 99.1 Gonorrhea Diagnosed with: Total reported infections 0.0 83.7 Chlamydia Early syphilis 15.4 Gonorrhea Diagnosed with: 2003 3,549.3 2.8 3,171.8 374.7 97.9 0.0 88.5 9.4 2012 TABLE 16 TRENDS IN THE INCIDENCE RATES OF SEXUALLY TRANSMITTED INFECTIONS BY AGE GROUP AND YEAR AMONG FEMALES 10-19 YEARS, ARIZONA, 2003-2013 a 3,164.3 2.7 2,840.6 321.0 69.8 0.0 60.4 9.4 2013 TABLE 17 PREGNANCIES AND PREGNANCY RATES OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2013 NUMBER OF PREGNANCIESa County of residence All 19 years or younger 15-19 years old 10-14 years Total, 15-19 years 15-17 years 18-19 years Apache 120† * 115 39 76 Cochise 153 0 153 44 109 Coconino 170† * 172 47 125 Gila 100† * 97 26 71 80† * 74 22 52 23 0 23 7 16 40† * 35 9 26 5,109 50 5,059 1,405 3,654 Mohave 180† * 179 37 142 Navajo 200† * 196 46 150 Pima 1,252 17 1,235 346 889 Pinal 440† * 436 113 323 80† * 80 24 56 Yavapai 190† * 188 47 141 Yuma 400† * 396 125 271 8,715 90† 8,624 2,385 6,239 Graham Greenlee La Paz Maricopa Santa Cruz TOTAL STATE PREGNANCY RATESb County of residence All 19 years or younger 15-19 years old 10-14 years Total, 15-19 years 15-17 years 18-19 years Apache 19.1 ** 38.5 20.8 68.5 Cochise 18.9 0.0 36.3 17.3 65.2 Coconino 16.2 ** 26.3 18.8 30.8 Gila 32.0 ** 64.3 26.7 132.9 Graham 26.7 ** 55.3 26.3 103.3 Greenlee 28.8 0.0 58.7 28.6 108.9 La Paz 37.6 ** 75.0 31.2 146.2 Maricopa 18.4 0.4 36.6 17.2 64.2 Mohave 15.8 ** 30.9 10.9 59.4 Navajo 23.3 ** 46.4 17.6 92.9 Pima 19.2 0.6 35.8 19.0 54.6 Pinal 16.4 ** 35.2 14.8 67.7 Santa Cruz 20.6 ** 42.2 18.6 92.3 Yavapai 16.7 ** 32.2 13.2 62.2 Yuma 25.1 ** 48.5 25.5 83.0 TOTAL STATE 19.2 0.4 37.7 18.0 64.8 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; The number of pregnancies per 1,000 females in specified group. Teen Pregnancy, Arizona 2003-2013 a The sum of live births, fetal deaths and abortions; b 28 TABLE 18 BIRTHS AND BIRTH RATES, FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2013 NUMBER OF BIRTHS County of residence All 19 years or younger 10-14 years Total, 15-19 years 15-19 years old 15-17 years 18-19 years Apache 120† * 114 38 76 Cochise 139 0 139 37 102 160† * 155 46 109 Gila 90† * 84 24 60 Graham 70† * 69 20 49 Greenlee 13 0 10† * 9 La Paz 32 0 32 8 24 4,231 41 4,190 1,169 3,021 Mohave 180† * 174 35 139 Navajo 190† * 184 44 140 Pima 1,007 12 995 283 712 Pinal 390† * 390 98 292 80† * 76 23 53 Yavapai 160† * 158 39 119 Yuma 380† * 378 117 261 7,222 70† 7,151 1,990† 5,166 Coconino Maricopa Santa Cruz TOTAL STATE BIRTH RATESa County of residence All 19 years or younger 10-14 years Total, 15-19 years 15-19 years old 15-17 years 18-19 years Apache 19.0 ** 38.2 20.3 68.5 Cochise 17.2 0.0 32.9 14.5 61.0 Coconino 14.5 ** 23.7 18.4 26.9 Gila 27.8 ** 55.7 24.7 112.3 Graham 24.9 ** 51.5 23.9 97.3 Greenlee 16.3 0.0 33.2 ** 61.2 La Paz 33.4 0.0 68.6 27.7 134.9 Maricopa 15.2 0.3 30.3 14.3 53.1 Mohave 15.3 ** 30.0 10.3 58.1 Navajo 21.9 ** 43.5 16.9 86.7 Pima 15.4 0.4 28.8 15.5 43.7 Pinal 14.7 ** 31.5 12.9 61.2 Santa Cruz 19.6 ** 40.1 17.8 87.4 Yavapai 14.0 ** 27.1 10.9 52.5 Yuma 23.9 ** 46.3 23.9 80.0 TOTAL STATE 15.9 0.3 31.3 15.0 53.6 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; females in specified group. Teen Pregnancy, Arizona 2003-2013 a The number of births per 1,000 29 TABLE 19 PREGNANCY RATESa AND NUMBER OF LIVE BIRTHS, FETAL DEATHS, AND ABORTIONS TO TEENS BY INDIVIDUAL AGE, ARIZONA, 2013 PREGNANCIES BY OUTCOME Age Induced terminations of pregnancy (or abortions) Population Live births TOTAL PREGNANCIES Spontaneous fetal losses Number Rate 10 44,616 0 0 0 0 0.0 11 44,648 0 0 0 0 0.0 12 45,813 * 0 0 * ** 13 45,682 15 * 0 18 0.4 14 44,249 55 17 0 72 1.6 225,007 70† 20† 0 90† 0.4 15 43,941 223 59 * 287 6.5 16 44,226 609 121 * 732 16.6 17 44,189 1,153 202 11 1,366 30.9 132,356 1,985 382 20† 2,385 18.0 18 46,859 2,012 415 15 2,442 52.1 19 49,437 3,154 624 19 3,797 76.8 18-19 96,296 5,166 1,039 34 6,239 64.8 453,659 7,222 1,441 52 8,715 19.2 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; group. Teen Pregnancy, Arizona 2003-2013 a Rates per 1,000 female population in specific 30 TABLE 20 BIRTHS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2013 Mother's age Total 12 TOTAL 13 14 15 16 17 18 19 7,220† 0† 20† 60† 220† 610† 1,150† 2,010† 3,154 Apache 120† 0 0 * * 10 25 33 43 Cochise 139 0 0 0 6 11 20 46 56 160† 0 * 0 6 15 25 44 65 Gila 90† 0 * 0 * 7 13 25 35 Graham 70† 0 0 * * 7 11 19 30 Geenlee 10† 0 0 0 0 * * * 6 La Paz 30† 0 0 0 * * * 6 18 4,230† * 7 33 132 366 671 1,154 1,867 Mohave 180† 0 0 * * 7 24 58 81 Navajo 190† 0 * * 7 15 22 60 80 Pima 1,010† 0 * 11 27 88 168 280 432 Pinal 390† 0 0 * 12 28 58 122 170 80† 0 * 0 * * 17 23 30 Yavapai 160† 0 * * * 11 26 43 76 Yuma 380† 0 * * 13 38 66 96 165 Coconino Maricopa Santa Cruz 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 2003-2013 31 TABLE 21 ABORTIONS TO FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2013 Total TOTAL 12 13 14 15 16 17 18 19 1,440† 0 0† 20† 60† 120† 200† 420† 620† Apache 0 0 0 0 0 0 0 0 0 Cochise 10† 0 0 0 * * * * * Coconino 20† 0 0 * 0 * 0 9 7 Gila 10† 0 0 0 0 * * * 6 Graham 10† 0 0 0 0 * * * * Greenlee 10† 0 0 0 0 * * * * 0† 0 0 * 0 * 0 0 * 850† 0 * 8 34 66 126 231 380 0† 0 0 * * 0 0 0 * 10† 0 0 0 0 0 * * 7 Pima 240† 0 * * 9 23 29 75 98 Pinal 40† 0 0 0 * * 6 14 16 0† 0 0 0 0 0 * 0 * Yavapai 30† 0 0 0 * * * 8 13 Yuma 10† 0 0 0 * * * * * 190† 0 0 * 8 18 22 63 75 La Paz Maricopa Mohave Navajo Santa Cruz Unknown Notes: * Cell suppressed due to non-zero count less than 6; 6. Teen Pregnancy, Arizona 2003-2013 † Sum rounded to nearest tens unit due to non-zero addend less than 32 TABLE 22 SOURCES OF PAYMENT FOR LABOR AND DELIVERY, FEMALES 19 OR YOUNGER BY AGE AND COUNTY OF RESIDENCE, ARIZONA, 2013 Total AHCCCS Private insurance IHS Self Unknown TOTAL 7,222 6,090† 160† 770† 190† 10† Apache 120† 101 12 * 0 0 Cochise 139 113 0 19 7 0 Coconino 156 124 16 15 0 * Gila 85 40 35 9 0 * Graham 70 36 14 8 12 0 Greenlee 10† * * * * 0 La Paz 30† 24 * * * 0 4,231 3,691 26 438 66 10 Mohave 180† 136 * 28 6 * Navajo 190† 159 14 13 * 0 Pima 1,007 831 14 128 34 0 Pinal 392 320 12 54 6 0 Santa Cruz 80† 61 0 * 12 0 160† 141 0 15 * 0 381 307 6 27 41 0 Maricopa Yavapai Yuma Notes: * Cell suppressed due to non-zero count less than 6; than 6. Teen Pregnancy, Arizona 2003-2013 † 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, 2013 Mother's age group Total <15 Total Count Payee for births AHCCCS IHS Self Unknown 18-19 7,220† 70† 1,990† 5,166 6,089 62 1,658 4,369 Percent 84.3 87.3 83.5 84.6 Count 160† * 60 95 2.2 ** 3.0 1.8 Count 770† * 189 576 Percent 10.7 ** 9.5 11.2 Count 190† * 73 118 Percent 2.7 ** 3.7 2.3 Count 10† 0 * 8 Percent 0.2 0.0 0.0 0.2 Count Percent Private insurance 15-17 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 2003-2013 34 TABLE 24 TEENAGE BIRTHS BY NUMBER OF PREVIOUS PREGNANCIES BY AGE GROUP, ARIZONA, 2013 Mother's age group Total Total Count Total prior pregnancies None Count Percent 1 Count Percent 2 3 Unknown 15-17 18-19 70† 1,990† 5,170† 5,912 68 1,810 4,034 81.9 95.8 91.2 78.1 1,110† * 158 951 15.4 ** 8.0 18.4 Count 171 0 13 158 Percent 2.4 0.0 0.7 3.1 Count Percent 4 or more <15 7,220† Count 18 0 0 18 0.3 0.0 0.0 0.4 0† 0 * * Percent 0.0 0.0 0.0 0.0 Count 10† 0 * * Percent 0.1 0.0 0.0 0.0 TABLE 25 TEENAGE BIRTHS BY MARITAL STATUS AND AGE GROUP, ARIZONA, 2013 Mother's age group Total Total Count Marital status Married 7,222 Count 18-19 1,990† 5,166 720 0 62 658 0.0 3.1 12.7 6,485 71 1,922 4,492 89.8 100.0 96.8 87.0 Count 20† 0 * 16 Percent 0.2 0.0 ** 0.3 Count Percent Other 15-17 71 10.0 Percent Unmarried <15 TABLE 26 TEENAGE BIRTHS BY MOTHER'S EDUCATION AND AGE GROUP ARIZONA, 2013 Mother's age group Total Total Count Mother's education <8 8 9-11 17+ Unknown 18-19 71 1,985 5,170† 88 12 31 45 Percent 1.2 16.9 1.6 0.9 Count 239 33 109 97 Percent 3.3 46.5 5.5 1.9 3,136 25 1,494 1,617 43.4 35.2 75.3 31.3 3,101 0 320 2,781 53.8 Count Count Count Percent 13-16 15-17 7,220† Percent 12 <15 42.9 0.0 16.1 Count 629 0 17 612 Percent 8.7 0.0 0.9 11.9 Count 0† 0 0 * Percent ** 0.0 0.0 ** Count 30† * 14 12 Percent 0.4 ** 0.7 0.2 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. Teen Pregnancy, Arizona 2003-2013 35 TABLE 27 TEENAGE BIRTHS BY TRIMESTER OF ENTRY INTO PRENATAL CARE AND AGE GROUP, ARIZONA, 2013 Mother's age group Total Total Count Prenatal care No care 1,985 5,166 160† * 54 98 2.2 ** 2.7 1.9 4,988 29 1,245 3,714 69.1 40.9 62.7 71.9 1,594 20 520 1,054 22.1 28.2 26.2 20.4 Count 466 18 163 285 Percent 6.5 25.4 8.2 5.5 Count 20† * * 15 Percent 0.3 ** ** 0.3 Count Count Count Percent 3rd trimester Unknown 18-19 70† Percent 2nd trimester 15-17 7,222 Percent 1st trimester <15 TABLE 28 TEENAGE BIRTHS BY NUMBER OF PRENATAL VISITS AND AGE GROUP, ARIZONA, 2013 Mother's age group Total Total Count Prenatal visits No visits 1-4 visits 5-8 visits 1,985 5,166 160† * 54 98 Percent 2.2 ** 2.7 1.9 Count 445 11 132 302 Percent 6.2 15.5 6.7 5.9 1,473 24 454 995 20.4 33.8 22.9 19.3 3,387 14 900 2,473 46.9 19.7 45.3 47.9 1,742 18 441 1,283 24.1 25.4 22.2 24.8 Count 20† * * 15 Percent 0.3 ** 0.0 0.3 Count Count Count Count Percent Unknown 18-19 70† Percent 13+ visits 15-17 7,222 Percent 9-12 visits <15 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 2003-2013 36 TABLE 29 TOBACCO AND/OR ALCOHOL USE DURING PREGNANCY AMONG FEMALES 19 OR YOUNGER BY AGE GROUP, ARIZONA, 2013 Mother's age group Total <15 Total Count Substance use Drinker, nonsmoker Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 15-17 18-19 7,222 71 1,990† 5,170† Count 10† 0 * * Percent 0.1 0.0 ** 0.0 Count 271 0 41 230 Percent 3.8 0.0 2.1 4.5 Count 10† 0 * 6 Percent 0.1 0.0 ** 0.1 6,934 71 1,937 4,926 96.0 100.0 97.6 95.4 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 2003-2013 37 Teen Pregnancy, Arizona 2003-2013 38 14 56 1 5 or more Unknown 0 Less than 5 Unknown 61 0 Unknown 37 weeks or more 1 Self 10 5 Private insurance 36 weeks or less 3 62 IHS AHCCCS 71 0 Smoker and drinker Nonsmoker and nondrinker 0 Smoker, nondrinker 2 Asian 0 8 American Indian or Alaska Native Drinker, nonsmoker 6 47 Hispanic or Latino Black or African American 8 White non-Hispanic Count 0 7 0 0 * 6 0 0 0 0 7 7 0 0 0 0 0 * * * 0.0 12.5 0.0 0.0 ** 60.0 0.0 0.0 0.0 0.0 11.3 9.9 0.0 0.0 0.0 0.0 0.0 ** ** ** Percent LBW births 4 1,795 186 0 1,806 179 5 73 189 60 1,658 1,937 3 41 4 11 243 122 1,244 365 Total births 0 113 23 0 46 90 * * 20 0 112 130 0 6 0 0 10 20 82 24 Count 0.0 6.3 12.4 0.0 2.5 50.3 ** ** 10.6 0.0 6.8 6.7 0.0 14.6 0.0 0.0 4.1 16.4 6.6 6.6 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 15 4,751 400 6 4,695 465 8 118 576 95 4,369 4,926 6 230 4 66 524 379 2,789 1,408 Total births * 325 53 0 128 252 * 8 41 * 325 357 0 23 0 * 30 45 199 102 Count ** 6.8 13.3 0.0 2.7 54.2 ** 6.8 7.1 ** 7.4 7.2 0.0 10.0 0.0 ** 5.7 11.9 7.1 7.2 Percent LBW births 18-19 TABLE 30 RISK FOR LOW-BIRTHWEIGHT (LBW) BIRTHS BY SELECTED CHARACTERISTICS OF FEMALES 19 OR YOUNGER, ARIZONA, 2013 TABLE 31 POPULATION OF FEMALES 19 OR YOUNGER, NUMBER OF PREGNANCIES AND PREGNANCY RATES BY AGE GROUP, AND RACE/ETHNICITY, ARIZONA, 2013 POPULATION All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 453,659 225,007 228,652 132,356 96,296 White non-Hispanic 208,748 100,746 108,002 60,892 47,110 Hispanic or Latino 184,853 94,808 90,046 53,737 36,308 Black or African American 21,381 10,229 11,151 6,359 4,792 American Indian or Alaska Native 26,464 13,163 13,302 7,881 5,421 Asian or Pacific Islander 12,213 6,062 6,151 3,486 2,665 Note: The 2013 population denominators are population estimates. NUMBER OF PREGNANCIES All 19 years 10-14 years or younger 15-19 years 15-17 years 18-19 years All groups 8,715 90† 8,624 2,385 6,239 White non-Hispanic 2,050 14 2,036 434 1,602 Hispanic or Latino 4,618 53 4,565 1,390 3,175 Black or African American 537 7 530 133 397 American Indian or Alaska Native 787 8 779 248 531 81 13 68 Asian or Pacific Islander 80† * PREGNANCY RATES PER 1,000 FEMALES All 19 years 10-14 years or younger All groups 15-19 years 15-17 years 18-19 years 19.2 0.4 37.7 18.0 64.8 9.8 0.1 18.9 7.1 34.0 Hispanic or Latino 25.0 0.6 50.7 25.9 87.4 Black or African American 25.1 0.7 47.5 20.9 82.9 American Indian or Alaska Native 29.7 0.6 58.6 31.5 98.0 6.8 ** 13.2 3.7 25.5 White non-Hispanic 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 2003-2013 39 Teen Pregnancy, Arizona 2003-2013 40 15,909 Yuma 7,741 5,567 2,082 14,283 30,830 4,305 5,733 139,418 490 406 1,470 1,555 4,183 3,863 3,080 225,007 10-14 years 8,168 5,834 1,896 12,387 34,517 4,225 5,797 138,368 467 392 1,339 1,507 6,550 4,220 2,984 228,652 15-19 years 4,905 3,567 1,290 7,614 18,222 2,610 3,405 81,481 289 245 836 973 2,495 2,549 1,875 132,356 15-17 years 15-19 years Note: The 2013 population denominators are population estimates. Totals may not equal sum of parts due to rounding. Cells contain non-rounded values. 11,401 3,978 Yavapai Santa Cruz 26,670 Pinal 8,530 Navajo 65,347 11,530 Mohave Pima 277,786 957 La Paz Maricopa 798 Greenlee 2,810 Graham 10,733 Coconino 3,062 8,084 Cochise Gila 6,064 453,659 Apache ARIZONA All 19 years or younger TABLE 32 POPULATION OF FEMALES 19 OR YOUNGER BY COUNTY OF RESIDENCE, ARIZONA, 2013 3,264 2,267 606 4,773 16,295 1,615 2,391 56,887 178 147 504 534 4,055 1,672 1,109 96,296 18-19 years Teen Pregnancy, Arizona 2003-2013 41 25,346 13,857 2,567 185.2 180,270 8,922 49.5 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 59.2 11,489 B. The number of births to females 15-19 years old C. The rate of births (B/A)*1,000 194,127 A. The number of females 15-19 years old 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 6,522 217,516 154.0 1,521 9,879 17,929 35.4 8,050 227,395 2012 26.6 5,844 219,772 146.4 1,300 8,880 16,031 31.3 7,151 228,652 2013 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 2013 cohort of mothers who were 15-19 years old includes 7,151 who gave birth that year and 9,472 who gave birth prior to 2013 and were still 15-19 years old in 2013 (Table 13). The number of births per 1,000 females 15-19 years old. Based on the birth database. Cenus enumerations for 2010; population estimates for 2003-2013. Comments Our Web site at http://www.azdhs.gov/plan provides access to a wide range of statistical information about the health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality, and morbidity towards established health objectives. In addition to the print and original online versions, the 2013 report is made available as a mobile-friendly e-book. Additional reports and studies include Advance Vital Statistics by County of Residence, 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 (first-listed diagnosis, procedures, mental disorders, asthma, diabetes, influenza and pneumonia, and substance abuse), Community Vital Statistics, Teenage Pregnancy, Differences in Health Status Among Racial/Ethnic Groups, and Health Status Profile of American Indians in Arizona. Population Health and Vital Statistics Section Bureau of Public Health Statistics ARIZONA DEPARTMENT OF HEALTH SERVICES