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Teenagers in the United States: sexual activity, contraceptive use, and childbearing, 2006-2010 national survey of family growth.

TL;DR: Teenagers' contraceptive use has changed little since 2002, with a few exceptions: there was an increase among males in the use of condoms alone and in theUse of a condom combined with a partner's hormonal contraceptive; and there was a significant increase in the percentage of female teenagers who used hormonal methods other than a birth-control pill at first sex.
Abstract: OBJECTIVE: This report presents national estimates of sexual activity contraceptive use and births among males and females aged 15-19 in the United States in 2006-2010 from the National Survey of Family Growth (NSFG) For selected indicators data are also presented from the 1988 1995 and 2002 NSFG and from the 1988 and 1995 National Survey of Adolescent Males conducted by the Urban Institute METHODS: Descriptive tables of numbers and percentages are presented and discussed Data were collected through in-person interviews of the household population of males and females aged 15-44 in the United States between July 2006 and June 2010 Interviews were conducted with 22682 men and women including 4662 teenagers (2284 females and 2378 males) For both the teen subsample and the total sample the response rate was 77% RESULTS: In 2006-2010 about 43% of never-married female teenagers (44 million) and about 42% of never-married male teenagers (45 million) had had sexual intercourse at least once These levels of sexual experience have not changed significantly from 2002 Seventy-eight percent of females and 85% of males used a method of contraception at first sex according to 2006-2010 data with the condom remaining the most popular method Teenagers contraceptive use has changed little since 2002 with a few exceptions: there was an increase among males in the use of condoms alone and in the use of a condom combined with a partners hormonal contraceptive; and there was a significant increase in the percentage of female teenagers who used hormonal methods other than a birth-control pill such as injectables and the contraceptive patch at first sex Six percent of female teenagers used a nonpill hormonal method at first sex
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01 Jan 2017
TL;DR: This report presents 2015 data on U.S. births according to a wide variety of characteristics, including maternal age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method of delivery, period of gestation, birthweight, and plurality.
Abstract: Objectives-This report presents 2015 data on U.S. births according to a wide variety of characteristics. Data are presented for maternal age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method of delivery, period of gestation, birthweight, and plurality. Selected data by mother's state of residence and birth rates by age and race of father also are shown. Trends in fertility patterns and maternal and infant characteristics are described and interpreted. Methods-Descriptive tabulations of data reported on the birth certificates of the 3.98 million births that occurred in 2015 are presented. Results-In 2015, 3,978,497 births were registered in the United States, down less than 1% from 2014. The general fertility rate was 62.5 per 1,000 women aged 15-44, a decline of 1% from 2014. The birth rate for teenagers aged 15-19 fell 8% in 2015, to 22.3 per 1,000 females. Birth rates declined for women in their 20s but increased for women in their 30s and early 40s. The total fertility rate (estimated number of births over a woman's lifetime) declined to 1,843.5 births per 1,000 women in 2015. The birth rate for unmarried women declined for the seventh straight year to 43.5 per 1,000. The cesarean delivery rate declined for the third year in a row to 32.0%. The preterm birth rate increased slightly from 2014, to 9.63% in 2015, as did the rate of low birthweight (8.07% in 2015). The twin birth rate declined to 33.5 per 1,000; the triplet and higher-order multiple birth rate was down 9% to 103.6 per 100,000.

650 citations


Cites background from "Teenagers in the United States: sex..."

  • ...These trends have likely contributed to the recent teen birth rate decline [18]....

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Book ChapterDOI
01 Jan 2013
TL;DR: In the 2006-2010 National Survey of Family Growth (NSFG), a nationally-representative, probability-based sample of 22,682 men and women 15-44 in the U.S. household population was collected as discussed by the authors.
Abstract: This chapter presents national estimates of several types of sexual behavior among men and women 15–44 years of age in the United States in 2006–2010, as well as measures of sexual attraction and identity for adults 18–44. Data are drawn primarily from the 2006–2010 National Survey of Family Growth (NSFG), a nationally-representative, probability-based sample of 22,682 men and women 15–44 in the U.S. household population. Among adults 25–44, about 98 % of women and 97 % of men ever had vaginal intercourse, 89 % of women 91 % of men ever had oral sex with an opposite-sex partner, and 37 % of women and 45 % of men ever had anal sex with an opposite-sex partner. Women 25–44 were twice as likely as men 25–44 to report any same-sex contact in their lifetimes (13 % of women and 5.7 % of men). Sexual attraction and identity correlate closely but not completely with reports of sexual behavior. Sexual behaviors, attraction, and identity vary by age, marital and cohabiting status, education, race and Hispanic origin. These behaviors and characteristics are relevant to birth and pregnancy rates, as well as the incidence of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV), the virus that causes acquired immune deficiency syndrome (AIDS).

479 citations

08 Dec 2010
TL;DR: This report presents 2008 data on U.S. births according to a wide variety of characteristics, including age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method of delivery, and infant characteristics (period of gestation, birthweight, and multiple births).
Abstract: Objectives This report presents 2008 data on U.S. births according to a wide variety of characteristics. Data are presented for maternal demographic characteristics including age, live-birth order, race and Hispanic origin, marital status, attendant at birth, method of delivery, and infant characteristics (period of gestation, birthweight, and multiple births). Birth and fertility rates by age, live-birth order, race and Hispanic origin, and marital status also are presented. Selected data by mother's state of residence are shown, as well as data on age of father. Trends in fertility patterns and maternal and infant characteristics are described and interpreted. Methods Descriptive tabulations of data reported on the birth certificates of the 4.25 million births that occurred in 2008 are presented. Denominators for population-based rates are postcensal estimates derived from the U.S. 2000 census. Results A total of 4,247,694 births were registered in the United States in 2008, 2 percent less than in 2007. The general fertility rate declined 1 percent to 68.6 per 1,000. The teenage birth rate declined 2 percent to 41.5 per 1,000. Birth rates for women aged 20 to 39 years were down 1-3 percent, whereas the birth rate for women aged 40-44 rose to the highest level reported in more than 40 years. The total fertility rate declined 2 percent to 2,084.5 per 1,000 women. All measures of unmarried childbearing reached record levels-40.6 percent of births were to unmarried women in 2008. The cesarean delivery rate rose again to 32.3 percent. The preterm birth rate declined for the second consecutive year to 12.3 percent; the low birthweight rate was down very slightly. The twin birth rate increased 1 percent to 32.6 per 1,000; the triplet and higher-order multiple birth rate was stable.

438 citations

Journal ArticleDOI
TL;DR: This technical report provides an evidence base for the accompanying policy statement and addresses key aspects of adolescent contraceptive use, including the following: sexual history taking, confidentiality, and counseling; adolescent data on the use and side effects of newer contraceptive methods; new data on older contraceptives methods; and evidence supporting the use of contraceptives in adolescent patients with complex medical conditions.
Abstract: A working knowledge of contraception will assist the pediatrician in both sexual health promotion as well as treatment of common adolescent gynecologic problems. Best practices in adolescent anticipatory guidance and screening include a sexual health history, screening for pregnancy and sexually transmitted infections, counseling, and if indicated, providing access to contraceptives. Pediatricians' long-term relationships with adolescents and families allow them to help promote healthy sexual decision-making, including abstinence and contraceptive use. Additionally, medical indications for contraception, such as acne, dysmenorrhea, and heavy menstrual bleeding, are frequently uncovered during adolescent visits. This technical report provides an evidence base for the accompanying policy statement and addresses key aspects of adolescent contraceptive use, including the following: (1) sexual history taking, confidentiality, and counseling; (2) adolescent data on the use and side effects of newer contraceptive methods; (3) new data on older contraceptive methods; and (4) evidence supporting the use of contraceptives in adolescent patients with complex medical conditions.

378 citations

Journal ArticleDOI
TL;DR: Teenage girls and women who were provided contraception at no cost and educated about reversible contraception and the benefits of LARC methods had rates of pregnancy, birth, and abortion that were much lower than the national rates for sexually experienced teens.
Abstract: The Contraceptive CHOICE Project was a large prospective cohort study designed to promote the use of long-acting, reversible contraceptive (LARC) methods to reduce unintended pregnancy in the St. Louis region. Participants were educated about reversible contraception, with an emphasis on the benefits of LARC methods, were provided with their choice of reversible contraception at no cost, and were followed for 2 to 3 years. We analyzed pregnancy, birth, and induced-abortion rates among teenage girls and women 15 to 19 years of age in this cohort and compared them with those observed nationally among U.S. teens in the same age group. RESULTS Of the 1404 teenage girls and women enrolled in CHOICE, 72% chose an intrauterine device or implant (LARC methods); the remaining 28% chose another method. During the 2008–2013 period, the mean annual rates of pregnancy, birth, and abortion among CHOICE participants were 34.0, 19.4, and 9.7 per 1000 teens, respectively. In comparison, rates of pregnancy, birth, and abortion among sexually experienced U.S. teens in 2008 were 158.5, 94.0, and 41.5 per 1000, respectively. CONCLUSIONS Teenage girls and women who were provided contraception at no cost and educated about reversible contraception and the benefits of LARC methods had rates of pregnancy, birth, and abortion that were much lower than the national rates for sexually experienced teens. (Funded by the Susan Thompson Buffett Foundation and others.)

348 citations