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Objectives - This report presents detailed pregnancy rates for teenagers 15-19 years, for 1990-2002, updating a national series of rates begun in 1976.
Methods - Tabular and graphical data on pregnancies and pregnancy rates for teenagers 15-19 years by age, race, and Hispanic origin are presented and briefly described. Results - In 2002, an estimated 757,000 pregnancies among teenagers 15-19 years resulted in 425,000 live births, 215,000 induced abortions, and 117,000 fetal losses. An estimated 757,000 pregnancies among teenagers 15-19 years ended in 2002, 9 percent fewer than in 2000 (834,000) and about one-fourth fewer than the peak number estimated for 1990, 1,017,000 (Table 1 [PDF - 33 KB]).
Teenage pregnancy rates continued to decline since 2000 (the most recent year for which data were previously available), dropping 10 percent overall between 2000 and 2002. This Health e-stat summarizes the overall trends in pregnancy for teenagers 15-19 years for the years 1990-2002, updating the most recent report of pregnancy estimates that included 1990-2000 (2). Pregnancy rates for black and white non-Hispanic teenagers dropped by about 40 percent each during 1990-2002, whereas the rate for Hispanic teenagers fell about 19 percent (Table 2 [PDF - 33 KB] and Figure 4).
Pregnancy rates for black teenagers were substantially higher than for white or Hispanic teenagers in 1990.
Rates for all components of pregnancy among teenagers have fallen since 1990 (Table 2 [PDF - 33 KB]). This report was prepared in the Division of Vital Statistics (DVS) under the general direction of Charles J.
The pregnancy estimates in this report and previous reports from this series are the sums of live births, induced abortions, and fetal losses. Live births - Data presented in this report are based on information reported on birth certificates filed for all births in the United States. Induced abortions - Abortion data in this report are national estimates based on abortion surveillance information collected from most states by the Centers for Disease Control and Preventiona€™s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), which are adjusted to national totals compiled by The Guttmacher Institute (AGI) from their surveys of all known abortion providers (7,8,9). Fetal losses - Information on fetal losses in this report is based on cycles 3 through 6 of the National Survey of Family Growth (NSFG), conducted in 1982, 1988, 1995, and 2002 by NCHS (10,11).
The rates in this report are based on revised population estimates consistent with the 2000 census. In computing birth rates for the Hispanic population, births with origin of mother not stated are included with non-Hispanic births rather than being distributed. Information on teenage pregnancies by pregnancy outcome is presented, including complete counts of live births and estimates of induced abortions and fetal losses. The 2002 total included 425,000 live births and an estimated 215,000 induced abortions and 117,000 fetal losses. Estimates of numbers and rates are presented in Tables 1 and 2, and trends are illustrated in Figures 1-4.


Pregnancy rates for white and black non-Hispanic teenagers declined fairly steadily through the period 1990-2002; the decline for Hispanic teenagers began after 1994. By 2002, the rates for black and Hispanic teenagers were very similar and were each more than two and one-half times the rate for non-Hispanic white teenagers (Figure 4). The birth rate dropped 28 percent from 1990 to 2002, whereas the abortion rate declined 46 percent. Trends in pregnancies and pregnancy rates by outcome: Estimates for the United States, 1976-96 [PDF - 348 KB]. Postcensal estimates of the resident population of the United States as of July 1, 2005, by year, state and county, age, bridged race, sex, and Hispanic origin (vintage 2005).
From single-race reporting to multiple-race reporting: Using imputation methods to bridge the transition.
Data are provided to the National Center for Health Statistics (NCHS) through the Vital Statistics Cooperative Program.
In 2002, the NCCDPHP abortion surveillance system collected data on abortions by age for 47 states, the District of Columbia, and New York City. This information comes from the pregnancy histories collected for each woman in the NSFG samples. Data in this report are tabulated by the race and Hispanic origin of the woman for all years.
The estimate for 2002 represents a record low for the Nation, the fewest reported since this series of national pregnancy estimates began in 1976 (1,2). The estimated rate for 1990, 116.8 pregnancies per 1,000 women aged 15-19 years, was the highest ever reported over the period 1976-2002. More detailed data on the changes and variations in pregnancies and pregnancy rates for all females 10-44 years of age will be presented in a forthcoming report. During 1990-2000, the rate fell about 4 percent per year while during 2000-02, the rate dropped 6.5 percent annually. Pregnancy rates for both age groups in 2002 are record lows for the Nation since this series of rates began in 1976 (1, 2). Details on the data elements collected in the birth certificate file are discussed in previous reports (5,6). The proportions of recent pregnancies (excluding induced abortions) ending in fetal loss in the years preceding each survey are used to compile estimated fetal loss rates. Hispanic population are underestimates of the true rates to the extent that the births with origin of mother not stated (0.8 percent in 2004) were actually to Hispanic mothers (6). Rates for young teenagers declined relatively more than for older teenagers throughout this 12-year period.


The most recent year for which these estimates can be prepared is 2002, because more current national estimates of abortions are not available. The National Campaign to Prevent Teen Pregnancy recently estimated that $9.1 billion in public funding was expended on teenage childbearing in 2004 (4).
Among age subgroups, pregnancy rates fell for all race and Hispanic origin groups between 2000 and 2002, except for Hispanic teenagers 18-19 years whose rate was unchanged.
Since 2000, these two trends have been similar with annual declines of about 5 percent for each.
The numbers of abortions published by NCCDPHP tend to be lower than the numbers published by AGI (7).
Data from the last four NSFG cycles have been combined in this way to provide statistical reliability because of small numbers of pregnancies especially for teenagers. Pregnancy estimates cannot be prepared for other races because abortion data are not collected in the necessary detail. The birth rate has continued to fall since 2002, and has now declined 33 percent from 1990 through 2005 (5).
For example, the total number of abortions reported by NCCDPHP was about 20 percent lower in 2000 than reported by AGI for the same reporting areas (7,8). The estimates for 1990-2000 in this report have been revised to incorporate the combined fetal loss estimates from Cycles 3 through 6 of the NSFG; previous estimates used data from Cycle 5 only (1,2). Overall, four in seven teenage pregnancies ended in a live birth in 2002, two in seven in induced abortion, and about one in seven in a fetal loss. The fetal loss figures are estimates, and variations reflect in part the extent to which pregnancies are recognized especially at very early gestation periods. The pace of decline continued in recent years: For the 2000-2002 period, the rate dropped about 5 percent per year, compared with an average decline of about 3 percent per year during 1990-2000.
Miller, Information Design and Publishing Staff, Office of Information Services; graphics produced by Tommy C.
Despite this, the NSFG data are preferable to vital statistics reports of fetal losses, because vital statistics data are generally limited to losses occurring at gestations of 20 weeks or more, whereas NSFG data include all gestations. The vast majority of fetal losses occur early in pregnancy before the reporting requirements for fetal losses are in effect.



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