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TEEN PREGNANCY in MONTANA

TEEN PREGNANCY in MONTANA. Women’s Health Section October 4, 2001. Nearly One Million Teens. become pregnant each year. Teen Parents…. Have other high risk behaviors Receive late or no prenatal care Receive less education Have lower income Face additional unintended pregnancies

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TEEN PREGNANCY in MONTANA

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  1. TEEN PREGNANCY in MONTANA Women’s Health Section October 4, 2001

  2. Nearly One Million Teens... become pregnant each year

  3. Teen Parents…. • Have other high risk behaviors • Receive late or no prenatal care • Receive less education • Have lower income • Face additional unintended pregnancies • More likely to injure, abuse or neglect children

  4. Headlines…

  5. This Presentation will cover: • Teen Pregnancy in Montana • Definitions • Who are teen parents? • Recent trends • Native American teens • What Puts Teens at Risk? • National and Regional Perspectives

  6. How do we measure Teen Pregnancy? The combination of: • Live Births, • Induced Abortions, or • Fetal Deaths to a Female under Age 20

  7. Definitions: Pregnancy Rate: pregnancies per 1,000 females, aged 15-19 Fertility Rate: live births per 1,000 females, aged 15-19 Abortion Rate: abortions per 1,000 females, aged 15-19

  8. Who are our pregnant teens?

  9. In Montana, teens account for about 10% of all births

  10. About two in ten Montana girls will get pregnant at least once before they are 20.

  11. Most pregnant teens in Montana are 18 to 19 years old

  12. Outcomes of Montana Teen Pregnancy(1981-2000)

  13. Most teen mothers are unmarried(Montana 1981-2000)

  14. What are the trends in teen pregnancy?

  15. The age when Montana teens become pregnant has varied slightly over time ….

  16. And the outcome of teen pregnancies has changed to slightly...

  17. …since 1981, pregnancy rates for Montana teens have declined 33% 75.5 74.4 50.3

  18. Further, pregnancy rates have declined for each teen age group in Montana Pregnancy Rates fell 34% for 18-19 year olds Pregnancy Rates fell 25% for 15-17 year olds

  19. 111 54 79 60 80 96 66 66 72 56 67 70 55 125

  20. 10 5 44 1

  21. Out of Wedlock births • In 1981, 47% of Montana teen births were to unmarried teens.

  22. Out of Wedlock births • In 1981, 47% of Montana teen births were to unmarried teens. • In 2000, nearly 82% were.

  23. This trend reflects: • A decline in marriage after pregnancy - “shotgun marriage” • Increased acceptance of non-marital childbearing in general • Teens mirroring behavior of adults

  24. Out of wedlock births have increased for both teens and adults in Montana

  25. Teen Sexual Activity • Teens’ report of having sex increases with each grade in Montana (1999). • By 9th grade about three in ten (29%) • By 12th grade about three in five (58%) • Sexual activity has decreased in 1990’s • In 1999, less than half (43%) of Montana high school teens reported that they have ever had sex (US - 48%)

  26. Native American Teens • Native Americans make up a 6% of the population with seven reservations • Approximately 10% of the Native American population are teens aged 15-19

  27. Nearly five in ten Native American teens in Montana will become pregnant by age 20.

  28. Slightly more than half of pregnant Native American teens are 18 -19(Montana 1981-2000)

  29. Most Native American teen mothers are unmarried(Montana 1981-2000)

  30. Pregnancy Outcomes for Native American Teens: 1989 to 2000

  31. Pregnancy and Fertility rates for Native American Teens are declining in Montana(15-19 year olds) 160.2 107.9 142.4 94.4

  32. Unmarried births to Montana Native American Teens has increased 90.5% 82% 47%

  33. What puts teens at risk?

  34. What puts teens at risk? • Poverty • Physical and sexual abuse • Having a prior pregnancy • Substance use • Dating an older partner

  35. How do we compare?

  36. What are the trends nationally?Teen Pregnancy Rates for 15-19 year olds United States 94.3 per 1000 Montana 50 per 1000

  37. Pregnancy rates in Montana have declined greater than US Teens aged 15-19 US Montana Pregnancy Rate: 19% 32.6% Fertility Rate: 17.7% 26.4% Abortion Rate: 32.9% 44.3%

  38. Regional Perspective:1996 Pregnancy and 1999 Fertility Rates 98.7 65 49.6 35.1

  39. Conclusion • What do we know about teen pregnancy trends in Montana?

  40. Need more information?Women’s Health SectionTeen Pregnancy Coordinator: Mateel Todd 444-7331cmateeltodd@state.mt.usTeen Pregnancy data: Helen McCaffrey 444-0983 hmccaffrey@state.mt.us

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