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CDC Winnable Battles Teen Pregnancy August 2012

This report explores the heavy social, economic, and personal costs of teen pregnancy, including its impact on education, poverty, and public health. It also highlights evidence-based prevention strategies and the need for increased access to family planning services and effective contraceptives.

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CDC Winnable Battles Teen Pregnancy August 2012

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  1. CDC Winnable BattlesTeen PregnancyAugust 2012 U.S. Department of Health and Human Services Centers for Disease Control and Prevention

  2. 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 California • Perpetuating inequality Source: The National Campaign to Prevent Teen Pregnancy

  3. Teen pregnancy has heavy social, economic, and personal costs • Teen mothers are • Less likely to complete high school • More 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 achievement • Drop out of high school • Have health problems • Be incarcerated or give birth as teens • Face unemployment as young adults • Be in foster care • Be a victim of abuse or neglect

  4. 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).

  5. Rates are far lower and are decreasing much faster in other countries 51% 81% 75% 84% 85% 80%

  6. Birth rates, girls ages 15-192009, by state WA Lowest: 16 AK ME MT ND OR VT MN NH ID SD WI NY MA WY MI RI CT NJ DE MD DC IA PA NE NV OH UT IL IN CO CA WV MO VA KS HI KY NC TN AZ OK NM AR SC GA AL MS Highest: 64 TX LA FL • Birth rate per 1,000 girls 15-19 • U.S. rate: 39 • Europe: 4 (lowest)-24 (highest) 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) Source: National Center for Health Statistics, CDC, 2009.

  7. 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, 1991-2010

  8. What can we do to preventteen pregnancy?

  9. 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 plans • implementation of sexual education programs that are evidence-based • increased youth access to reproductive health services • stakeholder education on teen pregnancy prevention • working with diverse communities

  10. Increase access to family planning services • Medicaid 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 women • Medicaid 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

  11. 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 teens • Address 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 marketing • Address cost barriers to ensure that publicly funded services include LARC 

  12. “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 Registry

  13. www.cdc.gov/winnablebattles U.S. Department of Health and Human Services Centers for Disease Control and Prevention

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