1. Sexual and Reproductive Health: Growing Disparities Lawrence B. Finer, Ph.D. Director of Domestic Research Guttmacher Exchange November 16, 2010

2. About half of U.S. pregnancies are still unintended Births Abortions Fetal Losses Unintended 49% Intended 51%

3. Unintended pregnancies are concentrated among poor women Income levelRate of unintended pregnancy (2001) <100% of poverty132 100-199%70 200%+27

4. The 16% of women at risk of unintended pregnancy who are poor … … account for 30% of unintended pregnancies Poor women account for a third of unintended pregnancies

5. US abortion rates continue to decline, but more slowly

6. The poorest women have the highest abortion rates % of poverty level Abortions per 1,000

7. The need for subsidized contraception is growing in the U.S. 30.5 33.2 34.0 36.2

8. Because of the economy, many women want to reduce/delay childbearing

9. Because of the recession, more women want contraception and fewer can afford it

10. Family planning clinic costs are rising significantly Costs for publicly-funded family planning services have increased 27% between 2004 and 2008 –$203 per client in 2004 –$257 per client in 2008 Family planning services are still a bargain, returning $3.74 in pregnancy-related Medicaid savings for each $1 spent on contraceptive services

11. Family planning providers are between a rock and a hard place

12. For more information, visit www.guttmacher.org