1 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

2 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%

3 7,463 Women ,150 teens (aged 15-19) NSFG Cycle 6 (2002) Sample Size ♀ 4,928 Men ,121 teens (aged 15-19) ♂

4 NSFG Cycle 6 (2002) Sample Size: Details for Teens MalesFemales Total Age at interview Hispanic Non-Hispanic white Non-Hispanic black

5 Adolescent Health: Pregnancy and Childbearing Pregnancy rates, , by age: Females aged 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 Age Age

Teen Birth Rates: Selected Developed Countries and Most Recent Year United States (2002) Rate per 1,000 females aged 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.

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

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

9 Percent sexually experienced, by age: never-married teens 1995 and 2002 Females Males

10 Percent of females aged who had sex before age 20, who used specified contraception at first sex, by year of first sex

11 Percent of males aged who had sex before age 20, who used specified contraception at first sex, by year of first sex

12  19 million new cases of STI in 2000  About ½ of these were to people  Direct medical cost of these among 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, Perspectives on Sexual and Reproductive Health 36(1):11–

13 Percent of males and females years of age by number of opposite-sex partners in the last 12 months: US, 2002 Advance Data 362

14 Percent of males 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

15 Percent of females 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

16 Percent of males and females years of age who have had each type of sexual contact: US, 2002 Advance Data 362

17 Percent of males and females 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

18 Percent of males and females 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 …FemaleMale If your partner/you used a condom during sex, you would feel less physical pleasure? 1225 It would be embarrassing for you and a new partner to discuss using a condom? 1513 If a new partner/you used a condom, you would appreciate it? 9183 Other response categories were: No chance, a little chance, chance. Teens’ Attitudes About Condom Use Series 23 #24

19  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 Future: Continuous Interviewing (Cycle 7)

20 For more information on teens from Cycle 6 Abma et al., 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 years of age, US 2002” Chandra et al., December Series 23, #25, “Fertility, Family Planning, and Reproductive Health of U.S. Women: Data from the 2002 NSFG” Martinez et al., May Series 23, #26, “Fertility, Contraception, and Fatherhood: Data on Men and Women from the 2002 NSFG”

21 NSFG Contact information Website…… Phone…………….(301)