Action Points
- Teen birth rates fell to tape lows over the past decade, along with the largest declines among minority teens, according to data from the CDC.
- The price of triplet and higher-order multiple births among U.S. women was nearly halved from 1998 to 2014, along with notable declines among older women and those of Hispanic origin.
Teen birth rates fell to tape lows over the past decade, along with the largest declines among minority teens, according to data from the CDC’s National Important Statistics System.
Overall birth rates for teens ages 15-19 dropped 61% from 1991 to 2014, along with a 41% lose from 2006 to 2014 (from 41.4 to 24.2 per 1,000 births), reported Lisa Romero, DrPH, of the CDC, and colleagues.
Writing in the Morbidity and Mortality Weekly Report, they reported that from 2006-2014, the birth price among Hispanic teens was cut in half, along with the price among non-Hispanic black teens down 44%, thereby cutting down the disparity between minority and white teen births.
However, the disparity didn’t disappear altogether, in section since teen births among whites declined 35% in the exact same time period.
“The United States has actually earned fantastic progression in cutting down the two teen pregnancy and racial and ethnic differences, yet the fact is, also lots of American teens are still having babies,” said CDC Director Tom Frieden, MD, in a statement. “By much better learning the lots of factors that contribute to teen pregnancy we can easily much better design, implement, evaluate, and boost prevention interventions and further reduce disparities.”
Romero and colleagues cited “geographic and socioeconomic disparities” as a potential requirement for the gap between birth rates. To explore this possibility, they analyzed data from the Census’ American Community Survey and, not surprisingly, located that unemployment rates, parental education and family income all of were associated along with variations in birth rates.
Counties in the highest quintiles for teen birth rates had a greater mean percentage of unemployment for persons ages ≥16 years (10.5%), a lesser percentage of the population ages ≥25 years along with an associate’s degree or greater (19.9%) and a lesser mean family income ($46,005) compared along with counties in the lowest quintiles for teen birth rates (7.6%, 40.4% and $73,967, respectively; P<0.001 for all of comparisons).
The authors note these social determinants linked to teenage births appear to be more common in communities along with greater proportions of racial ethnic minorities, and conclude that ongoing efforts are called for to incorporate social determinants of good health in to teen pregnancy prevention.
“These data underscore that the solution to our nation’s teen pregnancy problem is not going to be a one-size-fits-all,” said Romero in a statement. “We can easily make certain the victory of teen pregnancy prevention efforts by capitalizing on the expertise of our state and neighborhood public good health colleagues. Together, we can easily job to implement proven prevention programs that take in to account unique, neighborhood needs.”
Triplet and Higher-Order Birth price Falls
Another CDC report, issued as an NCHS Data Brief, indicated that the price of triplet and higher-order multiple births among U.S. women was nearly halved from 1998 to 2014, along with notable declines among older women and those of Hispanic origin.
The overall price was down 41%, from 193.5 to 113.5 per 100,000 births, along with a decline of nearly 50% or a lot more among women older compared to age 25, reported Joyce A. Martin, MPH, and colleagues in the National Focus for good health Statistics.
In fact, the largest declines were among older mothers (ages ≥45 years), along with triplet and higher-order birth rates down by two-thirds in that time frame (2,326.0 to 769.9 per 100,000 births). Mothers that were ≥45 years of age were additionally a lot more compared to 35 times most likely to provide birth to triplets compared to teen mothers.
Demographically, non-Hispanic white women exhibited the largest declines (down 46% from 1998 to 2014) in these types of births. Non-Hispanic white women were additionally 57% a lot more most likely to provide birth to triplets or have actually higher-order births compared to non-Hispanic black women.
This reverses the trend from the 1980s and 1990s, as soon as increasingly older mothers, too as increased usage of fertility treatments, propelled a four-fold raise in the triplet and higher-order birth rate. Martin and colleagues cited changes in assisted reproductive technologies (ART), such as cutting down the variety of transferred embryos, as one potential requirement for the decline.
Despite the progression at cutting down the price of triplets and higher-order births, the researchers noted that current rates stay three times better compared to prior to ART and non-ART therapies, such as ovulation-inducing drugs, became broadly available.
Romero and colleagues disclosed no conflicts of interest.
Martin and colleagues disclosed no conflicts of interest.