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May 2, 2014 Teenwise Minnesota’s 23 rd Annual Conference

What’s the Data Telling Us? A Deeper Look at Adolescent Sexual Health Stats. May 2, 2014 Teenwise Minnesota’s 23 rd Annual Conference. Presentation Overview. Pregnancy , birth and STI statistics and trends Minnesota county rankings U.S. vs. Minnesota comparison

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May 2, 2014 Teenwise Minnesota’s 23 rd Annual Conference

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  1. What’s the Data Telling Us? • A Deeper Look at Adolescent Sexual Health Stats May 2, 2014 TeenwiseMinnesota’s 23rd Annual Conference

  2. Presentation Overview • Pregnancy, birth and STI statistics and trends • Minnesota county rankings • U.S. vs. Minnesota comparison • Regional and national rankings • International comparisons • Health disparities • Adolescent sexual behavior trends • Social determinants of adolescent sexual health • Key questions • Resources

  3. The Good News… • Adolescent pregnancy rates in Minnesota have decreased 58% from 1990 to 2012 • Adolescent birth rates in Minnesota have decreased 49% from 1990 to 2012 • Although pregnancy and birth increased for the first time in 16 years in 2006 and 2007, rates declined again in 2008 and have continued through 2012

  4. What do I mean by “teen”? • 15-19 year olds • What’s a birth rate? • Rates are calculated per 1,000 females • More accurate statistic than using numbers • Birth certificate data – includes live births • What’s a pregnancy rate? • Rates are calculated per 1,000 females • More accurate statistics than using numbers • Includes births, induced abortions and fetal demise over 20 weeks gestation (for which there is a death certificate filed)

  5. U.S. Adolescent Pregnancy Rates 1972-2008 & Adolescent Birth Rates, 1972-2012(pregnancies and births per 1,000 females aged 15-19) pregnancy rate birth rate Kost, K., & Henshaw, S. (2012). U.S. Teenage Pregnancies, Births and Abortions, 2008: National Trends by Age, Race and Ethnicity. Retrieved February 2012, fromhttp://www.guttmacher.org/pubs/ustptrends08.pdf. Martin JA, Hamilton BE, Osterman JK, et al. Births: Final data for 2012. National vital statistics reports; vol 62 no 9. Hyattsville, MD: National Center for Health Statistics. 2013.

  6. Adolescent Birth Rates U.S. & Minnesota, 1970-2012(number of births per 1,000 females aged 15-19) Martin JA, Hamilton BE, Osterman JK, et al. Births: Final data for 2012. National vital statistics reports; vol 62 no 9. Hyattsville, MD: National Center for Health Statistics. 2013.Center for Health Statistics, MDH, 2014

  7. In 2010, Minnesota had the 9th lowest Adolescent Birth Rate in the US(age 15-19 per 1,000)

  8. So, everything’s fine, right?

  9. The not so good… • Every day in Minnesota about 12 adolescents become pregnant; about 4,500 every year • There are significant disparities in adolescent pregnancy, birth, and STI rates • Chlamydia rates continue to increase dramatically (check GC) • Fewer young people report using condoms during their last sexual encounter • Societal costs of not investing in youth… • Adolescent mothers are more likely to drop out of school, receive late or no prenatal care, rely on public assistance, become single parents and live in poverty • Children born to adolescents have higher rates of health, learning, and social challenges

  10. Adolescent Birth RatesU.S. vs. Minnesota, 2012(births per 1,000 females aged 15-19) Center for Health Statistics, Minnesota Department of Health, 2014; National Center for Health Statistics, 2013

  11. Minnesota Adolescent Birth Rates2011 vs. 2012(births per 1,000 females aged 15-19) Center for Health Statistics, Minnesota Department of Health, 2014

  12. Minnesota Adolescent Birth Rates by Race/Ethnicity, 1995-2012(number of births per 1,000 females aged 15-19, 3-year clusters) Hispanic/Latina Black American Indian 66.2 Asian/Pacific Islander 54.3 43.1 29.6 White 13.6 Center for Health Statistics, Minnesota Department of Health, 2014

  13. Number of Adolescent Births in Minnesotaage 15-19, 2012 Center for Health Statistics, Minnesota Department of Health, 2014

  14. We’re number one…unfortunately. United Nations Statistics Division. (2010). Millennium Development Goals Indicators. Retrieved from: http://unstats.un.org/unsd/mdg/SeriesDetail.aspx?srid=761

  15. Another perspective…

  16. State Adolescent Birth Rates, 2011(births per 1,000 females aged 15-19) Martin, J. A., Hamilton, B. E., Ventura, S. J., & Osterman, M. J. K. (2013). Births: Final data for 2011. Hyattsville, MD: National Center for Health Statistics.

  17. State Adolescent Pregnancy Rates, 2008 (pregnancies per 1,000 females aged 15-19) Kost K and Henshaw S, U.S. Teenage Pregnancies, Births and Abortions, 2008: State Trends by Age, Race and Ethnicity, New York: Guttmacher Institute, 2013, http://www.guttmacher.org/pubs/USTPtrends13.pdf

  18. Three in ten females get pregnant at least once before age 20. Source: National Campaign to Prevent Teen Pregnancy. (April 2010). Briefly:…Teen Pregnancy and Childbearing in the United States: Ten Headlines. Retrieved from http://www.thenationalcampaign.org/resources/pdf/Briefly_Teen-Pregnancy-and-Childbearing-Ten-Headlines.pdf.

  19. State-specific birth rate ranking, by race/ethnicity, 2008(age 15-19 per 1,000)

  20. Top 10 MN Counties Ranked by Adolescent Birth Rate

  21. Minnesota Adolescent Gonorrhea & Chlamydia Rates, 2003-2013(age 15-19 per 100,000 population) Center for Health Statistics, Minnesota Department of Health, 2012

  22. Center for Health Statistics, Minnesota Department of Health, 2013

  23. Minnesota Adolescent Chlamydia and Gonorrhea Rates by Race and Hispanic Origin, 2012 (age 15-19 per 100,000)

  24. Top 10 MN Counties Ranked by Chlamydia Rate

  25. Top 10 MN Counties Ranked by Gonorrhea Rate

  26. Other Trends in the Field…

  27. Minnesota Student Survey changes • The 2013 Minnesota Student Survey was administered to public school students in Grades 5, 8, 9, and 11 statewide • Past student surveys were administered to students in Grades 6, 9 and 12. As a result, trend data is limited to 9th grade only • Approximately 69% of 9th graders and 62% of 11th graders participated in the 2013 Minnesota Student Survey

  28. Nationally, 2/3 of adolescents have had sex while they are still in high school Percent of High School Students Who Have Had Sex At Least Once Centers for Disease Control and Prevention. YRBS, 2011. MMWR 2012;61, p. 24

  29. Percentage of sexually active adolescents in Minnesota, 2013 2013 Minnesota Student Survey

  30. Top 5 reasons why Minnesota teens report that they are not having sex: • Fear of pregnancy • Fear of sexually transmitted diseases • I don’t think it’s right for a person my age to have sex • My parent(s) would object 5a. I have not had a chance to have sex (males) 5b. I don’t want to have sex (females) 2013 Minnesota Student Survey

  31. Percentage of sexually active adolescents in Minnesota, 1992-2013 2013 Minnesota Student Survey

  32. How many times have you been pregnant or gotten someone pregnant? 2013 Minnesota Student Survey

  33. Which of the following best describes you? 2013 Minnesota Student Survey

  34. The LAST time you had sexual intercourse, what ONE method did you or your partner use to prevent pregnancy? 2013 Minnesota Student Survey

  35. Percent that used a condom with last intercourse, 1992-2013 2013 Minnesota Student Survey

  36. Percentage of Minnesota teens that talked to their partners about preventing: 2013 Minnesota Student Survey

  37. Trends in Ages at Key Reproductive Transitions in the United States, 1951–2010,” by Lawrence B. Finer and Jesse M. Philbin

  38. Key questions to consider • Why has the percentage of sexually active youth declined so much in the last 20 years? • Birth rates have declined nationwide – regardless of state policies, demographic characteristics, etc. Why? • Why are chlamydia and gonorrhea rates increasing while birth rates and the number of sexually active youth continue to decline? • Even though the U.S. birth rate has reached historic lows, we are still among the highest among developed countries. Why?

  39. Some questions to ponder… • Anything you learned that you didn’t know before today? • What information might you like to know more about? • How will you use this information in your work? • What would the young people in your world (personally or professionally) think of this information? • How might we change public perception of adolescent sexual health, in light of the information that was presented?

  40. Resources • CDC Vital Signs – www.cdc.gov/vitalsigns • CDC Vital Signs offers recent data and calls to action for important public health issues • CDC Youth Risk Behavior Survey - www.cdc.gov/healthyyouth/yrbs/ • The Youth Risk Behavior Surveillance System (YRBSS) monitors six types of health-risk behaviors that contribute to the leading causes of death and disability among youth and adults, including sexual behaviors. • Guttmacher Institute – www.guttmacher.org • Research, policy analysis and public education on abortion, law/public policy, pregnancy, birth, prevention and contraception, HIV/STIs • Minnesota Department of Health • Center for Health Statistics - http://www.health.state.mn.us/divs/chs/(birth & pregnancy data) • STD Division – www.health.state.mn.us/divs/idepc/dtopics/stds/stdstatistics.html • HIV Division - www.health.state.mn.us/divs/idepc/diseases/hiv/hivstatistics.html • National Campaign – www.teenpregnancy.org • Their mission is to promote values, behavior, and policies that reduce both teen pregnancy and unplanned pregnancy among young adults

  41. Thank you! Jill Farris, MPH Director of Training and Education jill@teenwisemn.org 651-289-1381 Teenwise Minnesota 1619 Dayton Avenue, Suite 111 Saint Paul, MN 55104 tel. 651-644-1447 fax. 651-644-1417

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