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The CDCa€™s National Center for Health Statistics (NCHS) is the nationa€™s principal health statistics agency, providing data to identify and address health issues. Collaborating with other public and private health partners, NCHS employs a variety of data collection mechanisms to obtain accurate information from multiple sources.
The declines in teenage pregnancy have been much steeper for younger than for older teenagers. The rates in 2009 for these age groups were also lower than for any year during the 1976-2009 period.
All components of the pregnancy rates for teenagers aged 15-19 (births, abortions, and fetal losses) declined from 1990 through 2009.
Birth and abortion rates fell for Hispanic, non-Hispanic white and black teenagers 15-19 through 2009. The recent declines in teen pregnancy and childbearing are sustained, widespread, and broad-based. NCHS and its partners employ a variety of data collection mechanisms to obtain accurate information from multiple sources. National Survey of Family Growth a€“ The Nationa€™s leading source of reliable national data on topics related to birth and pregnancy histories, sexual activity, contraception and fertility, HIV risk behaviors, and marriage, divorce, and cohabitation.
CDCa€™s Abortion Surveillance Systema€“ CDCa€™s National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) collects summary data on abortions from most state health departments. The Guttmacher Institutea€“ The Guttmacher Institute compiles national totals of abortions from their surveys of all known abortion providers.
Have you ever heard the old saying, "everyone is doing it?" well that's what some teens think is right. Teenagers fall into peer pressure when one of their friends asks them to do something that they don't want to do. WCHIP are pleased to welcome Lee Davies to the team as the new Programme Principal following Alastair Philp’s move to NHS Healthcare Improvement Scotland (HIS) in October 2010. Lee joins the team following her return from maternity leave, prior to which she was the Programme Principal for ISD’s Substance Misuse programme and the Mental Health programme. Child Health, Maternity & Births and Sexual Health all feature a link to a page explaining the WCHIP. All new publications from the end of May onwards will be added to the new look website with the old website still being accessible as an archive for publications released prior to this. Immunisation uptake rates by Scottish Index of Multiple Deprivation (SIMD 2009) Category were published by the Child Health Information Team in March 2011. Deprivation has some effect on uptake rates: annual uptake of the primary immunisations by 12 months of age among children in the most deprived areas is around 1 percentage point lower than uptake in the least deprived areas. Although the data refer to the board of residence of the patient rather than the board within which the termination is performed, it is possible that people who are temporarily resident in a particular board, such as students, will have their residence ascribed to their temporary address, whereas the denominators are based on permanent addresses. Along with Health Protection Scotland (HPS), the sexual health team at ISD hosted a half day sexual health data event on 22 March 2011. As well as the presentations, a large part of the morning was dedicated to smaller group discussions with the key issues being opened to the whole group at the end. Many interesting and important points were raised during this event and it was clear that as well as HPS and ISD appreciating the opportunity to engage with stakeholders face to face, those in attendance equally appreciated the chance for their views to be heard.
One of the key issues discussed was the use of NaSH (National Sexual Health system) for data recording and reporting. Over the years many enhancements and version releases have been developed to make the Scottish Birth Record (SBR) system capable of recording the necessary maternity and neonatal details to allow patient care to be delivered and information to be shared between the appropriate clinicians, as well as providing data for analysis. It is intended that the SBR should be seen as an aggregator of data to allow the required information to be available to the relevant clinician or discipline, even though it may initially come from different systems. We have information collected and imported into the SBR system from various maternity and neonatal collection systems across Scotland and are exploring the possibilities of using the data within the SBR to populate other systems "down stream" to ensure consistent, timely data is readily available.

To supplement the ability to accurately record data, the SBR system has a number of reporting functions that will detail the information recorded on the system in your Health Board. The SBR system is continually evolving with suggestions from Users and necessary enhancements to allow relevant data to be recorded. Updated childhood immunisation and HPV immunisation uptake rates were published on the ISD website during March 2011. In Scotland as a whole, quarterly uptake rates by 24 months of age for primary courses of immunisation against diphtheria, tetanus, pertussis, polio, Hib, MenC and PCV remain high and stable at around 96% to 98%. Annual summary statistics on children with additional support needs recorded on the Support Needs System (SNS) were also published in March. Following a previous inquiry into the safety of maternity services, The King’s Fund commissioned further research into whether the safety of maternity services can be improved by more effectively deploying existing staff resources. As part of a RIGHT blether, children and young people in Scotland have been giving their views on the issues that affect their lives through a series of votes.
With the vision that Scotland becomes a place where no children are disadvantaged by poverty, this strategy sets out two main aims to maximise household resources and to improve children’s wellbeing and life chances.
Guidance to support service delivery to vulnerable children and families (0–3 years) is now available. Consultation on the new Sexual Health and BBV Framework by the Scottish Government closed on 17 May. Working at the very heart of the health service, we deliver services critical to frontline patient care and in support of the efficient and effective operation of NHS Scotland. NCHS compiles statistical information to help guide public health and health policy decisions.
This process provides a broad perspective to help us understand the populationa€™s health, influences on health, and health outcomes.
Overall, in 2009 pregnancy rates for non-Hispanic white and black teenagers aged 15-19 declined 51 percent each, with much larger declines for younger than for older teenagers in each group. Birth rates for each group fell about 40 percent or more during 1991-2009 and just-published data show that each rate has continued to drop through 2012.
The declines have been attributed to a number of factors, including strong teen pregnancy prevention messages. Because all births are part of this database, it provides the detail needed for monitoring annual changes in teenage pregnancy and for research on disparities. Information is collected on several patient characteristics, including age, race, Hispanic origin, and marital status. The new website allows users to access information from ISD through either the Health Topics menu or the Products & Services menu. Personal, social and cultural issues including deprivation are all factors which may influence a parent’s decision as to whether or not to immunise their child. However, even in the most deprived areas, uptake rates for all primary immunisations by 12 months are high, at around 96%.
This fall is a change to the overall pattern of increase since the implementation of the 1967 Abortion Act, although small dips for short periods have been observed before.
This may give artificially high rates in areas where there is a high proportion of temporary residents, for example, where there are many students. The Island Boards (Orkney, Shetland and Western Isles) have the lowest rate at 4.1 per 1000. The aim of the event was to raise awareness of the types of publications and sexual health data available from ISD and HPS and also to hear the views of those working in sexual health as to whether our current outputs remain useful, could be enhanced or stopped altogether and what new outputs we should be considering to better support the NHS boards. In response to these discussions, ISD are now working on defining a set of fields within NaSH that need to be recorded to allow us to continue to produce sexual health statistics.
A request to have the ability to input mother’s alcohol, smoking and drug use has recently been incorporated onto the system to allow consistent data to be recorded.

Uptake rates are likely to increase slightly, for the second dose in particular, as some girls may have missed the early HPV vaccinations sessions in school and have therefore started their course of HPV vaccinations later in the school year.
Overall, in the nine participating Boards with data included, 14,405 children and young people had assessment data recorded on the SNS. The report concludes that using midwives and other maternity staff more effectively is key to improving maternity care. A small number of case studies are also featured to illustrate innovation approaches to staffing in maternity services in England.
The results are intended to help Scotland’s Commissioner for Children and Young People, Tam Baillie, decide which areas require focus to make life better for children and young people. The Framework brings together the policy areas of sexual health, HIV, hepatitis C and hepatitis B under one strategic framework, reflecting existing and increasing cross agenda working on these topics at both local and national level. The data held by ISD affords unique opportunities to understand health and care and provide interpretation and statistical advice.
The 2009 pregnancy rate for teenagers was the lowest ever reported since the national series of estimates began in 1976. The rates for Hispanic teenagers began to decline after 1992 (the peak year); the overall teen pregnancy rate for this group fell 42 percent from 1992 to 2009. As shown in the charts on the preceding page, the birth rates have continued to fall to record lows through 2012. The latest data from the 2006-2010 National Survey of Family Growth (NSFG) show a continuation of a long-term downward trend in the percent of teens who are sexually experienced and of a long-term upward trend in the use of contraception at first sex.
Pregnancy history data from the NSFG are the source of information of fetal loss that is incorporated in the teen pregnancy rates.
Us…ually, it is something that they wouldn't do, but they do because it's "cool" and they will be made fun of if they don't. Similarly, some women travel to Scotland from countries where abortions are not so accessible and may be counted as Scottish residents depending on what address they give. Updated uptake rates for these girls, including uptake rates for the third dose, will be published in September 2011. Aimed at managers, the guidance promotes the use of the Getting it right for every child National Practice Model as the tool to aid assessment.
Following the close of the consultation, it is anticipated that the final version of the framework will be launched later this summer.
Additionally, the NSFG has documented increased use of dual methods of contraception (that is, condoms and hormonal methods) among sexually active female and male teenagers.
The NSFG also provides critical information on behavioral and social patterns that may affect teen sexual behavior. The graph below shows uptake rates for the Diphtheria vaccine by 12 months old by SIMD 2009 category. It has been suggested that the declining economy beginning in 2007 has likely played a role in the decreased rates for teenagers as well as for adult women under 40.
Findings from the next release of the NSFG, based on interviews conducted September 2011-September 2013 (available in the Fall of 2014) are expected to help explain the most recent trends and variations in pregnancy and birth rates and the behavioral, social, and economic factors that account for them. Data from CDCa€™s 2013 Youth Risk Behavior Surveillance System forthcoming in 2014 may also help to explain geographic patterns in these behaviors affecting teen pregnancy and birth rates.

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