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Alabama Adolescent Reproductive Health Facts

Alabama was ranked 10 out of 51 (50 states + the District of Columbia)1 on final 2015 teen births rates among females aged 15-19 (with 1 representing the highest rate and 51 representing the lowest rate).RH1

1Rank calculated from birth rates for this publication.

Number of births to females under 20 years of age, 2015 RH3

Total1 Alabama United States
Females under 20 years of age 4,791 232,215
Females aged Alabama United States
Under 15 52 2,500
15-17 1,295 61,184
18-19 3,444 168,531
15-19 4,739 229,715
Mother's race/ethnicity Alabama United States
Non-Hispanic white2 2,539 91,415
Non-Hispanic black2 1,837 50,884
American Indian or Alaska Native2,3 21 4,791
Asian or Pacific Islander2,3 19 4,334
Hispanic4 386 81,350
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

Total1 Alabama United States
Females aged 15-19 30.1 22.3
Females aged Alabama United States
15-17 13.5 9.9
18-19 55.8 40.7

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

Total Alabama United 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/ethnicity1 Alabama United States
Non-Hispanic white2 53% 39%
Non-Hispanic black2 38% 22%
American Indian or Alaska Native2,3 0% 2%
Asian or Pacific Islander2,3 0% 2%
Hispanic4 8% 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

Total1 Alabama United States
Females under 20 years of age 16% 17%
Mother's race/ethnicity Alabama United States
Non-Hispanic white2 15% 14%
Non-Hispanic black2 16% 17%
American Indian or Alaska Native2,3 * 18%
Asian or Pacific Islander2,3 * 16%
Hispanic4 24% 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

Total Alabama United States
Females under 20 years of age 10.9% 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

Total Alabama United States
Females aged 15-19 59% 52
Females aged Alabama United States
15-17 30% 27
18-19 99 89

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

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

a  Percent change calculated for this webpage.

In 1988, 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

Total Alabama United States
Female aged 15-19 9% 14
Females aged Alabama United States
15-17 5% 8
18-19 14% 22

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

Total Alabama United 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 intercourse Alabama United States
Total 46% 41%
Male 50% 43%
Female 44% 39%
Percent of high school students who report they had sexual intercourse for the first time before 13 years of age Alabama United States
Total 7% 4%
Male 10% 6%
Female 4% 2%
Percent of high school students who report they have had sexual intercourse with 4 or more persons Alabama United States
Total 15% 11%
Male 19% 14%
Female 12% 9%
Percent of high school students who report they drank alcohol or used drugs before last sexual intercourse Alabama United States
Total 20% 21%
Male 22% 25%
Female 17% 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 intercourse Alabama United States
Total 51% 57%
Male 59% 62%
Female 43% 52%
Percent of high school students who report they or their partner used birth control pills before last sexual intercourse Alabama United States
Total 19% 18%
Male 13% 15%
Female 24% 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 intercourse Alabama United States
Total 2% 3%
Male 1% 2%
Female 3% 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 intercourse Alabama United States
Total 9% 5%
Male 4% 3%
Female 12% 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 intercourse Alabama United States
Total 30% 27%
Male 18% 20%
Female 39% 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 intercourse Alabama United States
Total 9% 9%
Male 6% 6%
Female 10% 12%
Percent of high school students who report they or their partner did not use any method to prevent pregnancy during last sexual intercourse Alabama United States
Total 18% 14%
Male 17% 12%
Female 19% 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) Alabama United States
Total 11% 10%
Male 8% 7%
Female 14% 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) Alabama United States
Total 10% 11%
Male 6% 5%
Female 13% 16%

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) Alabama United States
Total 10% 7%
Male 8% 3%
Female 13% 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 https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_01.pdf
RH2
Pregnancy and abortion rate data are from: Kost, K. and Maddow-Zimet, I. (2016) U.S. Teenage Pregnancies, Births and Abortions, 2011: National Trends by Age, Race and Ethnicity, New York: Guttmacher Institute. July 10, 2016, from https://www.guttmacher.org/sites/default/files/report_pdf/us-teen-pregnancy-trends-2011_0.pdf
RH3
State-level birth data by race/ethnicity and select age groups 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 July 17, 2018