Teen Pregnancy August 2012 US Department of Health and Human Services Centers for Disease Control and Prevention Teen pregnancy costs taxpayers more than 11 billionyear and perpetuates the cycle of poverty ID: 492314
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CDC Winnable BattlesTeen PregnancyAugust 2012
U.S. Department of Health and Human Services
Centers for Disease Control and PreventionSlide2
Teen pregnancy costs taxpayers more than $11 billion/year and perpetuates the cycle of poverty
Each year, about 750,000 girls age 15–19 become pregnant in the U.S. – over 3/4 unintended
Public cost to U.S. taxpayers/year:
>$11 billion
Estimated national costs saved by taxpayers in 2008 due to 1/3 decline in teen birth rate between 1991 and 2008: $8.4 billion Highest savings: >$1.4 billion in CaliforniaPerpetuating inequality
Source: The National Campaign to Prevent Teen PregnancySlide3
Teen pregnancy has heavy social, economic, and personal costsTeen mothers are
Less likely to complete high schoolMore likely to spend a longer time as single parents
Children of teen mothers are more likely to
Be born prematurely and die in infancy
Have low school achievementDrop out of high schoolHave health problemsBe incarcerated or give birth as teensFace unemployment as young adultsBe in foster careBe a victim of abuse or neglectSlide4
U.S. teen birth rate one of highest amongindustrialized countries
Teen birth rates internationally, per 1,000 girls aged 15-19 years, 2009 and 2010
SOURCE: UN Demographic Yearbook (all data for 2009, except US 2010 preliminary data).Slide5
Rates are far lower and are decreasing much faster in other countries
51%
81%
75%
84%
85%
80%Slide6
Birth rates, girls ages 15-192009, by state
AK
HI
CA
IA
MN
NE
MT
ND
SD
MI
VT
ME
IN
KY
ID
NV
UT
AZ
NM
TX
OK
WY
IL
PA
WV
SC
TN
AR
MS
AL
VA
NC
GA
FL
NY
NH
MA
RI
CT
NJ
DE
MD DC
MO
KS
LA
WI
WA
OR
CO
OH
Highest: 64
Lowest: 16
10 highest rates (51-64)
Significantly higher than US rate (42-50)
Not significantly different from US rate (38- 41)
Significantly lower than US rate (29-37)
10 lowest rates (16-28)
Birth rate per 1,000 girls 15-19
U.S. rate: 39
Europe: 4 (lowest)-24 (highest)
Source: National Center for Health Statistics, CDC, 2009.Slide7
U.S. teen birth rates are down in all groups, but wide disparities persist
Source: National Center for Health Statistics
U.S. birth trends by race/ethnicity, girls ages 15-19, 1991-2010Slide8
What can we do to preventteen pregnancy?Slide9
Support evidence-based prevention programs that address the needs of teens who are abstinent as well as teens who are sexually active
Components include:
community
mobilization and implementation of sustainability
plansimplementation of sexual education programs that are evidence-basedincreased youth access to reproductive health servicesstakeholder education on teen pregnancy preventionworking with diverse communitiesSlide10
Increase access to family planning servicesMedicaid family planning expansions are proven to increase access to contraceptive services, prevent unintended pregnancies, and save money for state and federal governments
Contraceptive services provided to low and no-income womenMedicaid provides states with an enhanced matching rate (90%) for family planning services
A good investment:
For every public dollar spent on family planning services, nearly $4 in public expenditures is saved
17 states have a Medicaid family planning expansions that includes adolescents (August 2012)Affordable Care Act includes streamlined option for states to expand Medicaid family planning programs Slide11
Increase access to and use of the most effective contraceptives by sexually active teens
Improve access to and use of the most effective contraceptives by teensAddress barriers to use of Long Acting Reversible Contraceptives (LARC)
Educate providers: Ensure wide dissemination of the 2010 Medical Eligibility Criteria
Recommendation that young women and women who have not given birth may be eligible to use all LARC methods
Increase interest and acceptance among young women through education and social marketingAddress cost barriers to ensure that publicly funded services include LARC Slide12
“Teen pregnancy and childbirth continue existing cycles of social, economic and educational disadvantages in our nation’s communities. This is why CDC has identified Teen Pregnancy Prevention as a Winnable Battle for public health programs. Together with our partners, we can reduce teen pregnancy and childbirth rates in this country.”
– Thomas R.
Frieden
, MD, MPH Director, Centers for Disease Control and Prevention Administrator, Agency for Toxic Substances and Disease RegistrySlide13
www.cdc.gov/winnablebattles
U.S. Department of Health and Human Services
Centers for Disease Control and Prevention