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26.04.2014
Birth rates for teenagers aged 15-17 have fallen since 1991 for all racial and ethnic groups. The teenage birth rate declined 8 percent in the United States from 2007 through 2009, reaching a historic low at 39.1 births per 1,000 teens aged 15-19 years. Rates fell significantly for teenagers in all age groups and for all racial and ethnic groups. Teenage birth rates for each age group and for nearly all race and Hispanic origin groups in 2009 were at the lowest levels ever reported in the United States. Birth rates for teens aged 15-17 dropped in 31 states from 2007 through 2009; rates for older teenagers aged 18-19 declined significantly in 45 states during this period. Teenage childbearing has been the subject of long-standing concern among the public and policy makers. The teenage birth rate in 2009 was 59 percent lower than the historic high reached in 1957 (96.3) (8). The number of births to teenagers aged 15-19 in 2009 fell to 409,840, the fewest since 1946 and 36 percent fewer than in 1970 (644,708), the historic high point. The birth rate for young teenagers aged 15-17 fell 7 percent in 2009 from 2008, the largest single-year drop since 2000-2001 (1,8) (Figure 2). The birth rate for older teenagers aged 18-19 fell 6 percent from 2008 through 2009, the largest single-year decline since 1971-1972 (1,5,8). Births and birth rates for the youngest teenagers, under age 15, have also declined over the last half-century (see Table [PDF - 15 KB]). Birth rates for white and black non-Hispanic teenagers and Asian or Pacific Islander (API) teenagers aged 15-17 dropped 53 percent to 63 percent from 1991 through 2009 (Figure 3). Although the birth rate for Hispanic teenagers declined more slowly overall from 1991 through 2009, the decline in the rate from 2008 to 2009 (41.0 per 1,000) was the largest of all race and ethnicity groups (by 11 percent).
Further, the rate for Hispanic teenagers in 2009 was the lowest ever recorded in the 2 decades for which rates are available for this group (1,5). Birth rates overall and by race and ethnicity are consistently higher for ages 18-19 than for ages 15-17. From 1991 through 2009, rates for all racial and ethnic groups for ages 18-19 dropped by 27 percent to 40 percent.
Birth rates for teenagers aged 15-17 fell significantly in most areas of the country from 2007 through 2009, the most recent period of decline for teen birth rates (Figure 5).
The largest declines were in the intermountain West and southeast areas of the United States.
The rate increased significantly for only one state from 2007 through 2009, West Virginia, by 17 percent.
Birth rates fell for ages 18-19 from 2007 through 2009 in the majority of states (Figure 6).
The range of decline was from 5 percent for New York, Louisiana, and New Mexico to 27 percent for New Hampshire and Vermont. Teenage birth rate: The number of births to women aged 15-19 (or teenage subgroup) per 1,000 women aged 15-19 (or teenage subgroup). All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. Birth rates for ages 15a€“19 declined to historic lows in 2010 in all racial and ethnic groups, but disparities remain. If the 1991 birth rates prevailed, there would have been an estimated 3.4 million additional births to teenagers from 1992 through 2010. Teen birth rates by age and race and Hispanic origin were lower in 2010 than ever reported in the United States. Teen childbearing has been generally on a long-term decline in the United States since the late 1950s (1a€“3). The 2010 rate was 44 percent below the recent peak in 1991, and 64 percent lower than the all-time high level of 96.3 recorded during the baby boom year of 1957 (1).


Birth rates fell from 2009 to 2010 for teenagers in age groups 10a€“14, 15a€“17, and 18a€“19. The number of babies born to women aged 15a€“19 was 367,752 in 2010, a 10-percent decline from 2009 (409,802), and the fewest reported in more than 60 years (322,380 in 1946) (1,3) (Figure 2). The 2010 total of births to teenagers was 43 percent lower than the peak recorded in 1970 (644,708). Rates declined by 9 percent for non-Hispanic white and non-Hispanic black teenagers, by 12 percent for American Indian or Alaska Native (AIAN) and Hispanic teenagers, and by 13 percent for Asian or Pacific Islander (API) teenagers from 2009 to 2010 (3) (Figure 3).
The impact of the decline in the teen birth rate on the number of births to teenagers over the nearly two-decade period, 1992a€“2010, is substantial. These estimated additional births also take into account the rise in the female teen population as well as changes in the female teen population composition during this period.
Rates tended to be highest in the South and Southwest and lowest in the Northeast and Upper Midwest, a pattern that has persisted for many years (1,8). Some of the variation across states reflects variation in population composition within states by race and Hispanic origin (data not shown) (1,8).
The widespread significant declines in teen childbearing that began after 1991 have strengthened in recent years.
The impact of strong pregnancy prevention messages directed to teenagers has been credited with the birth rate declines (9a€“11). Teen birth rate: The number of births to women aged 15a€“19 (or other teen age group) per 1,000 women aged 15a€“19 (or other teen age group).
Estimated additional teen births: The cumulative difference between the expected numbers of teen births based on the 1991 age-, race-, and Hispanic origin-specific rates prevailing from 1992 through 2010 and the observed numbers of teen births.
The additional number of teen births that would have been expected if the 1991 birth rates had continued from 1992 through 2010 was estimated by applying the 1991 teen birth rates by age, race, and Hispanic origin of mother to the estimated population of women for the same age, race, and Hispanic origin groups for each year from 1992 to 2010, summing the annual expected number, and subtracting the observed number of teen births for each year from 1992 to 2010.
Teenagers who give birth are much more likely to deliver a low birthweight or preterm infant than older women (1,2), and their babies are at elevated risk of dying in infancy (3). Although the downward trend for both age groups has been similar, long-term declines were smaller for older teenagers.
Single-year declines for all groups from 2008 to 2009 ranged from 5 percent to 10 percent (5) (Figure 4). The largest declines were reported for the intermountain West and northern New England states. The vital statistics natality file includes information for all births occurring in the United States. Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Teenagers in the United States: Sexual activity, contraceptive use, and childbearing, National Survey of Family Growth 2006-2008.
Revised birth and fertility rates for the 1990s and new rates for Hispanic populations, 2000 and 2001: United States. If the teen birth rates observed in 1991 had not declined through 2010 as they did, there would have been an estimated 3.4 million additional births to teens during 1992a€“2010. Teen birth rates by state vary significantly, reflecting in part differences in the population composition of states by race and Hispanic origin. If the 1991 rates had continued to prevail from 1992 through 2010, there would have been an additional 3.4 million births to women aged 15a€“19 in the United States (with nearly 1 million of those additional births occurring between 2008 and 2010) (Figure 4). From 1992 through 2010, the population of teenagers grew 28 percent overall, while the Hispanic teen population increased 110 percent.
The teen birth rate dropped 17 percent from 2007 through 2010, a record low, and 44 percent from 1991.
Recently released data from the National Survey of Family Growth, conducted by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS), have shown increased use of contraception at first initiation of sex and use of dual methods of contraception (that is, condoms and hormonal methods) among sexually active female and male teenagers. The vital statistics natality files include information for all births occurring in the United States.


Teenagers in the United States: Sexual activity, contraceptive use, and childbearing, 2006a€“2010 National Survey of Family Growth. Estimates of the April 1, 2010 resident population of the United States, by county, single-year of age (0, 1, 2, a€¦, 85 years and over), bridged race, Hispanic origin, and sex. Intercensal estimates of the resident population of the United States for July 1, 2000a€“July 1, 2009, by year, single-year of age (0, 1, 2, a€¦, 85 years and over), bridged race, Hispanic origin, and sex. Intercensal estimates of the resident population of the United States for July 1, 2000a€“July 1, 2009, by year, state, 5-year age group (0a€“4, 5a€“9, a€¦, 85 years and over), bridged race, Hispanic origin, and sex.
The annual public costs associated with teen childbearing have been estimated at $9.1 billion (4). Moreover, the number of babies born to this age group has fallen to the fewest in nearly 60 years, to 5,030 in 2009.
The natality files, which cover a wide range of maternal and infant demographic and health characteristics, are available from Vital Statistics Online.
By comparison, the number of non-Hispanic white teenagers increased 8 percent and non-Hispanic black teenagers increased 37 percent. The natality files include information on a wide range of maternal and infant demographic and health characteristics for babies born in the United States. Elizabeth Wilson, also with the Reproductive Statistics Branch, provided table and figure verification.
Moreover, childbearing by teenagers continues to be a matter of public concern because of the elevated health risks for teen mothers and their infants (5,6). Rates in the United States fell from 2007 through 2009 by age subgroup, race and Hispanic origin, and state.
Rates by state shown here may differ from rates computed on the basis of other population estimates (1,14).
In addition, significant public costs are associated with teen childbearing, estimated at $10.9 billion annually (7).
Data for 2009 and earlier years may also be accessed from the interactive data access tool, VitalStats. Rates for 2001a€“2009 have been revised on the basis of population estimates based on the 2000 and 2010 censuses, to provide more accurate data for the years since 2000 (14,15). Data for 2008 and 2009, however, indicate that the long-term downward trend has resumed (1,5). The recent trend marks a resumption of the long-term decline in teenage childbearing that started in 1991.
The most current data available from the National Vital Statistics System (NVSS), the 2010 preliminary file, are used to illustrate the recent trends and variations in teen childbearing.
If the 1991 rates had prevailed through the years 1992a€“2010, there would have been an estimated 3.4 million additional births to teenagers during that period. Although the recent declines have been widespread by age, race and ethnicity, and state, large disparities nevertheless persist in these characteristics (6,7).
Previous studies have suggested that these declines reflected the impact of strong teenage pregnancy prevention messages that accompanied a variety of public and private efforts to focus teenagers' attention on the importance of avoiding pregnancy (10-12).
The most current data available from the National Vital Statistics System are used to illustrate trends and variations through 2009. Rates by state shown here may differ from rates computed on the basis of other population estimates (1,3). Data from the 2006-2010 NSFG, forthcoming in 2011, may be helpful in identifying the factors associated with the declines in teenage birth rates.



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