# Presentation: 552934

## Focus Area 9Family Planning Progress Review

**Focus Area 9****Family Planning ****Progress Review**

**December 8, 2004**

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## Focus Area 9Family Planning Goal: Improve pregnancy planning and spacing and prevent unintended pregnancy

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## Family Planning

- In 2000, an estimated 6.4 million pregnancies resulted in:
- 4.1 million live births
- 1.3 million induced abortions
- 1.0 million fetal losses
- Pregnancy rate in 2000:
- Lowest since 1976
- Declined 27% for teenagers since 1990
- Birth rate for teenagers fell 30% between 1990 - 2003
- Estimated overall cost for teenage childbearing – up to $15 billion

**Notes:**
Despite the steady decline in teenage pregnancy, United States teenage pregnancy rates are still among the highest among industrialized nations.
Pregnancy rates fell more for 15 to 17 year old teenagers (33%) than for 18 to 19 year olds (20%)
The annual cost of teen pregnancies can be attributed to higher public assistance costs, foregone tax revenues resulting changes in productivity from teen parents, increased child welfare, and higher criminal justice costs.

## Teen Pregnancies

**Pregnancy rate**

**Birth rate**

**Abortion rate**

**Teen Pregnancies**

- Rate per 1,000 females 15 – 19 years

- Sources: National Vital Statistics System, CDC, NCHS; National Survey of Family Growth, CDC, NCHS;
- Abortion Surveillance Data, CDC, NCCDPHP; Abortion Provider Survey, Alan Guttmacher Institute.

## Teen Pregnancies

**Pregnancy rate**

**Birth rate**

**Abortion rate**

**Teen Pregnancies**

- Rate per 1,000 females 15 – 19 years

- Sources: National Vital Statistics System, CDC, NCHS; National Survey of Family Growth, CDC, NCHS;
- Abortion Surveillance Data, CDC, NCCDPHP; Abortion Provider Survey, Alan Guttmacher Institute.

- 1.1 million *fewer * teen births since 1991

**61.8**

- 2002

## Teen Birth Rates:Selected Developed Countries and Most Recent Year

**0**

**20**

**10**

**30**

**40**

**50**

**Teen Birth Rates:****Selected Developed Countries and Most Recent Year**

**United States (2002)**

**Rate per 1,000 females aged 15-19 years**

**United Kingdom (1999)**

**Russian Federation (1999)**

**New Zealand (2000) **

**Portugal (2001)**

**Canada (1997)**

**Ireland (2001)**

**Australia (2000)**

**Israel (2000)**

**Greece (1998)**

**Belgium (1992)**

**Austria (2001)**

**Norway (2001)**

**Finland (2001)**

**Germany (1997)**

**France (2000)**

**Spain (1998)**

**Denmark (2001)**

**Italy (1999)**

**Sweden (2001)**

**Netherlands (2001)**

**Switzerland (2001)**

**Japan (2000)**

- Source: United Nations Demographic Yearbook 2001, New York: United Nations, 2003.

**Notes:**
Diabetes retinopathy signif higher in Hisp than in WNH; 
Visual impairments due to diabetic retinopathy ~ 4.6% in persons 18+ with diabetes.

## Probability of a First Birth by Race/Ethnicity and Mother’s Education, 2002

- Black

- Hispanic

- Total

- High school

- Less than high school

- At least some  college

- Probability before age 20

**Probability of a First Birth by Race/Ethnicity and Mother’s Education, 2002**

- Note: Data are for women 15-24 years in 2002. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race.
- Source: National Survey of Family Growth, CDC, NCHS.

**Notes:**
Women ages 15 to 44 

## Family Planning Objectives

- 9-2. Birth spacing
- 9-3. Contraceptive use
- 9-4. Contraceptive failure
- 9-5. Emergency contraception
- 9-6.  Male involvement in pregnancy 	prevention
- 9-7.  Adolescent pregnancy

**Family Planning Objectives**

- 9-8. Abstinence before age 15 years
- 9-9.  Abstinence among adolescents	aged 15 to 17 years
- 9-10. Pregnancy prevention and STD 	protection
- 9-11. Pregnancy prevention 	education
- 9-12. Problems in becoming pregnant 	and maintaining pregnancy
- 9-13. Insurance coverage for 	contraceptive supplies

- New baseline

- Getting worse

- Little or no change

- Cannot assess (limited data)

- Improving

## Highlighted Objectives

**9-6.     Male involvement in pregnancy  ****	****	****   prevention  **
**9-7.    Adolescent pregnancy**
**9-9.    Abstinence among 15 to 17 year olds**
**9-10.  Pregnancy prevention and STD ****	****	****  protection**

**Highlighted Objectives**

## Current Contraceptive Users by Method: Ages 15 to 44 

**Current Contraceptive Users by Method:**** Ages 15 to 44 **

- Percent

- Female
- Sterilization

- OC Pill

- Injectable
- (Depo)

- Calendar Rhythm & NFP

- Note: OC is oral contraceptive. NFP is natural family planning.
- Source: National Survey of Family Growth, CDC, NCHS.

- 1995

- 2002

- Male
- Condom

- Male
- Sterilization

- Implant, Patch, Lunelle

- IUD/
- Diaphram

- Withdrawal

- Other

## Current Use of Contraception:Ages 15 to 44  

- Total

- Black

- White

- Hispanic

- Percent

**2010 Target**

**Obj. 9-3**

**Current Use of Contraception:****Ages 15 to 44  **

- Note: Data are based on reports of females at risk of unintended pregnancy. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval.
- Source: National Survey of Family Growth, CDC, NCHS.

- 1995

- 2002

## Current Use of Contraception:Ages 15 to 44  

**Current Use of Contraception:****Ages 15 to 44  **

- Total

- 15-19
- years

**Obj. 9-3**

- 20-44
- years

- Note: Data are based on reports of females at risk of unintended pregnancy. I is 95% confidence interval.
- Source: National Survey of Family Growth, CDC, NCHS.

- Percent

**2010 Target**

- 1995

- 2002

**Notes:**
Note – Decrease among 15 to 19 year olds.

## Males Who Have Ever Gone To a Family Planning Clinic With a Female Partner, 2002

- Percent

**Males Who Have Ever Gone To a Family Planning Clinic With a Female Partner, 2002**

- Total
- 15-24 years

- 15-17
- years

- 18-19
- years

- 20-21
- years

- 22-24
- years

- Note: Data are for unmarried males who reported ever having sexual intercourse.
- Source: National Survey of Family Growth, CDC, NCHS.

**Obj. 9-6**

**Notes:**
Women ages 15 to 44 

## Adolescent Pregnancy :

- Pregnancies per thousand

**Obj. 9-7**

**Adolescent Pregnancy :**
** ****Females 15 to 17 Years**

- Note: The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race.
- Sources: National Vital Statistics System, CDC, NCHS; National Survey of Family Growth, CDC, NCHS; Abortion Surveillance Data, CDC, NCCDPHP; Abortion Provider Survey, Alan Guttmacher Institute.

**Black**

**Hispanic**

**Total**

**White**

**2010 Target**

- 1990

- 1992

- 1994

- 1996

- 1998

- 2000

## Never Had Sex: Adolescents 15 to 17 years  

- Total

- Percent

- 2010 Target

**Never Had Sex: ****Adolescents 15 to 17 years  **

- Black

- White

- Hispanic

- Female

- Male

- Female

- Male

- Female

- Male

- Female

- Male

- Note: The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race.  I is 95% confidence interval.
- Source: National Survey of Family Growth, CDC, NCHS.

**Obj. 9-9**

- Hispanic

- 1995

- 2002

## Condom Use at Last Intercourse:15 to 17 years

- Females

- Percent

- 2010 Target

- Males

**Condom Use at Last Intercourse:****15 to 17 years**

- Note:  Data are for unmarried teenagers who have had sex in the past 3 months. I is 95% confidence interval.
- Sources: National Survey of Family Growth, CDC, NCHS; National Survey of Adolescent Males, Urban Institute.

**Obj. 9-10**

- 2010 Target

- 1995

- 2002

## Condom Use at Last Intercourse:Females 15 to 19 years

- Total

- Percent

- Black

- White

- Hispanic

**Condom Use at Last Intercourse:****Females 15 to 19 years**

- 1995

- 2002

- Note: Data are for unmarried female teenagers who have had sex in the past 3 months. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval.
- Source: National Survey of Family Growth, CDC, NCHS.

## Progress review data and slides

**will soon be available on the web at:**

**http://www.cdc.gov/nchs/hphome.htm**