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,--_.....;T;..;.:H...:E:;..STATE OF AMERICA'S CHILDREN YEARBOOK ]998 trol and Prevention (CDC), abortions among teenagers have also slowed, continuing the steady decline that began in the early 1980s. Meanwhile, the proportion of teen births that occur outside of marriage has climbed year after year, growing from about 30 percent in 1970 to 75 percent in the mid-1990s (see figure 7.1). The birth rate for unmarried teens also went up steadily from the early 1960s until 1991, when it peaked at 44.8 births per 1,000 unmarried girls ages 15-19. Recently the rate has leveled off, but it is still almost three times its level in the early 1960s. Experts believe that teen pregnancies are declining in part because more teens are choosing to delay sexual activity and because those who are sexually active are using contraceptives more frequently. According to NCHS's 1995 National Survey of Family Growth, the proportion of teens who have had intercourse has started to fall, after increasing steadily for more than two decades. The survey also found that teens who are sexually active are more likely to be using contraceptives. The Alan Guttmacher Institute estimates that the pregnancy rate among sexually experienced teens has dropped by almost one-fifth since the mid­ 1970s. Although the recent trends are encouraging, they are less heartening when placed in a global perspective. Compared with other industrialized countries, the United States has an abysmal record. The teen birth rate here exceeds that in many European nations and is 15 times higher than Japan's rate (see figure 7.2). Various factors contribute to this disparity. For example, U.S. teens are less likely to use contraceptives or to use them effectively. They generally have a more difficult time securing contraceptive supplies and are taught about sex in less comprehensive ways and at a later age. A Profile of Teen Pregnancy The Alan Guttmacher Institute estimates that approximately 1 million teenagers become pregnant each year. About 85 percent of these pregnancies are unplanned, accounting for oneseventh of all unplanned pregnancies. More than half result in births, accounting for 13.1 percent of all births. About one-third end in abortion, and one-seventh in miscarriage. Demographic characteristics of teen mothers. NCHS data show that the vast majority of the Figure 7.1 Rise In Births to Unmarried Teens Births to unmarried girls account for a growing share of all births to teens. Only one of four teens having babies in 1995 was married, compared with nearly six of seven in 1960. 80 70 60 50 40 30 20 10 Percentage of births to females ages 15-19 that were to unmarried teens 1960 1965 1970 1975 1980 1985 1990 1995 Source: U.S. Department of Health and Human Services, National Center for Health Statistics. 94 CHI L D R EN' S D E FEN S E FUN D

ADOLESCENT PREGNANCY 512,115 babies born to teenage girls in 1995­ 499,873-were born to mothers between 15 and 19 years of age. Older adolescents, ages 18 and 19, were responsible for 60 percent of all teen births. However, 12,242 babies (slightly more than 2 percent of the total) were born to mothers younger than 15. The majority of teen mothers are White. In 1995, 355,489 babies were born to White teens; 139,621 to Blacks; 9,038 to teens of Asian or Pacific Island descent; and 7,967 to Native Americans. Included in these figures are 121,636 babies born to Hispanic teens, who are not classified as a separate racial group in NCHS data. Although White mothers outnumber all others, the rate of births is higher among minority youths (see figure 7.3). In 1995 the birth rate among Black teens ages 15-19 was 96.1 births per 1,000 girls-almost twice the 50.1 rate among Whites. However, birth rates for Black teens have fallen markedly and steadily in the past few years. The 1995 rate for this group represents an 8 percent drop from 1994 (when the birth rate was 104.5 per 1,000) and a decline ofalmost 17 percent since 1991 (when the rate peaked at 115.5). The 1995 rate among Hispanic teens, however-106.7 births per 1,000 girls-was about the same as in 1991. NCHS also reports that three-fourths of the babies born to teen mothers in 1995 were born to unmarried teens-only a slight decline from 1994. This included 68.0 percent of those born to White teens, 95.3 percent of those born to Black teens, and 67.8 percent of those born to Hispanic teens. Finally, about four in five births to teenagers are first births, and the rate at which teens have second births (as well as subsequent ones) has slowed. In 1996, 22 percent of all births to 15- to 19-year-olds were repeat births, down from 25 percent during 1990-92. Social risk factors associated with teen pregnancy. In reviewing data from the U.S. Department of Education's National Education Longitudinal Study, Child Trends (a research organization that evaluates indicators of child and adolescent wellbeing) identified four key risk factors associated with having a baby before the age of 20. These factors were early school failure, early behavioral problems, family dysfunction, and poverty. The more of these factors that were present when a girl Figure 7.2 T••n Birth R••••: In'.rn.'lon.1 COlllp.rlson. Births per 1,000 females ages 15-19, selected countries American teens 60 have far more babies than their counterparts in Japan, Australia, 50 40 30 Canada, or 20 Europe. 10 0 1995 1992 1990 1992 1990 1993 1993 1992 1993 1990 1991 1992 1991 United Unlled Canada Austria Australia Norway Sweden Denmark Spain Itoly France Netherlands Japan Slates Kingdom Source: Susan Williams McElroy and Kristin Anderson Moore, "Trends over Time in Teenage Pregnancy and Childbearing: The Critical Changes," in Rebecca A. Maynard, ed., Kids Having Kids: Economic Costs and Socia' Consequences of Teen Pregnancy (Urban Institute Press, 1997). CHI L D R EN'S D E FEN S E FUN D 95

ADOLESCENT<br />

PREGNANCY<br />

512,115 babies born to teenage girls in 1995­<br />

499,873-were born to mothers between 15 and 19<br />

years of age. Older adolescents, ages 18 and 19,<br />

were responsible for 60 percent of all teen births.<br />

However, 12,242 babies (slightly more than 2 percent<br />

of the total) were born to mothers younger<br />

than 15.<br />

The majority of teen mothers are White. In<br />

1995, 355,489 babies were born to White teens;<br />

139,621 to Blacks; 9,038 to teens of Asian or Pacific<br />

Island descent; and 7,967 to Native Americans.<br />

Included in these figures are 121,636 babies<br />

born to Hispanic teens, who are not classified as a<br />

separate racial group in NCHS data.<br />

Although White mothers outnumber all others,<br />

the rate of births is higher among minority<br />

youths (see figure 7.3). In 1995 the birth rate<br />

among Black teens ages 15-19 was 96.1 births per<br />

1,000 girls-almost twice the 50.1 rate among<br />

Whites. However, birth rates for Black teens have<br />

fallen markedly and steadily in the past few years.<br />

The 1995 rate for this group represents an 8 percent<br />

drop from 1994 (when the birth rate was<br />

104.5 per 1,000) and a decline ofalmost 17 percent<br />

since 1991 (when the rate peaked at 115.5). The<br />

1995 rate among Hispanic teens, however-106.7<br />

births per 1,000 girls-was about the same as in<br />

1991.<br />

NCHS also reports that three-fourths of the<br />

babies born to teen mothers in 1995 were born to<br />

unmarried teens-only a slight decline from 1994.<br />

This included 68.0 percent of those born to<br />

White teens, 95.3 percent of those born to Black<br />

teens, and 67.8 percent of those born to Hispanic<br />

teens.<br />

Finally, about four in five births to teenagers<br />

are first births, and the rate at which teens have<br />

second births (as well as subsequent ones) has<br />

slowed. In 1996, 22 percent of all births to 15- to<br />

19-year-olds were repeat births, down from 25 percent<br />

during 1990-92.<br />

Social risk factors associated with teen pregnancy.<br />

In reviewing data from the U.S. Department<br />

of Education's National Education Longitudinal<br />

Study, Child Trends (a research organization that<br />

evaluates indicators of <strong>child</strong> and adolescent wellbeing)<br />

identified four key risk factors associated<br />

with having a baby before the age of 20. These<br />

factors were early school failure, early behavioral<br />

problems, family dysfunction, and poverty. The<br />

more of these factors that were present when a girl<br />

Figure 7.2 T••n Birth R••••: In'.rn.'lon.1 COlllp.rlson.<br />

Births per 1,000 females ages 15-19, selected countries<br />

American teens 60<br />

have far more<br />

babies than their<br />

counterparts in<br />

Japan, Australia,<br />

50<br />

40<br />

30<br />

Canada, or 20<br />

Europe.<br />

10<br />

0<br />

1995 1992 1990 1992 1990 1993 1993 1992 1993 1990 1991 1992 1991<br />

United Unlled Canada Austria Australia Norway Sweden Denmark Spain Itoly France Netherlands Japan<br />

Slates Kingdom<br />

Source: Susan Williams McElroy and Kristin Anderson Moore, "Trends over Time in Teenage<br />

Pregnancy and Childbearing: The Critical Changes," in Rebecca A. Maynard, ed., Kids Having Kids:<br />

Economic Costs and Socia' Consequences of Teen Pregnancy (Urban Institute Press, 1997).<br />

CHI L D R EN'S D E FEN S E FUN D 95

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