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

2. Focus Area 9 Family 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. Pregnancy rate Birth rate Abortion rate Teen Pregnancies Rate per 1,000 females 15 – 19 years 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. Pregnancy rate Birth rate Abortion rate Teen Pregnancies Rate per 1,000 females 15 – 19 years 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. 1.1 million fewer teen births since 1991 61.8 2002

6. 02010304050 Teen Birth Rates: Selected Developed Countries and Most Recent Year United States (2002) Rate per 1,000 females aged 15-19 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. White Black Hispanic Total High school Less than high school At least some college Probability before age 20 Probability of a First Birth by Race/Ethnicity and Mother’s Education, 2002 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. 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 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 New baselineGetting worseLittle or no changeCannot assess (limited data)Improving

9. 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 Highlighted Objectives

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

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

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

13. Percent Males Who Have Ever Gone To a Family Planning Clinic With a Female Partner, 2002 Total 15-24 years 15-17 years 18-19 years 20-21 years 22-24 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. Pregnancies per thousand Obj. 9-7 Adolescent Pregnancy : Females 15 to 17 Years 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. Black Hispanic Total White 2010 Target 1990 19921994199619982000

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

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

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