Prevalence of teenage pregnancy explained

Western and non-Western countries have distinctly different rates of teenage pregnancy. In Western countries such as the United States, Canada, Western Europe, Australia, and New Zealand, teen parents tend to be unmarried, and adolescent pregnancy is seen as a social issue.

By contrast, teenage parents in non-Western regions such as Africa, Asia, Eastern Europe, Latin America, and the Pacific Islands are often married, and their pregnancy may be welcomed by family and society. However, in these societies, early pregnancy may combine with malnutrition and poor health care to cause long-term medical problems for both the mother and child. A report by Save the Children found that, annually, 13 million children are born to women under age 20 worldwide. More than 90% of these births occur to women living in developing countries. Complications of pregnancy and childbirth are the leading cause of mortality among women between the ages of 15 and 19 in such areas, as they are the leading cause of mortality among older women.

The age of the mother is determined by the easily verified date when the pregnancy ends, not by the estimated date of conception.[1] Consequently, the statistics do not include women who first became pregnant before their 20th birthdays, if those pregnancies did not end until on or after their 20th birthdays.

Rates by continent

Africa

The highest rate of teenage pregnancy in the world—143 per 1,000 girls aged 15–19 years—is in sub-Saharan Africa.[2] Women in Africa, in general, get married at a much younger age than women elsewhere—leading to earlier pregnancies. In Nigeria in 1992, 47% of women aged 20–24 were married before 15, and 87% before 18. 53% of those surveyed had given birth to a child before the age of 18.[3] In 2002, African countries had the highest rates of teenage birth.[4]

In 2015, the highest incidence of births among 15- to 19-year-old girls was in Niger, Mali, Angola, Guinea, and Mozambique.[5] In Mozambique, in 2015, 46% of girls aged 15 to 19 years were already mothers or pregnant, an increase of 9% between results found on the National Demographic Health Survey in 2011 and National Survey on HIV, Malaria and Reproductive Health (IMASIDA) 2015. With the exception of Maputo, the capital city, all provinces presented an increase in the percentage of early pregnancies. The rates are particularly higher in the northern provinces, namely, Cabo Delgado, Nampula and Niassa with 64.9%, 61.3% and 60%, respectively.[6] [7]

A 2004 Save the Children report identified 10 countries where motherhood carried the most risks for young women and their babies. Of these, 9 were in sub-Saharan Africa. Niger, Liberia, and Mali were the nations where girls were the most at-risk. In the 10 highest-risk nations, more than one in six teenage girls between 15 and 19 years old gave birth annually, and nearly one in seven babies born to these teenagers died before the age of one year.[8]

Asia

The rate of early marriage is higher in rural regions than in urbanized areas. Fertility rates in South Asia range from 71 to 119 births with a trend towards increasing age at marriage for both sexes. In South Korea and Singapore, although the occurrence of sexual intercourse before marriage has risen, rates of adolescent childbearing are low at 4 to 8 per 1,000. The rate of early marriage and pregnancy has decreased sharply in Indonesia. However, it remains high in comparison to the rest of Asia.

Surveys from Thailand have found that a significant minority of unmarried adolescents are sexually active. Although premarital sex is considered normal behavior for males, particularly with prostitutes, it is not always regarded as such for females. Most Thai youth reported that their first sexual experience, whether within or outside of marriage, was without contraception. The adolescent fertility rate in Thailand is relatively high at 60 per 1,000. 25% of women admitted to hospitals in Thailand for complications of induced abortion are students. The Thai government has undertaken measures to inform the nation's youth about the prevention of sexually transmitted diseases and unplanned pregnancy.

In 1998, in several Asian countries including Bangladesh and Indonesia, a large proportion (26–37%) of deaths among female adolescents were attributed to maternal causes.[9]

Australia

In 2015, the birth rate among teenage women in Australia was 11.9 births per 1,000 women.[10] The rate has fallen from 55.5 births per 1,000 women in 1971, probably due to ease of access to effective birth control, rather than any decrease in sexual activity.[11]

Europe

The overall trend in Europe since 1970 has been a decrease in the total fertility rate, an increase in the age at which women experience their first birth, and a decrease in the number of births among teenagers.

The rates of teenage pregnancy may vary widely within a country. For instance, in the United Kingdom, the rate of adolescent pregnancy in 2002 was as high as 100.4 per 1000 among young women living in the London Borough of Lambeth, and as low as 20.2 per 1000 among residents in the Midlands local authority area of Rutland.

Teenage birth is often associated with economic and social issues such as alcohol and drug misuse. In 2001, across 13 nations in the European Union, women who gave birth as teenagers were twice as likely to be living in poverty, compared with those who first gave birth when they were over 20.[12]

Bulgaria and Romania

Romania and Bulgaria have some of the highest teenage birth rates in Europe. In 2015, Bulgaria had a birth rate of 37 per 1,000 women aged 15–19. Romania had a teen birth rate of 34 per 1,000 women aged 15–19.[13] Both countries also have very large Romani populations, who have an occurrence of teenage pregnancies well above the local average.[14] [15] [16]

In recent years, the number of teenage mothers is declining in Bulgaria.

Number of teenage mothers in Bulgaria in the period 1990–2016 [17]
Year 1990 1995 2000 2005 2010 2015
All live births in Bulgaria 105,180 71,967 73,679 69,886 75,513 65,950
Mothers aged under twenty 22,518 16,278 12,787 10,625 8,411 6,274
Share of teenage mothers 21.4% 22.6% 17.4% 15.2% 11.1% 9.5%

Netherlands

The Netherlands has a low rate of births and abortions among teenagers, with 5 births per 1,000 women aged 15–19 in 2002.[4] Compared with countries with higher teenage birth rates, the Dutch have a higher average age at first intercourse and increased levels of contraceptive use, including the "double Dutch" method of using both a hormonal contraception method and a condom.

Nordic countries

Nordic countries, such as Denmark and Sweden, have low rates of teenage birth. Both had 7 births per 1,000 women aged 15–19 in 2002.[4] Norway's birth rate is slightly higher, at 11 births per 1,000 women aged 15–19 in 2002.[4] Iceland had a birth rate of 19 per 1,000 women aged 15–19 in 2002.[4] These countries have higher abortion rates than the Netherlands.

Greece, Italy, Spain and Portugal

In Italy and Spain, the rate of adolescent pregnancy is low, at 6 births per 1,000 women aged 15–19 in 2002 in both countries.[4] These two countries also have low abortion rates, lower than Sweden and the other Nordic countries, and their teenage pregnancy rates are among the lowest in Europe. Greece had 10 births per 1,000 women aged 15–19 in 2002.[4] Portugal had 17 births per 1,000 women aged 15–19 in 2002.[4]

United Kingdom

In 2018, conception rates for under 18-year-olds in England and Wales declined by 6.1%, to 16.8 conceptions per 1,000 women aged 15 to 17 years.[18] Since 1999, conception rates for women aged under 18 years have decreased by 62.7%.

The Americas

Canada

In 2002, the Canadian teenage birth rate was 16 per 1,000.[4] The teenage pregnancy rate was 33.9 per 1,000. The Canadian teenage pregnancy rate declined for both younger (15–17) and older (18–19) teens between 1992 and 2002.[19] Canada's highest teen pregnancy rates occur in small towns located in rural parts of peninsular Ontario. Alberta and Quebec have high teen pregnancy rates as well.

Colombia

In 2016, the Minister of Health and Social Protection of Colombia, Alejandro Gaviria Uribe announced that "teenage pregnancy decreased by two percentage points breaking the growing tendency that had been seen since the nineties".[20]

United States

See also: Teenage pregnancy in the United States.

In 2013, the teenage birth rate in the United States reached a historic low: 26.6 births per 1,000 women aged 15–19.[21] More than three-quarters of these births are to adult women aged 18 or 19.[21] In 2005 in the U.S., 57% of teen pregnancies resulted in a live birth, 27% ended in an induced abortion, and 16% in a fetal loss.[22]

In 2002, the US teen birth rate was 53 births per 1,000 women aged 15–19,[4] the highest in the developed world.[12] If all pregnancies, including those that end in abortion or miscarriage, are taken into account, the total rate in 2000 was 75.4 pregnancies per 1,000 girls. In 2004, Nevada and the District of Columbia had the highest teen pregnancy rates in the US. In 2004, North Dakota had the lowest.

In 2008, over 80% of teenage pregnancies in the U.S. were unintended.[23] In 2008, approximately one third ended in abortion, one third ended in spontaneous miscarriage, and one third continued their pregnancy and kept their baby.[24]

The trend is decreasing. In 1990, the birth rate was 61.8, and the pregnancy rate 116.9 per thousand. This decline has manifested across all races. Teenagers of African-American and Latino descent retain a higher rate, in comparison to that of European-Americans and Asian-Americans. In 2004, the Guttmacher Institute attributed about 25% of the decline to abstinence and 75% to the effective use of contraceptives.[25]

Within the United States teen pregnancy is often brought up in political discourse. The goal to limit teen pregnancy is shared by Republicans and Democrats, though avenues of reduction are usually different. Many Democrats cite teen pregnancy as proof of the continuing need for access to birth control and sexual education, while Republicans often cite a need for returning to conservative values, often including abstinence.[26]

An inverse correlation has been noted between teen pregnancy rates and the quality of education in a state. A positive correlation, albeit weak, appears between a city's teen pregnancy rate and its average summer night temperature, especially in the Southern U.S. (Savageau, compiler, 1993–1995).

In 2022, research organization Child Trends found that teen birth in the United States had vastly reduced in the prior 30 years.[27] [28]

Statistics

World Development Indicator

The birth rate for women aged 15–19 is one of the World Bank's World Development Indicators. The data for most countries and a variety of groupings (e.g. Sub-Saharan Africa or OECD members) are published regularly, and can be viewed or downloaded from a United Nations website.[29]

UN Statistics Division, live birth 2009

Per 1,000 women 15–19 years old:[30]

UN Statistics Division, estimates 1995-2010

Per 1,000 women 15–19 years old:[31]

Birth and abortion rates, 1996

Per 1,000 women 15–19 (% aborted = % of teenage pregnancies ending in abortion):[32] [33] [34] [35] [36]

Countrybirth rateabortion ratecombined rate% aborted
7.7 3.9 11.6 33.6
7.5 4.9 12.4 39.5
6.9 6.7 13.3 50.4
12.2 1.3 13.5 9.6
9.9 5.2 15.1 34.4
13.0 5.3 18.3 28.9
9.8 9.6 19.4 49.5
16.7 4.6 21.3 21.6
9.4 13.2 22.6 58.4
8.2 15.4 23.6 65.3
7.7 17.7 25.4 69.7
13.6 18.3 31.9 57.4
20.1 12.4 32.5 38.2
21.5 20.6 42.1 48.9
30.5 13.1 43.6 30
20.1 23.9 44 54.3
22.3 22.1 44.4 49.8
32.0 14.3 46.3 30.9
29.6 21.3 50.9 41.8
33.4 22.5 55.9 40.3
29.9 30.2 60.1 50.2
40.0 37.9 77.9 48.7
55.6 30.2 85.8 35.2

See also

Notes and References

  1. Web site: Kost K, Henshaw S, Carlin L . U.S. Teenage Pregnancies, Births and Abortions: National and State Trends and Trends by Race and Ethnicity . Guttmacher Institute. 2010 . Pregnancies are the sum of births, abortions and miscarriages. Please note that in these tables, "age" refers to the woman's age when the pregnancy ended. Consequently, actual numbers of pregnancies that occurred among teenagers are higher than those reported here, because most of the women who conceived at age 19 had their births or abortions after they turned 20 and, thus, were not counted as teenagers..
  2. Treffers P.E. . 2003 . Teenage pregnancy, a worldwide problem . 14669537 . Nederlands Tijdschrift voor Geneeskunde . 147 . 47. 2320–5 .
  3. Locoh, Therese. (2000). "Early Marriage And Motherhood In Sub-Saharan Africa ." WIN News. Retrieved July 7, 2006.
  4. http://globalis.gvu.unu.edu/indicator.cfm?Country=GB&IndicatorID=127 Indicator: Births per 1000 women (15-19 ys) – 2002
  5. Web site: Adolescent fertility rate (births per 1,000 women ages 15-19) - Data. data.worldbank.org.
  6. Book: Ministerio da Saude (MISAU), Instituto Nacional de Estatística (INE) e ICF International (ICFI). Moçambique Inquérito Demográfico e de Saúde 2011. Calverton, Maryland, USA: MISAU, INE e ICFI.. 2013. Portuguese.
  7. Book: Ministério da Saúde (MISAU), Instituto Nacional de Estatística (INE), ICF Internacional, 2015. Inquérito de Indicadores de Imunização, Malária e HIV/SIDA em Moçambique 2015. Maputo, Moçambique. Rockville, Maryland, EUA: INS, INE e ICF International. 2015. Portuguese.
  8. Pregnancy and childbirth are leading causes of death in teenage girls in developing countries. Susan. Mayor. May 13, 2004. BMJ. 328. 7449. 1152. www.bmj.com. 10.1136/bmj.328.7449.1152-a. 15142897. 411126.
  9. Mehta, Suman, Groenen, Riet, & Roque, Francisco. United Nations Social and Economic Commission for Asia and the Pacific. (1998). Adolescents in Changing Times: Issues and Perspectives for Adolescent Reproductive Health in The ESCAP Region . Retrieved July 7, 2006.
  10. Web site: Australian women are now having children older than ever . Australian Bureau of Statistics. 11 December 2018.
  11. Web site: Teenage pregnancy - Better Health Channel. 2015-08-31. https://web.archive.org/web/20150923184909/http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/teenage_pregnancy. 2015-09-23.
  12. UNICEF. (2001). Web site: A League Table of Teenage Births in Rich Nations . https://web.archive.org/web/20060629123124/http://www.unicef-icdc.org/publications/pdf/repcard3e.pdf . 2006-06-29 .  . Retrieved July 7, 2006.
  13. Web site: Adolescent fertility rate (births per 1,000 women ages 15-19) - Data. data.worldbank.org.
  14. http://mdgr.undp.sk/DOCUMENTS/MDG_Slovenia_GB_6.pdf
  15. Web site: Silence Makes Babies - Transitions Online. www.tol.org. 6 July 2010.
  16. https://books.google.com/books?id=9EGllb7aoGoC&pg=PA34 The Politics of Gender: A Survey
  17. Web site: Live births by districts, municipalities and mother's age. https://web.archive.org/web/20150504013015/http://www.nsi.bg/en/content/6627/live-births-districts-municipalities-and-mother%E2%80%99s-age. 2015-05-04.
  18. office of national statistics 2018
  19. Dryburgh, H. (2002). Teenage pregnancy. Health Reports, 12 (1), 9-18; Statistics Canada . (2005). Health Indicators, 2005, 2. Retrieved from Facts and Statistics: Sexual Health and Canadian Youth - Teen Pregnancy Rates
  20. Web site: Disminuye número de embarazos adolescentes en Colombia - ELESPECTADOR.COM. 7 September 2016.
  21. Web site: Trends in Teen Pregnancy and Childbearing . August 15, 2014 . . August 21, 2014 . December 3, 2021 . https://web.archive.org/web/20211203090430/https://opa.hhs.gov/adolescent-health?adolescent-health-topics%2Freproductive-health%2Fteen-pregnancy%2Ftrends.html . dead .
  22. Centers for Disease Control and Prevention. (2011) Health Disparities and Inequality Report -- United States, MMWR, Jan 14, 2011 volume 60. http://www.naddssw.org/pages/wp-content/uploads/2011/09/MMWR-health-disparities-Report-2011.pdf#page=107
  23. Contraception . September 2008 . The Potential of Long-acting Reversible Contraception to Decrease Unintended Pregnancy . J. Joseph Speidel . Cynthia C. Harper . Wayne C. Shields . 10.1016/j.contraception.2008.06.001 . 18692608 . 78 . 3 . 197–200 . 2009-01-12 . 2012-07-18 . https://archive.today/20120718153305/http://www.arhp.org/publications-and-resources/contraception-journal/september-2008 .
  24. Strasburger, Victor C. (2007) Teen Pregnancy Rates in the USA Cool Nurse, MD University of New Mexico School of Medicine.
  25. Wind, Rebecca. The Guttmacher Institute. (February 19, 2004). "U.S. Teenage Pregnancy Rate Drops For 10th Straight Year." Retrieved July 7, 2006.
  26. Kantor . Leslie . Levitz . Nicole . Holstrom . Amelia . 2020-05-03 . Support for sex education and teenage pregnancy prevention programmes in the USA: results from a national survey of likely voters . Sex Education . en . 20 . 3 . 239–251 . 10.1080/14681811.2019.1652807 . 1468-1811. free .
  27. News: DeParle . Jason . 2022-12-31 . Their Mothers Were Teenagers. They Didn't Want That for Themselves. . en-US . The New York Times . 2023-01-15 . 0362-4331.
  28. News: Wildsmith . Elizabeth . Welti . Kate . Finocharo . Jane . Ryberg . Renee . Manlove . Jennifer . Jennifer Manlove . 2022-12-23 . Teen Births Have Declined by More Than Three Quarters Since 1991 - Child Trends . en-US . Child Trends . 2023-01-15.
  29. Web site: Adolescent fertility rate (births per 1,000 women ages 15-19). United Nations Data Retrieval System. United Nations. 7 May 2016.
  30. http://unstats.un.org/unsd/demographic/products/dyb/dyb2009-2010/Table10.pdf Live births by age of mother and sex of child, general and age-specific fertility rates: latest available year, 2000-2009
  31. Web site: World Population Prospects - Population Division - United Nations. esa.un.org.
  32. A league table of teenage births in rich nations . July 2001 . Innocenti Report Card . 3.
  33. Sikron F, Wilf-Miron R, Israeli A . Adolescent pregnancy in Israel. Feb 2003 . 12653047 . 142 . 2 . Harefuah . 131–136, 158, 157 . he.
  34. Stanley K. Henshaw . Susheela Singh . Taylor Haas . The Incidence of Abortion Worldwide. International Perspectives on Sexual and Reproductive Health . Jan 1999 . 25 . 30–38 .
  35. Web site: National Institute of Statistics . Statistical Yearbook 2008 . 2010-12-30 . https://web.archive.org/web/20160619131542/http://www.insse.ro/cms/files/pdf/en/cp2.pdf . 2016-06-19 .
  36. http://www.crisispregnancy.ie/pub/Statisticalreport2006.pdf Table 4.1, data from 1996