Healthy People 2010

Progress Review Focus Area 9 – Family Planning Presentation

PowerPoint Presentation [PPT – 1.3 MB]

Slide 1

Focus Area 9: Family Planning Progress Review
Richard Klein, National Center for Health Statistics
November 6, 2008

Slide 2

Highlighted objectives

Highlighted objectives with colored dots indicating status with regards to Healthy People target.

9-1. Intended pregnancy (females aged 15 to 44 years) (little or no progress)

9-4. Contraceptive failure-females experiencing pregnancy (aged 15 to 44 years) (little or no change)

9-7. Adolescent pregnancy (per 1,000 population, aged 15 to 17 years) (Improving)

9.6a Gone to family planning clinic with female partner in last 12 months (unmarried males aged 15 to 24) (Baseline only)

Little or no change is indicated when the percent of targeted change achieved is between -10% and 10%, and/or change not statistically significant.

Slide 3

Overview

3.1 million unintended pregnancies in the US in 2001 (the last year for which data are available)
Unintended pregnancy is associated with:
- Increased health care costs
- Mothers more likely to smoke or use alcohol in pregnancy
- Child more likely to be low birth weight
- Depression in mothers more likely
- Reduced school completion for mother
- Lower income if mother is unmarried
- Mother less likely to breastfeed
- Less time and attention with child
In 2004, teen childbearing in the United States cost taxpayers at least $9.1 billion
- Unintended pregnancies to teens are only 21% of all unintended pregnancies
- Total costs of unintended pregnancies therefore much higher

Slide 4

Pregnancy-Related International Comparisons

Data show that in comparison to France and The UK/Scotland, US has more women at risk of pregnancy who are not using contraception and higher rates of unintended pregnancy. The ‘pop-up’ shows that births amongst women ages 15-19 are the highest in the developed world.

Slide 5

Proportion of Pregnancies that are Intended

Shows the changes in proportion of pregnancies that are intended from the baseline year (1995) through the most recent data year available (2002) by race/ethnicity and income.

Slide 6

Proportion of Pregnancies that are Intended

Shows the changes in proportion of pregnancies that are intended from the baseline year (1995) through the most recent data year available (2002) by education and marital status.

Slide 7

Proportion of pregnancies that are intended and distribution of pregnancies by Age, 2002

Shows the total proportion of pregnancies that are intended by age groups (15-19, 20-24, 25-29, 30-34, 35-39, 40-44) next to distribution of all pregnancies by age.

Slide 8

Proportion of women who became pregnant while using contraception, 2002

The percent of women who became pregnant while using contraception (typical not perfect use) are shown for 2002 (most recent data year). Data are shown for the total population, by racial/ethnic groups (White, Hispanic, Black), income (poor, near poor and middle/high income), and marital status (never married, married, cohabiting).

Slide 9

Proportion of women who became pregnant while using contraception, 2002

Shows the proportion of women who became pregnant while using contraception, by method of contraception (injectables, pill, male condom, withdrawal, calendar/rhythm). A ‘pop-up’ shows that rates did mot significantly change between 1995 and 2002.

Slide 10

Adolescent Pregnancy, Ages 15-17

The rate (per 1,000 population) of adolescent pregnancy are shown for 1996 (baseline) and (2004) the most recent data year.

Slide 11

Teen Pregnancy, Birth and Abortion Rates, Ages 15-17

Pregnancy and abortion rates are shown through 2004 and the birth rate is shown through 2006 for ages 15-17.

Slide 12

Teen Pregnancy, Birth and Abortion Rates, Ages 18-19

Pregnancy and abortion rates are shown through 2004 and the birth rate is shown through 2006 for ages 18-19.

Slide 13

Never Married-Ever had Sexual Intercourse, Ages 15-19

A bar chart shows the percent of females and males age 15-17 and 18-19 years old who have never been married who have ever had sexual intercourse.

Slide 14

Never Married-Used Contraception at Last Intercourse, Ages 15-19

A bar chart shows the percent of females and males age 15-17 and 18-19 years old who have never been married who used contraception at last intercourse (within three months of interview).

Slide 15

Contraception use at First Intercourse, 2002

Percent of females ages 15-44 who used a condom and any method of contraception by the Year of first intercourse (Before 1980, 1980’s, 1990-1994, 1995-1998, 1999-2002).

Slide 16

Males, 15-24: Visit to Family Planning Clinic with Female Partner, 2002

Graph shows percent of men who went to a family planning clinic with a female partner. Serviced that were received are not specified.

Slide 17

Males, 15-24: Receipt of Specified Services in Last 12 Months, 2002

Bar charts show receipt of specified services (birth control advice, STD advice, HIV advice) by race (White, Black, Hispanic).

Slide 18

Progress Toward 2010 Targets

Target met or exceeded 5
Improving 5
Little or no change* 4
Getting worse 3
No trend data (baseline only) 6

*Percent of targeted change achieved is between -10% and 10%, and/or change not statistically significant.

Slide 19

NSFG Data in the Future

The NSFG has begun continuous interviewing
Data for 2006-2008 will be available in late 2009
Beginning late 2009, data will be available every 2-3 years; better for tracking progress on Healthy People objectives

Slide 20

Summary

Half of all pregnancies in the US are unintended
- Only college grads and married couples attained the target of 70% intended
Contraceptive failure rates did not improve overall or in any age or race group
Teen pregnancy rates fell between 1996 and 2004, especially for black teens
- Less pronounced decline for Hispanic teens
- In recent years declines in rates have leveled off
Young Black men are more likely to get all reproductive health services

Slide 21

This slide indicates that Progress Review data and slides can be found at the Health People homepage.