Texas Adolescent Reproductive Health Facts

Texas was ranked 5 out of 51 (50 states + the District of Columbia) on 2011 final teen births rates among females aged 15-19 (with 1 representing the highest rate and 51 representing the lowest rate).RH1 On a similar scale – where 1 is the highest teen pregnancy rate and 51 is the lowest – Texas was ranked 3 out of 51 (50 states + the District of Columbia) in pregnancies to females aged 15- 19 in 2008.RH2

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 Number of births to females under 20 years of age, 2011 RH3
Total1TexasUnited States
Females under 20 years of age43,335333,746
Females agedTexasUnited States
Under 155873,974
15-1714,05795,538
18-1928,691234,234
15-1942,748329,772
Mother's race/ethnicityTexasUnited States
Non-Hispanic white9,256130,198
Non-Hispanic black5,87679,936
American Indian or Alaska Native2,31356,897
Asian or Pacific Islander2,32715,773
Hispanic427,876111,236

1 Includes all births, including those with Hispanic origin not stated and not shown separately.

2 Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.

3 Includes persons of Hispanic origin according to mother’s reported race.

4 Includes all persons of Hispanic origin of any race.

 Teen birth rate (births per 1,000 females aged 15–19), 2011 RH1
TotalTexasUnited States
Females aged 15-1946.931.3
Females agedTexasUnited States
15-1725.615.4
18-1979.054.1

 Percent change in the teen birth rate, 1991-2011 and 2010-2011 RH1, RH3, RH4
TotalTexasUnited States
Change in rate to females aged 15-19 (1991 to 2011)-40%-49%
Change in rate to females aged 15-19 (2010 to 2011)-10%-8%

The U.S. teen birth rate peaked at 61.8 births per 1,000 teen females aged 15-19 in 1991.

 Of all births to females under 20 years of age, percent by race/ethnicity, 2011 RH1
Mother's race/ethnicity1TexasUnited States
Non-Hispanic white21%39%
Non-Hispanic black14%24%
American Indian or Alaska Native2,30%2%
Asian or Pacific Islander2,31%2%
Hispanic464%33%

1 Includes all births, including those with Hispanic origin not stated and not shown separately.

2 Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.

3 Includes persons of Hispanic origin according to mother’s reported race.

4 Includes all persons of Hispanic origin of any race.

 Percent repeat births, of all births to females under 20 years of age, 2011 RH1
Total1TexasUnited States
Females under 20 years of age21%18%
Mother's race/ethnicityTexasUnited States
Non-Hispanic white15%14%
Non-Hispanic black20%20%
American Indian or Alaska Native2,317%19%
Asian or Pacific Islander2,316%17%
Hispanic423%20%

1 Includes all births, including those with Hispanic origin not stated and not shown separately.

2 Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.

3 Includes persons of Hispanic origin according to mother’s reported race.

4 Includes all persons of Hispanic origin of any race.

 Of all births to females under 20 years of age, percent outside of marriage (nonmarital), 2011 RH1
TotalTexasUnited States
Females under 20 years of age86%89%
Females agedTexasUnited States
Under 15100%99%
15-1794%95%
18-1981%86%
15-1985%88%

 Percent low birthweight births, among females under 20 years of age, 2011 RH1
TotalTexasUnited States
Females under 20 years of age9.5%9.6%

Low birth weight is defined as less than 2,500 grams (about 5.5 pounds or 5 pounds and 8 ounces).

 Teen pregnancy rate (pregnancies per 1,000 females aged 15-19), 2008 RH2
TotalTexasUnited States
Females aged 15-198568
Females agedTexasUnited States
15-174837
18-19142113

 Percent change in the teen pregnancy rate, 1988-2008 RH2
TotalTexasUnited States
Change in rate to females aged 15-19 (1988 to 2008)-27%-39%

The teen pregnancy rate was 117 pregnancies per 1,000 females aged 15-19 in Texas in 1988, and 111 in the U.S. The U.S. teen pregnancy rate peaked in 1990 at 116.9 pregnancies per 1,000 females aged 15-19, but state data are not available for that year.

 Teen abortion rate (abortions per 1,000 females aged 15-19), 2008 RH2
TotalTexasUnited States
Females aged 15-191118
Females agedTexasUnited States
15-17610
18-192029

 Percent change in the teen abortion rate, 1988-2008 RH2
TotalTexasUnited States
Change in rate to females aged 15-19 (1988 to 2008)-65%-58%

The U.S. teen abortion rate peaked at 43.5 abortions per 1,000 females aged 15-19 in 1988. The teen abortion rate for Texas was 31 abortions per 1,000 females aged 15-19 in 1988.

 Sexual behaviors among high school students (grades 9-12), 2011 RH5
Percent of high school students who have ever had sexual intercourseTexasUnited States
Total52%47%
Male55%49%
Female49%46%
Percent of high school students who had sexual intercourse for the first time before 13 years of ageTexasUnited States
Total7%6%
Male10%9%
Female4%3%
Percent of high school students who have had sexual intercourse with 4 or more personsTexasUnited States
Total17%15%
Male21%18%
Female13%13%
Percent of high school students who drank alcohol or used drugs before last sexual intercourseTexasUnited States
Total24%22%
Male31%26%
Female18%18%

 HIV/AIDS education among high school students (grades 9-12), 2011 RH5
Percent of high school students who were ever taught in school about AIDS or HIV infectionTexasUnited States
Total81%84%
Male81%84%
Female81%84%

 Birth control use among sexually active high school students (grades 9-12), 2011 RH5
Percent of high school students who used a condom during last sexual intercourseTexasUnited States
Total54%60%
Male62%67%
Female46%54%
Percent of high school students who used birth control pills before last sexual intercourseTexasUnited States
Total11%18%
Male9%13%
Female13%23%
Used Depo-Provera (or any injectable birth control), Nuva Ring (or any birth control ring), Implanon (or any implant), or any IUD before last sexual intercourseTexasUnited States
Total4%5%
Male2%3%
Female6%7%
Used both a condom during last sexual intercourse and Depo-Provera (or any injectable birth control), Nuva Ring (or any birth control ring), Implanon (or any implant), or any IUD before last sexual intercourseTexasUnited States
Total6%9%
Male6%7%
Female6%12%
Percent of high school students who did not use any method to prevent pregnancy during last sexual intercourseTexasUnited States
Total20%13%
Male15%11%
Female24%15%

 Relationship violence and forced sex among high school students (grades 9-12), 2011 RH5
Percent of high school students who have been hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend (during the 12 months before the survey)TexasUnited States
Total12%9%
Male10%9%
Female13%9%
Percent of high school students who were ever physically forced to have sexual intercourse (when they did not want to)TexasUnited States
Total9%8%
Male5%4%
Female13%12%

DATA NOTES

 
All percentages (other than percent low birthweight births), have been rounded to the nearest whole number.
*
Figure does not meet standards of reliability or precision; based on fewer than 20 births in the numerator.
**
Difference not statistically significant.
N/A
Data do not exist on this measure for this state.
1
Includes all births, including those with Hispanic origin not stated and not shown separately.
2
Race and Hispanic origin are reported separately on birth certificates. Persons of Hispanic origin may be of any race. Race categories are consistent with the 1977 Office of Management and Budget (OMB) standards.
3
Includes persons of Hispanic origin according to mother’s reported race.
4
Includes all persons of Hispanic origin of any race.

DATA SOURCES

RH1
2011 Birth data are from: Centers for Disease Control and Prevention (2013). National Vital Statistics System. Hyattsville, MD: National Center for Health Statistics.
RH2
Pregnancy and abortion rate data are from: Kost, K. and Henshaw, S. (2013) U.S. Teenage Pregnancies, Births and Abortions, 2008: State Trends by Age, Race and Ethnicity, New York: Guttmacher Institute. Retrieved August 7, 2013, from http://www.guttmacher.org/pubs/USTPtrendsState08.pdf
RH3
1991 Birth rate data are from: Martin, J. A., Hamilton, B. E., Ventura, S. J., Osterman, M. J. K., Kirmeyer, S., Mathews, T. J., Wilson, E. (2011). Births: Final data for 2009. Table B. National vital statistics reports 60(1). Hyattsville, MD: National Center for Health Statistics. Retrieved August 7, 2013, from http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_01.pdf
RH4
2010 Birth rate data are from: Martin, J. A., Hamilton, B. E., Ventura, S. J., Osterman, M. J. K., Wilson, E.C., and Mathews, T. J. (2012). Births: Final data for 2010. National vital statistics reports 61(1). Hyattsville, MD: National Center for Health Statistics. Retrieved August 7, 2013, from http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_01.pdf
RH5
High school data are from: Centers for Disease Control and Prevention. (2012). 1991-2011 High School Youth Risk Behavior Survey Data. Retrieved August 7, 2013, from http://apps.nccd.cdc.gov/youthonline
Last updated: November 13, 2014