New York City Department of Health & Mental Hygiene Bureau of Maternal, Infant & Reproductive Health TEEN PREGNANCY IN NEW YORK CITY:

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1 New York City Department of Health & Mental Hygiene Bureau of Maternal, Infant & Reproductive Health TEEN PREGNANCY IN NEW YORK CITY: Bureau of Maternal, Infant, & Reproductive Health 1

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3 TEEN PREGNANCY IN NEW YORK CITY: New York City Department of Health & Mental Hygiene Bureau of Maternal, Infant & Reproductive Health 2 Lafayette Street, 18 th Floor New York, NY 10007

4 ACKNOWLEDGEMENTS This report was prepared by: Cristina Yunzal-Butler, PhD Judith Sackoff, PhD Deborah Kaplan, PA, MPH Technical assistance was provided by: Bureau of Vital Statistics Bureau of Epidemiology Services Suggested Citation:. New York: New York City Department of Health and Mental Hygiene, 2009

5 Table of Contents Introduction 9 1 Trends in Teen Pregnancy Among NYC Residents, Comparisons with U.S. 13 By Race/Ethnicity 16 By District Public Health Office 19 By Neighborhood Poverty Rate 22 By Borough 25 By UHF Neighborhood 29 2 Outcomes of Pregnancy: Live Births, Induced Abortions and Spontaneous Terminations, Characteristics of Pregnant NYC Residents Ages 15-19, By Outcome of Pregnancy 45 By Race/Ethnicity 49 4 Repeat Pregnancies Among NYC Residents Ages 15-19, Sexual Activity Among NYC Public High School Students: Youth Risk Behavior Survey, Sexual Initiation 61 First Sex at Age 13 or Younger 63 Contraceptive Use 64 Knowledge of Emergency Contraception 67 Recency of Intercourse 69 Multiple Partners 71 Partner Age 21 or Older 72 Forced Sex 73 Pregnancy 75 6 Pregnancies Among NYC Residents 14 or Younger, Appendices A Pregnancies Among Non-Residents Ages 15-19, B Technical Appendix 87 New York City Department of Health & Mental Hygiene 3

6 List of Tables 1 Trends in Teen Pregnancy Among NYC Residents, Pregnancy Rates Among NYC Resident and U.S. Teens Ages 15-19, Live Birth Rates Among NYC Resident and U.S. Teens Ages 15-19, Induced Abortion Rates Among NYC Resident and U.S. Teens Ages 15-19, Pregnancy Rates Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, Live Birth Rates Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, Induced Abortion Rates Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, Pregnancy Rates Among NYC Residents Ages 15-19, by District Public Health Office 19 (DPHO) Area and Age, Live Birth Rates Among NYC Residents Ages 15-19, by District Public Health Office 20 (DPHO) Area and Age, Induced Abortion Rates Among NYC Residents Ages 15-19, by District Public Health 21 Office (DPHO) Area and Age, Pregnancy Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate and 22 Age, Live Birth Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate and 23 Age, Induced Abortion Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty 24 Rate and Age, Pregnancy Rates Among NYC Residents Ages 15-19, by Borough and Age, Live Birth Rates Among NYC Residents Ages 15-19, by Borough and Age, Induced Abortion Rates Among NYC Residents Ages 15-19, by Borough and Age, Pregnancy Rates Among NYC Residents Ages 15-19, by United Hospital Fund 30 Neighborhood, Pregnancy Rates Among NYC Residents Ages 15-17, by United Hospital Fund 32 Neighborhood, Pregnancy Rates Among NYC Residents Ages 18-19, by United Hospital Fund Neighborhood, Outcomes of Pregnancy: Live Births, Induced Abortions and Spontaneous Terminations, Percentage Distribution of Pregnancy Outcomes Among NYC Resident and U.S. Teens Ages 15-19, by Age 2.2 Percentage Distribution of Pregnancy Outcomes Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, Percentage Distribution of Pregnancy Outcomes Among NYC Residents Ages 15-19, by Nativity and Age, Percentage Distribution of Pregnancy Outcomes Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate and Age, Percentage Distribution of Pregnancy Outcomes Among NYC Residents Ages 15-19, by Medical Coverage and Age, New York City Department of Health & Mental Hygiene

7 List of Tables, continued 3 Characteristics of Pregnant NYC Residents Ages 15-19, Characteristics of Pregnant NYC Residents Ages 15-19, by Outcome and Age, Characteristics of Pregnant NYC Residents Ages 15-19, by Race/Ethnicity and Age, Repeat Pregnancies Among NYC Residents Ages 15-19, Previous Pregnancy History Among NYC Residents Ages 15-19, by Outcome of Current Pregnancy and Age, Distribution of Number of Previous Pregnancies Among NYC Residents Ages 15-19, by Age, Sexual Behavior Among NYC Public High School Students: Youth Risk Behavior Survey, Percentage of NYC Public High School Students Who Ever Had Sexual Intercourse, YRBS Percentage of NYC Public High School Students Who First Had Intercourse at Age 13 or Earlier, YRBS Percentage of Sexually Active NYC Public High School Students Who Used a Condom or Other Method of Protection at Last Intercourse, YRBS Method of Protection Used at Last Intercourse by Sexually Active NYC Public High School Students, YRBS Percentage of NYC Public High School Students Who Have Heard of Emergency Contraceptive Pills, YRBS Percentage of Sexually Experienced NYC Public High School Students Who Had Intercourse in the Past 3 Months, YRBS Percentage of Sexually Experienced NYC Public High School Students Who Had More Than One Partner in the Past 3 Months, YRBS Percentage of Sexually Experienced NYC Public High School Students Whose Last Partner Was 21 Years Old or Older, YRBS Percentage of Sexually Experienced NYC Public High School Students Who Ever Had Forced Sex, YRBS Percentage of Sexually Experienced NYC Public High School Students Who Became Pregnant or Got Someone Pregnant, YRBS Pregnancies Among NYC Residents 14 or Younger 6.1 Number of Pregnancies Among NYC Residents 14 or Younger, Characteristics of Pregnant NYC Residents 14 or Younger, Appendix A: Pregnancies Among Non-Residents Ages A.1 Number of Pregnancies in NYC Among Non-Residents Ages 15-19, A.2 Characteristics of Pregnant NYC Residents and Non-Residents Ages 15-19, by Age, New York City Department of Health & Mental Hygiene 5

8 List of Figures 1 Trends in Teen Pregnancy Among NYC Residents, Pregnancy Rates Among NYC Resident and U.S. Teens Ages 15-19, Live Birth Rates Among NYC Resident and U.S. Teens Ages 15-19, Induced Abortion Rates Among NYC Resident and U.S. Teens Ages 15-19, Pregnancy Rates Among NYC Residents Ages 15-19, by Race/Ethnicity, Live Birth Rates Among NYC Residents Ages 15-19, by Race/Ethnicity, Induced Abortion Rates Among NYC Residents Ages 15-19, by Race/Ethnicity, Pregnancy Rates Among NYC Residents Ages 15-19, by District Public Health Office 19 (DPHO) Area, Live Birth Rates Among NYC Residents Ages 15-19, by District Public Health Office 20 (DPHO) Area, Induced Abortion Rates Among NYC Residents Ages 15-19, by District Public Health 21 Office (DPHO) Area, Pregnancy Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate, Live Birth Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate, Induced Abortion Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty 24 Rate, Pregnancy Rates Among NYC Residents Ages 15-19, by Borough, Live Birth Rates Among NYC Residents Ages 15-19, by Borough, Induced Abortion Rates Among NYC Residents Ages 15-19, by Borough, NYC United Hospital Fund Neighborhoods Pregnancy Rates Among NYC Residents Ages 15-19, by United Hospital Fund 29 Neighborhood, Pregnancy Rates Among NYC Residents Ages 15-17, by United Hospital Fund 31 Neighborhood, Pregnancy Rates Among NYC Residents Ages 18-19, by United Hospital Fund Neighborhood, Outcomes of Pregnancy: Live Births, Induced Abortions and Spontaneous Terminations, Pregnancy Outcomes Among NYC Residents Ages 15-19, by Age, Pregnancy Outcomes Among NYC Residents Ages 15-19, by Race/Ethnicity & Age, Pregnancy Outcomes Among NYC Residents Ages 15-19, by Nativity & Age, Pregnancy Outcomes Among NYC Residents Ages 15-19, by Neighborhood Poverty 40 Rate, Pregnancy Outcomes Among NYC Residents Ages 15-19, by Medical Coverage & Age, Characteristics of Pregnant NYC Residents Ages 15-19, Race/Ethnicity of Pregnant NYC Residents Ages 15-19, by Outcome of Pregnancy, Age Distribution of Pregnant NYC Residents Ages 15-19, by Outcome of Pregnancy, Nativity of Pregnant NYC Residents Ages 15-19, by Outcome of Pregnancy, New York City Department of Health & Mental Hygiene

9 List of Figures, continued 3.4 Neighborhood Poverty Rates Among Pregnant NYC Residents Ages 15-19, by Outcome 46 of Pregnancy, Medical Coverage Among Pregnant NYC Resident Teens Ages 15-19, by Race/Ethnicity, Age Distribution Among Pregnant NYC Residents Ages 15-19, by Race/Ethnicity, Nativity of Pregnant NYC Residents Ages 15-19, by Race/Ethnicity, Neighborhood Poverty Rates Among Pregnant NYC Residents Ages 15-19, by 50 Race/Ethnicity, Medical Coverage Among Pregnant NYC Residents Ages 15-19, by Race/Ethnicity, Repeat Pregnancies Among NYC Residents Ages 15-19, Percentage of Pregnant NYC Residents Ages Who Have Been Previously Pregnant, by Age Group, Distribution of Number of Previous Pregnancies Among NYC Residents Ages 15-19, by Outcome of Current Pregnancy, Distribution of Number of Previous Pregnancies Among NYC Residents Ages 15-19, by Race/Ethnicity, Sexual Behavior Among NYC Public High School Students: Youth Risk Behavior Survey, Percentage of NYC Public High School Students Who Ever Had Sexual Intercourse, by Race/Ethnicity and Sex: YRBS Percentage of NYC Public High School Students Who Ever Had Sexual Intercourse, by Grade and Sex: YRBS Percentage of NYC Public High School Students Who Ever Had Sexual Intercourse, by Age and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who First Had Intercourse at Age 13 or Earlier, by Race/Ethnicity and Sex: YRBS Percentage of Sexually Active NYC Public High School Students Who Used a Condom or Other Method of Protection at Last Intercourse, by Race/Ethnicity and Sex: YRBS Trends in the Percentage of Sexually Active NYC Public High School Students Who Used a Condom or Other Method of Protection at Last Intercourse, by Sex: YRBS 2003, 2005, Method of Protection Used at Last Intercourse by Sexually Active NYC Public HS Students, by Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Have Heard of Emergency Contraceptive Pills, by Race/Ethnicity and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Had Intercourse in the Past 3 Months, by Race/Ethnicity and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Had Intercourse in the Past 3 Months, by Grade and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Had Intercourse in the Past 3 Months, by Age and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Had More Than One Partner in the Past 3 Months, by Race/Ethnicity and Sex: YRBS New York City Department of Health & Mental Hygiene 7

10 List of Figures, continued 5.13 Percentage of Sexually Experienced NYC Public High School Students Whose Last Partner Was 21 Years or Older, by Race/Ethnicity and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Ever Had Forced Sex, by Race/Ethnicity and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Ever Had Forced Sex, by Grade and Sex: YRBS Percentage of Sexually Experienced NYC Public High School Students Who Became Pregnant or Got Someone Pregnant, by Race/Ethnicity and Sex: YRBS Pregnancies Among NYC Residents 14 or Younger, Number of Pregnancies Among NYC Residents 14 or Younger, Pregnancy Outcomes Among NYC Residents Ages 14 or Younger, Race/Ethnicity of Pregnant NYC Residents Ages 14 or Younger, Age Distribution of Pregnant NYC Residents Ages 14 or Younger, Appendix A: Pregnancies Among Non-Residents Ages A.1 Number of Pregnancies in NYC Among Non-Residents Ages 15-19, New York City Department of Health & Mental Hygiene

11 Introduction Over the period , there was a 28% drop in the teen pregnancy rate for New York City s resident teens. 1 This trend, however, masks a slowing in the decline from 2003 onwards, including persistent racial and ethnic disparities. In 2007, there were 83.2 pregnancies per 1,000 resident females years old, with the rate among non- Hispanic black and Hispanic teens 5.9 and 5.5 times higher than among whites, respectively. Among non-hispanic black teens, 28.3 percent of pregnancies ended in live births, compared with 46.4 percent among Hispanics and 40.7 percent among whites. In 2004, NYC s resident teen pregnancy rate was 22% higher than the U.S. rate. In turn, among Organization of Economic Cooperation and Development (OECD) nations the U.S. teen birth and abortion rates far exceed those of other member countries despite similar rates of onset of sexual activity among teens. The U.S. birth rate ranking is unchanged even when comparisons are stratified by race/ethnicity. 2 Research shows that delays in sexual initiation among younger teens and increased contraceptive use among older teens are the key proximal contributors to reductions in U.S. teen pregnancy rates. 3 In NYC, almost half of public high school students report having had sex. Among these teens, one in two boys and over one in five girls state they first had sex by age 13. While 74.6% of sexually active students report using a condom at last intercourse, only 10.4% of females in this population used birth control pills or another hormonal method. 4 The New York City Department of Health and Mental Hygiene s (DOHMH) teen pregnancy prevention strategy is guided by two principles: Choosing not to have sex is the surest way to avoid unintended pregnancy and sexually transmitted infections (STIs); and If teens are sexually active, young men should use condoms and young women should use hormonal/long-acting reversible birth control every time they have sex. Sexually active teens should get regularly tested for STIs. We know what works to prevent teen pregnancy comprehensive sex education, evidence-based youth development programs and access to community and school-based reproductive health services, including contraception. DOHMH s teen pregnancy prevention activities include: Implementing comprehensive sex education in middle and high schools, in partnership with the Department of Education Supporting the provision of service-learning youth development programs 1 Teens residing in NYC when their pregnancies ended. 2 UNICEF, 'A league table of teenage births in rich nations', Innocenti Report Card No. 3, July UNICEF Innnocenti Research Centre, Florence. 3 Santelli, JS, Duberstein Lindberg L, Finer LB, and Singh S. Explaining Recent Declines in Adolescent Pregnancy in the United States: The Contribution of Abstinence and Improved Contraceptive Use. American Journal of Public Health Vol. 97, No.1. 4 Sexual activity data are from the 2007 NYC Youth Risk Behavior Survey (YRBS). New York City Department of Health & Mental Hygiene 9

12 Providing training and technical assistance to health care providers in community and school-based health centers (SBHCs) to ensure access to sexual and reproductive health services, including contraception Linking students in high schools without SBHCs to community health centers Strengthening school health resource rooms and the School Condom Availability Program Providing nurse home visiting to low-income, first-time teen mothers through the Nurse-Family Partnership, a program which delays subsequent pregnancies and increases high school graduation and employment Conducting ongoing surveillance to monitor and understand trends in teen sexual activity and pregnancy Advocating policy changes that increase public funding and support for sexual and reproductive health services This report presents trends and disparities in teen pregnancy in NYC at a level of detail not previously available. Analyses are largely limited to residents, the intended focus of most of our public health interventions; about 5.9% of NYC teen pregnancies are to non-residents. Sections 1-4 and 6 of the report draw on Bureau of Vital Statistics (BVS) live birth, induced abortion and spontaneous abortion files, which are used to calculate pregnancy rates and summarize characteristics of pregnant teens. Comparisons are made between NYC and the U.S., as well as among various NYC subpopulations, including race/ethnicity, District Public Health Office (DPHO) area, borough and neighborhoods grouped by poverty rates. A section on repeat pregnancies is also included. Section 5 uses the Youth Risk Behavior Survey (YRBS), conducted among 9 th - 12 th graders in NYC public high schools, to provide information on sexual behaviors that may contribute to the risk of pregnancy, including but not limited to, sexual initiation and birth control use. The relationships shown in this report are meant to be purely descriptive. Inferring causality or isolating any one variable s effect on teen pregnancy is beyond the scope of this document. Each chapter begins with a set of key findings to facilitate data interpretation. Data are presented in both figures and tables; downloadable Excel tables are supplied for readers who wish to create their own graphs. 10 New York City Department of Health & Mental Hygiene

13 1. TRENDS IN TEEN PREGNANCY AMONG NYC RESIDENTS: New York City Department of Health & Mental Hygiene 11

14 KEY FINDINGS: TRENDS IN TEEN PREGNANCY From 1997 to 2007, the pregnancy rate among New York City resident teens dropped 28%, from to 83.2 pregnancies per 1, year-old females. However, rates have remained relatively stable from 2003 onwards. (Table 1.1) NYC VS. U.S. Comparisons between U.S. and NYC data should be interpreted with caution. See the Technical Appendix for a discussion on differences in how NYC and U.S. pregnancy data are collected. Over the past decade, NYC s teen pregnancy rate has consistently exceeded the national rate. In 2005 (the latest year available for U.S. pregnancy figures), the NYC rate was 21% higher than the U.S. rate. 5 (Table 1.1) While NYC abortion rates are higher than national rates (51.3 vs per 1,000 teens in 2005), NYC teen birth rates are lower than U.S. numbers (30.6 vs per 1,000 teens in 2007). (Tables ) TRENDS BY AGE Older teens have higher pregnancy, birth and abortion rates compared with younger teens The 2007 pregnancy rate among year-olds is 2.4 times the rate among year-olds (127.2 vs per 1,000 teens). (Tables ) From 1997 to 2007, pregnancy rates declined 34% among year-olds and 24% among year-olds, live birth rates declined 45% and 27%, respectively, and abortion rates declined 25% and 21%. (Tables ) TRENDS BY RACE/ETHNICITY Compared with non-hispanic whites and Asian and Pacific Islanders (APIs), non-hispanic black and Hispanic teens are more likely to become pregnant. Non-Hispanic black and Hispanic teens have the highest pregnancy rates (in 2007, and per 1,000 teens, respectively), followed by APIs (25.0 per 1,000) and non-hispanic whites (20.8 per 1,000). (Table 1.4) Non-Hispanic white teens experienced the largest percentage drop in pregnancy rates (27%) from 2000 to , followed by APIs (24%), non-hispanic blacks (17%), and Hispanics (14%). (Table 1.4) Hispanic teens have the highest birth rates, while non-hispanic blacks have the highest abortion rates. o The 2007 birth rate among Hispanic teens was 52.8 per 1,000 teens, followed by non- Hispanic blacks (34.5 per 1,000), non-hispanic whites (8.5 per 1,000),and APIs (7.4 per 1,000). From 2000 to 2007, birth rates for these groups fell 19%, 30%, 27% and 38%, respectively. (Table 1.5) o The 2007 abortion rate among non-hispanic black teens was 84.2 per 1,000 teens, followed by Hispanics (57.7 per 1,000), APIs (17.0 per 1,000) and non-hispanic whites (11.7 per 1,000). From 2000 to 2007, rates for these groups fell 10%, 9%, 15% and 26%, respectively. (Table 1.6) TRENDS BY NEIGHBORHOOD POVERTY There are large, persistent disparities in teen pregnancy rates by extent of neighborhood poverty. In 2007, the pregnancy rate in neighborhoods where 20% or more of the population lived below the 1999 federal poverty line was 2.8 times that in neighborhoods where the poverty rate was below 10% (103.4 vs per 1,000 teens). In 2000, the relative rate was 2.9 (126.2 vs per 1,000 teens). (Table 1.10) 5 U.S. rates from National Vital Statistics Reports, Vol 56, No. 15, Vol. 57, No. 7, Vol. 57, No. 12, and Vol. 58, No Because of differences in Census race/ethnicity groupings before 2000 & 2000 onwards, rates for are not directly comparable with rates for New York City Department of Health & Mental Hygiene

15 130 Figure 1.1 Pregnancy Rates Among NYC Resident & U.S. Teens* Ages 15-19, NYC U.S. Rate per 1,000 females *U.S. rates from National Vital Statistics Reports, Vol. 58, No. 4. Most recent data are from Table 1.1 Pregnancy Rates* Among NYC Resident and U.S. Teens** Ages 15-19, NYC U.S *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **U.S. rates from National Vital Statistics Reports, Vol. 58, No. 4. Most recent data are from DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 13

16 60 Figure 1.2 Live Birth Rates Among NYC Resident & U.S. Teens* Ages 15-19, NYC U.S. Rate per 1,000 females *U.S. rates from National Vital Statistics Reports, Vol. 56, No. 15; Vol. 57, No. 7; and Vol. 57, No. 12. Table 1.2 Live Birth Rates* Among NYC Resident and U.S. Teens** Ages 15-19, NYC U.S *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. ** U.S. rates from National Vital Statistics Reports, Vol. 56, No. 15; Vol. 57, No. 7; and Vol. 57, No. 12. DOWNLOAD THE EXCEL TABLE 14 New York City Department of Health & Mental Hygiene

17 80 Figure 1.3 Induced Abortion Rates Among NYC Resident & U.S. Teens* Ages 15-19, NYC U.S. Rate per 1,000 females *U.S. rates from National Vital Statistics Reports, Vol. 58, No. 4. Most recent data are from Table 1.3 Induced Abortion Rates* Among NYC Resident and U.S. Teens** Ages 15-19, NYC U.S *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **U.S. rates from National Vital Statistics Reports, Vol. 58, No. 4. Most recent data are from DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 15

18 Rate per 1,000 females Figure 1.4 Pregnancy Rates Among NYC Residents Ages 15-19, by Race/Ethnicity, * Black Non-Hispanic Hispanic White Non-Hispanic Asian & Pacific Islander *Rates for are not directly comparable with rates due to changes in categorizing race/ethnicity. Table 1.4 Pregnancy Rates* Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, ** Race/ Ethnicity Black Non- Hispanic Woman's Age Hispanic White Non- Hispanic Asian & Pacific Islander *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **Rates for are not directly comparable with rates due to changes in categorizing race/ethnicity. DOWNLOAD THE EXCEL TABLE 16 New York City Department of Health & Mental Hygiene

19 Rate per 1,000 females Figure 1.5 Live Birth Rates Among NYC Residents Ages 15-19, by Race/Ethnicity, * Black Non-Hispanic Hispanic 65.4 White Non-Hispanic Asian & Pacific Islander *Rates for are not directly comparable with rates due to changes in categorizing race/ethnicity Table 1.5 Live Birth Rates* Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, ** Race/ Ethnicity Black Non- Hispanic Woman's Age Hispanic White Non- Hispanic Asian & Pacific Islander *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **Rates for are not directly comparable with rates due to changes in categorizing race/ethnicity. DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 17

20 Rate per 1,000 females Figure 1.6 Induced Abortion Rates Among NYC Residents Ages 15-19, by Race/Ethnicity, * Black Non-Hispanic Hispanic White Non-Hispanic Asian & Pacific Islander *Rates for are not directly comparable with rates due to changes in categorizing race/ethnicity Table 1.6 Induced Abortion Rates* Among NYC Residents Ages 15-19, by Race/Ethnicity and Age, ** Race/ Ethnicity Black Non- Hispanic Woman's Age Hispanic White Non- Hispanic Asian & Pacific Islander *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **Rates for are not directly comparable with rates due to changes in categorizing race/ethnicity. DOWNLOAD THE EXCEL TABLE 18 New York City Department of Health & Mental Hygiene

21 Rate per 1,000 females Figure 1.7 Pregnancy Rates Among NYC Residents Ages 15-19, by District Public Health Office (DPHO) Area*, South Bronx North & Central Brooklyn East & Central Harlem Non-DPHO *DPHOs were established in DPHO rates based on combined United Hospital Fund neighborhoods. See Technical Appendix. Table 1.7 Pregnancy Rates* Among NYC Residents Ages 15-19, by District Public Health Office (DPHO) Area and Age, DPHO Area** Woman's Age South Bronx North & Central Brooklyn East & Central Harlem Non-DPHO *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **DPHOs were established in DPHO rates based on combined United Hospital Fund neighborhoods. See Technical Appendix. DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 19

22 Rate per 1,000 females Figure 1.8 Live Birth Rates Among NYC Residents Ages 15-19, by District Public Health Office (DPHO) Area*, South Bronx North & Central Brooklyn East & Central Harlem Non-DPHO *DPHOs were established in DPHO rates based on combined United Hospital Fund neighborhoods. See Technical Appendix. Table 1.8 Live Birth Rates* Among NYC Residents Ages 15-19, by District Public Health Office (DPHO) Area and Age, DPHO Area** Woman's Age South Bronx North & Central Brooklyn East & Central Harlem Non-DPHO *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **DPHOs were established in DPHO rates based on combined United Hospital Fund neighborhoods. See Technical Appendix. DOWNLOAD THE EXCEL TABLE 20 New York City Department of Health & Mental Hygiene

23 Figure 1.9 Induced Abortion Rates Among NYC Residents Ages 15-19, by District Public Health Office (DPHO) Area*, South Bronx East & Central Harlem North & Central Brooklyn Non-DPHO 94.9 Rate per 1,000 females *DPHOs were established in DPHO rates based on combined United Hospital Fund neighborhoods. See Technical Appendix. Table 1.9 Induced Abortion Rates* Among NYC Residents Ages 15-19, by District Public Health Office (DPHO) Area and Age, DPHO Area** Woman's Age South Bronx North & Central Brooklyn East & Central Harlem Non-DPHO *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **DPHOs were established in DPHO rates based on combined United Hospital Fund neighborhoods. See Technical Appendix. DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 21

24 Rate per 1,000 females Figure 1.10 Pregnancy Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate*, % to 9.9% 10.0% to 19.9% 20% or more *Percent of neighborhood population with incomes below the federal poverty line in Table 1.10 Pregnancy Rates* Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate and Age, Neighborhood Poverty Rate** Woman's Age % to 9.9% % to 19.9% % or more *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **Percent of neighborhood population with incomes below the federal poverty line in DOWNLOAD THE EXCEL TABLE 22 New York City Department of Health & Mental Hygiene

25 Figure 1.11 Live Birth Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate*, % to 9.9% % to 19.9% 20% or more Rate per 1,000 females *Percent of neighborhood population with incomes below the federal poverty line in Table 1.11 Live Birth Rates* Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate and Age, Neighborhood Poverty Rate** Woman's Age % to 9.9% % to 19.9% % or more *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **Percent of neighborhood population with incomes below the federal poverty line in DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 23

26 Figure 1.12 Induced Abortion Rates Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate*, Rate per 1,000 females % to 9.9% 10.0% to 19.9% 20% or more *Percent of neighborhood population with incomes below the federal poverty line in Table 1.12 Induced Abortion Rates* Among NYC Residents Ages 15-19, by Neighborhood Poverty Rate and Age, Neighborhood Poverty Rate** Woman's Age % to 9.9% % to 19.9% % or more *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. **Percent of neighborhood population with incomes below the federal poverty line in DOWNLOAD THE EXCEL TABLE 24 New York City Department of Health & Mental Hygiene

27 Rate per 1,000 females Figure 1.13 Pregnancy Rates Among NYC Residents Ages 15-19, by Borough, Bronx Brooklyn Manhattan Queens Staten Island Table 1.13 Pregnancy Rates* Among NYC Residents Ages 15-19, by Borough and Age, Borough of Residence Woman's Age Bronx Brooklyn Manhattan Queens Staten Island *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 25

28 Figure 1.14 Live Birth Rates Among NYC Residents Ages 15-19, by Borough, Rate per 1,000 females Bronx Brooklyn Manhattan Queens Staten Island Table 1.14 Live Birth Rates* Among NYC Residents Ages 15-19, by Borough and Age, Borough of Residence Woman's Age Bronx Brooklyn Manhattan Queens Staten Island *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. DOWNLOAD THE EXCEL TABLE 26 New York City Department of Health & Mental Hygiene

29 Rate per 1,000 females Figure 1.15 Induced Abortion Rates Among NYC Residents Ages 15-19, by Borough, Bronx Brooklyn Manhattan Queens Staten Island Table 1.15 Induced Abortion Rates* Among NYC Residents Ages 15-19, by Borough and Age, Borough of Residence Woman's Age Bronx Brooklyn Manhattan Queens Staten Island *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. DOWNLOAD THE EXCEL TABLE New York City Department of Health & Mental Hygiene 27

30 DOWNLOAD THE JPEG VERSION 28 New York City Department of Health & Mental Hygiene

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32 Table 1.16 Pregnancy Rates* Among NYC Residents Ages 15-19, by United Hospital Fund (UHF) Area, UHF Neighborhood Code Bronx Kingsbridge - Riverdale Northeast Bronx Fordham - Bronx Park Pelham - Throgs Neck Crotona - Tremont High Bridge - Morrisania Hunts Point - Mott Haven Brooklyn Greenpoint Downtown - Heights - Slope Bedford Stuyvesant - Crown Heights East New York Sunset Park Borough Park East Flatbush - Flatbush Canarsie - Flatlands Bensonhurst - Bay Ridge Coney Island - Sheepshead Bay Williamsburg - Bushwick Manhattan Washington Heights - Inwood Central Harlem - Morningside Heights East Harlem Upper West Side Upper East Side Chelsea - Clinton Gramercy Park - Murray Hill Greenwich Village - Soho Union Square - Lower East Side Lower Manhattan Queens Long Island City - Astoria West Queens Flushing - Clearview Bayside - Little Neck Ridgewood - Forest Hills Fresh Meadows Southwest Queens Jamaica South East Queens Rockaway Staten Island Port Richmond Stapleton - St. George Willowbrook South Beach - Tottenville *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. DOWNLOAD THE EXCEL TABLE 30 New York City Department of Health & Mental Hygiene

33 DOWNLOAD THE JPEG VERSION New York City Department of Health & Mental Hygiene 31

34 Table 1.17 Pregnancy Rates Among NYC Residents Ages 15-17, by United Hospital Fund (UHF) Area, UHF Neighborhood Code Bronx Kingsbridge - Riverdale Northeast Bronx Fordham - Bronx Park Pelham - Throgs Neck Crotona - Tremont High Bridge - Morrisania Hunts Point - Mott Haven Brooklyn Greenpoint Downtown - Heights - Slope Bedford Stuyvesant - Crown Heights East New York Sunset Park Borough Park East Flatbush - Flatbush Canarsie - Flatlands Bensonhurst - Bay Ridge Coney Island - Sheepshead Bay Williamsburg - Bushwick Manhattan Washington Heights - Inwood Central Harlem - Morningside Heights East Harlem Upper West Side Upper East Side Chelsea - Clinton Gramercy Park - Murray Hill Greenwich Village - Soho Union Square - Lower East Side Lower Manhattan Queens Long Island City - Astoria West Queens Flushing - Clearview Bayside - Little Neck Ridgewood - Forest Hills Fresh Meadows Southwest Queens Jamaica South East Queens Rockaway Staten Island Port Richmond Stapleton - St. George Willowbrook South Beach - Tottenville *Rates are per 1,000 females in specified group. See the Technical Appendix for a discussion of denominators used to calculate pregnancy rates. DOWNLOAD THE EXCEL TABLE 32 New York City Department of Health & Mental Hygiene

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