Focus Area 9 Family Planning Progress Review

1. Focus Area 9Family Planning Progress Review December 8, 2004

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

3. 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

4. Teen Pregnancies Rate per 1,000 females 15 – 19 years Pregnancy rate Birth rate Abortion rate 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.

5. Teen Pregnancies Rate per 1,000 females 15 – 19 years Pregnancy rate 1.1 million fewer teen births since 1991 61.8 Birth rate Abortion rate 2002 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.

6. Teen Birth Rates:Selected Developed Countries and Most Recent Year United States (2002) United Kingdom (1999) Russian Federation (1999) New Zealand (2000) Portugal (2001) Canada (1997) Ireland (2001) Australia (2000) Israel (2000) Austria (2001) Belgium (1992) Greece (1998) Norway (2001) Finland (2001) Germany (1997) France (2000) Spain (1998) Denmark (2001) Italy (1999) Sweden (2001) Netherlands (2001) Switzerland (2001) Japan (2000) 0 10 20 30 40 50 Rate per 1,000 females aged 15-19 years Source: United Nations Demographic Yearbook 2001, New York: United Nations, 2003.

7. Probability of a First Birth by Race/Ethnicity and Mother’s Education, 2002 Probability before age 20 Less than high school At least some college High school Total Hispanic Black White 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.

8. 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 9-1. Intended pregnancy 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 New baseline Improving Getting worse Little or no change Cannot assess (limited data)

9. Highlighted Objectives 9-3. Contraceptive use 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

10. Current Contraceptive Users by Method: Ages 15 to 44 Percent 2002 1995 Male Condom Injectable (Depo) Other Calendar Rhythm & NFP Implant, Patch, Lunelle Withdrawal IUD/ Diaphram Female Sterilization Male Sterilization OC Pill Note: OC is oral contraceptive. NFP is natural family planning. Source: National Survey of Family Growth, CDC, NCHS.

11. Current Use of Contraception:Ages 15 to 44 2002 1995 Percent 2010 Target White Total Black Hispanic 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. Obj. 9-3

12. Current Use of Contraception:Ages 15 to 44 Percent 2002 1995 2010 Target Total 15-19 years 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. Obj. 9-3

13. Males Who Have Ever Gone To a Family Planning Clinic With a Female Partner, 2002 Percent Total 15-24 years 22-24 years 20-21 years 18-19 years 15-17 years Note: Data are for unmarried males who reported ever having sexual intercourse. Source: National Survey of Family Growth, CDC, NCHS. Obj. 9-6

14. Adolescent Pregnancy : Females 15 to 17 Years Pregnancies per thousand Black Hispanic Total White 2010 Target 1990 1992 1994 1996 1998 2000 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. Obj. 9-7

15. Never Had Sex: Adolescents 15 to 17 years Percent 2002 1995 2010 Target Male Male Male Female Male Female Female Female Total Black White Hispanic Hispanic 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

16. Condom Use at Last Intercourse:15 to 17 years Percent 2002 1995 2010 Target 2010 Target Females Males 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

17. Condom Use at Last Intercourse:Females 15 to 19 years Percent 2002 1995 Black Hispanic White Total 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.

18. Progress review data and slides will soon be available on the web at: http://www.cdc.gov/nchs/hphome.htm