Unintended Pregnancy - Carver County

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The birth rate for county residents age 15-17 decreased from 9.3 in 1993-1995 to 5.9 in 1999-2001, which is below the 6, 14 , 15 Minnesota rate of 15.2. There is less of a decline in pregnancy and birth rates for 18-19 year olds. The pregnancy rate for Carver County 18-19 year olds decreased from 62.1 in 1993-1995 to 61.4 in 1999-2001. The rate was at a low of 49.4 in 1997-1999. The county pregnancy rate for that age group is below the state rate of 70.3 for 1999-2001 and the Healthy Minnesotans 2004 Goal of 76.7. The county’s birth rate for county residents age 18-19 decreased from 40.4 in 1993-1995 to 34.2 in 1997-1999. The county rate was at 38.7 in 1999-2001, which is below the state 6, 14, 15 rate of 49.8. When the two age groups are combined, the pregnancy rate for Carver County teens aged 15-19 has decreased from 36.1 in 1993-1995 to 26 in 1999-2001. The birth rate for Carver County teens age 15-19 has decreased from 21.5 to 16.6 during that same time period. 6 Although the teen-age pregnancy and birth rates have dropped, there were still 68 teen pregnancies in Carver County in 2000 and 45 births to teens, including nine births to teens aged 15- 17, according to a report by MOAPPP. The report stated there were no reported pregnancies to Carver County residents under age 15 in 2000. 13 Teen Sexual Behavior and Contraception Use The Minnesota Department of Health (MDH) reports that half of all initial adolescent pregnancies occur within the first six months following the initiation of intercourse, and 20 percent occur within the first month. The report concludes that 39 percent of sexually active teen-age girls who never use contraceptives become pregnant within six months, and 89 percent become pregnant over the course of a year. 16 The Centers for Disease Control (CDC) analyzed data related to unprotected sexual intercourse by high school teens for the years 1991-2001. During this time period, the percentage of U.S. high school students who had ever had sexual intercourse, and the percentage of those who had had multiple sex partners, decreased. Among students who are currently sexually active, the prevalence of condom use increased, although it has leveled off since 1999. The study found the median age of first sexual intercourse is 16.5 years. The also study found that the percentage of these students who used alcohol or drugs before their last sexual intercourse increased. 17 Similar results have been found in the Minnesota Student Surveys. The surveys have found the percentage of adolescents in Minnesota who reported ever having had sexual intercourse declined throughout the 1990s and into 2001. 18 Table 10.4 compares Carver County ninth and 12 th graders responses to the 2001 Minnesota Student Survey’s section on Sexual Behavior Indicators to state response percentages. 18 The shaded areas indicate Carver County percentages that are higher than Minnesota percentages. The non-shaded areas indicate Carver County percentages that are below or the same as Minnesota. CARVER COUNTY COMMUNITY HEALTH SERVICES/PUBLIC HEALTH -112- 2004-2008 ASSESSMENT
Table 10.4: Sexual Behavior Indicators for Carver County/Minnesota students Sexual Behavior Indicators Source: 2001 Minnesota Student Survey Male Report having sexual intercourse (one or more times) 18% (-3%) During the last 12 months, report having had sexual intercourse with two or more persons Report having been pregnant or gotten someone pregnant (one or more times) Report talking with every partner(s) at least once about preventing pregnancy 2% (-1%) 1% (-1%) 57% (+11%) Report themselves and/or partner ALWAYS using any birth control 41% (+1%) Report themselves and/or partner NEVER using any birth control 30% (+4%) 9 th GRADE 12 th GRADE Female 13% (-3%) 5% (-2%) 2% --- 53% (-2%) 45% (+1%) 25% (-3%) Male 53% (+6%) 7% (+4%) 4% (+1%) 58% (-3%) 65% (+5%) 10% (-3%) Female 53% (+3%) 18% --- 4% (-1%) 77% (+4%) 78% (+9%) 9% (-1%) In the 2001 survey, more than half of Carver County 12 th graders (53 percent of the boys and the girls) who responded, reported having had sexual intercourse one or more times. That percentage is 6 points higher for boys and 3 points higher for girls than the state. In ninth grade, 18 percent of the boys and 13 percent of the girls reported having had sexual intercourse. Both percentages are three points lower than the state. 18 A higher percentage of Carver County girls than boys reported having had sexual intercourse with more than one partner in the past year. Twelfth grade girls matched the state at 18 percent, while the response for 12 th grade boys (7 percent) was four points higher than the state. In the ninth grade, 5 percent of the girls and 2 percent of the boys reported having had more than one partner. Their responses were lower than state. 18 In terms of contraceptive use, 78 percent of Carver County 12 th grade girls and 65 percent of 12 th grade boys report that they themselves and/or their partner always used birth control. The percentage for girls is 9 points higher than the state, and the percentage for boys is 5 points higher than the state. At the ninth grade level, 41 percent of the boys and 45 percent of the girls report they themselves and/or their partner always used birth control. Both percentages are 1 percent higher than the state. 18 Carver County 12 th grade girls (77 percent) were most likely to talk to their partners about preventing pregnancy. That percentage is 4 points above the state average. However, 58 percent of the county’s 12 th grade boys talked to their partners about preventing pregnancy, a percentage that is 3 points below CARVER COUNTY COMMUNITY HEALTH SERVICES/PUBLIC HEALTH -113- 2004-2008 ASSESSMENT
Page 1 and 2: Unintended Pregnancy Problem: Goal:
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