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Alabama Adolescent Reproductive Health Facts

Alabama was ranked 10 out of 51 (50 states + the District of Columbia) on final 2014 teen births rates among females aged 15-19 (with 1 representing the highest rate and 51 representing the lowest rate).

Number of births to females under 20 years of age, 2015 RH1

Total1AlabamaUnited States
Females under 20 years of age4,791232,215
Females agedAlabamaUnited States
Under 15522,500
15-171,29561,184
18-193,444168,531
15-194,739229,715
Mother's race/ethnicityAlabamaUnited States
Non-Hispanic white22,53991,415
Non-Hispanic black21,83750,884
American Indian or Alaska Native2,3214,791
Asian or Pacific Islander2,3194,334
Hispanic438681,350
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, non-Hispanic and origin not stated 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), 2015 RH1

Total1AlabamaUnited States
Females aged 15-1930.122.3
Females agedAlabamaUnited States
15-1713.59.9
18-1955.840.7

Percent changea in the teen birth rate, 1991-2015 and 2014-2015 RH1, RH3

TotalAlabamaUnited States
Change in rate to females aged 15-19 (1991 to 2015)-59%-64%
Change in rate to females aged 15-19 (2014 to 2015)-6%-8%

a State-level change calculated for this webpage.

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


Of all births to females under 20 years of age, percenta by race/ethnicity, 2015 RH1, RH3

Mother's race/ethnicity1AlabamaUnited States
Non-Hispanic white253%39%
Non-Hispanic black238%22%
American Indian or Alaska Native2,30%2%
Asian or Pacific Islander2,30%2%
Hispanic48%35%
a
Percentage calculated for this webpage.
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, non-Hispanic and origin not stated 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 repeat births, 2015 RH1RH3

Total1AlabamaUnited States
Females under 20 years of age16%17%
Mother's race/ethnicityAlabamaUnited States
Non-Hispanic white215%14%
Non-Hispanic black216%17%
American Indian or Alaska Native2,3*18%
Asian or Pacific Islander2,3*16%
Hispanic424%18%
a
 Percentage calculated for this webpage.

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, non-Hispanic and origin not stated according to mother's reported race.
4
Includes all persons of Hispanic origin of any race.

Percenta low birthweight births, among females under 20 years of age, 2015 RH1, RH3

TotalAlabamaUnited States
Females under 20 years of age10.9%9.5%

a  Percentage calculated for this webpage.

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), 2011 RH2

TotalAlabamaUnited States
Females aged 15-1959%52
Females agedAlabamaUnited States
15-1730%27
18-199989

Percent changea in the teen pregnancy rate, 1988-2011 RH2

TotalAlabamaUnited States
Change in rate to females aged 15-19 (1988 to 2011)-47%-53%

a  Percent change calculated for this webpage.

In 1998, the teen pregnancy rate was 111 pregnancies per 1,000 females aged 15-19 in Alabama, and 111 in the U.S. The U.S. teen pregnancy rate peaked in 1990 at 117.6 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), 2011 RH2

TotalAlabamaUnited States
Female aged 15-199%14
Females agedAlabamaUnited States
15-175%8
18-1914%22

Percent changea in the teen abortion rate, 1988-2011 RH2

TotalAlabamaUnited States
Change in rate to females aged 15-19 (1988 to 2011)-72%-68%

a  Percent change calculated for this webpage.

The U.S. teen abortion rate peaked in 1988 at 44.0 abortions per 1,000 females aged 15-19. The teen abortion rate for Alabama was 32 abortions per 1,000 females aged 15-19 in 1988.


Sexual behaviors among high school students (grades 9-12), 2015 RH4

Percent of high school students who report they have ever had sexual intercourseAlabamaUnited States
Total46%41%
Male50%43%
Female44%39%
Percent of high school students who report they had sexual intercourse for the first time before 13 years of ageAlabamaUnited States
Total7%4%
Male10%6%
Female4%2%
Percent of high school students who report they have had sexual intercourse with 4 or more personsAlabamaUnited States
Total15%11%
Male19%14%
Female12%9%
Percent of high school students who report they drank alcohol or used drugs before last sexual intercourseAlabamaUnited States
Total20%21%
Male22%25%
Female17%16%

Birth control use among sexually active high school students (grades 9-12), 2015 RH4

Percent of high school students who report they or their partner used a condom during last sexual intercourseAlabamaUnited States
Total51%57%
Male59%62%
Female43%52%
Percent of high school students who report they or their partner used birth control pills before last sexual intercourseAlabamaUnited States
Total19%18%
Male13%15%
Female24%21%
Percent of high school students who report they or their partner used an IUD (e.g., Mirena or ParaGard) or implant (e.g., Implanon or Nexplanon) before last sexual intercourseAlabamaUnited States
Total2%3%
Male1%2%
Female3%5%
Percent of high school students who report they or their partner used a shot (e.g., Depo-Provera), patch (e.g., OrthoEvra), or birth control ring (e.g., NuvaRing) before last sexual intercourseAlabamaUnited States
Total9%5%
Male4%3%
Female12%8%
Percent of high school students who report they or their partner used birth control pills; an IUD or implant; or a shot, patch, or birth control ring before last sexual intercourseAlabamaUnited States
Total30%27%
Male18%20%
Female39%34%
Percent of high school students who report they or their partner used birth control pills; an IUD or implant; or a shot, patch, or birth control ring before last sexual intercourseAlabamaUnited States
Total9%9%
Male6%6%
Female10%12%
Percent of high school students who report they or their partner did not use any method to prevent pregnancy during last sexual intercourseAlabamaUnited States
Total18%14%
Male17%12%
Female19%15%

Relationship violence among high school students who report dating in the past 12 months (grades 9-12), 2015 RH4

Percent of high school students who report they experienced physical dating violence, including being hit, slammed into something, or injured with an object or weapon on purpose by someone they were dating or going out with (during the 12 months before the survey)AlabamaUnited States
Total11%10%
Male8%7%
Female14%12%
Percent of high school students who report they experienced sexual dating violence, including kissing, touching, or being physically forced to have sexual intercourse (when they did not want to) by someone they were dating or going out with (during the 12 months before the survey)AlabamaUnited States
Total11%
Male5%
Female16%

Forced sex among high school students (grades 9-12), 2015 RH4

Percent of high school students who report they were ever physically forced to have sexual intercourse (when they did not want to)AlabamaUnited States
Total10%7%
Male8%3%
Female13%10%

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.
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, non-Hispanic and origin not stated according to mother's reported race.
4
Includes all persons of Hispanic origin of any race.

DATA SOURCES

RH1
Birth data are from: Martin, J. A., Hamilton, B.E., Osterman, M. J. K., Driscoll, A.K., and Mathews, T. J. (2017). Births: Final data for 2015. National Vital Statistics Reports, 66(1). Hyattsville, MD: National Center for Health Statistics. Retrieved January 6, 2017, from http://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66-01.pdf
RH2
Pregnancy and abortion rate data are from: Kost, K. and Henshaw, S. (2014) U.S. Teenage Pregnancies, Births and Abortions, 2011: State Trends by Age, Race and Ethnicity, New York: Guttmacher Institute. Retrieved August 10, 2016, from https://www.guttmacher.org/sites/default/files/report_pdf/us-teen-pregnancy-state-trends-2011_4.pdf
RH3
State-level birth data by race/ethnicity are from: United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics, Natality public-use data 2007-2015, on CDC WONDER Online Database. Retrieved January 6, 2017, from https://wonder.cdc.gov/natality-current.html
RH4
High school data are from: Centers for Disease Control and Prevention. (2016). 1991-2015 High School Youth Risk Behavior Surveillance System Data. Retrieved July 22, 2016, from http://nccd.cdc.gov/YouthOnline/App/Default.aspx
Content created by Office of Adolescent Health
Content last reviewed on March 20, 2019