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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: 2013: 20.8[[br]] 2014: 19.6[[br]] 2015: 17.9[[br]] 2016: 15.7[[br]] 2017: 15.1 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.?

Utah's adolescent birth rate has been lower than the United States' overall rate over the past decade, but is higher than several other states. Utah and U.S. adolescent birth rates per 1,000 females age 15-19 for the past five years were: 2013: Utah 20.8/U.S. 26.5[[br]] 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

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 Utah's 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 Utah's 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

Utah's 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]] *Heritage Keepers[[br]] *Love Notes[[br]] *Making A Difference[[br]] *Making Proud Choices[[br]] *Relationship Smarts Plus[[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, 2017

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confidence limits

RaceRate per 1,000 Adolescent FemalesLower LimitUpper Limit
Record Count: 7
American Indian/Native Alaskan24.818.232.8
Asian8.65.512.9
Black27.820.536.9
Pacific Islander13.78.421.1
White15.214.415.9
All Races15.114.415.8
U.S.18.8

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 2017
  • 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, 2017

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confidence limits

Hispanic EthnicityRate per 1,000 Adolescent FemalesLower LimitUpper Limit
Record Count: 4
Hispanic33.430.936.1
Non-Hispanic11.210.611.9
All Utahns15.114.415.8
U.S.18.8

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 2017
  • 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, 2017

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confidence limits

Local Health DistrictRate per 1,000 Adolescent FemalesLower LimitUpper LimitNote
Record Count: 15
Bear River13.411.016.2
Central17.613.422.6
Davis County12.410.614.5
Salt Lake County17.616.318.9
San Juan30.818.847.5
Southeast21.914.831.2
Southwest17.614.920.6
Summit5.02.010.2*
Tooele19.014.225.0
TriCounty28.321.436.8
Utah County9.78.610.9
Wasatch11.86.419.8
Weber-Morgan19.516.822.5
State of Utah15.114.415.8
U.S.18.8

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 2017
  • 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, 2015-2017

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confidence limits

Utah Small AreasRate per 1,000 Adolescent FemalesLower LimitUpper LimitNote
Record Count: 130
Brigham City21.015.727.6
Box Elder Co (Other) V218.912.028.4
Tremonton33.725.646.5
Logan V213.110.815.8
North Logan8.85.912.5
Cache (Other)/Rich (All) V29.05.813.2
Hyrum18.811.828.4
Smithfield10.45.817.1
Ben Lomond32.027.636.9
Weber County (East)9.66.813.2
Morgan County3.10.87.9*
Ogden (Downtown)32.026.638.4
South Ogden28.623.534.5
Roy/Hooper20.016.224.3
Riverdale25.419.832.1
Clearfield Area/Hooper21.218.024.7
Layton/South Weber17.414.720.4
Kaysville/Fruit Heights7.14.810.0
Syracuse9.66.413.6
Centerville4.01.68.2*
Farmington6.63.611.1
North Salt Lake14.08.921.0
Woods Cross/West Bountiful5.82.511.4*
Bountiful9.97.213.2
SLC (Rose Park)36.730.943.3
SLC (Avenues)3.21.27.0*
SLC (Foothill/East Bench)4.92.19.7*
Magna31.225.238.1
SLC (Glendale) V242.635.351.0
West Valley (Center)38.633.744.2
West Valley (West) V232.226.538.8
West Valley (East) V249.643.556.3
SLC (Downtown) V28.25.412.0
SLC (Southeast Liberty)6.13.210.4
South Salt Lake30.924.039.2
SLC (Sugar House)6.84.010.8
Millcreek (South)5.02.49.1*
Millcreek (East)1.70.54.4*
Holladay V210.06.115.4
Cottonwood4.92.87.8
Kearns V235.330.041.4
Taylorsville (E)/Murray (W)35.028.942.0
Taylorsville (West)22.017.527.4
Murray28.122.235.0
Midvale34.227.442.1
West Jordan (Northeast) V222.217.228.2
West Jordan (Southeast)19.215.223.9
West Jordan (W)/Copperton13.710.817.1
South Jordan V26.54.69.1
Daybreak5.12.39.7*
Sandy (West)22.216.629.0
Sandy (Center) V210.77.315.2
Sandy (Northeast)4.62.38.3*
Sandy (Southeast)3.51.86.1
Draper6.14.18.8
Riverton/Bluffdale9.77.212.8
Herriman13.410.217.4
Tooele County (Other)19.914.027.5
Tooele Valley20.016.524.0
Eagle Mountain/Cedar Valley12.48.617.3
Lehi9.47.112.3
Saratoga Springs9.96.314.9
American Fork7.85.810.3
Alpine2.80.96.6*
Pleasant Grove/Lindon8.06.010.4
Orem (North)22.317.827.5
Orem (West)11.48.614.8
Orem (East)9.96.614.3
Provo/BYU1.91.32.7
Provo (West City Center)28.523.134.8
Provo (East City Center)8.86.511.7
Salem City9.14.516.2*
Spanish Fork16.913.521.0
Springville18.013.922.9
Mapleton7.33.513.4*
Utah County (South) V218.612.426.7
Payson22.417.628.3
Park City7.04.310.9
Summit County (East)11.55.920.1
Wasatch County14.510.519.4
Daggett and Uintah County28.223.134.2
Duchesne County31.124.039.6
Nephi/Mona18.611.528.4
Delta/Fillmore24.516.035.9
Sanpete Valley8.25.811.2
Central (Other)23.717.830.8
Richfield/Monroe/Salina36.527.547.5
Carbon County20.614.927.7
Emery County25.716.837.7
Grand County25.715.939.2
Blanding/Monticello16.89.826.9
San Juan County (Other)44.731.661.4
St. George16.914.319.8
Washington Co (Other) V224.115.136.4
Washington City19.313.726.4
Hurricane/La Verkin19.614.825.6
Ivins/Santa Clara7.13.712.4
Cedar City19.115.822.8
Southwest LHD (Other)26.520.334.1
State of Utah16.215.816.6

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.

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 2017


Adolescent Birth Rate by Age of Mother, Utah and U.S., 2001-2017

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confidence limits

Age 15-17 vs 18-19, UT & USYearRate per 1,000 Adolescent FemalesLower LimitUpper Limit
Record Count: 68
Utah Mothers Age 15-17200118.217.119.3
Utah Mothers Age 15-17200216.815.817.9
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 15-17201210.39.511.1
Utah Mothers Age 15-1720138.77.99.4
Utah Mothers Age 15-1720147.97.28.6
Utah Mothers Age 15-1720157.06.47.6
Utah Mothers Age 15-1720166.25.66.8
Utah Mothers Age 15-1720175.85.26.3
U.S. Mothers Age 15-17200125.2
U.S. Mothers Age 15-17200223.2
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
Utah Mothers Age 18-19200158.756.560.9
Utah Mothers Age 18-19200255.653.557.8
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 18-19201047.045.149.0
Utah Mothers Age 18-19201142.340.143.9
Utah Mothers Age 18-19201243.240.844.8
Utah Mothers Age 18-19201339.637.240.9
Utah Mothers Age 18-19201438.436.139.8
Utah Mothers Age 18-19201535.533.437.0
Utah Mothers Age 18-19201631.029.032.3
Utah Mothers Age 18-19201730.028.431.6
U.S. Mothers Age 18-19200175.5
U.S. Mothers Age 18-19200272.8
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

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 2017
  • 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.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/31/2018, Published on 11/26/2018
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 Sat, 15 December 2018 23:33:54 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, 26 Nov 2018 11:43:09 MST