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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: 2014: 19.6[[br]] 2015: 17.9[[br]] 2016: 15.7[[br]] 2017: 15.1[[br]] 2018: 13.1 According to the 2016 Pregnancy Risk Assessment Monitoring Survey (PRAMS) data, 45% of Utah teen mothers (age 15-19) reported their pregnancies as mistimed or unwanted. Another 25% 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: 2014: Utah 19.6/U.S. 24.2[[br]] 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

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 non-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, 2018

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confidence limits

RaceRate per 1,000 Adolescent FemalesLower LimitUpper LimitNote
Record Count: 7
American Indian/Native Alaskan22.816.630.6
Asian3.21.46.0*
Black24.617.933.0
Pacific Islander15.29.722.9
White11.711.112.4
All Races13.112.513.8
U.S.17.4

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.

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, 2018

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confidence limits

Hispanic EthnicityRate per 1,000 Adolescent FemalesLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 4
Hispanic32.630.235.167320,656
Non-Hispanic8.88.29.4889101,371
All Utahns13.112.513.81,602122,027
U.S.17.4

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, 2018

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confidence limits

Local Health DistrictRate per 1,000 Adolescent FemalesLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 15
Bear River8.26.410.4698,371
Central13.810.218.2493,551
Davis County10.38.612.213513,156
Salt Lake County16.215.017.563539,193
San Juan21.411.735.914655
Southeast12.27.119.6171,391
Southwest16.514.019.41509,089
Summit4.82.010.0*71,444
Tooele16.111.821.6452,791
TriCounty30.023.038.4622,067
Utah County7.86.88.923129,524
Wasatch13.67.921.7171,254
Weber-Morgan17.915.320.81719,541
State of Utah13.112.513.81,602122,027
U.S.17.4

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.

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, 2016-2018

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confidence limits

Utah Small AreasRate per 1,000 Adolescent FemalesLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 101
Brigham City16.612.022.4422,530
Box Elder Co (Other) V217.911.227.2221,226
Tremonton28.521.237.5511,787
Logan V28.36.510.5728,649
North Logan9.26.213.1303,268
Cache (Other)/Rich (All) V26.74.010.4192,841
Hyrum15.29.024.0181,187
Smithfield10.86.217.6161,480
Ben Lomond33.028.637.92026,118
Weber County (East)7.55.010.8293,849
Morgan County****
Ogden (Downtown)30.325.036.31173,866
South Ogden23.118.628.3934,030
Roy/Hooper16.613.320.6845,045
Riverdale20.115.226.0572,841
Clearfield Area/Hooper19.516.522.81517,757
Layton/South Weber15.312.918.11368,870
Kaysville/Fruit Heights6.04.08.7274,495
Syracuse9.16.112.9303,312
Centerville4.01.68.1*71,771
Farmington6.43.510.8142,181
North Salt Lake16.010.623.1281,753
Woods Cross/West Bountiful7.23.513.3*101,387
Bountiful7.45.210.4354,701
SLC (Rose Park)36.230.542.71413,894
SLC (Avenues)2.10.65.4*41,891
SLC (Foothill/East Bench)5.52.510.4*91,637
Magna25.520.131.8783,062
SLC (Glendale) V237.830.945.81052,776
West Valley (Center)37.933.043.32155,672
West Valley (West) V230.825.237.21053,413
West Valley (East) V245.639.852.02234,888
SLC (Downtown) V28.65.712.4283,272
SLC (Southeast Liberty)2.81.06.0*62,168
South Salt Lake30.723.938.9692,246
SLC (Sugar House)8.45.212.9212,495
Millcreek (South)5.62.810.0*111,977
Millcreek (East)3.01.26.1*72,359
Holladay V27.03.811.7142,003
Cottonwood4.52.67.4163,536
Kearns V232.227.138.01424,410
Taylorsville (E)/Murray (W)30.925.237.41053,402
Taylorsville (West)20.416.125.5763,726
Murray29.623.536.6832,808
Midvale28.722.735.8782,717
West Jordan (Northeast) V222.217.228.2683,062
West Jordan (Southeast)18.514.623.1774,161
West Jordan (W)/Copperton12.910.116.2735,669
South Jordan V26.44.39.2294,516
Daybreak4.82.68.0142,940
Sandy (West)21.115.827.6532,512
Sandy (Center) V211.27.615.7322,871
Sandy (Northeast)5.12.68.9122,356
Sandy (Southeast)2.00.84.2*73,452
Draper4.02.46.2194,792
Riverton/Bluffdale7.95.710.8415,169
Herriman10.17.513.4484,744
Tooele County (Other)15.810.722.4311,964
Tooele Valley18.915.622.81115,862
Eagle Mountain/Cedar Valley12.58.917.2383,036
Lehi10.88.413.7686,284
Saratoga Springs9.05.813.4242,658
American Fork6.44.68.7416,409
Alpine2.20.65.7*41,788
Pleasant Grove/Lindon6.54.78.6467,114
Orem (North)21.016.725.9854,058
Orem (West)10.78.113.9565,243
Orem (East)8.85.713.0252,843
Provo/BYU1.51.02.22516,708
Provo (West City Center)23.618.729.3813,439
Provo (East City Center)8.05.810.8435,361
Salem City5.62.311.6*71,239
Spanish Fork11.78.915.1595,046
Springville16.812.821.5623,699
Mapleton5.72.511.3*81,396
Utah County (South) V212.87.919.6211,641
Payson21.016.326.5693,292
Park City4.22.27.4122,841
Summit County (East)13.07.121.7141,081
Wasatch County14.710.819.5473,206
Daggett and Uintah County30.425.036.61113,653
Duchesne County29.322.437.7612,080
Nephi/Mona16.610.025.9191,147
Delta/Fillmore24.015.735.2261,081
Sanpete Valley8.86.311.9414,678
Central (Other)21.015.527.7492,338
Richfield/Monroe/Salina27.519.837.2421,527
Carbon County16.311.322.7342,091
Emery County17.810.628.1181,011
Grand County20.612.033.017826
Blanding/Monticello14.68.224.1151,026
San Juan County (Other)39.327.155.233839
St. George17.114.620.01609,358
Washington Co (Other) V226.016.838.425961
Washington City14.29.620.1312,186
Hurricane/La Verkin17.012.522.4492,891
Ivins/Santa Clara10.56.216.6181,717
Cedar City16.613.720.11086,487
Southwest LHD (Other)22.917.229.9542,354
State of Utah14.614.215.05,222357,367
U.S.18.8***

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 2018 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., 2003-2018

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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 15-17200315.714.716.8
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
U.S. Mothers Age 15-17200322.4
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
Utah Mothers Age 18-19200352.350.354.5
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
U.S. Mothers Age 18-19200370.7
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

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 12/31/2019, Published on 01/09/2020
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 Wed, 22 January 2020 1:35:44 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 9 Jan 2020 13:46:28 MST