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Complete Health Indicator Report of Adolescent Births

Definition

The adolescent birth rate is reported as the number of live births per 1,000 adolescent females aged 15-19.

Numerator

The number of live births to adolescent mothers aged 15-19.

Denominator

The number of adolescent females in the population.

Data Interpretation Issues

The adolescent birth rate does not include abortions or miscarriages, and is an underestimate of the adolescent pregnancy rate.

Why Is This Important?

Research indicates that bearing a child during adolescence is associated with long-term difficulties for the mother, her child, and society. These consequences are often attributable to poverty and other adverse socioeconomic circumstances that frequently accompany early childbearing. Compared to babies born to older mothers, babies born to adolescent mothers, particularly young adolescent mothers, are at higher risk of low birth weight and infant mortality. These babies are more likely to grow up in homes that offer lower levels of emotional support and cognitive stimulation, and they are less likely to earn a high school diploma. For the mothers, giving birth during adolescence is associated with limited educational attainment, which in turn can reduce future employment prospects and earning potential.

Other Objectives

Utah's 42 Community Health Indicators[[br]] Similar to HP2020 Objective FP-8: Reduce PREGNANCIES among adolescent females.

How Are We Doing?

The teen birth rates per 1,000 females aged 15-19 in Utah, for the past five years were: 2015: 17.9[[br]] 2016: 15.7[[br]] 2017: 15.1[[br]] 2018: 13.1[[br]] 2019: 12.0 According to the 2018 Pregnancy Risk Assessment Monitoring Survey (PRAMS) data, 43% of Utah teen mothers (age 15-19) reported their pregnancies as mistimed or unwanted. Another 22% reported that they were unsure whether or not they wanted to be pregnant.

How Do We Compare With the U.S.?

The adolescent birth rate in Utah has been lower than the U.S. overall rate over the past decade, but is higher than several other states. Utah and U.S. adolescent birth rates per 1,000 females aged 15-19 for the past five years were: 2015: Utah 17.9/U.S. 22.3[[br]] 2016: Utah 15.7/U.S. 20.3[[br]] 2017: Utah 15.1/U.S. 18.8[[br]] 2018: Utah 13.1/U.S. 17.4[[br]] 2019: Utah 12.0/U.S. 16.6

What Is Being Done?

__Teen Pregnancy Prevention Programs:__ The Utah Department of Health receives federal funding from the U.S. Department of Health and Human Services, Administration for Children and Families, Family & Youth Services Bureau to provide two programs addressing teen pregnancy prevention in Utah. The first program is Sexual Risk Avoidance Education (SRAE). Funds for this program must be used to implement evidence-based programs that teach participants to voluntarily refrain from sexual activity; normalize the optimal health behavior of avoiding non-marital sexual activity; and address the social, psychological, and health gains to be realized by refraining from sexual activity and engaging in healthy relationships. SRAE targets youth ages 10-19 and/or their parents, with a specific focus on youth in the Utah juvenile justice and foster care systems; youth of Hispanic, Black/African American, Pacific Islander, or American Indian origin; and youth residing in rural areas or other disadvantaged geographical areas with teen birth rates higher than the Utah average. The second program is the Personal Responsibility Education Program (PREP). These funds must be used for evidence-based interventions designed to educate adolescents on both abstinence and contraception to prevent pregnancy and sexually transmitted infections, including HIV/AIDS, and at least three adulthood preparation subjects (healthy relationships, education and career success, healthy life skills, adolescent development, financial literacy, and parent-child communication). The target population for PREP in Utah is youth ages 14-19, and their parents, with a specific focus on youth in the Utah Juvenile Justice and foster care systems; pregnant and parenting teens; youth of Hispanic, Black/African American, Pacific Islander, or American Indian origin; and youth residing in rural areas or other disadvantaged geographical areas with teen birth rates higher than the Utah average. The Utah Department of Health (UDOH) sub-contracts these federal funds to local health departments, community agencies, and tribal entities or governments. For more information or questions regarding the two programs mentioned above, contact Elizabeth Gerke at 801-273-2870 or egerke@utah.gov.

Evidence-based Practices

The Utah teen pregnancy prevention programs utilize the following evidence-based interventions: *All4You[[br]] *Be Proud, Be Responsible[[br]] *Choosing the Best[[br]] *Families Talking Together[[br]] *Get Real[[br]] *Love Notes[[br]] *Making A Difference[[br]] *Making Proud Choices[[br]] *Teen Outreach Program (TOP)

Available Services

Youth development programs, support groups for teen parents, resources for health teachers, and/or classes for youth and parents are available in local areas across the state. For more information, contact Elizabeth Gerke at egerke@utah.gov or 801-273-2870.


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Risk Factors

Experiencing birth during adolescence can increase a teen's risk of acquiring a sexually-transmitted infection as well as seriously hinder future financial stability due to limited educational attainment.

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Birth Rate for Females Aged 15-19 by Race, Utah, 2019

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confidence limits

RaceRate per 1,000 Adolescent FemalesLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 7
American Indian/Native Alaskan23.417.231.1472,012
Asian5.02.88.5142,777
Black22.616.430.4441,945
Pacific Islander10.96.217.6161,472
White10.29.610.81,134111,549
All Races12.011.412.61,492124,535
U.S.16.6*

Data Notes

*U.S. rate is 2019 provisional data

Data Sources

  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2018
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Birth Rate for Females Aged 15-19 by Ethnicity, Utah, 2019

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confidence limits

Hispanic EthnicityRate per 1,000 Adolescent FemalesLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Hispanic28.426.230.760421,287
Non-Hispanic8.07.58.6827103,248
All Utahns12.011.412.61,492124,535
U.S.16.6

Data Notes

*U.S. rate is 2019 provisional data

Data Sources

  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2018
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Birth Rate for Females Aged 15-19 by Local Health District, Utah, 2019

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confidence limits

Local Health DistrictRate per 1,000 Adolescent FemalesLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 15
Bear River10.98.813.4948,596
Central13.610.118.0493,595
Davis County8.87.310.611913,493
Salt Lake County14.813.616.058639,625
San Juan16.68.329.8*11661
Southeast18.812.427.3271,437
Southwest13.010.815.51249,514
Summit6.93.312.7*101,443
Tooele12.68.817.4362,863
TriCounty22.116.229.4472,125
Utah County7.66.78.723130,276
Wasatch9.54.916.6121,264
Weber-Morgan15.112.817.81469,643
State of Utah12.011.412.61,492124,535
U.S.16.6

Data Notes

*Use caution in interpreting; the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. **U.S. rate is 2019 provisional data

Data Sources

  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2018
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Birth Rate for Females Aged 15-19 by Utah Small Area, 2017-2019

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confidence limits

Utah Small AreasRate per 1,000 Adolescent FemalesLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 101
Brigham City18.213.424.2472,578
Box Elder Co (Other) V215.99.724.5201,259
Tremonton26.019.134.6471,807
Logan V27.35.69.3648,749
North Logan12.38.816.8403,252
Cache (Other)/Rich (All) V26.03.59.5172,855
Hyrum17.210.726.3211,219
Smithfield9.35.115.6141,502
Ben Lomond29.425.333.91836,233
Weber County (East)5.43.48.3213,868
Morgan County4.01.39.4*51,247
Ogden (Downtown)26.021.331.51043,996
South Ogden16.813.021.2684,059
Roy/Hooper12.89.916.4655,064
Riverdale19.814.925.6562,835
Clearfield Area/Hooper19.116.122.41507,869
Layton/South Weber14.011.616.71258,934
Kaysville/Fruit Heights5.13.27.7234,485
Syracuse6.64.210.0233,470
Centerville5.02.39.5*91,797
Farmington5.32.79.2122,280
North Salt Lake13.48.719.8251,859
Woods Cross/West Bountiful7.23.513.3*101,384
Bountiful7.75.410.6364,701
SLC (Rose Park)30.525.336.51203,932
SLC (Avenues)2.20.65.5*41,853
SLC (Foothill/East Bench)3.01.07.0*51,654
Magna23.818.629.9733,069
SLC (Glendale) V240.333.148.61102,731
West Valley (Center)40.735.646.32285,608
West Valley (West) V227.722.433.9953,427
West Valley (East) V240.234.846.21994,951
SLC (Downtown) V25.83.69.0203,438
SLC (Southeast Liberty)****
South Salt Lake29.623.037.5682,299
SLC (Sugar House)5.73.19.5142,470
Millcreek (South)6.13.110.6*121,981
Millcreek (East)3.01.26.2*72,324
Holladay V27.74.312.7151,945
Cottonwood4.62.67.4163,509
Kearns V229.324.534.91294,396
Taylorsville (E)/Murray (W)32.226.438.91083,349
Taylorsville (West)18.514.423.5693,722
Murray28.422.535.4802,816
Midvale29.723.736.8832,793
West Jordan (Northeast) V219.614.925.2603,068
West Jordan (Southeast)17.914.022.5734,074
West Jordan (W)/Copperton11.08.414.0645,845
South Jordan V26.64.49.5284,246
Daybreak4.22.47.0153,534
Sandy (West)17.913.123.8472,630
Sandy (Center) V210.36.914.8292,816
Sandy (Northeast)4.22.07.8*102,352
Sandy (Southeast)1.50.53.4*53,423
Draper5.13.37.6254,861
Riverton/Bluffdale6.54.59.1345,200
Herriman7.05.09.7385,390
Tooele County (Other)15.510.522.0312,005
Tooele Valley16.913.820.51046,148
Eagle Mountain/Cedar Valley10.37.114.4343,307
Lehi9.47.212.0616,524
Saratoga Springs7.04.310.7213,010
American Fork5.63.97.7366,492
Alpine2.30.65.8*41,762
Pleasant Grove/Lindon6.44.78.6467,165
Orem (North)21.317.026.2884,140
Orem (West)11.08.414.2605,451
Orem (East)9.86.514.2282,850
Provo/BYU1.71.12.42816,815
Provo (West City Center)25.120.031.0863,431
Provo (East City Center)6.74.89.2385,646
Salem City4.81.810.6*61,237
Spanish Fork10.47.813.6535,100
Springville15.011.319.4563,739
Mapleton5.12.010.5*71,372
Utah County (South) V214.69.521.4261,781
Payson17.313.122.4573,302
Park City3.81.96.9112,868
Summit County (East)12.06.420.5131,084
Wasatch County13.09.417.4443,386
Daggett and Uintah County32.326.738.71183,654
Duchesne County23.617.431.2492,077
Nephi/Mona15.79.324.8181,146
Delta/Fillmore20.012.630.3221,098
Sanpete Valley7.75.410.6364,702
Central (Other)19.013.825.4452,372
Richfield/Monroe/Salina24.717.533.9381,540
Carbon County17.812.524.5372,078
Emery County21.013.032.1211,001
Grand County19.110.931.116836
Blanding/Monticello14.17.723.614995
San Juan County (Other)26.216.439.722839
St. George15.913.518.61549,691
Washington Co (Other) V219.011.529.719998
Washington City11.47.516.6272,361
Hurricane/La Verkin14.610.619.6443,014
Ivins/Santa Clara8.64.814.2151,744
Cedar City16.913.920.31116,585
Southwest LHD (Other)19.814.626.3482,421
State of Utah14.113.714.54,888346,954
U.S.16.6***

Data Notes

A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html]. *Use caution in interpreting, the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health standards. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. ***U.S. rate is 2019 provisional data

Data Sources

  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2018


Adolescent Birth Rate by Age of Mother, Utah and U.S., 2004-2019

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confidence limits

Age 15-17 vs 18-19, UT & USYearRate per 1,000 Adolescent FemalesLower LimitUpper Limit
Record Count: 64
Utah Mothers Age 15-17200414.613.615.6
Utah Mothers Age 15-17200515.414.416.4
Utah Mothers Age 15-17200616.215.217.3
Utah Mothers Age 15-17200718.417.419.6
Utah Mothers Age 15-17200818.217.119.3
Utah Mothers Age 15-17200916.015.017.0
Utah Mothers Age 15-17201014.013.014.9
Utah Mothers Age 15-17201111.110.312.0
Utah Mothers Age 15-17201210.39.611.1
Utah Mothers Age 15-1720138.78.09.4
Utah Mothers Age 15-1720147.97.38.6
Utah Mothers Age 15-1720157.06.47.6
Utah Mothers Age 15-1720166.25.76.8
Utah Mothers Age 15-1720175.75.26.3
Utah Mothers Age 15-1720184.94.45.4
Utah Mothers Age 15-1720194.33.84.9
U.S. Mothers Age 15-17200422.1
U.S. Mothers Age 15-17200521.1
U.S. Mothers Age 15-17200622.0
U.S. Mothers Age 15-17200721.7
U.S. Mothers Age 15-17200821.1
U.S. Mothers Age 15-17200919.6
U.S. Mothers Age 15-17201017.3
U.S. Mothers Age 15-17201115.4
U.S. Mothers Age 15-17201214.1
U.S. Mothers Age 15-17201312.3
U.S. Mothers Age 15-17201410.9
U.S. Mothers Age 15-1720159.9
U.S. Mothers Age 15-1720168.8
U.S. Mothers Age 15-1720177.8
U.S. Mothers Age 15-1720187.2
U.S. Mothers Age 15-1720196.7
Utah Mothers Age 18-19200452.250.154.3
Utah Mothers Age 18-19200550.548.552.6
Utah Mothers Age 18-19200656.454.258.6
Utah Mothers Age 18-19200758.256.060.4
Utah Mothers Age 18-19200856.454.358.6
Utah Mothers Age 18-19200950.348.352.4
Utah Mothers Age 18-19201047.045.149.1
Utah Mothers Age 18-19201142.340.444.3
Utah Mothers Age 18-19201243.241.345.3
Utah Mothers Age 18-19201339.637.741.5
Utah Mothers Age 18-19201438.436.640.3
Utah Mothers Age 18-19201535.633.837.4
Utah Mothers Age 18-19201631.129.532.8
Utah Mothers Age 18-19201729.928.431.6
Utah Mothers Age 18-19201826.224.727.7
Utah Mothers Age 18-19201923.422.124.8
U.S. Mothers Age 18-19200470.0
U.S. Mothers Age 18-19200569.9
U.S. Mothers Age 18-19200673.0
U.S. Mothers Age 18-19200771.7
U.S. Mothers Age 18-19200868.2
U.S. Mothers Age 18-19200964.0
U.S. Mothers Age 18-19201058.2
U.S. Mothers Age 18-19201154.1
U.S. Mothers Age 18-19201251.4
U.S. Mothers Age 18-19201347.1
U.S. Mothers Age 18-19201443.8
U.S. Mothers Age 18-19201540.7
U.S. Mothers Age 18-19201637.5
U.S. Mothers Age 18-19201735.1
U.S. Mothers Age 18-19201832.3
U.S. Mothers Age 18-19201931.1

Data Notes

*U.S. rate is 2019 provisional data

Data Sources

  • Utah Birth Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2018
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention

References and Community Resources

Utah Department of Health[[br]] Maternal and Infant Health Program[[br]] [http://health.utah.gov/mihp/] Power to Decide: The Campaign to Prevent Unplanned Pregnancy[[br]] [https://powertodecide.org/news/we-are-power-decide] Center for Disease Control and Prevention, Division of Adolescent and School Health (DASH)[[br]] [http://www.cdc.gov/healthyyouth/] U.S. Department of Health & Human Services, Administration for Children & Families, Family and Youth Services Bureau (FYSB)[[br]] [https://www.acf.hhs.gov/fysb]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 11/04/2020, Published on 11/23/2020
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 01 December 2020 23:20:45 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Mon, 23 Nov 2020 08:46:24 MST