Listed below are links to charts containing the data for 1990-1997 on the number of Georgia teens who had a reported fetal death, induced abortion, or live birth, and corresponding rates. The numbers and rates are provided for the state and each health district, and separate tabulations of the number of events are provided for the counties for your district. We have also summed these events into a total number of "teen pregnancies," but please keep in mind that this is an undercount of pregnancies since many early miscarriages may not be recognized or certified. For births, we have also provided information on the number of babies born. There is a small difference between the number of mothers and the number of babies or fetal deaths due to multiple-gestation pregnancies.
In parallel with trends observed nationally, teen birth and induced abortion rates have decreased in Georgia. For example, for teens aged 15-19 years, the birth rate declined 12% from 75.3 births per 1,000 population in 1990 to 66.6 in 1997, and the induced abortion rate declined 32% from 30.9 to 21.1 induced abortions per 1,000 population during the same period. This indicates that fewer teens are becoming pregnant and that the decline in births is not simply a reflection of an increase in abortions. Below are figures which illustrate these trends.
Although we do not have specific data from Georgia to identify the reasons for these declines, the national trends have been attributed to a mix of factors, including increased use of contraception, use of more effective contraceptives such as injectable or implanted methods, delays in onset of sexual activity, changing sexual norms among teens, concerns about STDs and HIV, and optimism about future opportunities for education and employment (Reference: Special Report, U.S. Teenage Pregnancy Statistics, Alan Guttmacher Institute*).
We have also included figures illustrating teen birth and induced abortion rates for white, black and all teens by health district in 1997. There is substantial variation among districts in teen birth and abortion rates. This variation partly reflects differences in race-specific rates, although differences are apparent within race groups. The greatest variability is seen for rates of induced abortion, which may reflect geographic differences in proximity to abortion providers.
In response to multiple requests and in an effort to improve consistency with other reports, we are no longer defining teens by estimated age at conception. Instead, all tabulations are by age at the end of pregnancy. Numbers of events are provided for the age groups 10-14, 15-17, 18-19, 15-19 and total 10-19 years), and rates are calculated for the 15-17, 18-19, and
15-19 year groups based on mid-year population estimates from the U.S. Bureau of the Census.
Recognizing the increasing racial and ethnic diversity of the state, we have provided information on race/ethnic groups other than the standard black/white tabulations. The data at state level include full age detail for white, black, American Indian, Asian/Pacific Islander, and other race categories. Data are also provided separately for teens of Hispanic ethnicity, who may be included in any of the above race groups. The data at health district level include the detailed age categories for white, black and all other race groups, with less detailed age information for the Asian/Pacific Islanders race group and the Hispanic ethnicity group. County-level data are limited to white, black and other race groups.
You should be able to reproduce this report and conduct more in-depth analyses for your district using the vital statistics data on the CD-ROMs and the SPSS-for-Windows software that we have made available and distributed. To date, we have prepared CD- ROMs for births, induced abortions, and fetal deaths for 1994-1996, and we are preparing to add infant mortality data and updates for 1997. If you have not received the CD-ROM data, please contact the Maternal and Child Health Epidemiology Unit at 404-657-2558.
Data for 1990-1997 Teen Births and Pregnancies in Georgia
All of these charts are in pdf format.
Teen Births, Induced Abortions and Fetal Deaths, 1990-1997 (38K)
Hispanic Teen Fetal Deaths, Induced Abortions, Live Births and Total Pregnancies For 15-19 Years of Age, 1997 (8K)
Asian Teen Fetal Deaths, Induced Abortions, Live Births and Total Pregnancies For 15-19 Years of Age, 1997 (8K)
Teen Birth Rates for 15-19 Years of Age by Health District, 1997 (121K)
Technical Notes (Below)
Teen Pregnancy Outcomes for 15-19 Years of Age
by Health District, 1990-1997:
Teen births the number of teens (aged 10-19 years) who delivered live-born infants (this is different from the number of infants born to teen mothers, e.g., the teen mother who delivers twins is counted only once). Maternal age is based on the age of the mother at the time of delivery.
Teen fetal deaths the number of teens (aged 10-19 years) who had a fetal death or delivered a stillborn infant at any gestation age, based on those teens for whom a fetal death certificate was filed. As above, this count represents the number of teens, not the number of fetuses, and age is based on age at the end of pregnancy.
Teen induced abortion the number of teens (aged 10-19 years) whose pregnancy were terminated by induced abortions, based on age at the time of the abortion.
Teen pregnancies--the sum of the number of teens with live-born infants, fetal deaths, and induced abortions. This provides a minimum estimate of pregnancies since it does not include miscarriages that are not registered. For pregnancies, the age is also based on the age of the mother at the time of outcome.
Teen birth rate--the number of teens aged 15-19 years who gave birth per 1,000 female population aged 15-19 years.
Teen induced abortion rate--the number of teens aged 15-19 years having an induced abortion per 1,000 female population aged 15-19 years.
Teen pregnancy rate the number of teens aged 15-19 years with a reported fetal death, induced abortion or birth per 1,000 female population aged 15-19 years.
Population denominators annual 1990 post-census population estimates from the U.S. Bureau of the Census. The Census Bureau updates its mid-year population estimates annually. The rates in this report are based on updated estimates for each year in 1990-1997 that were provided on the Census Bureau's web page in 1998.
The numbers in this report may differ slightly from those in the Annual Vital statistics reports. One reason is that we are reporting number of teens as opposed to the number of fetuses or live-born infants. With the CD-ROM data sets, districts have the option of tabulating fetal deaths or births using either method. Another is that prior to 1997, there have been different versions of the vital statistics computer tapes that have used, depending on when the files were closed, and offices have used varying definitions.
Beginning with 1997, the Vital Statistics Office and Health Assessment Section have developed a standardized analysis file. This standardization process will be applied retrospectively to historical files and prospectively to future files. In the interest of disseminating the 1997 data and trends as quickly as possible, we did not wait for the historical files to be standardized. Thus, future updates of historical trends may show small differences with the data presented here or in the vital statistics publications.
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