# Presentation: 693631

## Adolescent Sexual Risk Behaviors and Reproductive Health: Data from the National Survey of Family Growth, 2002

**Joyce Abma and Gladys Martinez**

**Adolescent Sexual Risk Behaviors ****and Reproductive Health: Data from ****the National Survey of Family Growth, 2002**

**National Center for Health Statistics**
**Data Users Conference**
**Washington, DC**
**July 2006**

## NSFG Cycle 6 

- Conducted in 2002
- Oversamples
- 	Ages 15-24; Blacks & Hispanic
- Computer-assisted interviewing
- CAPI (Interviewer administered)
- ACASI (Self-administered, with audio)
- Interviews in both English and Spanish
- Informed consent procedures:
- For adults (18-44): Signed consent
- For minors (15-17):Signed assent & parental consent
- Response rate
- 	Overall  79%
- 	Men 78%	Women 80%
- 	Teens 81%

## 
7,463 Women 15-44

1,150 teens (aged 15-19)

- 7,463 Women 15-44
- 1,150 teens (aged 15-19)

- NSFG Cycle 6 (2002) Sample Size** **

**♀**

- 4,928 Men 15-44
- 1,121 teens (aged 15-19)

**♂**

## NSFG Cycle 6 (2002) Sample Size: Details for Teens

|  | Males | Females |
| --- | --- | --- |
| Total | 1121 | 1150 |
| Age at interview |  |  |
| 15 | 203 | 217 |
| 16 | 231 | 223 |
| 17 | 199 | 234 |
| 18 | 267 | 235 |
| 19 | 221 | 241 |
|    15-17 | 633 | 674 |
|    18-19 | 488 | 476 |
| Hispanic | 235 | 231 |
| 15-17 | 129 | 140 |
| 18-19 | 106 | 91 |
| Non-Hispanic white | 622 | 613 |
| 15-17 | 359 | 352 |
| 18-19 | 263 | 261 |
| Non-Hispanic black | 205 | 242 |
| 15-17 | 114 | 143 |
| 18-19 | 91 | 99 |

## Adolescent Health: Pregnancy and ChildbearingPregnancy rates, 1990-2000, by age: Females aged 15-19

- 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.

- Pregnancies per thousand

**162**

**Age 18-19**

**Age 15-19**

**Age 15-17**

**116**

**80**

**130**

**85**

**54**

## 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.

## Percentage of men and women 15-44 years of age whose first child was born before they were 20 years old, by Hispanic origin and race:  United States, 2002

**Females**

**Males**

## Percent of births in the five years before interview to men and women aged 15-44 that were unintended (mistimed & unwanted) at conception (2002)

**Females**

**Males**

## Percent sexually experienced, by age: never-married teens 1995 and 2002

- Females

- Males

## Percent of females aged 15-44 who had sex before age 20, who used specified contraception at first sex, by year of first sex

## Percent of males aged 15-44 who had sex before age 20, who used specified contraception at first sex, by year of first sex

## 

19 million new cases of STI in 2000 

About 1⁄2 of these were to people 15-24

Direct medical cost of these among 15-24 year olds was estimated at $6.5 billion

- 19 million new cases of STI in 2000
- About 1⁄2 of these were to people 15-24
- Direct medical cost of these among 15-24 year olds was estimated at $6.5 billion

- Adolescent Reproductive Health: STI (including HIV) Risks

- Chesson HW, Blandford, JM, Gift TL, et al. The estimated direct medical cost of sexually transmitted diseases among American youth, 2000. Perspectives on Sexual and Reproductive Health 36(1):11–19. 2004.

## Percent of males and females 15-19 years of age by number of opposite-sex partners in the last 12 months: US, 2002 

- Advance Data 362

## Percent of males 15-24 years of age who have had vaginal intercourse, and percent who have had oral sex but not vaginal intercourse, by age: US, 2002

- Advance Data 362

## Percent of females 15-24 years of age who have had vaginal intercourse, and percent who have had oral sex with an opposite-sex partner but not vaginal intercourse, by age: US, 2002

- Advance Data 362

## Percent of males and females 15-19 years of age who have had each type of sexual contact:  US, 2002

- Advance Data 362

## Percent of males and females 15-19 years of age who did not use a condom at last sexual activity of any kind*

- Advance Data 362

- *Universe is teens who have ever had sex with a male and had at least one sexual partner in the last 12 months

## Teens’ Attitudes About Condom Use

| Percent of males and females 15-19 years of age who reported “a pretty good” or “an almost certain chance” in response to questions about condom attitudes.
 |  |  |
| --- | --- | --- |
| What are the chances that ... | Female | Male |
| If your partner/you used a condom during sex, you would feel less physical pleasure? | 12 | 25 |
| It would be embarrassing for you and a new partner to discuss using a condom? | 15 | 13 |
| If a new partner/you used a condom, you would appreciate it? | 91 | 83 |

- Other response categories were: No chance, a little chance, 50-50 chance.

**Series 23 #24**

## More frequent time points to parallel pregnancy rate data

After 2 years of data collection: basic indicators for F and M teens as a whole

After 4 years of data collection: Teen sample size larger than Cycle 6 (estimated 3,100)

Time-series intact and same in-depth studies possible

- After 2 years of data collection: basic indicators for F and M teens as a whole
- After 4 years of data collection: Teen sample size larger than Cycle 6 (estimated 3,100)
- Time-series intact and same in-depth studies possible

- Future: Continuous Interviewing (Cycle 7)

## 	For more information on teens from Cycle 6 

- _	__For more information on teens from Cycle 6_
- Abma et al., 2004.  Series 23, #24, **“Teenagers in the United States: Sexual Activity, Contraceptive Use, and Childbearing, 2002**”
- Mosher et al., September 2005, “**Sexual Behavior and Selected Health Measures: Men and women 15-44 years of age, US 2002”**
- Chandra et al., December 2005.  Series 23, #25, **“Fertility, Family Planning, and Reproductive  Health of U.S. Women: Data from the 2002 NSFG”**
- Martinez et al., May 2006.  Series 23, #26, **“Fertility, Contraception, and Fatherhood: Data on Men and Women from the 2002 NSFG”**

## NSFG Contact information  

- NSFG Contact information**  **

- Website......http://www.cdc.gov/nchs/nsfg.htm
- E-mail................_[nsfg@cdc.gov](mailto:nsfg@cdc.gov)_
- Phone................(301) 458-4222